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Bone Plate System and Related Methods

a technology of bone plate and bone plate, applied in the field of laminoplasty, can solve the problems of surgeons likely drilling, traditional procedures can be largely risky to perform, etc., and achieve the effects of adequate vertical and/or horizontal displacement, adequate visualization of the operative site, and increased visibility of the surgical si

Inactive Publication Date: 2016-04-07
NUVASIVE
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The present invention is a bone plate system for use in an open door laminoplasty procedure. The system increases safety and reproducibility by eliminating the steps of drilling and screwing over an open spinal cord and an unstable hinged lamina. The open U-shaped plate design facilitates the placement of the laminar screw before cuts are made to the laminae, eliminating the risks of drilling and screwing over an open cord and hinged lamina. A template tool can be used to mark the lamina, making the procedure easier and safer. The system allows for an increase in safety and reproducibility over traditional laminoplasty surgical techniques. The bone plate system is easy to use and securely positions the lamina during the procedure.

Problems solved by technology

For this “open door” laminoplasty procedure, one challenge is to securely maintain the grooved portion of lamina or “lamina hinge portion” for proper healing.
This traditional procedure can be risky to perform largely because the cuts in the lamina are made before the hole for the laminar screw are drilled.
This means that the surgeon is likely drilling through an unstable lamina directly over otherwise exposed spinal cord.

Method used

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  • Bone Plate System and Related Methods
  • Bone Plate System and Related Methods
  • Bone Plate System and Related Methods

Examples

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first embodiment

[0052]FIGS. 1-2 illustrate an example of a bone plate system 10 configured for use in a laminoplasty procedure, according to the present invention. By way of example only, the bone plate system 10 includes a bone plate 12, a first fixation element 14, and at least one second fixation element 16. The bone plate 12 is elongated and has a generally curved shape such that the plate 12 has an associated radius of curvature. The plate is sized and dimensioned to span a gap between a pair of bony segments, for example a pair of bony segments constituting a divided lamina. The first and second fixation elements 14, 16 are each configured to securely attach the bone plate 12 to the bony segments. Although shown by way of example in FIGS. 1 and 2 as being bone screws, other fixation elements are possible without departing from the scope of the present invention, for example tacks, nails, hooks, pins, sutures, adhesives, and the like.

[0053]The bone plate 12, first fixation element 14, and seco...

second embodiment

[0065]Referring to FIG. 17, an example of a bone plate system 110 is provided according to the present invention. The bone plate system 110 is similar to the bone plate system 10 described above except that the bone plate system 110 is configured to be used with a bone graft, for example the bone graft 700 shown in FIG. 32. By way of example only, the bone plate system 110 includes a bone plate 112, a first fixation element 114, at least one second fixation element 116, and a third fixation element 117. The bone plate 112 is elongated and has a generally curved shape such that the plate 112 has an associated radius of curvature. The plate 112 is sized and dimensioned to span a gap between a pair of bony segments, for example a pair of bony segments constituting a divided lamina. The first and second fixation elements 114, 116 are each configured to securely attach the bone plate 112 to the bony segments. The third fixation element 117 is configured to securely attach a bone graft, f...

third embodiment

[0069]FIG. 21 illustrates a bone plate system 210 according to the present invention. The bone plate system 210 is identical to the bone plate system 10 except that it is provided with a smaller size. Many different sizes of the bone plate system 10 / 210 may be provided without departing from the scope of the present invention.

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PUM

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Abstract

A bone plate system for use in an “open door” laminoplasty procedure, including a bone plate, a first fixation element, and at least one second fixation element. The bone plate is elongated and has a generally curved shape such that the plate has an associated radius of curvature. The plate is sized and dimensioned to span a gap between a pair of bony segments, for example a pair of bony segments constituting a divided lamina. The first and second fixation elements are each configured to securely attach the bone plate to the bony segments. The bone plate has a first end including a generally U-shaped slot extending therein such that the open end of the slot comprises a first terminal end of the plate.

Description

CROSS REFERENCE TO RELATED APPLICATIONS[0001]This application is a continuation of U.S. patent application Ser. No. 13 / 499,659 filed Jul. 11, 2012, which is the U.S. National Stage Entry of International Patent Application No. PCT / US2010 / 002686 filed Oct. 4, 2010, and claims the benefit of priority from U.S. Provisional Patent Application No. 61 / 299,925 filed Jan. 29, 2010 and from U.S. Provisional Patent Application No. 61 / 248,444 filed Oct. 3, 2009, the entire contents of which are expressly incorporated by reference into this disclosure as if set forth in its entirety herein.BACKGROUND OF THE INVENTION[0002]I. Field of the Invention[0003]The present invention relates to the field of laminoplasty, and, more particularly, to laminoplasty devices and methods.[0004]II. Discussion of the Prior Art[0005]Spinal stenosis is a degenerative narrowing of the spinal canal, nerve root canals and / or intervertebral foramina caused by bone and / or ligament hypertrophy in local, segmental or gener...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61B17/70A61F2/28A61B17/80
CPCA61B17/7071A61B17/8625A61F2/2846A61B17/808A61B17/68A61B17/80
Inventor STEVENSON, TARACURRAN, MATTHEWSCHWARTZ, DAVIDBROWN, CRISTOPHERORELLANA, JODYBROTMAN, MICHAEL
Owner NUVASIVE
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