Abstract:
An assembly such as an anchor screw, bone plate, offset hook, post, transverse connector or other spinal anchor for anchoring to bone and clamping a linkage such as a rod, wire cable or the like. The assembly has a top member with an open slot to receive the linkage, and a twist-lock closure cap to close the open end, capturing the linkage in the slot. One closure cap fits over and around the top member, with a set of segmented protrusions that extend through a corresponding set of protruding flange segments spaced about the circumference of the top member. The cap is configured to rotate and lock against the top member like a flange-locking bayonet mount when turned through a limited degree of rotation. Slots may be provided through the face of the closure cap allowing reduction tabs to project through the cap, and the locking cap may be adapted to a range of screw, eye, hook, post, connector and other anchor assemblies to securely clamp the linkage by use of a rotation tool disposed along an access path aligned with the axis of the screw, thus requiring no lateral clearance along the longitudinal direction of the linkage element. Locking is effected by a set screw that passes through the cap and tightens against the linkage to firmly immobilize it in the anchor assembly. Another cap embodiment fits into the center of the head with a partial twist locking motion. Opposed locking surfaces prevent slippage in the radial direction, and a sloping contact floor surface may apply torque to further increase pressure on urge mating detent features in an adjacent wall.

Description:
CROSS REFERENCE TO RELATED APPLICATION  
       [0001]     This application is a continuation of U.S. patent application Ser. No. 10/828,508, filed on Apr. 20, 2004, and entitled “Locking Cap Assembly for Spinal Fixation Instrumentation”, which is a continuation of U.S. patent application Ser. No. 09/667,937 to Bono et al., filed on Sep. 22, 2000, and entitled “Lock Cap Anchor Assembly for Orthopaedic Fixation,” which applications are incorporated herein by reference in their entirety. 
     
    
     BACKGROUND OF THE INVENTION  
       [0002]     The present invention relates to orthopedic fastening systems and to mechanisms for securing and locking a linking or stabilizing element, such as a rod, to a bone screw having a slotted head that receives the rod therein. It also relates to structures or anchor assemblies having such a slotted or open head for receiving a rod, wherein the slotted portion extends from a hook, plate, bracket or positioning arm.  
         [0003]     A number of such structures are known. Thus, for example, the widely used Harms T-plate used for stabilizing the cervical vertebrae has a projecting slotted bolt adapted to receive a rod or cable through the slot and clamp down by screwing a nut along the bolt to bear down against the rod. Several patents show holding structures for a fixation rod that are incorporated in the head of a screw, as in U.S. Pat. No. 5,672,176, or into a small offset plate which itself may be fastened to the bone, as shown in published International Application WO96/28105. Other systems involve hooks, transverse rod connectors, or tandem connectors. Various tools have been provided for these systems to enable the surgeon to bend and shape the rod to a desired contour in situ, to position the rod in the slot of a bolt or head, and to secure the rod in position.  
         [0004]     Because the rod is the stabilizing member which provides a precise contour, spacing or connection between one or more vertebrae, bones or bone fragments, alignment is quite critical, and the ability to pass the rod through two or more connecting assemblies requires various actions to form and shape the rod, or align the receiving structures at defined positions or path before final clamping is effected. This may involve positioning and removing the rod several times to check and adjust the degree of alignment. Thus, it is generally desirable to have a closure or secure locking mechanism that may be effected with simple installation steps.  
