# US 10,368,919 B2 · Sacral-iliac stabilization system > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,368,919 B2 - Document ID: US10368919B2 - Status: Granted - Kind: B2 - Application number: 13/189,084 - Filed: 2011-07-22 - Published: 2012-01-26 - Granted: 2019-08-06 - Earliest claimed: 2010-07-22 - Assignees: Globus Medical, Inc. - Applicants: Khiem Pham; Mark Salzberger - Inventors: Khiem Pham; Mark Salzberger - Web page: https://patentgrep.com/patent/US10368919B2 ## CPC - A61B 17/7055: {connected to sacrum, pelvis or skull} - A61B 17/7032: {Screws or hooks with U-shaped head or back through which longitudinal rods pass} - A61B 17/7044: {also having plates, staples or washers bearing on the vertebrae} - A61B 17/809: {with bone-penetrating elements, e.g. blades or prongs (bone staples A61B17/0642; intramedullary nails with a plate at an end A61B17/7233)} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract The present invention provides a sacral-iliac plate having an iliac portion with a first screw hole for receiving a first fastener to secure the iliac portion to the iliac bone. A sacral portion integrated monolithically with the iliac portion is also provided with a second and third screw holes for receiving second and third fasteners to secure the sacral portion to the sacral bone. The sacral portion also includes a tulip for receiving and securing a spinal rod. ## Claims ### Claim 1 A sacral-iliac plate comprising: an iliac portion having a first screw hole for receiving a first fastener to secure the iliac portion to the iliac bone; a sacral portion integrated monolithically with the iliac portion having a second and third screw holes for receiving a second and third fasteners to secure the sacral portion to the sacral bone, wherein the first screw hole differs from the second and third screw holes, wherein the first screw hole is threaded and the second and third screw holes are non-threaded, wherein the sacral portion comprises a tulip for receiving and securing a spinal rod, wherein the tulip is integrated with the sacral portion, wherein the tulip extends upward from a superior surface of the sacral-iliac plate and forms a channel for receiving the spinal rod in a top-loading manner, the channel configured to extend at least partially along a length of the spinal rod towards the second and third sacral screw holes, wherein the first and second screw holes are in line along a first axis, wherein the second and third screw holes are in line with the tulip along a second axis, wherein the first axis and the second axis are generally perpendicular, wherein the tulip is positioned in between the second and third screw holes, and the channel of the tulip is positioned in line with the second and third screw holes, and wherein the iliac portion is angled between 35° to 50° with respect to the sacral portion, wherein the sacral portion extends from a first end to a second end, wherein the sacral portion includes a first portion extending from the first end to a base of the tulip and a second portion extending from the second end to the base of the tulip, the first portion includes the second screw hole and the second portion includes the third screw hole, wherein the first portion has a first thickness that is less than a second thickness of the second portion, wherein the second thickness of the second portion is measured from an inferior surface of the sacral-iliac plate to the superior surface of the sacral-iliac plate adjacent the tulip, wherein a prong is disposed directly underneath the tulip and configured to facilitate temporary fixation during installation of the plate. ### Claim 2 (depends on 1) The sacral-iliac plate according to claim 1, wherein the spinal rod is configured to be secured within the tulip with a locking cap. ### Claim 3 (depends on 1) The sacral-iliac plate according to claim 1, further comprising the first fastener, wherein the first fastener is configured with a threaded head to engage with the threaded first screw hole. ### Claim 4 (depends on 1) The sacral-iliac plate according to claim 1, wherein the iliac portion is angled at 40° with respect to the sacral portion. ### Claim 5 A sacral-iliac plate comprising: an iliac portion having a first screw hole for receiving a first fastener to secure the iliac portion to the iliac bone; and a sacral portion integrated monolithically with the iliac portion having a second and third screw holes for receiving a second and third fasteners to secure the sacral portion to the sacral bone, wherein the first screw hole differs from the second and third screw holes, wherein the first screw hole is threaded and the second and third screw holes are non-threaded, wherein the sacral portion comprises a tulip for receiving and securing a spinal rod, wherein the tulip is integrated with the sacral portion, wherein the tulip extends upward from a superior surface of the sacral-iliac plate and forms a channel for receiving the spinal rod in a top-loading manner, the channel configured to extend at least partially along a length of the spinal rod towards the second and third sacral screw holes, wherein the tulip is positioned in between the second and third screw holes, and the channel of the tulip is positioned in line with the second and third screw holes, and wherein the iliac portion and the sacral portion form a generally L-shape, wherein the sacral portion extends from a first end to a second end, wherein the sacral portion includes a first portion extending from the first end to a base of the tulip and a second portion extending from the second end to the base tulip, the first portion includes the second screw hole and the second portion includes the third screw hole, wherein the first portion has a first thickness that is less than a second thickness of the second portion, wherein the second thickness of the second portion is measured from an inferior surface of the sacral-iliac plate to the superior surface of the sacral-iliac plate adjacent the tulip, wherein a prong is disposed directly underneath the tulip and configured to facilitate temporary fixation during installation of the plate. ### Claim 6 (depends on 5) The sacral-iliac plate according to claim 5, wherein the second and third screw holes are in line with the tulip along a second axis. ### Claim 7 (depends on 5) The sacral-iliac plate according to claim 5, wherein the spinal rod is configured to be secured within the tulip with a locking cap. ### Claim 8 (depends on 5) The sacral-iliac plate according to claim 5, further comprising the first fastener, wherein the first fastener is configured with a threaded head to engage with the threaded first screw hole. ### Claim 9 (depends on 5) The sacral-iliac plate according to claim 5, wherein the iliac portion is angled between 35° to 50° with respect to the sacral portion. ### Claim 10 (depends on 5) The sacral-iliac plate according to claim 5, wherein the iliac portion is angled at 40° with respect to the sacral portion. ### Claim 11 A method of stabilizing a spine comprising: accessing the sacrum and iliac portions of the spine; positioning a sacral-iliac plate on a portion of the sacrum and a portion of the iliac bone; and securing the sacral iliac plate to the portion of the sacrum and the iliac bone; wherein the sacral-iliac plate comprises: an iliac portion having a first screw hole for receiving a first fastener to secure the iliac portion to the iliac bone; and a sacral portion integrated monolithically with the iliac portion having a second and third screw holes for receiving a second and third fasteners to secure the sacral portion to the sacral bone, wherein the first screw hole differs from the second and third screw holes, wherein the first screw hole is threaded and the second and third screw holes are non-threaded, wherein the sacral portion comprises a tulip for receiving and securing a spinal rod, wherein the iliac portion and the sacral portion form a generally L-shape, wherein the tulip is positioned in between the second and third screw holes, and wherein the tulip extends upward from a superior surface of the sacral-iliac plate and forms a channel for receiving the spinal rod in a top-loading manner, the channel configured to extend at least partially along a length of the spinal rod towards the second and third sacral screw holes, and the channel of the tulip is positioned in line with the second and third screw holes wherein the sacral portion extends from a first end to a second end, wherein the sacral portion includes a first portion extending from the first end to tulip and a second portion extending from the second end to the tulip, the first portion includes the second screw hole and the second portion includes the third screw hole, wherein the first portion has a thickness that is less than a second thickness of the second portion, wherein the second thickness of the second portion is measured from an inferior surface of the sacral-iliac plate to the superior surface of the sacral-iliac plate adjacent the tulip, wherein a prong is disposed directly underneath the tulip and configured to facilitate temporary fixation during installation of the plate. ### Claim 12 (depends on 11) The method according to claim 11, wherein the iliac portion is angled 40° with respect to the sacral portion.