WO2002054966A2 - Polyaxial screw with improved locking - Google Patents
Polyaxial screw with improved locking Download PDFInfo
- Publication number
- WO2002054966A2 WO2002054966A2 PCT/US2002/000814 US0200814W WO02054966A2 WO 2002054966 A2 WO2002054966 A2 WO 2002054966A2 US 0200814 W US0200814 W US 0200814W WO 02054966 A2 WO02054966 A2 WO 02054966A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- head
- receiver
- concave portion
- radius
- convex portion
- Prior art date
Links
- 230000006835 compression Effects 0.000 claims description 6
- 238000007906 compression Methods 0.000 claims description 6
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims description 4
- 229910052719 titanium Inorganic materials 0.000 claims description 4
- 239000010936 titanium Substances 0.000 claims description 4
- 210000000988 bone and bone Anatomy 0.000 claims description 3
- 230000013011 mating Effects 0.000 abstract description 4
- XQMVBICWFFHDNN-UHFFFAOYSA-N 5-amino-4-chloro-2-phenylpyridazin-3-one;(2-ethoxy-3,3-dimethyl-2h-1-benzofuran-5-yl) methanesulfonate Chemical compound O=C1C(Cl)=C(N)C=NN1C1=CC=CC=C1.C1=C(OS(C)(=O)=O)C=C2C(C)(C)C(OCC)OC2=C1 XQMVBICWFFHDNN-UHFFFAOYSA-N 0.000 description 3
- 238000011156 evaluation Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
- 230000003068 static effect Effects 0.000 description 2
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 238000007373 indentation Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, setting implements or the like
- 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 ; Bone 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
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
- F16B35/00—Screw-bolts; Stay-bolts; Screw-threaded studs; Screws; Set screws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, setting implements or the like
- 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 ; Bone 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
Definitions
- the present invention relates to a polyaxial pedicle screw.
- Polyaxial pedicle screws such as disclosed in Biedermann et al . ' s US Patent No. 5,443,467, incorporated herein by reference, are used for connecting vertebrae to rods in spinal surgery. They incorporate a ball joint at the connection to the rod to allow the surgeon some flexibility in placing the screws. Tightening a nut on the screw compresses the ball joint components to lock the angular position of the ball joint .
- the present invention improves the locking force achieved when locking the ball joint.
- a pedicle screw assembly comprises a screw having a head with a convex portion and a receiver receiving the head.
- the receiver also receives an elongate member, such as a spinal fixation rod.
- the receiver has a concave portion which has a radius of curvature which is less than a radius of curvature of the convex portion of the head whereby to create an interference fit between the convex portion of the head and the concave portion of the receiver.
- a nut on the receiver compresses the convex portion of the head into the concave portion of the receiver.
- the receiver comprises a U- shaped portion for receiving the elongated member.
- the concave portion of the receiver is formed of titanium.
- each of the concave portion and convex portion have a spherical shape. Any shapes which allow rotational freedom of the head and receiver prior to engagement of the surfaces would suffice.
- the screw comprises an elongated shank having bone threads thereon and the head located at one end thereof and the receiver comprises a body having an aperture therethrough for receiving the shank and having the concave portion located at the aperture.
- the receiver further comprises a channel therethrough opposite the aperture, the channel receiving the elongate member.
- the pedicle screw can further comprises a compression member between the elongate member and the head; the head having a second convex portion facing the compression member and the compression member having a second concave portion facing the head, the second concave portion having a radius of curvature less than a radius of curvature of the second convex portion whereby to create an interference fit between the head and the pressure member.
- the difference in the radius of curvature between the convex and concave portions in one embodiment is about 0.05 mm.
- FIG. 1 is a cutaway view of a pedicle screw according to the present invention
- FIG. 2 is an additional cutaway view of the screw of FIG. 1 with rod and locking nuts removed for clarity;
- FIG. 3 is a detailed cutaway view of a portion of the receiver of FIG. 1. Detailed Description
- FIGS. 1 and 2 illustrates a polyaxial screw assembly 10 according to the present invention. It comprises a screw 12 having cancellous threads 14 for insertion into the cancellous bone of a vertebra, especially through the pedicle.
- a spherically shaped head 16 has a convex surface 18 and a tool recess 20 for receiving a hex driver or other tool (not shown) .
- the head 16 is received within a tubular receiver 22 having an internal concave surface 24 and an adjacent opening
- the convex surface 18 of the head 16 mates with the concave surface 24.