         [0005]     One generally accepted locking mechanism simply involves an internally threaded locking nut that may be tightened down along the axis of the screw or slotted shaft, using a tool such as a socket wrench. Another commercial device employs a bayonet-mount cap that captures or is captured by the screw head, as in U.S. Pat. Nos. 5,346,493 and 5,257,993. Another system utilizes a cap element with a dovetail or dovetail channel that slides over the rod to close the top of the slot and wedge the rod firmly in position. This latter construction involves no rotation of threaded members, but has the disadvantage that a certain amount of unobstructed lateral space along the rod adjacent to the connection point is necessary for the sliding installation of the closure cap. Furthermore, the cap inserts or sliding wedge closures, while they eliminate the need for awkward screwing or rotational motion during installation, cannot be used with some existing reduction screws, translation hooks or other common hardware having lengthy protruding guide members, reduction tabs or the like. Moreover, the wedge/cap closures are a specialized component that may require the user to switch entirely over to a proprietary line of orthopaedic hardware if he is to utilize the full range of hook, tab, plate and screw fixation points that may be required in spinal surgery. While the closure systems described above have in at least some instances been quite successful, it would be beneficial to provide a closure assembly that could securely lock down a rod down while requiring only a small number of locking steps by the surgeon and small lateral clearances surrounding the closure.  
       SUMMARY OF THE INVENTION  
       [0006]     One or more of these and other desirable traits are achieved in accordance with the present invention by a fixation assembly wherein a closure cap fits over an opening to close a rod-receiving slot of a fixation screw, hook, post or other anchor assembly, and capture the rod therein. A set screw can be threaded through the cap and tightened against the rod to further clamp it in the assembly. In one embodiment, the closure cap extends over and around the head of the rod-receiving assembly, which may, for example include a slotted shaft, post or head, and the cap is adapted to lock together therewith by limited rotation. This may be accomplished in one embodiment construction by arranging the cap to have a set of sector rim protrusions positioned to fit through a corresponding set of protruding bosses or partial flange segments located on the head, and to rotate into opposition therewith for securing the cap onto the top of the fixation screw. The protrusions or flange segments are angled, along the radial direction, so that they bear against each other and jam when rotated, thus cannot slip out of engagement. The opposed segments tighten and lock the cap against the head when the cap is rotated through a partial turn of about twenty-three degrees of arc, like a flange-locking bayonet mount. The cap may have a rim that extends over the outside of the bolt head to engage external flange segments on the head. In a preferred embodiment, the mating portions may located internally in the head, with flange segments projecting radially inward from the perimeter, and the cap fitting between segments in the head of the bolt and locking with a twist-in motion to capture a rod in the opening. A hold-down set screw threads through a central opening in the cap and tightens down against the rod to clamp the rod firmly in place. The closing and clamping may each be effected by a driver tool that operates along the axis of the assembly and requires little or no side clearance to rotate either the cap or the set screw. In the case of the external, twist□on cap, the limited degree of rotation allows the cap to also include slots through the cap to accommodate reduction tabs extending upwardly from the underlying screw or anchor member. The quick-twist closure cap assemblies of the invention may be adapted to a wide range of screw, hook, eye, plate, connector and other anchor assemblies for rod, cable and other linking elements. 
     
    
     BRIEF DESCRIPTION OF THE DRAWINGS  
       [0007]     The invention will be more fully understood from the following detailed description taken in conjunction with the accompanying drawings:  
         [0008]      FIGS. 1A-1C  schematically illustrate various spinal fixation rod anchor assemblies of the prior art;  
         [0009]      FIG. 2  shows an embodiment of an anchor screw of the present invention;  
         [0010]      FIGS. 3 and 3 A- 3 C show views of a closure cap utilized with the anchor screw of  FIG. 2  in accordance with the present invention;  
         [0011]      FIG. 4  shows a second embodiment of an anchor member and closure cap of the invention;  
         [0012]      FIG. 4A  is a perspective view from below of the cap of  FIG. 4 ;  
         [0013]      FIG. 4B  illustrates details of the anchor member of  FIG. 4 ;  
         [0014]      FIG. 5  shows a third embodiment of an anchor member and closure cap of the invention;  
         [0015]      FIGS. 6A, 6B  and  6 C illustrate the cap and head structure, respectively, of embodiment of  FIG. 5  in greater detail; and  
         [0016]      FIGS. 7A, 7B  and  7 C illustrate cap, head and assembled structure, respectively, of another internal twist cap embodiment. 
