Systems and methods for treating spinal deformities

Patent metadata

Field	Value
Publication number	US-10195047-B2
Application number	US-201715421679-A
Country	US
Kind code	B2
Filing date	Feb 1, 2017
Priority date	Jul 20, 2005
Publication date	Feb 5, 2019
Grant date	Feb 5, 2019

Abstract

Systems and methods of treating spinal deformity, including one or more intervertebral implants to be introduced laterally into respective intervertebral spaces, a plurality of bone screws introduced generally laterally into vertebral bodies adjacent to the intervertebral implants and/or the intervertebral implants themselves, and a cable dimensioned to be coupled to the bone screws and manipulated to adjust and/or correct the spinal deformity.

First claim

What is claimed is:

1. A system for treating spinal deformities, comprising:
a spinal fusion implant dimensioned to be introduced into an intervertebral space between a first vertebral body and a second vertebral body in a generally lateral approach;
a first bone screw dimensioned to be introduced into said first vertebral body in a generally lateral approach;
a second bone screw dimensioned to be introduced into said second vertebral body in a generally lateral approach, a distance separating the second bone screw from the first bone screw; and
a flexible elongate member having a substantially constant cross section flexible along its entire length, the flexible elongate member further comprising a first end having a head member dimensioned to be received within and secured to a housing of the first bone screw, a second end dimensioned to be received within and secured to a housing of the second bone screw;
wherein with the head portion of the flexible elongate member secured to the housing of the first bone screw, the second end of the flexible elongate member is configured to be pulled through the housing of the second bone screw, such that the distance between the first bone screw and the second bone screw is reduced, and wherein the second end is configured to be secured to the housing of the second bone screw with the system thereby configured to maintain the reduced distance between the first bone screw and the second bone screw.

2. The system for treating spinal deformities of claim 1 , further comprising:
a second spinal fusion implant dimensioned to be introduced into a second intervertebral space adjacent to at least one of the first and second vertebral bodies; and
a third bone screw dimensioned to be introduced into a third vertebral body adjacent to said second intervertebral space in a generally lateral approach.

3. The system of treating spinal deformities of claim 2 , wherein said third bone screw includes a side-loading housing dimensioned to receive said elongate member therethrough.

4. The system of treating spinal deformities of claim 1 , wherein said first and second bone screws each includes a tulip-shaped housing.

5. The system of treating spinal deformities of claim 1 , wherein at least one of said first and second bone screws are at least one of fixed-axis screws and variable angle screws.

6. The system of treating spinal deformities of claim 1 , wherein said at least one of said first and second bone screws are at least one of cannulated and non-cannulated.

7. The system of treating spinal deformities of claim 1 , wherein said elongate member is secured to at least one of said first and second bone screws by a set screw.

8. The system of treating spinal deformities of claim 1 , wherein the first end of said elongate member includes a shaped head member.

9. The system of treating spinal deformities of claim 1 , wherein said elongate member is composed of at least one of steel, titanium, titanium allow, Nitinol, nylon, and plastic, and polymer.

10. The system of treating spinal deformities of claim 1 , wherein said elongate member is at least one of a cable and a rigid rod.

11. The system of treating spinal deformities of claim 1 , wherein at least one of said first and second bone screws has a threaded post on a first end, and wherein said elongate member has at least one aperture dimensioned to receive the threaded post to secure said elongate member to at least one of said first and second bone screws.

12. A system for treating spinal deformities, comprising:
a first spinal fusion implant dimensioned to be introduced into a first intervertebral space in a generally lateral approach;
a second spinal fusion implant dimensioned to be introduced into a second intervertebral space in a generally lateral approach;
a first screw dimensioned to be introduced into at least one of said first spinal fusion implant and a vertebral body adjacent to said first intervertebral space;
a second screw dimensioned to be introduced into at least one of said second spinal fusion implant and a vertebral body adjacent to said second intervertebral space, a distance separating the second bone screw from the first bone screw; and
a flexible elongate member having a substantially constant cross section flexible along its entire length, a first end and a second end, the flexible elongate member further comprising a head member disposed on the first end, the head member proportioned to be received within and secured to the first screw, the second end of the flexible elongate member being proportioned to be received within and secured to the second screw
wherein with the head portion of the flexible elongate member secured to the housing of the first screw, the second end of the flexible elongate member is configured to be pulled through the housing of the second screw, such that the distance between the first screw and the second screw is reduced, and wherein the second end is configured to be secured to the housing of the second screw with the system thereby configured to maintain the reduced distance between the first screw and the second screw.

13. The system of treating spinal deformities of claim 12 , wherein said first and second screws are secured at least one of midway through and substantially through the length of the spinal fusion implant.

14. The system of treating spinal deformities of claim 12 , wherein at least one of said first and second screws are introduced into said first and second spinal fusion implants, respectively, at least one of before, during, and after the first and second fusion implants are introduced into said first and second intervertebral spaces, respectively.

15. The system of treating spinal deformities of claim 12 , wherein said first and second screws each includes a tulip-shaped housing.

16. The system for treating spinal deformities of claim 12 , further comprising:
a third spinal fusion implant dimensioned to be introduced into a third intervertebral space in a generally lateral approach; and
a third screw dimensioned to be introduced into at least one of said third spinal fusion implant and a vertebral body adjacent to said third intervertebral space.

17. The system of treating spinal deformities of claim 16 , wherein said at least one of said first screw, said second screw, and said third screw includes a side-loading housing having an aperture dimensioned to receive said elongate member.

18. The system of treating spinal deformities of claim 16 , wherein said at least one of said first screw, said second screw, and said third screw includes a threaded post on a first end, and wherein said elongate member has at least one aperture dimensioned to receive said threaded post of at least one of said first screw, said second screw and said third screw.

Assignees

• Nuvasive Inc

Inventors

• Cornwall G Bryan
• Spangler Jonathan

Classifications

• A61B17/7005 Primary

  Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit in the screw or hook heads · CPC title

• A61F2/4455 Primary

  for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages (intervertebral discs A61F2/442) · CPC title

• A61F2002/30774

  internally-threaded · CPC title

• A61B17/7022

  Tethers, i.e. longitudinal elements capable of transmitting tension only, e.g. straps, sutures or cables (A61B17/702 takes precedence) · CPC title

• A61B17/7032

  Screws or hooks with U-shaped head or back through which longitudinal rods pass · CPC title