US20010012937A1 - Polyaxial pedicle screw - Google Patents
Polyaxial pedicle screw Download PDFInfo
- Publication number
- US20010012937A1 US20010012937A1 US09/778,336 US77833601A US2001012937A1 US 20010012937 A1 US20010012937 A1 US 20010012937A1 US 77833601 A US77833601 A US 77833601A US 2001012937 A1 US2001012937 A1 US 2001012937A1
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- US
- United States
- Prior art keywords
- screw
- head
- cap
- pedicle
- axis
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 230000015572 biosynthetic process Effects 0.000 claims abstract description 7
- 238000005755 formation reaction Methods 0.000 claims abstract description 7
- 230000000087 stabilizing effect Effects 0.000 claims abstract description 4
- 230000000295 complement effect Effects 0.000 claims description 7
- 230000005489 elastic deformation Effects 0.000 claims description 2
- 230000000903 blocking effect Effects 0.000 claims 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000007788 roughening Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
- A61B17/7037—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other wherein pivoting is blocked when the rod is clamped
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7032—Screws or hooks with U-shaped head or back through which longitudinal rods pass
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
- A61B17/7038—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other to a different extent in different directions, e.g. within one plane only
Definitions
- the present invention relates to a pedicle screw assembly.
- a standard pedicle screw assembly comprises a screw having an externally threaded stem having in turn a head provided with parts allowing it to be secured to one end of a distraction rod. Two such screws inserted into respective vertebrae are secured to such a rod to distract and/or stabilize a spinal column after, for instance, a disk operation.
- the head of the screw has a pair of outwardly projecting parallel ridges with overhanging inner edges.
- a cap formed with a pair of complementary inwardly open slots that can fit with these ridges and has a part-cylindrical recess forming with another part-cylindrical recess on the head of the screw a seat for the rod.
- the screw is threaded into the vertebrae, an end of the rod is fitted to its outer end, the cap is then slid transverse to the screw axis and parallel to the rod over the rod to capture it, a screw threaded into the cap is tightened to press the rod down against the head of the screw and thereby fix the rod, cap, and screw together.
- cap of this system must be slid transversely onto the head of the screw, it is necessary to open the operating field sufficiently to allow such movement. This not only increases the extent of the surgery, but makes it impossible to install two such screws close to each other, for instance on adjacent vertebrae. Furthermore in most systems the actual position of the screw is critical as the rod can only be fitted to it in a limited range of positions.
- Another object is the provision of such an improved pedicle screw which overcomes the above-given disadvantages, that is which can be installed in very close quarters.
- a pedicle-screw assembly has according to the invention a screw extending along an axis and having a threaded shaft and a round head, an inner cap part carried on the head and swivelable on the head, and an outer cap part forming with the inner cap part a seat adapted to hold an end of a distraction/stabilizing rod.
- the outer cap part has formations engageable in a snap fit over the inner cap part, and an element on the outer cap part can be tightened to fix the rod in the seat.
- the rod ends can be fitted to the inner cap parts which can be swiveled to accommodate any necessary angular offset. Then the outer cap parts are snapped in place and the assembly is tightened to lock the rod in place.
- the outer cap part does not have to be slid transversely into position but is moved normally generally axially as it is snapped over the inner cap part, so that little clearance is needed and the operating field does not have to be expanded to accommodate such movement.
- the screw head according to the invention has an inner region with a part-spherical outer surface and an end face lying on a plane substantially perpendicular to the screw axis.
- the head is formed on the end face with a central part-spherical bump centered on the axis.
- the outer cap part is generally U-shaped and formed with a base forming the seat and carrying the fixing means and a pair of legs projecting parallel to the axis, flanking the cap inner part, and having ends engaged around sides of the cap inner part.
- Each of the legs has an outer end that hooks under an edge of the respective side of the cap inner part.
- the outer cap part is formed parallel to and adjacent each leg with a groove so that lateral elastic deformation of the leg is increased.
- Interengaging formations on the cap parts block movement of the cap parts relative to each other transverse to the axis. Furthermore, the outer and inner cap surfaces have confronting side faces.
- the interengaging formations include at least one axially extending ridge on one of the faces and a complementary axially extending slot on the face confronting the one face. The one face having the ridge is on the inner cap part although of course the reverse system would be usable.