     
    
     DETAILED DESCRIPTION OF THE INVENTION  
       [0017]     The invention and its range of embodiments will be better understood following a brief description of prior art, illustrating approaches to one- and two-part anchor assemblies, as well as certain common constructions.  
         [0018]      FIGS. 1A-1C  illustrate prior art anchor mechanisms for securing a fixation rod as used in spinal fixation.  FIG. 1A  illustrates an anchor screw, while  FIG. 1B  shows an offset tab having a slotted post for receiving the rod and  FIG. 1C  shows a combined system in which anchor screws secure rod-shaped offset elements that, in turn, each terminate in an end that grips a common fixation rod. In the anchor screw of  FIG. 1A , a screw  1  with a rounded head  2  carries a slotted top member  3  into which a rod  5  shown in phantom is clamped by screwing down a threaded press ring or set screw  6 . The press ring  6  is turned by engagement along its central portion e.g., by an Allen wrench, and has external threads  6   a  which fit corresponding internal threads  3   a  of the top member  3 . A separate body  7  fills the space between the inner wall of the top  3  and the ball head  2  of the screw  1 , so that when the rod is pressed down by the member  6 , the screw head is firmly gripped and all parts are rigidly held together. An external nut  8  threads over the outside of the top to further strengthen and lock the assembly. For this prior art anchor member, the screw  1 , the press member  6  and the nut  8  may all be installed with a straight tool, such as an Allen wrench or socket wrench, inserted directly along the axis of the screw.  
         [0019]      FIG. 1B  shows another anchor assembly  15  for receiving a fixation rod  5 . In this assembly, an offset tab construction having a body  15   a  that is anchored by a conventional bone screw  10  and including a slotted post (not numbered) for receiving the rod, is closed by a cap nut  17  which carries a pressure member  18  centrally thereon to press down against the rod  5  as the nut is tightened. In each of these two constructions, the member  6  or  17  for clamping down against the rod  5  installs by rotational movement.  
         [0020]     Another prior art anchor assembly is illustrated in  FIG. 1C . In this article, a slotted body  21  or  22  is carried either on a bone screw (not visible in the Figure) or on a short length of offset rod  22   a . In both cases, the slotted body  21  or  22  receives a rod and clamps it tightly. In this assembly the slotted head member  21  or  22  has angled or dovetailed walls at its upper portion, and a correspondingly shaped sliding cap member  23  is pressed along the dovetail into the upper region, sliding along the axis of the slot to close the slot and wedge firmly against the rod passing therethrough. As noted above, this construction has a disadvantage that a lateral clearance along the length of the rod is necessary for movement of the closure member  23  into position. Other constructions are shown in U.S. Pat. Nos. 5,346,493, 5,257,993 and elsewhere.  
         [0021]     Thus, the art includes both one-piece, and many-piece anchor assemblies, and these may look like screws, or may be specialized elements that are themselves to be anchored by another assembly. As described further below, the present invention provides a closing and fixing mechanism of enhanced utility, with a structure adaptable to much of this broad range of hooks, screws, connector assemblies and other orthopaedic anchor hardware involving one or more rod, cable, wire or other linking elements.  
         [0022]      FIG. 2  illustrates a first embodiment of an anchor screw assembly  31  of the present invention. As shown, the anchor screw assembly  31  includes a screw  32  and a top member  33  which may be integral with the screw or, like the prior art construction of  FIG. 1A , may be a separate head member that secures to the proximal end of the screw  32 . The top member  33  includes a slot indicated generally by  34  for receiving a rod, and contains at its uppermost region  35 , a plurality of segmented or partial flange members  36   a ,  36   b ,  36   c ,  36   d  which extend radially outward from its perimeter and have respective slots or spaces  37   a ,  37   b  therebetween. As further shown in  FIG. 2 , each of the flange segments  36   a ,  36   b ,  36   c ,  36   d  has a lower surface  38 , as best seen in the end views of flange segments  36   a  and  36   c , that engages a closure cap  40  ( FIGS. 3A-3C ). While not shown, one or more of the flange segments or cap may include a notch, detent or catch or a jamming feature, to prevent rotation in the opposite sense.  