- the opening 26 is smaller than the head 16 so that the screw 12 can project out of the opening 26 without falling out of the receiver 22.
- a pressure disk 28 sits atop the head 26 and has a surface 30 of mating shape to that of the head 26.
- the receiver also has a U-shaped portion 32 which receives an elongated rod 34.
- the rod 34 is used to connect adjoining vertebrae as is known in the art.
- An internal nut 36 and external nut 38 compress the rod 34 against the pressure disk 28 which in turn compresses the head convex portion 18 into the receiver concave portion 24 and locks the angular position of the receiver 22 with respect to the screw 12.
- the pressure disk 28 preferably has a lateral indentation 40 into which a material on the receiver 22 is swaged 42 to hold the pressure disk 28 within the receiver 22 but allow some movement therein.
- FIG. 3 illustrates the feature which improves the locking of the receiver 22 with respect to the screw 12 over prior similar screw assemblies.
- the concave surface 26 has a slightly smaller radius of curvature than does the convex surface 18 so that when the two are compressed together, the material deforms somewhat to allow the surfaces to mate in an interference fit and thus enhances the grip between the surfaces .
- the seven screws in Table 1 were formed of stainless steel and the seven screws in Table 2 of titanium.
- the screws labeled Magnum contain the interference fit and the others did not.
- the screws are of similar dimensions; the numbers listed after the screw refer to the rod size.
- the tests consist of locking the screws to a uniform torque and then applying a lateral force to the screw 12 to induce a torque at the head 16.
- the load at an offset of 0.5mm and the stiffness were assessed for each sample.
- the screws with the interference fit of the present invention exhibited gains in both parameters. Table 1
- the head convex surface 1. would have a diameter of 6.995 mm and the mating receiver concave surface 24 would have a diameter of 6.88 mm. Similar interference dimensions could also be applied to the mating interface of the pressure disk surface 30 and the head 16.
Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA002434455A CA2434455A1 (en) | 2001-01-12 | 2002-01-11 | Polyaxial screw with improved locking |
AU2002235349A AU2002235349B2 (en) | 2001-01-12 | 2002-01-11 | Polyaxial screw with improved locking |
KR10-2003-7009308A KR20030067749A (en) | 2001-01-12 | 2002-01-11 | Polyaxial screw with improved locking |
JP2002555706A JP2004524887A (en) | 2001-01-12 | 2002-01-11 | Multi-axis screw with improved fixation |
EP02701951A EP1351614A2 (en) | 2001-01-12 | 2002-01-11 | Polyaxial screw with improved locking |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US26112901P | 2001-01-12 | 2001-01-12 | |
US60/261,129 | 2001-01-12 |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2002054966A2 true WO2002054966A2 (en) | 2002-07-18 |
WO2002054966A3 WO2002054966A3 (en) | 2002-09-26 |
Family
ID=22992060
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2002/000814 WO2002054966A2 (en) | 2001-01-12 | 2002-01-11 | Polyaxial screw with improved locking |
Country Status (7)
Country | Link |
---|---|
US (2) | US6869433B2 (en) |
EP (1) | EP1351614A2 (en) |
JP (1) | JP2004524887A (en) |
KR (1) | KR20030067749A (en) |
AU (1) | AU2002235349B2 (en) |
CA (1) | CA2434455A1 (en) |
WO (1) | WO2002054966A2 (en) |
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US8398683B2 (en) | 2007-10-23 | 2013-03-19 | Pioneer Surgical Technology, Inc. | Rod coupling assembly and methods for bone fixation |
US8506601B2 (en) | 2008-10-14 | 2013-08-13 | Pioneer Surgical Technology, Inc. | Low profile dual locking fixation system and offset anchor member |
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US9060818B2 (en) | 2011-09-01 | 2015-06-23 | DePuy Synthes Products, Inc. | Bone implants |
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Also Published As
Publication number | Publication date |
---|---|
WO2002054966A3 (en) | 2002-09-26 |
US20020151900A1 (en) | 2002-10-17 |
EP1351614A2 (en) | 2003-10-15 |
US20040249380A1 (en) | 2004-12-09 |
CA2434455A1 (en) | 2002-07-18 |
US6869433B2 (en) | 2005-03-22 |
US7291153B2 (en) | 2007-11-06 |
AU2002235349B2 (en) | 2006-05-18 |
JP2004524887A (en) | 2004-08-19 |
KR20030067749A (en) | 2003-08-14 |
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