- the head and inner cap part have surfaces that engage each other and that are roughened.
- the fixing means is a screw threaded into the outer cap part and tightenable to pull the roughened surfaces of the inner cap part and head axially together. Thus when the assembly is tightened, the cap can no longer swivel on the screw.
- the outer and inner cap parts are formed with confronting part-cylindrical concavities forming the seat.
- the inner cap-part concave seat half has a throughgoing aperture.
- the fixing screw presses the rod in the seat against the bump.
- the screw is formed at a base of the head with an annular inset so as to allow a wide range of swiveling of the cap on the head.
- FIG. 1 is a perspective view of a pedicle-screw assembly according to the invention
- FIG. 2 is a side view of the assembly of FIG. 1;
- FIG. 3 is a section taken along line III-III of FIG. 2;
- FIG. 4 is a top view taken in the direction of arrow IV of FIG. 3;
- FIG. 5 is a perspective view from above of the screw
- FIG. 6 is a perspective view from below of the screw with the inner cap part
- FIG. 7 is an axial section through the subassembly of FIG. 6;
- FIGS. 8 and 9 are sections taken along respective lines VIII-VIII and IX-IX of FIG. 7;
- FIG. 10 is a view like FIG. 9 but with the inner cap part tipped.
- FIG. 11 is a perspective view from above of the outer cap part.
- a pedicle screw assembly basically comprises a screw 1 extending along an axis A and having a threaded stem 3 and a head 4 and a cap 5 adapted to clamp a distraction/stabilizing rod 2 extending along an axis A′ crossing the axis A.
- a threaded stem 3 and a head 4 and a cap 5 adapted to clamp a distraction/stabilizing rod 2 extending along an axis A′ crossing the axis A.
- Normally at least two such assemblies are used, with two screws 1 set in respective vertebrae and interconnected by a single rod 2 held in place on the screws 1 by their caps 5 .
- the head 4 as also shown in FIGS. 5 through 10 is defined by an inset neck groove 21 and is basically semispherical and centered on the axis A. It has a planar top surface 22 that is perpendicular to the axis A and is formed centrally thereon with a semispherical bump 23 also centered on the axis A but of a radius of curvature equal to about one third of that of the head 4 so that, in effect, the surface 22 is a planar annular land surrounding the bump 23 .
- the cap 5 as also shown in FIGS. 6 through 11 comprises an inner part 6 and an outer part 7 .
- the inner part 6 has a part-spherical cavity 24 complementary to an outer surface 20 of the head 4 so that the inner part can swivel on the head 4 about a point on the axis A, and an upwardly or outwardly open part-cylindrical recess 14 complementary to the rod 2 .
- the cavity 14 of the inner part 6 is centrally open at 15 to expose the bump 23 so that a rod 2 engaged in the seat half 14 can engage this bump 23 .
- the surfaces of the outer and inner part are roughened at 25 where they engage each other, this roughening or profiling being sufficient to impede but not prevent swiveling of the part 6 on the head 4 about a point on the axis A.
- the outer part 7 is basically U-shaped and comprises a body 8 forming a downwardly open part-cylindrical seat 16 complementary to the rod 2 and a pair of arms 9 having hook- or barb-like inner ends 10 that snap under inner edges of flat sides 11 of the inner part 6 .
- the side walls 11 diverge axially downward and are each formed with a ridge 12 fittable in complementary slots 13 formed in the sides 9 .
- the ridges 12 could be in the sides 9 and the grooves in the side walls 11 .
- Grooves 17 cut into the body 8 allow these arms 9 to be deflected elastically outward to allow the outer part 7 to be pressed down on the downwardly diverging sides 11 until the ends 10 snap under the inner edges thereof.
- the interfitting ridge 1 and groove 13 prevent the parts 6 and 7 from moving relative to each other parallel to the axis A′ and the edges 10 snapped under the sides 11 prevent relative displacement parallel to the axis A.
- This part 7 is further formed with a threaded hole 18 adapted to receive a hex-head set screw 19 (FIG. 4) that can press against the rod 2 to press same against the bump 23 and pull the part 7 upward away from the part 6 .
