Segmented Spinal Tethering System for Growth Accommodation
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Solution Overview
Problem
Existing tethering systems for spinal deformities often fail to accommodate the growth of patients, leading to potential damage to the system and the patient, especially in prepubescent children and adolescents with continued growth potential.
Innovation Solution
A tethering system comprising an elongated member with displaceable sections that increase in length, allowing for the attachment of tethers to vertebral members, which apply a corrective force as the patient grows, using movable sections and biasing members to prevent detachment and accommodate spinal growth.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If a fixed-length tethering system is used, then the system structure is simple, but it cannot accommodate patient growth leading to potential damage
Solution Approach 1:
The elongated member is divided into multiple displaceable sections that can move relative to each other, allowing the overall length to increase as the patient grows. This segmentation enables the system to adapt to growth while maintaining a relatively simple overall structure.
Solution Approach 2:
The tethering system transitions from a fixed-length structure to a dynamic, adjustable-length structure where sections can displace relative to each other. This dynamic capability allows the system to accommodate ongoing patient growth without requiring complete system replacement.
2Adaptability or versatility
If the elongated member length is increased to accommodate growth, then patient growth is accommodated, but the corrective force may be reduced
Solution Approach 1:
By segmenting the elongated member into multiple sections, the system can increase overall length while maintaining adequate corrective force through the distributed arrangement of sections and their interaction with adjacent vertebral members.
Solution Approach 2:
The system is pre-configured with displaceable sections that are designed to progressively engage and provide corrective force as the patient grows, ensuring that corrective action is maintained throughout the growth period.
3Adaptability or versatility
If multiple displaceable sections are used, then the system accommodates growth, but the device complexity increases
Solution Approach 1:
The elongated member is divided into multiple displaceable sections that can move relative to each other, allowing the overall length to increase as the patient grows. This segmentation enables the system to adapt to growth while maintaining a relatively simple overall structure.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The system effectively applies a corrective force to misaligned vertebral members, addressing spinal deformities like scoliosis and kyphosis by accommodating patient growth, thereby preventing further deformity progression and promoting alignment correction.
Implementation Method 1
movable sections and biasing members to prevent detachment and accommodate spinal growth
Data Source
AI summary
The present application is directed to tethering systems that provide a corrective force to one or more vertebral members. The tethering systems may include an elongated member with first and second sections. The sections are displaceable relative to each other to increase a length of the elongated member. The first section may be attached to a first vertebral member, and a second section may be attached to a second vertebral member. At least one tether may be attached to the elongated member. The tether may include a length to be attached to the first and second sections, and to a third vertebral member that is positioned between and laterally offset from the first and second vertebral members. The length of the elongated member may increase thus causing the tether to apply a corrective force to the third vertebral member.


