Claims
- 1. A polydirectional fixation screw for use in connecting a bone with a linkage, the polydirectional fixation screw comprising:
an upper member for attachment to the linkage, the upper member including a first hemispherical portion; a lower member for engage with the bone, the lower portion including a second hemispherical portion which cooperates with the first hemispherical portion to substantially define a sphere, the second hemispherical portion coupled to the first hemispherical portion for relative pivotal movement about a first axis; and a biasing member for biasing said first member away from the second member in a direction substantially parallel to the axis.
- 2. The polydirectional fixation screw of claim 1, wherein the biasing member is a spring.
- 3. The polydirectional fixation screw of claim 1, wherein the biasing member defines an aperture, the axis passing through the aperture.
- 4. The polydirectional fixation screw of claim 1, wherein the upper member includes a threaded portion extending from the first hemispherical portion along a second axis.
- 5. The polydirectional fixation screw of claim 4, wherein the first axis is disposed at a predetermined angle relative to the second axis.
- 6. The polydirectional fixation screw of claim 1, wherein the biasing member maintains a desired orientation between the upper and lower members.
- 7. A system for spinal fixation, the system comprising:
a rod; a polydirectional fixation screw including an upper member and a lower member, the upper member having a first hemispherical portion, the lower member including a second hemispherical portion that cooperates with the first hemispherical portion to substantially define a sphere, the second hemispherical portion coupled to the first hemispherical portion for relative pivotal movement about an axis; and a connection member adjustably interconnecting the polydirectional fixation screw and the rod, the connection member including first and second flanges connected by an intermediate portion, the intermediate portion defining an aperture for receiving the rod, the second flange defining a recess for matingly receiving a portion of the sphere; and a nut threadably engaging the upper member and rotatable in a first direction to arrest relative movement between the first and second hemispherical portions and to arrest relative movement between the rod and the connection member.
- 8. The system for spinal fixation of claim 7, wherein the polydirectional screw further includes a biasing member for biasing the first member away from the second member in a direction substantially parallel to the axis.
- 9. The system for spinal fixation of claim 7, wherein the intermediate portion radially extends relative from the first and second flanges.
- 10. The system for spinal fixation of claim 7, further comprising a locking ball adjustably interconnecting the connection member and the rod, the locking ball defining an aperture receiving the rod.
- 11. The system for spinal fixation of claim 10, wherein the aperture eccentrically passes through the locking ball.
- 12. The system for spinal fixation of claim 8, wherein the biasing member defines an aperture, the axis passing through the aperture.
- 13. A system for spinal fixation, the system comprising:
a plurality of fixation screws, each fixation screw including a spherical portion, a first threaded shaft downwardly extending for the spherical portion, and a second threaded shaft upwardly extending from the spherical portion; a plurality of nuts each having a partially spherical lower surface and adapted to threadably engage the second threaded shaft of any of the plurality of fixation screws; and a plurality of linkages connecting adjacent ones of the plurality of fixation screws, each linkage having a first end with a first recess and a second end with a second recess, the first end lying in a first plane parallel to and spaced from a second plane containing the second end such that the first and second ends are vertically offset from one another, the first and second recesses being substantially identically configured to selectively receive the spherical portion of any one of the plurality of fixation screws or the partially spherical surface of any of the plurality of nuts.
- 14. The system for spinal fixation of claim 13, wherein each of the first and second recesses have a partially spherical configuration.
- 15. The system for spinal fixation of claim 13, wherein the first recess and the second recess of each of the plurality of linkages open in opposite directions.
- 16. The system for spinal fixation of claim 13, wherein each of the fixation screws includes an upper member and a lower member, the upper member having a first hemispherical portion, the lower member including a second hemispherical portion that cooperates with the first hemispherical portion to substantially define the spherical portion, the second hemispherical portion coupled to the first hemispherical portion for relative pivotal movement about an axis.
- 17. The system for spinal fixation of claim 16, wherein a first end of a first linkage of the plurality of linkages receives the spherical portion of the first fixation screw and the first end of a second linkage of the plurality of linkages receives a first nut threadably engaging the second threaded shaft of the first fixation screw.
- 18. The system for spinal fixation of claim 17, wherein the first end of the first linkage abuts the first end of the second linkage.
- 19. The system for spinal fixation of claim 18, wherein adjacent surfaces of the first and second linkages include cooperating serrations to prevent relative rotation between the first and second linkages.
- 20. The system for spinal fixation of claim 17, wherein the second end of the first linkage receives a second nut threadably engaging the second threaded shaft of a second fixation screw, and wherein the system for spinal fixation further includes an end cap defining a recess receiving the spherical portion of the second fixation screw and abutting the second end of the first linkage.
