This application relates to systems and methods for correction of spine deformation.
Kyphosis is a convex curvature of the spine that can cause pain and other medical complications for a patient. Osteotomy (partial removal of bone) or a facetectomy (total removal of the facet joint) are two surgical procedures that may be used in order to provide space to move the spinal column and correct kyphotic deformity. Although cervical osteotomy is an established procedure for cervical kyphosis correction, the procedure is not commonly performed outside the university/research hospital setting due to procedural complexity, lack of control and safety concerns. Improved methods and systems to correct spine deformation in patients are needed.
Example systems to correct kyphotic deformity are described herein. An example system includes an anterior cervical discectomy and fusion (ACDF) implant that has a curved inferior surface that allows the vertebral body to rotate at the correct instantaneous center of rotation. An example system may include a one or more surgical instruments to access the cervical facet joint and perform either an osteotomy (partial removal of bone) or a facetectomy (total removal of the facet joint) in order to provide space to move the spinal column and correct kyphotic deformity.
In one aspect, a posterior spinous process fixation device to secure the vertebral bodies in the corrected position is described. In one aspect, the most distal spinous process bone is identified. This bone may have the most leverage to reduce a kyphosis but it may be the weakest bone. A spinous process wiring or fixation system disperses the load throughout the spinous process bone, by, for example, including wiring/fixation at the base is stronger than wiring/fixation on the distal spinous process. The wiring/fixation may include a plate feature with teeth to clasp on the spinous process at top and bottom. In another aspect, laminar plates may be used and the plates may have cross links for rotational stability.
An anterior cervical discectomy and fusion (ACDF) implant is disclosed. The implant includes a proximal end portion and a distal end portion. The implant also includes a first surface opposite a second surface, the first surface including one or more teeth or ridges and the second surface being arcuate, curved or dome shaped, each of the first and second surfaces extending between the proximal and distal end portions. The shape of the second surface allows a vertebral body to rotate at a correct center of rotation. In one aspect, the second surface is an inferior surface configured to engage a superior surface of a vertebra. In one aspect, the proximal end portion further comprises an integrated anterior fixation plate extending from the end portion. In one aspect, the anterior fixation plate further comprises at least one opening, and preferably two openings, configured to receive a fixation device. In one aspect, the fixation device is a screw.
A system for correction of spine deformation is disclosed. The system includes the implant as described herein. The system may further include a posterior cervical fixation system to compress a first and second lamina, thereby correcting the spine deformation. In one aspect, the posterior cervical fixation system comprises a laminar hook and rod, or a hook and wire, or a spinous process wiring and fixation device. In one aspect, the system may further include one or more surgical instruments to access the cervical facet joint and perform either an osteotomy (partial removal of bone) or a facetectomy (total removal of the facet joint) in order to provide space to move the spinal column and correct kyphotic deformity.
A method for correction of spine deformation is disclosed. The method includes advancing the implant as disclosed herein into a disc space between an upper and lower vertebrae, the space created in an ACDF procedure. The method further includes fixing the implant to the upper vertebrae thereby allowing the implant to slide or rotate in a controlled manner on a surface of the lower vertebrae following the segment's instantaneous center of rotation during a subsequent posterior reduction osteotomy. In one aspect, the method further includes moving the patient to the prone position. In one aspect, the method further includes removing a lateral mass of the upper and/or lower vertebrae with an access and bone removal device. In one aspect, the method further includes compressing a first lamina toward a second lamina with a compression and fixation system or posterior cervical fixation system to compress the first and second lamina, thereby correcting the kyphotic deformity. The compression and fixation system is a laminar hook/rod, or hook/wire, or a spinous process wiring/fixation device. In some aspects, the first lamina is C5 and the second lamina is C7.
Additional embodiments and features are set forth in part in the description that follows, and will become apparent to those skilled in the art upon examination of the specification of may be learned by the practice of the disclosed subject matter. A further understanding of the nature and advantages of the present disclosure may be realized by reference to the remaining portions of the specification and the drawings, which form a part of this disclosure. One of skill in the art will understand that each of the various aspects and features of the disclosure may advantageously be used separately in some instances, or in combination with other aspects and features of the disclosure in other instances.
The description will be more fully understood with reference to the following figures in which components are not drawn to scale, which are presented as various examples of the present disclosure and should not be construed as a complete recitation of the scope of the disclosure, characterized in that:
Disclosed herein are methods and systems for correction of spinal deformation. Example systems to correct kyphotic deformity are described herein. As can be understood from
While the steps of the method are disclosed in a specific order, more or fewer steps may be used and the order may change. In one embodiment, and as illustrated in
As can be understood from
The above specification and examples provide a complete description of the structure and use of exemplary embodiments of the invention as defined in the claims. Although various embodiments of the claimed invention have been described above with a certain degree of particularity, or with reference to one or more individual embodiments, it is appreciated that numerous alterations to the disclosed embodiments without departing from the spirit or scope of the claimed invention may be possible. Other embodiments are therefore contemplated. It is intended that all matter contained in the above description and shown in the accompanying drawings shall be interpreted as illustrative only of particular embodiments and not limiting. Changes in detail or structure may be made without departing from the basic elements of the invention as defined in the following claims.
As used herein and unless otherwise indicated, the terms “a” and “an” are taken to mean “one”, “at least one” or “one or more”. Unless otherwise required by context, singular terms used herein shall include pluralities and plural terms shall include the singular.
Unless the context clearly requires otherwise, throughout the description and the claims, the words ‘comprise’, ‘comprising’, and the like are to be construed in an inclusive sense as opposed to an exclusive or exhaustive sense; that is to say, in the sense of “including, but not limited to”. Words using the singular or plural number also include the plural and singular number, respectively. Additionally, the words “herein,” “above,” and “below” and words of similar import, when used in this application, shall refer to this application as a whole and not to any particular portions of the application.
Of course, it is to be appreciated that any one of the examples, embodiments or processes described herein may be combined with one or more other examples, embodiments and/or processes or be separated and/or performed amongst separate devices or device portions in accordance with the present systems, devices and methods.
This application claims the benefit of priority to U.S. Patent Application 63/168,342, filed Mar. 31, 2021, and titled “System and Method for Correction of Spine Deformation” and which is hereby incorporated by reference in its entirety.
Filing Document | Filing Date | Country | Kind |
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PCT/US2022/022800 | 3/31/2022 | WO |
Number | Date | Country | |
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63168342 | Mar 2021 | US |