# US 8,465,526 B2 · Flexible spine stabilization system > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 8,465,526 B2 - Document ID: US8465526B2 - Status: Granted - Kind: B2 - Application number: 12/112,096 - Filed: 2008-04-30 - Published: 2009-01-01 - Granted: 2013-06-18 - Earliest claimed: 2007-04-30 - Assignees: Globus Medical, Inc. - Applicants: Adam Friedrich; Andrew Iott; Edward Karpowicz - Inventors: Adam Friedrich; Andrew Iott; Edward Karpowicz - Web page: https://patentgrep.com/patent/US8465526B2 ## CPC - A61B 17/7019: {Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other} - A61B 17/7001: {Screws or hooks combined with longitudinal elements which do not contact vertebrae (A61B17/7058 takes precedence)} - A61B 17/7007: {Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit around the screw or hook heads} - A61B 17/7008: {with parts of, or attached to, the longitudinal elements, bearing against an outside of the screw or hook heads, e.g. nuts on threaded rods (A61B17/7007 takes precedence)} - A61B 17/702: {having a core or insert, and a sleeve, whereby a screw or hook can move along the core or in the sleeve} - A61B 17/7031: {made wholly or partly of flexible material} - A61B 17/7049: {Connectors, not bearing on the vertebrae, for linking longitudinal elements together (A61B17/7055, A61B17/7053, A61B17/7019 take precedence)} - A61B 17/7052: {of variable angle or length} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A system for flexibly stabilizing a vertebral motion segment by connecting a first vertebra and a second vertebra is disclosed. The system includes an elongate connection element with end portions interconnected by a flexible coupling member. The system includes first and second attachment portions for connecting the connection element to the vertebrae. A first resilient member is positioned between the first end portion and the first attachment portion, and a second resilient member is positioned between the first attachment portion and the second attachment portion. The system is designed such that the second resilient member is compressed when the first and second attachment portions move towards each other, and the first resilient member is compressed when the first and second attachment portions extend away from each other. ## Claims ### Claim 1 A spine stabilization system for flexibly stabilizing a first vertebra with respect to a second vertebra, the system comprising: a flexible coupling member extending from a first end portion to a second end portion along a longitudinal axis; a first attachment portion coupled to the flexible coupling member; a second attachment portion coupled to the flexible coupling member; a first resilient member coupled to the flexible coupling member and positioned between the first end portion and the first attachment portion; a second resilient member coupled to the flexible coupling member and positioned between the first attachment portion and the second attachment portion; wherein the first attachment portion is coupled to the flexible coupling member such that relative motion between the first attachment portion and the flexible coupling member is permitted after implantation of the spine stabilization system; wherein the first and second attachment portions compress the second resilient member when the first and second attachment portions move towards each other, and wherein the first end and first attachment portions compress the first resilient member when the first and second attachment portions extend away from each other; a first fixation member for connecting the first attachment portion to the first vertebra; and a second fixation member for connecting the second attachment portion to the second vertebra, wherein at least one of the first end portion and second end portion is rigidly fixed to the flexible coupling member, wherein a portion of at least one of the first and second attachment portions pierces the flexible coupling member, wherein the portion of the at least one of the first and second attachment portions that pierces the flexible coupling member comprises a pair of arms that extend downward from an upper portion of the at least one of the first and second attachment portions to engage a lower portion of the at least one of the first and second attachment portions to allow unidirectional piercing of the flexible coupling member. ### Claim 2 (depends on 1) The system of claim 1, wherein the flexible coupling member is a cord. ### Claim 3 (depends on 2) The system of claim 2, wherein the first attachment portion, second attachment portion, first resilient member and second resilient member are coaxial with the cord. ### Claim 4 (depends on 1) The system of claim 1, wherein the flexible coupling member is made from a polyethylene material. ### Claim 5 (depends on 1) The system of claim 1, wherein the first end portion and second end portion are rigidly fixed to the flexible coupling member. ### Claim 6 (depends on 5) The system of claim 5, wherein a portion of the first and second end portions pierce the flexible coupling member. ### Claim 7 (depends on 5) The system of claim 5, wherein a portion of the first and second end portions clamp the flexible coupling member. ### Claim 8 (depends on 5) The system of claim 5, wherein the first attachment portion is slidable with respect to the flexible coupling member and the second attachment portion is integral with the second end portion. ### Claim 9 (depends on 8) The system of claim 8, wherein the first and second attachment portions comprise spools. ### Claim 10 (depends on 8) The system of claim 8, wherein the second end portion comprises an elongate rod. ### Claim 11 (depends on 1) The system of claim 1, wherein the resilient members are made of a urethane material. ### Claim 12 (depends on 11) The system of claim 11, wherein the resilient members have a durometer between about shore 80 A to about shore 100 A. ### Claim 13 (depends on 1) The system of claim 1, wherein the first and second resilient members are made from materials having a different hardness. ### Claim 14 (depends on 1) The system of claim 1, wherein the first and second attachment portions extend away from each other up to 4 mm. ### Claim 15 (depends on 1) The system of claim 1, wherein the first fixation member for connecting the first attachment portion to the first vertebra is a pedicle screw. ### Claim 16 (depends on 15) The system of claim 15, wherein the pedicle screw is a multi-axial pedicle screw. ### Claim 17 A flexible connection element for connecting a first vertebra to a second vertebra, the connection element comprising: a flexible coupling member extending from a first end portion to a second end portion along a longitudinal axis; a first attachment portion coupled to the flexible coupling member; a second attachment portion coupled to the flexible coupling member; a first resilient member coupled to the flexible coupling member and positioned between the first end portion and the first attachment portion; a second resilient member coupled to the flexible coupling member and positioned between the first attachment portion and the second attachment portion; wherein the first attachment portion is coupled to the flexible coupling member such that relative motion between the first attachment portion and the flexible coupling member is permitted after implantation of the flexible connection element; wherein the first and second attachment portions compress the second resilient member when the first and second attachment portions move towards each other; wherein the first end and first attachment portions compress the first resilient member when the first and second attachment portions extend away from each other; a first fixation member for connecting the first attachment portion to the first vertebra; a second fixation member for connecting the second attachment portion to the second vertebra; and wherein the second end portion includes an integrated rod portion, the rod portion being a separate element from the flexible coupling member wherein the first attachement portion comprises a pair of arms that extend downward from an upper portion of the first attachment portion to engage a lower portion of the first attachment portion to allow unidirectional piercing of the flexible coupling member. ### Claim 18 (depends on 17) The connection element of claim 17, wherein the connection element is top loadable into pedicle screws. ### Claim 19 (depends on 17) The connection element of claim 17, wherein the first and second attachment portions and the integrated rod portion are each configured and dimensioned to be attached to a bone fastener to connect the elongate element between a plurality of vertebras. ### Claim 20 (depends on 17) The connection element of claim 17, wherein the connection element is curved in a neutral position to accommodate lordosis in a spine.