Surgical spinal correction

Patent metadata

Field	Value
Publication number	US-11272987-B2
Application number	US-201916692143-A
Country	US
Kind code	B2
Filing date	Nov 22, 2019
Priority date	Oct 9, 2013
Publication date	Mar 15, 2022
Grant date	Mar 15, 2022

Abstract

A method is provided for planning, performing, and assessing of surgical correction to the spine during a spinal surgical procedure. This method is implemented by a control unit through a GUI to digitize screw locations, digitize anatomical reference points, accept one or more correction inputs, and generate one or more rod solution outputs shaped to engage the screws at locations distinct from the originally digitized locations.

First claim

We claim:

1. A method for intraoperative planning and assessment of spinal deformity correction during a surgical spinal procedure, the method comprising:
receiving digitized location data of a plurality of implanted screws;
receiving digitized location data of at least one anatomical reference point;
generating at least one virtual anatomic reference line in a coronal plane based on the digitized location data of said at least one anatomical reference point;
accepting one or more spine correction inputs that straighten one or more digitized screw locations in the coronal plane relative to the at least one virtual anatomic reference line; and
based on the one or more spine correction inputs, generating at least one rod solution output shaped to engage one or more of the plurality of implanted screws at locations distinct from the digitized location data.

2. The method of claim 1 , wherein the virtual anatomic reference line is a central sacral vertical line.

3. The method of claim 2 , wherein the at least one anatomical reference point comprises at least two points that correlate to the central sacral vertical line.

4. The method of claim 3 , wherein the at least two points are selected from a position at a left iliac crest, a position at a right iliac crest, and a midpoint of a sacrum.

5. The method of claim 2 , wherein the at least one anatomical reference point comprises two points that lie along the central sacral vertical line.

6. The method of claim 5 , wherein the at least one anatomical reference point comprises a superior point and an inferior point on a sacrum.

7. The method of claim 2 , wherein the one or more spine correction inputs comprises aligning all of the digitized screw locations relative to the central sacral vertical line in the coronal plane.

8. The method of claim 2 , wherein the rod solution output is a vertically straight rod along at least a portion of a length.

9. The method of claim 1 , further comprising:
generating at least one measurement value based on at least one anatomically-based reference point.

10. The method of claim 1 , further comprising:
generating at least one measurement value based on at least two anatomically-based reference lines.

11. The method of claim 10 , wherein the measurement is an offset distance between said two reference lines.

12. The method of claim 11 , wherein said two reference lines are a central sacral vertical line and a C7 plumb line.

13. The method of claim 12 , further comprising:
assessing an intraoperative spinal balance based on a relationship between said central sacral vertical line and said C7 plumb line and communicate that assessment to a user.

14. The method of claim 13 , wherein said relationship is based on a coronal offset distance between the central sacral vertical line and the C7 plumb line.

15. The method of claim 14 , wherein assessing the intraoperative spinal balance includes providing a visual communication, wherein the visual communication is a color in which a first color designates an offset distance indicating a balanced spine within a coronal plane and a second color designates an offset distance indicating an unbalanced spine within the coronal plane.

16. The method of claim 9 , wherein the measurement value comprises an intraoperative lumbar lordosis angle and a planned pelvic incidence angle.

17. The method of claim 16 , further comprising:
assessing intraoperative spinal balance based on a relationship between an intraoperative lumbar lordosis angle measurement and a planned pelvic incidence angle.

18. The method of claim 17 , wherein the lumbar lordosis angle and pelvic incidence angle are measured at least once during the surgical spinal procedure.

19. The method of claim 18 , wherein the relationship is based on a variance between the intraoperative lumbar lordosis angle and the planned pelvic incidence angle.

20. The method of claim 19 , wherein assessing the intraoperative spinal balance includes providing a visual communication, wherein the visual communication is a color in which a first color designates a variance indicating a balanced spine within a sagittal plane and a second color designates an variance distance indicating an unbalanced spine within the sagittal plane.

Assignees

• Nuvasive Inc

Inventors

• Scholl Thomas
• Peterson Mark
• Isaacs Robert

Classifications

• A61B5/4566

  Evaluating the spine (A61B5/4561 takes precedence) · CPC title

• A61B2034/105

  Modelling of the patient, e.g. for ligaments or bones · CPC title

• A61B17/7083

  Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements · CPC title

• A61B34/10 Primary

  Computer-aided planning, simulation or modelling of surgical operations · CPC title

• A61B2034/254

  being adapted depending on the stage of the surgical procedure · CPC title