Sacral-iliac stabilization system

Patent metadata

Field	Value
Publication number	US-10368919-B2
Application number	US-201113189084-A
Country	US
Kind code	B2
Filing date	Jul 22, 2011
Priority date	Jul 22, 2010
Publication date	Aug 6, 2019
Grant date	Aug 6, 2019

Abstract

The present invention provides a sacral-iliac plate having an iliac portion with a first screw hole for receiving a first fastener to secure the iliac portion to the iliac bone. A sacral portion integrated monolithically with the iliac portion is also provided with a second and third screw holes for receiving second and third fasteners to secure the sacral portion to the sacral bone. The sacral portion also includes a tulip for receiving and securing a spinal rod.

First claim

The invention claimed is:

1. A sacral-iliac plate comprising:
an iliac portion having a first screw hole for receiving a first fastener to secure the iliac portion to the iliac bone;
a sacral portion integrated monolithically with the iliac portion having a second and third screw holes for receiving a second and third fasteners to secure the sacral portion to the sacral bone, wherein the first screw hole differs from the second and third screw holes, wherein the first screw hole is threaded and the second and third screw holes are non-threaded,
wherein the sacral portion comprises a tulip for receiving and securing a spinal rod,
wherein the tulip is integrated with the sacral portion,
wherein the tulip extends upward from a superior surface of the sacral-iliac plate and forms a channel for receiving the spinal rod in a top-loading manner, the channel configured to extend at least partially along a length of the spinal rod towards the second and third sacral screw holes,
wherein the first and second screw holes are in line along a first axis,
wherein the second and third screw holes are in line with the tulip along a second axis,
wherein the first axis and the second axis are generally perpendicular,
wherein the tulip is positioned in between the second and third screw holes, and the channel of the tulip is positioned in line with the second and third screw holes, and
wherein the iliac portion is angled between 35° to 50° with respect to the sacral portion,
wherein the sacral portion extends from a first end to a second end, wherein the sacral portion includes a first portion extending from the first end to a base of the tulip and a second portion extending from the second end to the base of the tulip, the first portion includes the second screw hole and the second portion includes the third screw hole,
wherein the first portion has a first thickness that is less than a second thickness of the second portion, wherein the second thickness of the second portion is measured from an inferior surface of the sacral-iliac plate to the superior surface of the sacral-iliac plate adjacent the tulip,
wherein a prong is disposed directly underneath the tulip and configured to facilitate temporary fixation during installation of the plate.

2. The sacral-iliac plate according to claim 1 , wherein the spinal rod is configured to be secured within the tulip with a locking cap.

3. The sacral-iliac plate according to claim 1 , further comprising the first fastener, wherein the first fastener is configured with a threaded head to engage with the threaded first screw hole.

4. The sacral-iliac plate according to claim 1 , wherein the iliac portion is angled at 40° with respect to the sacral portion.

5. A sacral-iliac plate comprising:
an iliac portion having a first screw hole for receiving a first fastener to secure the iliac portion to the iliac bone; and
a sacral portion integrated monolithically with the iliac portion having a second and third screw holes for receiving a second and third fasteners to secure the sacral portion to the sacral bone, wherein the first screw hole differs from the second and third screw holes, wherein the first screw hole is threaded and the second and third screw holes are non-threaded,
wherein the sacral portion comprises a tulip for receiving and securing a spinal rod,
wherein the tulip is integrated with the sacral portion,
wherein the tulip extends upward from a superior surface of the sacral-iliac plate and forms a channel for receiving the spinal rod in a top-loading manner, the channel configured to extend at least partially along a length of the spinal rod towards the second and third sacral screw holes,
wherein the tulip is positioned in between the second and third screw holes, and the channel of the tulip is positioned in line with the second and third screw holes, and
wherein the iliac portion and the sacral portion form a generally L-shape,
wherein the sacral portion extends from a first end to a second end, wherein the sacral portion includes a first portion extending from the first end to a base of the tulip and a second portion extending from the second end to the base tulip, the first portion includes the second screw hole and the second portion includes the third screw hole,
wherein the first portion has a first thickness that is less than a second thickness of the second portion, wherein the second thickness of the second portion is measured from an inferior surface of the sacral-iliac plate to the superior surface of the sacral-iliac plate adjacent the tulip,
wherein a prong is disposed directly underneath the tulip and configured to facilitate temporary fixation during installation of the plate.

6. The sacral-iliac plate according to claim 5 , wherein the second and third screw holes are in line with the tulip along a second axis.

7. The sacral-iliac plate according to claim 5 , wherein the spinal rod is configured to be secured within the tulip with a locking cap.

8. The sacral-iliac plate according to claim 5 , further comprising the first fastener, wherein the first fastener is configured with a threaded head to engage with the threaded first screw hole.

9. The sacral-iliac plate according to claim 5 , wherein the iliac portion is angled between 35° to 50° with respect to the sacral portion.

10. The sacral-iliac plate according to claim 5 , wherein the iliac portion is angled at 40° with respect to the sacral portion.

11. A method of stabilizing a spine comprising:
accessing the sacrum and iliac portions of the spine;
positioning a sacral-iliac plate on a portion of the sacrum and a portion of the iliac bone; and
securing the sacral iliac plate to the portion of the sacrum and the iliac bone;
wherein the sacral-iliac plate comprises:
an iliac portion having a first screw hole for receiving a first fastener to secure the iliac portion to the iliac bone; and
a sacral portion integrated monolithically with the iliac portion having a second and third screw holes for receiving a second and third fasteners to secure the sacral portion to the sacral bone, wherein the first screw hole differs from the second and third screw holes, wherein the first screw hole is threaded and the second and third screw holes are non-threaded,
wherein the sacral portion comprises a tulip for receiving and securing a spinal rod,
wherein the iliac portion and the sacral portion form a generally L-shape,
wherein the tulip is positioned in between the second and third screw holes, and

wherein the tulip extends upward from a superior surface of the sacral-iliac plate and forms a channel for receiving the spinal rod in a top-loading manner, the channel configured to extend at least partially along a length of the spinal rod towards the second and third sacral screw holes, and the channel of the tulip is positioned in line with the second and third screw holes
wherein the sacral portion extends from a first end to a second end, wherein the sacral portion includes a first portion extending from the first end to tulip and a second portion extending from the second end to the tulip, the first portion includes the second screw hole and the second portion includes the third screw hole,
wherein the first portion has a thickness that is less than a second thickness of the second portion, wherein the second thickness of the second portion is measured from an inferior surface of the sacral-iliac plate to the superior surface of the sacral-iliac plate adjacent the tulip,
wherein a prong is disposed directly underneath the tulip and configured to facilitate temporary fixation during installation of the plate.

12. The method according to claim 11

Assignees

• Pham Khiem
• Salzberger Mark
• Globus Medical Inc

Inventors

• Pham Khiem
• Salzberger Mark

Classifications

• A61B17/7055 Primary

  connected to sacrum, pelvis or skull · CPC title

• A61B17/7032

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

• A61B17/809

  with bone-penetrating elements, e.g. blades or prongs (bone staples A61B17/0642; intramedullary nails with a plate at an end A61B17/7233) · CPC title

• A61B17/7044

  also having plates, staples or washers bearing on the vertebrae · CPC title