782 results about "Lumbar vertebral column" patented technology

Surgical implants are configured for placement posteriorly to a spinal canal between vertebral bodies to distract the spine and enlarge the spinal canal. In the preferred embodiments the device permits spinal flexion while limiting spinal extension, thereby providing an effective treatment for treating spinal stenosis without the need for laminectomy. The invention may be used in the cervical, thoracic, or lumbar spine. Numerous embodiments are disclosed, including elongated, length-adjustable components coupled to adjacent vertebral bodies using pedicle screws. The preferred embodiments, however, teach a device configured for placement between adjacent vertebral bodies and adapted to fuse to the lamina, facet, spinous process or other posterior elements of a single vertebra. Various mechanisms, including shape, porosity, tethers, and bone-growth promoting substances may be used to enhance fusion. The tether may be a wire, cable, suture, or other single or multi-filament member. Preferably, the device forms a pseudo-joint in conjunction with the non-fused vertebra. Alternatively, the device could be fused to the caudal vertebra or both the cranial and caudal vertebrae.

A bone fixation assembly including a coupling element having an inner surface defining a first bore coaxial with a first longitudinal axis, and a second bore coaxial with a second longitudinal axis, whereby the second longitudinal axis intersects the first longitudinal axis. The coupling element has a seat adjacent the lower end of the coupling element, the seat being defined by the inner surface of the coupling element. The assembly includes an anchoring element assembled with the coupling element, the anchoring element having a first end for insertion into bone and a head spaced from the first end, the head being in contact with the seat of the coupling element. The assembly provides sufficient angulation between adjacent anchoring elements securing a common orthopedic rod, and is particularly useful for assemblies mounted in spines having abnormal curvatures and in the cervicothoracic region of the spine.

Systems, apparatus, and methods for treating spinal tissue and other body structures in open and endoscopic spine surgery to relieve symptoms, such as neck or back pain. In particular, the present invention provides methods for the controlled heating of various tissues in or around the vertebral column, including various interspinous tissues, such that spinal ligaments and cartilage surrounding the vertebrae and the facet joints are shrunk or tightened to stabilize the vertebral column of a patient. Thermal energy is applied to the target tissue in a subablation mode of an electrosurgical system to cause shrinkage of the tissue, thereby stiffening the interspinous tissue and stabilizing the vertebral column. In an exemplary embodiment, a high frequency RF voltage can be applied between one or more active electrode(s) and one or more return electrode(s) to heat a target interspinous tissue to within a temperature range at which irreversible shrinkage of the tissue occurs.

The invention relates to an anchoring element for securing a rod of a device for adjusting a human or animal vertebral column on a vertebra, comprising a retaining means (10) for receiving the rod, a safety element (26) placed on the retaining means and working against the rod, a securing element (14) which can be placed on the body of the vertebra, and a clamping device (12) which is arranged between the retaining means (10) and the securing element (14), comprising a ring-shaped mount (32), a partially conical-segment shaped bearing (28) and an intermediate element (30) which is embedded in the mount (32) and which engages the bearing, whereby the mounting (32) is moveable in a removed state in relation to the bearing (28), whereas the mount (32) is maintained in a clamped state on the bearing (28) by means of the intermediate element (30). The mount (32) is rigidly connected to the retaining means (10) and the bearing (28) is rigidly connected to the securing element (14). In order to enable said type of anchoring element, despite the fact that it is displaceably retained, to transmit relatively large amounts of force from the rod to the body of the vertebra without causing slipping, the bearing (28) comprises flat guiding surfaces (38, 40) which are formed laterally on two opposite sides (34, 36), and the intermediate element (30) is provided with corresponding counter surfaces (50, 52).

A prosthesis for the replacement of the cartilaginous structures of a spine motion segment is described. The prosthesis comprises an intervertebral disc prosthesis in combination with a facet joint prosthesis.

Methods and apparatus for providing percutaneous access to vertebrae in alignment with a visualized, trans-sacral axial instrumentation/fusion (TASIF) line in a minimally invasive, low trauma, manner are disclosed. A number of related TASIF methods and surgical tool sets are provided by the present invention that are employed to form a percutaneous pathway from an anterior or posterior skin incision to a respective anterior or posterior target point of a sacral surface. The percutaneous pathway is generally axially aligned with an anterior or posterior axial instrumentation/fusion line extending from the respective anterior or posterior target point through at least one sacral vertebral body and one or more lumbar vertebral bodies in the cephalad direction. The provision of the percutaneous pathway described herein allows for the formation of the anterior or posterior TASIF bore(s) and/or the introduction of spinal implants and instruments.