- the screw 1 is seated in a vertebra in the standard manner. This can be done with the inner cap part 6 attached or it can be subsequently snapped on. Then the rod 2 is laid in the recess 14 of the inner part 6 and the outer part 17 is snapped into place over it. The screw 19 is then tightened to lock the parts 1 , 2 , 5 , and 6 together.
- the ability of the cap 5 to swivel about a point on the axis A allows a wide range of relative angular positions between the axes A and A′.
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Neurology (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Medicines Containing Material From Animals Or Micro-Organisms (AREA)
- Prostheses (AREA)
Abstract
A pedicle-screw assembly has a screw extending along an axis and having a threaded shaft and a round head, an inner cap part carried on the head and swivelable on the head, and an outer cap part forming with the inner cap part a seat adapted to hold an end of a distraction/stabilizing rod. The outer cap part has formations engageable in a snap fit over the inner cap part, and an element on the outer cap part can be tightened to fix the rod in the seat. The screw head has an inner region with a part-spherical outer surface and an end face lying on a plane substantially perpendicular to the screw axis. The head is formed on the end face with a central part-spherical bump centered on the axis. In addition the outer cap part is generally U-shaped and formed with a base forming the seat and carrying the fixing means and a pair of legs projecting parallel to the axis, flanking the cap inner part, and having ends engaged around sides of the cap inner part. Each of the legs has an outer end that hooks under an edge of the respective side of the cap inner part.
Description
- The present invention relates to a pedicle screw assembly.
- A standard pedicle screw assembly comprises a screw having an externally threaded stem having in turn a head provided with parts allowing it to be secured to one end of a distraction rod. Two such screws inserted into respective vertebrae are secured to such a rod to distract and/or stabilize a spinal column after, for instance, a disk operation.
- In a standard such assembly as described in German patent document 4,107,480 the head of the screw has a pair of outwardly projecting parallel ridges with overhanging inner edges. A cap formed with a pair of complementary inwardly open slots that can fit with these ridges and has a part-cylindrical recess forming with another part-cylindrical recess on the head of the screw a seat for the rod. The screw is threaded into the vertebrae, an end of the rod is fitted to its outer end, the cap is then slid transverse to the screw axis and parallel to the rod over the rod to capture it, a screw threaded into the cap is tightened to press the rod down against the head of the screw and thereby fix the rod, cap, and screw together.
- Since cap of this system must be slid transversely onto the head of the screw, it is necessary to open the operating field sufficiently to allow such movement. This not only increases the extent of the surgery, but makes it impossible to install two such screws close to each other, for instance on adjacent vertebrae. Furthermore in most systems the actual position of the screw is critical as the rod can only be fitted to it in a limited range of positions.
- It is therefore an object of the present invention to provide an improved pedicle screw.
- Another object is the provision of such an improved pedicle screw which overcomes the above-given disadvantages, that is which can be installed in very close quarters.
- A pedicle-screw assembly has according to the invention a screw extending along an axis and having a threaded shaft and a round head, an inner cap part carried on the head and swivelable on the head, and an outer cap part forming with the inner cap part a seat adapted to hold an end of a distraction/stabilizing rod. The outer cap part has formations engageable in a snap fit over the inner cap part, and an element on the outer cap part can be tightened to fix the rod in the seat.
- With this system once the pedicle screws are set, the rod ends can be fitted to the inner cap parts which can be swiveled to accommodate any necessary angular offset. Then the outer cap parts are snapped in place and the assembly is tightened to lock the rod in place. The outer cap part does not have to be slid transversely into position but is moved normally generally axially as it is snapped over the inner cap part, so that little clearance is needed and the operating field does not have to be expanded to accommodate such movement.
- The screw head according to the invention has an inner region with a part-spherical outer surface and an end face lying on a plane substantially perpendicular to the screw axis. The head is formed on the end face with a central part-spherical bump centered on the axis. In addition the outer cap part is generally U-shaped and formed with a base forming the seat and carrying the fixing means and a pair of legs projecting parallel to the axis, flanking the cap inner part, and having ends engaged around sides of the cap inner part. Each of the legs has an outer end that hooks under an edge of the respective side of the cap inner part. The outer cap part is formed parallel to and adjacent each leg with a groove so that lateral elastic deformation of the leg is increased.
