Surgical device for minimally invasive spinal fusion and surgical system comprising the same
A surgical device is disclosed which may advantageously perform the functions of both a retractor and a distractor. The device has two retractor blades facing each other and held in a common frame, the retractor blades are insertable into a surgical incision in a patient and moveable away from each other along a main axis (x) so as to widen the surgical incision; and a connecting pin attached at a distal end of each retractor blade. Each connecting pin is attachable to a pedicle screw anchored to respective vertebrae of the patient, so that moving away the two retractor blades along the main axis (x) determines a distraction of the vertebrae.
1. Surgical device comprising: two retractor blades facing each other and held together by a common frame, said retractor blades being insertable into a surgical incision in a patient and moveable away from each other along a main axis (x) so as to widen said surgical incision; said surgical device comprising a connecting pin attached at a distal end of each retractor blade, each connecting pin being attachable to a pedicle screw anchored to a respective vertebra of the patient, so that moving away the two retractor blades along said main axis determines a distraction of said vertebrae; said surgical device comprising a linear actuator for relatively moving the retractor blades away from each other along said main axis (x); said common frame comprising a main bar parallel to said main axis (x) and two arms coupled to said main bar and respectively holding the two retractor blades, said linear actuator moving at least one of said arms along said main bar, wherein said arms are articulated arms having first ends hinged to said main bar about hinging axis (y) parallel to the main axis (x) and second ends hinged to said retractor blades about hinging axis (z) orthogonal to the main axis (x).
2. Surgical device according to claim 1 , wherein the connecting pin attached to each retractor blade is directed toward the opposite retractor blade.
3. Surgical device according to claim 2 , wherein the connecting pins are orientable so as to be aligned along the main axis (x) when attached to the pedicle screws for distraction.
4. Surgical device according to claim 3 , wherein each connecting pin is hingedly connected to the respective retractor blade.
5. Surgical device according to claim 2 , wherein each connecting pin features a retaining flange at its free end.
6. Surgical device according to claim 2 , wherein each connecting pin is releasably attached to the respective retractor blade.
7. Surgical device according to claim 6 , wherein each connecting pin is mounted on a sliding connector which is slidingly attachable to an inner side of the respective retractor blade.
8. Surgical device according to claim 7 , wherein said sliding connector has an elongated shape and is insertable within a longitudinal groove extending from a proximal end to the distal end of the respective retractor blade.
9. Surgical device according to claim 1 , wherein an adjustment about said first hinging axis (y) is provided by an angular ratchet.
10. Surgical device according to claim 1 , wherein the distal end of each retractor blade is skewed with respect to the longitudinal extension of the retractor blade.
11. Surgical system comprising a surgical device according to claim 1 and a percutaneous tower, said connecting pins being slidably engageable in longitudinal side openings of said percutaneous tower.