The present invention relates to a vertebral fixing system adapted to be mounted on a vertebra of the spine to connect it to a rod. The fixing system comprises: a connecting part adapted to face the rib and/or the transverse process and to be connected to the rod; an elongate flexible ligature adapted to connect together the connecting part and at least one rib and/or one transverse process; and an adjustable locking screw fastened to the connecting part and adapted to fix simultaneously in position the connecting part relative to the rod and at least one portion of the ligature relative to the connecting part, so as to prevent relative displacement of the rod and the vertebra in opposite directions.

Devices and methods are provided for immobilizing facet joints of the vertebral column. Embodiments of the invention provide an implant that is inserted in a facet joint from which cartilage has been removed, and which retains the approximate original spacing of the facets in the joint. A retaining arrangement, such as an adhesive, a threaded fastener, or a screw is then used to secure the implant in the joint.

Provided are a system and method for a spinal implant locking assembly. In one example, the system includes a bone anchor, a polyaxial head coupled to a proximal end of the bone anchor, a spinal implant, and a locking assembly. The locking assembly may have a bearing post with a distal portion coupled to the polyaxial head and a proximal portion that extends through an opening in the spinal implant. The locking assembly may also have a bushing, a bearing element, and a threaded locking member. The threaded locking member may be configured to rotationally engage a threaded surface on at least one of the bearing post and the bushing.

An adjustable spinal fixation system is composed of a collection of anchoring assemblies attached, via a variety of connectors, to spine-stabilizing rods. The anchoring assemblies include a linking member attached in a ball-and-socket fashion to a bone-engaging member that is adapted to engage a spinal bone of a patient. The linking member joins one of the included connectors to an associated bone-engaging member. The connectors are selectively attached to one of the stabilizing rods. The anchoring assemblies each include a support collar and a split retention ring that cooperate to allow adjustment of the bone-engaging member and corresponding connector during surgery. When surgery is complete, a securing nut and locking bolt cooperate with the support collar and split retention ring to maintain the relative position of the entire fixation system, preventing unwanted movement between the system components.

Methods and devices are disclosed for treating the vertebral column. An implant for treating the spine is provided comprising at least two articulations between the spacer and the bone facing surface of the fixation plate. Another implant for treating the spine is also provided, comprising two or more fixation plates attached to a spacer with two or more articulations, wherein the fixation plates are independently movable.

An instrument system for preparing a disc space between adjacent vertebral bodies to receive a repair device includes a series of distractors for distracting the vertebral bodies in a manner that restores natural lordosis of the lumbar and cervical spine, a vertebrae immobilizing template to fix the positions of the bodies, a handle for employing the distractor and the template, and a reamer for cutting tissue from endplates of the vertebral bodies.

In one embodiment of the invention, an anterior fixation system includes a plate defining a plurality of screw holes, a number of screws and a number of locking assemblies for fixing the screws to the plate. The system includes two bone screws a fixed angle screw and a variable angle screw, that are configured to extend through the same screw openings in the fixation plate. The surgeon can select either the fixed or variable angled screws to be implanted with a single plate and can place either type of screw into any of the screw holes along the plate. The fixation plate according to the invention can include several screw holes in various patterns that provide the surgeon with great flexibility in the placement of bone screws depending upon the spinal anatomy and pathology. The invention further contemplates a locking assembly to lock one or more bone screws within a respective screw hole. In one embodiment, the locking assembly includes a washer that is held to the plate by a staked locking screw. The washer includes an outer surface that overlaps one or more screw holes. The washer is initially loosely held to the plate by the locking screw so that various tools and bone screws can be passed through the screw holes. In one embodiment of the washer, the washer includes cut-outs corresponding to the screw holes, along with a notch and key configuration for setting the locking washer in its locked configuration.

The vertebral body replacement device includes a body member and a central rod member that has two threaded portions and is configured to be operatively associated with the body member. The device also includes a first end member and a second end member with the end members being configured to threadingly engage the threaded portions of the central rod member. The body member and the two end members are further constructed to inhibit rotational movement of the two end members when the device is positioned within a space within a spine as the two end members will engage the adjacent respective vertebral bodies following rotational actuation of the central rod member causing the end members to move in an axial direction relative to the body member, thereby allowing the two end members to apply a force to the two vertebral bodies. A surgical method using the device is also disclosed.

A magnetic spinal implant device is disclosed. In one embodiment, the device includes: a first piece configured to be implanted into a patient and coupled to the patient's spine, wherein the first piece includes a recessed portion; a first magnet coupled to the first piece; a second piece configured to be implanted into the patient and juxtaposed with the first piece, wherein the second piece includes a base portion surrounding a raised portion, wherein the raised portion is configured to be at least partially received within the recessed portion of the first piece so as to facilitate alignment of the first and second pieces; and a second magnet coupled to the second piece, wherein the first magnet exerts a desired magnetic force on the second magnet.