- Interengaging formations on the cap parts block movement of the cap parts relative to each other transverse to the axis. Furthermore, the outer and inner cap surfaces have confronting side faces. The interengaging formations include at least one axially extending ridge on one of the faces and a complementary axially extending slot on the face confronting the one face. The one face having the ridge is on the inner cap part although of course the reverse system would be usable.
- The head and inner cap part have surfaces that engage each other and that are roughened. The fixing means is a screw threaded into the outer cap part and tightenable to pull the roughened surfaces of the inner cap part and head axially together. Thus when the assembly is tightened, the cap can no longer swivel on the screw.
- The outer and inner cap parts are formed with confronting part-cylindrical concavities forming the seat. The inner cap-part concave seat half has a throughgoing aperture. The fixing screw presses the rod in the seat against the bump. To maximize the range of relative angular position the screw is formed at a base of the head with an annular inset so as to allow a wide range of swiveling of the cap on the head.
- The above and other objects, features, and advantages will become more readily apparent from the following description, reference being made to the accompanying drawing in which:
- FIG. 1 is a perspective view of a pedicle-screw assembly according to the invention;
- FIG. 2 is a side view of the assembly of FIG. 1;
- FIG. 3 is a section taken along line III-III of FIG. 2;
- FIG. 4 is a top view taken in the direction of arrow IV of FIG. 3;
- FIG. 5 is a perspective view from above of the screw;
- FIG. 6 is a perspective view from below of the screw with the inner cap part;
- FIG. 7 is an axial section through the subassembly of FIG. 6;
- FIGS. 8 and 9 are sections taken along respective lines VIII-VIII and IX-IX of FIG. 7;
- FIG. 10 is a view like FIG. 9 but with the inner cap part tipped; and
- FIG. 11 is a perspective view from above of the outer cap part.
- As seen in FIGS. 1 through 4 a pedicle screw assembly basically comprises a screw1 extending along an axis A and having a threaded
stem 3 and ahead 4 and a cap 5 adapted to clamp a distraction/stabilizingrod 2 extending along an axis A′ crossing the axis A. Normally at least two such assemblies are used, with two screws 1 set in respective vertebrae and interconnected by asingle rod 2 held in place on the screws 1 by their caps 5. - The
head 4 as also shown in FIGS. 5 through 10 is defined by aninset neck groove 21 and is basically semispherical and centered on the axis A. It has a planartop surface 22 that is perpendicular to the axis A and is formed centrally thereon with asemispherical bump 23 also centered on the axis A but of a radius of curvature equal to about one third of that of thehead 4 so that, in effect, thesurface 22 is a planar annular land surrounding thebump 23. - The cap5 as also shown in FIGS. 6 through 11 comprises an
inner part 6 and anouter part 7. Theinner part 6 has a part-spherical cavity 24 complementary to anouter surface 20 of thehead 4 so that the inner part can swivel on thehead 4 about a point on the axis A, and an upwardly or outwardly open part-cylindrical recess 14 complementary to therod 2. Thecavity 14 of theinner part 6 is centrally open at 15 to expose thebump 23 so that arod 2 engaged in theseat half 14 can engage thisbump 23. The surfaces of the outer and inner part are roughened at 25 where they engage each other, this roughening or profiling being sufficient to impede but not prevent swiveling of thepart 6 on thehead 4 about a point on the axis A. - The
outer part 7 is basically U-shaped and comprises abody 8 forming a downwardly open part-cylindrical seat 16 complementary to therod 2 and a pair ofarms 9 having hook- or barb-likeinner ends 10 that snap under inner edges offlat sides 11 of theinner part 6. In order to accurately align theouter part 7 on theinner part 6, theside walls 11 diverge axially downward and are each formed with aridge 12 fittable incomplementary slots 13 formed in thesides 9. Complementarily, theridges 12 could be in thesides 9 and the grooves in theside walls 11. -
Grooves 17 cut into thebody 8 allow thesearms 9 to be deflected elastically outward to allow theouter part 7 to be pressed down on the downwardly divergingsides 11 until theends 10 snap under the inner edges thereof. Once thus snapped together the interfitting ridge 1 andgroove 13 prevent theparts edges 10 snapped under thesides 11 prevent relative displacement parallel to the axis A. Thispart 7 is further formed with a threadedhole 18 adapted to receive a hex-head set screw 19 (FIG. 4) that can press against therod 2 to press same against thebump 23 and pull thepart 7 upward away from thepart 6. - With this system the screw1 is seated in a vertebra in the standard manner. This can be done with the
inner cap part 6 attached or it can be subsequently snapped on. Then therod 2 is laid in therecess 14 of theinner part 6 and theouter part 17 is snapped into place over it. Thescrew 19 is then tightened to lock theparts
Claims (13)
1. A pedicle-screw assembly comprising:
a screw extending along an axis and having a threaded shaft and a round head;
an inner cap part carried on the head and swivelable on the head;
an outer cap part forming with the inner cap part a seat adapted to hold an end of a distraction/stabilizing rod, the outer cap part provided with formations engageable in a snap fit over the inner cap part; and
means on the outer cap part for fixing the rod in the seat.
