Cervical Plate

This invention relates to a cervical plate useful in association with cervical link systems as described, for example, in U.S. Pat. No. 5,716,357. More particularly, the invention relates to a cervical plate which may be connected to at least one link component of a cervical link system.

Known cervical link systems include a plurality of links secured in chain-like fashion by bone screws to adjacent vertebrae. As shown by FIGS. 1A and 1B of U.S. Pat. No. 5,716,357, the links may be flat plates having bone screw apertures at opposite ends. For treatment of lordosis, or hyphosis, or for other reasons, the links may be contoured as shown by FIGS. 8A and 8B of U.S. Pat. No. 5,716,357.

Chain-like constructs of links to be secured by the FIG. 2 bone bolts and associated washers and lock nuts to adjacent vertebrae are shown by FIGS. 4 and 5 of U.S. Pat. No. 5,716,357. Cross-tie mechanisms in the form of one or more links to provide quadrilateral stabilization of adjacent chain-like constructs are shown by FIGS. 4 and 6 of U.S. Pat. No. 5,716,357.

A need exists for a cervical plate useful alone or for connection to a cervical link system as a cross-tie or during revision type surgery.

The invention is a cervical plate useful per se or as connected to at least one link of a cervical link system. The cervical plate may be included as an initial component of a link system implant. It may be connected to a previously implanted link during revision surgery. Cross-tie connection of the plate to chains of links secured to adjacent vertebrae provides a quadrilateral construct that stabilizes the chains torsionally and in the frontal plane.

Embodiments of the invention may use the bone bolts and lock nuts described in U.S. Pat. No. 5,716,357. The cervical plate may be precontoured for treatment of spinal conditions such as hyphosis and lordosis, or for other reasons. It may span a plurality of vertebrae, for example, three vertebrae, and so facilitate maintenance of a bone graft in position for fusion between two vertebrae.

FIG. 1 is a top view of a cervical plate.

FIG. 2 is a frontal projection showing a contoured cervical plate attached by bone screws to three vertebrae.

FIG. 3 is a lateral projection of the FIG. 2 construct. Bone grafts in position for fusion are shown between the vertebrae.

FIG. 4 is a lateral view of a cervical plate and link construct including bone screws.

FIGS. 5 and 5A indicate transverse and radial serrations on end caps and lock nuts for use in cervical plate constructs.

FIGS. 6 and 6A (prior art) illustrate links as shown by FIGS. 1A and 1B of U.S. Pat. No. 5,716,357.

FIG. 7 depicts a cervical plate connected to two links of the cross-link system as shown by FIG. 1B of U.S. Pat. No. 5,716,357.

One specific embodiment of the invention is described by reference to the Figures.

FIG. 1 illustrates a cervical plate 100 having an aperture 101 at each corner to accommodate a bone screw (not shown). The periphery of the bone screw apertures 101 have optional radial serrations 102 for cooperation with optional bone screws and cap radial serrations 201A as shown by FIG. 5. A central oval slot 103 to accommodate bone screw intercalation has optional lateral serrations 104 for cooperation with optional end lateral cap serrations as shown FIG. 5. The cervical plate may be viewed as a unit structure of two prior art links as shown by FIG. 7.

FIG. 2 illustrates a cervical plate 100 secured to proximal and distal vertebrae 300, 301 and an intermediate vertebra 302. The plate 100 is shown secured to proximal and distal vertebrae 300, 301 and to the intermediate vertebra 302 by bone screws (not shown) having end caps 201. The end cap 201 for the bone screw (not shown) intercalated in slot 103 and secured to the intermediate vertebra 302 may have lateral serrations 201A (see FIG. 5A) to cooperate with the lateral serrations 104 adjacent the central oval slot 103.

The FIG. 3 lateral proportion of the FIG. 2 construct in which the cervical plate 100 is contoured. Conventional procedures for disc surgery include partial or total excision of the injured disc portion (discectomy) and replacement of the excised disc with biologically acceptable plugs or bone graft wedges. The grafts are driven between adjacent vertebrae to maintain normal intervertebral spacing and to achieve, over a period of time, bony fusion with the plug and opposed vertebrae. Consistent with such procedures, FIG. 3 depicts bone grafts 400 in position for fusion between vertebrae 300, 302 and 302, 301.

FIG. 4 illustrates a plate and link construct. The construct includes a plate 100, a prior art cervical link 26 (see FIG. 6A), bone screws 200, bone screw end cap 201, and bone screw lock nuts 202.

Bone screws and lock nuts useful in this invention are illustrated by FIG. 2 and described in the specification of U.S. Pat. No. 5,716,357. End caps may occupy otherwise exposed threaded portions of bone screws. The end caps provide appropriate spacing between the components of a cervical link construct. Cervical plates are metal, preferably titanium, and may be of any appropriate size. Preferred plates are about 4 to 20 mm wide and from 12 to 140 mm in length. The invention may include a kit containing a plurality of plates which increase in two millimeter increments in length from 12 to 140 mm bone screws, lock nuts and end caps.