         [0023]     The anchor screw or hook  31  of  FIG. 2  is used in conjunction with a closure cap  40  which is shown in an upward-facing view, from below, in  FIG. 3C . The cap  40  fits over and around the upper portion  35  of the slotted, rod receiving top member. As shown  FIG. 3 , the cap  40  includes a body  41  having a central threaded bore  42  extending therethrough and a pair of dependent side members  43   a ,  43   b  on opposed peripheral sides thereof which extend downward on opposed sides surrounding the outer circumference of the top member  33 . Each of the side members  43   a ,  43   b  carries mating inwardly directed protrusions  46   a ,  46   b , and  46   c ,  46   d , respectively, which are spaced apart and positioned to correspond to the segmented flange members  36   a - 36   d  of the screw head. In particular, the protrusions  46   a  to  46   d  are positioned below the main body of the cap  41  by an amount corresponding to the maximum thickness of the flange segments  36   a  to  36   d , and are rotationally offset so as to pass down through the gaps between segments and rotate into gripping engagement around the segments by a partial rotation of the cap  40  about the screw head assembly or top member  33 , in the manner of a bayonet mounted lid closure. This secures the cap  40  on the top member closing the slot to prevent movement of the rod or cable from the head along the axial direction of the screw  32 . A set screw (not shown) threaded through the aperture  42  is then tightened to clamp firmly down against the rod, cable or other linkage captured in the slot  34  ( FIG. 2 ).  
         [0024]     Advantageously, with the foregoing construction, the anchor screw  31  and the closure assembly  40  as well as the set screw (not illustrated) all install by simple rotational movement of a tool that extends directly along the axis of the screw. Moreover, as illustrated, the initial locking of the cap on the head assembly is effected by a small rotational movement, substantially less than one-half turn, which corresponds approximately to the length of the lower surface  38  of one flange segment, or about 20 degrees of rotational movement. Thus a very slight movement is sufficient to capture the rod  5  ( FIGS. 1A-1C ) within the slot  34  during initial setup or fitting of the fixation rod.  
         [0025]     This twist-lock flanged anchoring assembly with a cap structure of the present invention is readily adapted to diverse other fixation screws of known design, and thus in various alternative embodiments and adaptations may carry forward the advantages of those other designs. Thus, for example, the locking cap assembly of  FIGS. 2-3  of the invention may be adapted to an anchor assembly such as a reduction screw, anchor screw, or hook in which the anchor member possesses protruding reduction tabs that extend upwardly from the head of the anchoring assembly.  
         [0026]     Such an embodiment  50  is shown in  FIG. 4 . In this embodiment, the head  53  of the anchor assembly has a pair of reduction tabs  55  extending upwardly from the sides of the slot. In this case, the invention contemplates a closure cap  60  with a rim-engaging securing structure similar to that of cap  40  for engagement by a small rotational motion, but the cap structure further includes a pair of arcuate slots  62   a ,  62   b  located in its central region and sized for passage of the reduction tabs  55  or other protruding head structure therethrough. Each of the slots  62   a ,  62   b  extends past the edges of the tabs  55 , permitting sufficient rotation of the cap to lock the cap in position. The structure of the cap itself strengthens or supports both the surrounding wall of the rod receiving slot, and the thin-walled tabs  55  which rise therefrom, while leaving the central on-axis region above the cap entirely unobstructed for insertion, for example, of a set screw along an axial direction, and permitting line-of-sight access by a driver for installation.  
