Anterior lumbar spacer

• US 20030060825A1
• Filed: 09/09/2002
• Published: 03/27/2003
• Est. Priority Date: 03/09/2000
• Status: Abandoned Application

• Current Assignee: Osteotech Incorporated (Medtronic Plc)
• Original Assignee: Osteotech Incorporated (Medtronic Plc)
• Inventors: Boyle, John, Geremakis, Perry, Alfaro, Arthur A., Shimp, Lawrence A., Russell, James, Scarborough, Nelson L.
• Application Number:
  US10/237,821
• Publication Number:
  US 20030060825A1
• Time in Patent Office: Days
• US Class Current: 606/61
• CPC Class Codes: A61F 2/28 Bones joints A61F2/30
• CPC Class Codes: A61F 2/442 Intervertebral or spinal discs, e.g. resilient non-disc-shaped intervertebral inflatable pockets A61F2/441; non-disc-shaped intervertebral fusion implants A61F2/4455
• CPC Class Codes: A61F 2/446 having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
• CPC Class Codes: A61F 2/4465 having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2002/2817 Bone stimulation by chemical reactions or by osteogenic or biological products for enhancing ossification, e.g. by bone morphogenetic or morphogenic proteins [BMP] or by transforming growth factors [TGF]
• CPC Class Codes: A61F 2002/2835 Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/2839 Bone plugs or bone graft dowels
• CPC Class Codes: A61F 2002/30059 differing in bone mineralization, e.g. made from both mineralized and demineralized adjacent parts
• CPC Class Codes: A61F 2002/30115 circular-O-shaped
• CPC Class Codes: A61F 2002/30125 elliptical or oval
• CPC Class Codes: A61F 2002/30131 horseshoe- or crescent- or C-shaped or U-shaped
• CPC Class Codes: A61F 2002/30153 rectangular
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30795 Blind bores, e.g. of circular cross-section
• CPC Class Codes: A61F 2002/30797 internally-threaded
• CPC Class Codes: A61F 2002/3082 Grooves
• CPC Class Codes: A61F 2002/3085 with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
• CPC Class Codes: A61F 2002/30873 Threadings machined on non-cylindrical external surfaces
• CPC Class Codes: A61F 2002/4638 : Tools for performing screwing, e.g. nut or screwdrivers, or particular adaptations therefor
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2230/0006 : circular
• CPC Class Codes: A61F 2230/0008 : elliptical or oval
• CPC Class Codes: A61F 2230/0013 : Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61F 2230/0019 : rectangular
• CPC Class Codes: A61F 2310/00017 : Iron- or Fe-based alloys, e.g. stainless steel
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys
• CPC Class Codes: A61F 2310/00179 : Ceramics or ceramic-like structures
• CPC Class Codes: A61F 2310/00359 : Bone or bony tissue

Abstract

There is provided a combined two-part intervertebral implant (10) configured to restore the spacing between adjacent vertebrae. The implant (10) generally includes a spacer ring (12) having upper and lower vertebral engaging surfaces and a bore for receipt of a locking element (14). The implant (10) further includes a locking element (14) which is engageable within the spacer ring (12) and has a diameter or height greater than the thickness of the spacer ring. In one embodiment, the spacer ring (12) may be formed as a C-shaped element (16). In an alternative embodiment, the spacer ring may be formed as an intact ring (42) having a side bore (44) for receipt of the locking element. One or both parts of the implant (10) may be partially or wholly surface demineralized to provide a flexible surface on implant. A method of using the spacer ring (12) and locking element (14) to secure the assembled implant between adjacent vertebrae is also disclosed.

Claims

1. A two-part intervertebral spacer comprising:

a first component having upper and lower vertebral engaging surfaces and a thickness between the upper and lower surfaces; and

a second component engagable within the first component and having a height greater than the thickness of the first component.

2. The intervertebral spacer as recited in claim 1, wherein the first component is a C-shaped ring.

3. The intervertebral spacer as recited in claim 2, wherein at least a portion of an inner surface of the ring defined by the C-shape is threaded.

4. The intervertebral spacer as recited in claim 3, wherein the second component is a cylindrical locking element having threads on an outer surface thereof, which threads are engagable with the threads on the inner surface of the C-shaped ring.

5. The intervertebral spacer as recited in claim 1, wherein at least one of the first component and second component is formed from bone.

6. The intervertebral dowel as recited in claim 5, wherein the first component is formed from bone and is partially demineralized to leave a mineralized core of the first component to provide sufficient support to provide subsidence.

7. The intervertebral spacer as recited in claim 5, wherein at least one of the upper and lower vertebral engaging surfaces are wholly or partially surface demineralized to provide a flexible surface to conform to adjacent vertebral endplates.

8. The intervertebral implant as recited in claim 4, wherein the locking element includes a throughbore for receipt of bone growth inducing factors.

9. The intervertebral implant as recited in claim 1, wherein the first component is an intact ring having a bore in an outer surface thereof and the second component is a dowel configured to engage an inner surface of the bore.

10. The intervertebral implant as recited in claim 9, wherein the outer surface of the dowel and the inner surface of the bore are formed with corresponding mating threads.

11. The intervertebral spacer as recited in claim 9, wherein the intact ring defines a throughbore for receipt of bone growth inducing factors.

12. A two-part intervertebral spacer comprising:

a generally C-shaped ring defining a throughbore and having a predetermined thickness between an upper and a lower vertebral engaging surface;

a threaded dowel having a diameter greater than the predetermined thickness and engagable within the C-shaped ring.

13. The intervertebral spacer as recited in claim 12, wherein at least one of the C-shaped ring and threaded dowel are formed of bone.

14. The intervertebral dowel as recited in claim 13, wherein the C-shaped ring is formed of bone and at least one of the upper and lower vertebral surface is at least partially surface demineralized.

15. The intervertebral spacer as recited in claim 12, wherein an inner surface of the C-shaped ring which defines the throughbore is formed with threads.

16. The intervertebral spacer as recited in claim 12, wherein the threaded dowel defines a throughbore for receipt of bone growth inducing factors.

17. The intervertebral spacer as recited in claim 12, wherein the threaded dowel includes structure for receipt of insertion instrumentation.

18. A method of restoring spacing between adjacent vertebrae comprising:

providing a two-part intervertebral spacer having a ring defining a bore and upper and lower vertebral engaging surfaces defining a thickness between the upper and lower surfaces and a locking implant engagable within the bore of the ring and having a height greater than the thickness of the ring;

positioning the ring within an excised disk space between adjacent vertebrae; and

engaging the locking implant within the ring and with the adjacent vertebrae.

19. The method according to claim 18 wherein the step of engaging includes threadedly engaging threads formed on an inner surface of the bore with threads formed on an outer surface of the locking implant.

20. The method according to claim 18 wherein, prior to the step of engaging, threads are simultaneously formed on an inner surface of the bore and at least one endplate of adjacent vertebrae.

21. The method of claim 18, wherein the bore defined in the ring is formed after the step of positioning the ring.