2. The pedicle-screw assembly defined in wherein the screw head has an inner region with a part-spherical outer surface and an end face lying on a plane substantially perpendicular to the screw axis.
claim 1
3. The pedicle-screw assembly defined in wherein the head is formed on the end face with a central part-spherical bump centered on the axis.
claim 2
4. The pedicle-screw assembly defined in wherein the outer cap part is generally U-shaped and formed with
claim 1
a base forming the seat and carrying the fixing means and
a pair of legs projecting parallel to the axis, flanking the cap inner part, and having ends engaged around sides of the cap inner part.
5. The pedicle-screw assembly defined in wherein each of the legs has an outer end that hooks under an edge of the respective side of the cap inner part.
claim 4
6. The pedicle-screw assembly defined in wherein the outer cap part is formed parallel to and adjacent each leg with a groove, whereby lateral elastic deformation of the leg is increased.
claim 4
7. The pedicle-screw assembly defined in , further comprising
claim 4
means including interengaging formations on the cap parts for blocking movement of the cap parts relative to each other transverse to the axis.
8. The pedicle-screw assembly defined in wherein the outer and inner cap surfaces have confronting side faces, the interengaging formations including at least one axially extending ridge on one of the faces and a complementary axially extending slot on the face confronting the one face.
claim 7
9. The pedicle-screw assembly defined in wherein the one face having the ridge is on the inner cap part.
claim 8
10. The pedicle-screw assembly defined in wherein the head and inner cap part have surfaces that engage each other and that are roughened, the fixing means being a screw threaded into the outer cap part and tightenable to pull the surfaces of the inner cap part and head axially together.
claim 1
11. The pedicle-screw assembly defined in wherein the outer and inner cap parts are formed with confronting part-cylindrical concavities forming the seat.
claim 1
12. The pedicle-screw assembly defined in wherein the screw head has an inner region with a part-spherical outer surface, an end face lying on a plane substantially perpendicular to the screw axis, and a central part-spherical bump centered on the axis on the end face, the inner cap part being formed in the concavity with a throughgoing aperture, the fixing means being a screw threaded in the outer part and pressing the rod in the seat against the bump.