         [0027]     In any of the foregoing constructions, the rod-receiving head assembly or top member  33 ,  53  may be integral with the anchor screw  35 ,  52  or may be constituted by a separate slotted head member that fits about the top of the screw to grip the rod or other connecting linkage. Thus, the invention applies to diverse anchors, hooks, monoaxial screws, transverse connections or tandem connections, slotted connectors or the like.  
         [0028]      FIG. 4  illustrates this aspect of the invention for a reduction tab embodiment of which the head is separate from the screw. As shown, the anchor screw assembly  50  has a screw body  52  with an enlarged head  54  which may, for example, have an Allen or other female socket formed therein (not shown) for applying torque along the axis of the screw to insert the screw in bone. A slotted top member  53  having a tapered interior bore is first fitted over the head  54 , receiving the screw body from above, capturing the enlarged ball head  54  of the screw therein. A compressed member (not shown) which may be similar to element  7  of  FIG. 1A , may be provided to create a binding fit, and this element may be fixed in place, for example, by swaging at opposed surface relief drillings  53   a , or it may fit by simple compression. The provision of top member  53  as a separate head structure that is loosely fixed to, but originally decoupled from, the screw  52  in this manner allows the slot angle to be set at a later stage of installation, while avoiding the risk of losing separate small components.  
         [0029]     The cap  60  of this embodiment, which is shown in a perspective view from below in  FIG. 4A , is similar to that of the first described embodiment, but includes arcuate slots  62   a ,  62   b  to accommodate the projecting reduction tabs. In each case, the cap member having a dependent locking rim that grips the outside of the slotted top and closes the slot by a partial rotation, provides a simple and unobstructed procedure for closing the head of the anchor and capturing the rod, cable or other linkage in the anchor assembly and clamping the linkage while fixing the orientation.  
         [0030]     In each of the foregoing illustrated embodiments, the cap extends radially beyond the outer radius of the anchor screw head assembly, and has a rim that extends to a greater diameter, and slides between the segmented flange bosses  36  to rotate into a captured position which closes the slot and captures the rod or other linkage within the head of the anchor assembly. A radial slant “RS” at an angle Θ may be provided on one or more faces of the opposed locking members as shown in the detail  FIG. 4B  to assure that they cannot slip radially outward under pressure.  
         [0031]     In further embodiments, the invention contemplates a twist-on cap member which fits within the head of the anchor assembly rather than extending over and locking on the outside of the head.  
         [0032]      FIG. 5  illustrates one embodiment  100  of such a twist-in anchor closing mechanism. As shown, the anchor assembly  100  has a screw portion  152  for anchoring in bone, and a head portion  153  for receiving the rod, cable or other linkage. A closure cap  140  closes the slotted end of head  153 . As in the previously described embodiments, the screw and head may be separate assemblies, in which case the upper portion of the screw preferably has a ball end as described above that allows the head to pivot about the axis of the screw and achieve a further degree of freedom in angular orientation before clamping down. As with the earlier described embodiments, the cap or closure portion  140  may have a central bore  145  which is internally threaded to accommodate a set screw to further clamp the rod in the slot; however, to simplify the drawing, threads are omitted from  FIG. 5 .  
         [0033]     The internal closure cap  140  has a plurality of radially protruding flange segments  146 , of which one is visible in the Figure, and the cap is pushed downwardly on the head so the respective inward and outward directed segments pass between each other, in a manner similar to the above-described embodiments. Thus, the segments  146  fit between corresponding inwardly protruding segments  158  of the head  153  and lock thereagainst by a small rotation of the cap  140 .  
         [0034]      FIGS. 6A and 6B  illustrate the structure of the twist-in cap  140  and the slotted head  153  in greater detail.  