- 21. A method of spinal fixation comprising the steps of:
providing a plurality of fixation screws, each fixation screw including a spherical portion, a first threaded shaft downwardly extending for the spherical portion, and a second threaded shaft upwardly extending from the spherical portion; providing a plurality of nuts, each nut having a partially spherical lower surface and adapted to threadably engage the second threaded shaft of any of the plurality of fixation screws; providing a plurality of linkages, each linkage having a first end with a first recess and a second end with a second recess, the first end lying in a first plane parallel to and spaced from a second plane containing the second end such that the first and second ends are vertically offset from one another, the first and second recesses being substantially identically configured to selectively receive the spherical portion of any one of the plurality of fixation screws or the partially spherical surface of any of the plurality of nuts; providing a plurality of end caps, each end cap defining a recesses configured to selectively receive the spherical portion of any one of the plurality of fixation screws or the partially spherical surface of any of the plurality of nuts; engaging first, second, and third spinal segments with first, second and third fixation screws of the plurality of fixation screws, respectively, the second fixation screw engaging a spinal segment between the first and third fixation screws; engaging the spherical portion of the first fixation screw with a first one of the plurality of end caps; threadably engaging the second threaded shaft of the first fixation screw with a first nut of the plurality of nuts, the partially spherical lower surface of the first nut received within the first end of a first linkage of the plurality of linkages; engaging the second end of the first linkage with the spherical portion of the second fixation screw; threadably engaging a second nut of the plurality of nuts with the second threaded shaft of the second fixation screw; receiving the partially spherical lower surface of the second nut with a first end of a second linkage of the plurality of links; engaging the second end of the second linkage with the spherical portion of the third fixation screw; and threadably engaging the second threaded shaft of the third fixation screw with a third nut of the plurality of nuts, the recess of a second end cap of the plurality of end caps receiving the partially spherical surface of the third nut.
- 22. The method of claim 21, wherein each of the first and second recesses and the recess of the second end cap have a partially spherical configuration.
- 23. An offset linkage for a spinal fixation system, the offset linkage comprising:
a first end having a first opening passing through a first recess; a second end having a second opening passing through a second recess; and an intermediate portion connecting the first and second ends such that the first end is disposed in a first plane and the second end is disposed in a second plane, the first and second planes being parallel and spaced apart.
- 24. The offset linkage for a spinal fixation system of claim 23, wherein the first and second recesses open in opposite directions.
- 25. The offset linkage for a spinal fixation system of claim 23, wherein each of the first and second recesses have a partially spherical configuration.
- 26. A coupling for adjustably connecting a rod with a fixation screw, the fixation screw having a spherical portion, a first threaded shaft downwardly extending for the spherical portion, and a second threaded shaft upwardly extending from the spherical portion, the coupling comprising:
an upper flange having a first opening passing through a first recess, the first recess configured to matingly receive a nut threadably engaging the second threaded shaft; a lower flange having a second opening passing through a second recess, the second recess configured to matingly receive the spherical portion of the fixation screw; and an arm connecting the upper and lower flanges, the arm defining an aperture for receiving the rod and disposed in a plane which does not intersect the first and second openings.
- 27. The coupling for adjustably connecting a rod with a fixation screw of claim 26, wherein each of the first and second recesses having a partially spherical configuration.
- 28. A method of inserting a polydirectional fixation screw into a bone, the fixation screw having an upper member and a lower member, the upper member having a first hemispherical portion and an upper threaded shaft upwardly extending from the first hemispherical portion, the lower member having a second hemispherical portion and a lower threaded shaft downwardly extending from the second hemispherical portion, the first and second hemispherical portions cooperating to substantially define a sphere, the second hemispherical portion coupled to the first hemispherical portion for relative pivotal movement about a pivot axis, the method of inserting a polydirectional fixation screw comprising the steps of:
providing an insertion tool having an upper handle elongated along a handle axis, a bubble level with a bubble carried by the upper handle and a slot over the bubble level extending perpendicular to the handle axis, the insertion tool further including a rod downwardly extending from the upper handle and having a tip; engaging the tip of the rod in a predetermined orientation such that the handle axis and the pivot axis are in a common plane; screwing the fixation screw into the bone while the upper threaded shaft is substantially aligned with the lower threaded shaft through rotation of the insertion tool about the rod; orienting the insertion tool such that the bubble is visible within the slot; and pivoting the first hemispherical portion relative to the second hemispherical portion until the bubble is centered within the slot.
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application claims priority to provisional applications filed Feb. 16, 2000 (assigned U.S. Ser. No. 60/182,830) and Aug. 4, 2000 (assigned U.S. Ser. No. 60/223,061).
Provisional Applications (2)
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Number |
Date |
Country |
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60182830 |
Feb 2000 |
US |
|
60233061 |
Sep 2000 |
US |