claim 11
13. The pedicle-screw assembly defined in wherein the screw is formed at a base of the head with an annular inset.
claim 1
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE10005385 | 2000-02-07 | ||
DE10005385A DE10005385A1 (en) | 2000-02-07 | 2000-02-07 | Pedicle screw |
DE10005385.8 | 2000-02-07 |
Publications (2)
Publication Number | Publication Date |
---|---|
US20010012937A1 true US20010012937A1 (en) | 2001-08-09 |
US6402752B2 US6402752B2 (en) | 2002-06-11 |
Family
ID=7630128
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US09/778,336 Expired - Fee Related US6402752B2 (en) | 2000-02-07 | 2001-02-07 | Polyaxial pedicle-screw |
Country Status (5)
Country | Link |
---|---|
US (1) | US6402752B2 (en) |
EP (1) | EP1121902B1 (en) |
AT (1) | ATE276705T1 (en) |
DE (2) | DE10005385A1 (en) |
ES (1) | ES2223651T3 (en) |
Cited By (65)
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US6451021B1 (en) * | 2001-02-15 | 2002-09-17 | Third Millennium Engineering, Llc | Polyaxial pedicle screw having a rotating locking element |
US20040236330A1 (en) * | 2003-05-22 | 2004-11-25 | Thomas Purcell | Variable angle spinal screw assembly |
US20050080419A1 (en) * | 2002-02-11 | 2005-04-14 | Synthes U.S.A. | Device for connecting a longitudinal member to a bone |
US20050215998A1 (en) * | 2001-11-22 | 2005-09-29 | Raoul Donath | Device for joining a longitudinal support with a bone fixation means |
US20060142758A1 (en) * | 2002-09-11 | 2006-06-29 | Dominique Petit | Linking element for dynamically stabilizing a spinal fixing system and spinal fixing system comprising same |
US20060254784A1 (en) * | 2003-09-08 | 2006-11-16 | Stephan Hartmann | Longitudinal support |
US7141051B2 (en) | 2003-02-05 | 2006-11-28 | Pioneer Laboratories, Inc. | Low profile spinal fixation system |
US20070055242A1 (en) * | 2005-07-27 | 2007-03-08 | Bailly Frank E | Device for securing spinal rods |
WO2007082019A2 (en) * | 2006-01-11 | 2007-07-19 | Spinal Innovations, Llc | Spinal implant fixation assembly |
US20080262551A1 (en) * | 2007-04-19 | 2008-10-23 | Zimmer Spine, Inc. | Method and associated instrumentation for installation of spinal dynamic stabilization system |
US20090105756A1 (en) * | 2007-10-23 | 2009-04-23 | Marc Richelsoph | Spinal implant |
US20090198281A1 (en) * | 2008-02-05 | 2009-08-06 | Zimmer Spine, Inc. | System and method for insertion of flexible spinal stabilization element |
US20090228055A1 (en) * | 2004-09-24 | 2009-09-10 | Jackson Roger P | Spinal fixation tool set and method for rod reduction and fastener insertion |
US20100106189A1 (en) * | 2008-10-29 | 2010-04-29 | Warsaw Orthopedic, Inc. | Anchor with two member securing mechanism for attaching an elongated member to a bone |
US20100114168A1 (en) * | 2008-10-30 | 2010-05-06 | Warsaw Orthopedic, Inc. | Anchor with non-threaded securing mechanism to attach an elongated member to a bone |
US20100198268A1 (en) * | 2009-02-03 | 2010-08-05 | Warsaw Orthopedic, Inc. | Low profile bone screw extender and its application in minimum invasive spinal surgeries |
KR100974497B1 (en) | 2010-04-27 | 2010-08-10 | 주식회사 지에스메디칼 | Bone anchoring device |
WO2011004222A1 (en) * | 2009-07-10 | 2011-01-13 | Kamil Bal | Pedicular screw system |
US20110202094A1 (en) * | 2009-11-11 | 2011-08-18 | Pereira Mario L | Trans-polyaxial screw |
US20120116456A1 (en) * | 2009-07-16 | 2012-05-10 | Spinesave Ag | Spinal implant set including a quick closure |
US20120123483A1 (en) * | 2007-04-19 | 2012-05-17 | Mi4Spine, Llc | Method for placement of a pedicle screw and rod system |
US20120203281A1 (en) * | 2011-02-05 | 2012-08-09 | Alphatec Spine, Inc | Semi-rigid screw assembly |
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US8894657B2 (en) | 2004-02-27 | 2014-11-25 | Roger P. Jackson | Tool system for dynamic spinal implants |
US8911478B2 (en) | 2012-11-21 | 2014-12-16 | Roger P. Jackson | Splay control closure for open bone anchor |
US8926672B2 (en) | 2004-11-10 | 2015-01-06 | Roger P. Jackson | Splay control closure for open bone anchor |
US8926670B2 (en) | 2003-06-18 | 2015-01-06 | Roger P. Jackson | Polyaxial bone screw assembly |
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- 2001-01-17 AT AT01100933T patent/ATE276705T1/en not_active IP Right Cessation
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Also Published As
Publication number | Publication date |
---|---|
ATE276705T1 (en) | 2004-10-15 |
US6402752B2 (en) | 2002-06-11 |
EP1121902A2 (en) | 2001-08-08 |
ES2223651T3 (en) | 2005-03-01 |
EP1121902B1 (en) | 2004-09-22 |
DE10005385A1 (en) | 2001-08-09 |
EP1121902A3 (en) | 2002-02-06 |
DE50103696D1 (en) | 2004-10-28 |
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