         [0035]      FIG. 6A  shows the closure cap  140 , and  FIG. 6B  shows the head assembly  153 , of an internal closure locking cap of  FIG. 5 . As shown, the head assembly  153  of the anchor screw has a plurality of internally projecting bosses  158  and the closure cap  140  has corresponding outwardly projecting bosses  146 . Respective bosses  146 ,  158  are dimensioned such that the cap  140  may be pushed downwardly between spaces of corresponding bosses to position the upper surface  149  of the cap bosses below the lower surface  159  of the retaining head bosses  158 . As shown in  FIGS. 6A and 6B , these mating contact surfaces are angled or sloped downwardly with a radial slant “RS” at an angle Θ (illustrated in  FIGS. 5 and 6 B) toward the center. In this way, when the cap  140  is rotated to place opposed bosses in an engagement with each other, the cap exerts a net inwardly directed force on the head to prevent spreading of the retaining slot. The contours of the sloped ends are relatively sharply defined, effectively forming a circumferential ridge  149   a ,  159   a  and groove  149   b ,  159   b  on each of the respective components ( FIG. 6C ). The ridge of one part fits in the groove of the other, so that the closure is centered and grips over a substantial contact area.  
         [0036]     As best seen in  FIGS. 5 and 6 A, the twist-in cap has opposed edge flats  144  which may provide a contact or engagement surface for a tool such as a wrench used for turning the cap upon installation. Each of the flats  144  has a corner to prevent over-rotation of the cap, so that upon insertion it rotates to exactly position the respective bosses  146 ,  158  opposite each other as the anchor assembly is closed. The set screw is then tightened to secure the fixation linkage captured in the slot.  
         [0037]      FIGS. 7A-7C  illustrate another embodiment of a twist-in closure cap and spinal anchor assembly, having an anchor screw, a slotted head and a twist-in closure cap. As in the previously described embodiments, the screw and head may be separate assemblies, e.g., to achieve freedom in angular orientation before clamping down. The head and cap structure similarly may be adapted to spinal anchor assemblies of other types, such as transverse connectors, anchor plates and other link-receiving hardware. As with the earlier described embodiments, the cap may have a central bore which is internally threaded to accommodate a clamping set screw to lock and immobilize the linkage once it has been captured in the slot; however, to simplify the drawing, threads are omitted from  FIGS. 7A and 7C .  
         [0038]     In this embodiment, the radially protruding bosses or flange segments  146  of the cap, and the inwardly protruding bosses  158  of the head are arranged so the respective inward and outward directed segments pass between each other, when the cap is pushed downwardly into the head, in a manner similar to the above-described embodiments. Thus, the segments  146  fit between corresponding, inwardly protruding segments  158  of the head and lock thereagainst by a small rotation of the cap. In addition, the twist-lock mechanism may be configured to exert enhanced contact force in a detent region when the clamp screw is tightened down.  
         [0039]     As shown in FIGS.  7 A-C, this is achieved in a presently preferred embodiment by providing lower and upper contact faces  159 ,  149  on the segments  158 ,  146  of the head and cap, respectively, that slope downward toward the center so that when the set screw is tightened the upward force on the cap draws the segments  158  inward and upward. A vertically-oriented protruding ridge  158   a  and mating groove  146   a  are formed on the head and cap, on or directly above the corresponding flange region of each, so that the ridge  158   a  on the head is urged inwardly against the groove surface of the cap. This effectively locks the rotational detent to prevent any rotational movement of the cap once the set screw is tightened.  
         [0040]     As further seen in  FIGS. 7A and 7C , the twist-in cap has a protruding stop face  164  that contacts the head and prevents over-rotation of the cap when it is turned to close the head. Thus, upon insertion the cap rotates (clockwise as shown) to position the bosses  146 ,  158  exactly opposite each other as the anchor assembly is closed. The set screw is then tightened to secure the fixation linkage captured in the slot.  
         [0041]     The invention being thus disclosed and illustrative embodiments depicted herein, further variations and modifications of the invention will occur to those skilled in the art. All such variations and modifications are considered to be within the scope of the invention, as defined by the claims appended hereto and equivalents thereof.