Selectively Expanding Spine Cage, Hydraulically Controllable in Three Dimensions for Enhanced Spinal Fusion
First Claim
1. An apparatus for providing spinal correction in three dimensions, comprising:
- a selectively expanding spinal implant for posterior insertion between opposed superior and inferior vertebral end plates of a patient, said spinal implant comprising;
a cylinder block comprising a base resting on a first end plate and two or more slave cylinders and corresponding pistons having a corrective bone engaging surface for expanding against a second end plate.
3 Assignments
0 Petitions
Accused Products
Abstract
A selectively expanding spine cage has a minimized diameter in its unexpanded state that is smaller that the diameter of the neuroforamen through which it passes in the distracted spine. The cage conformably engages between the endplates of the adjacent vertebrae to effectively distract the anterior disc space, stabilize the motion segments and eliminate pathologic spine motion. Angular deformities can be corrected, and natural curvatures restored and maintained. The cage enhances spinal arthrodesis by creating a rigid spine segment, or if filled with compressible substances, the cage can be used for motion preservation between vertebral bodies. Expanding selectively (anteriorly, along the vertical axis of the spine) rather than uniformly, the cage height increases and holds the vertebrae with fixation forces greater than adjacent bone and soft tissue failure forces in natural lordosis. Stability is thus achieved immediately, enabling patient function by eliminating painful motion. The cage shape intends to rest proximate to the anterior column cortices securing the desired spread and fixation, allowing for bone graft in, around, and through the implant for arthrodesis whereas for arthroplasty it fixes to endpoints but cushions the spine naturally.
307 Citations
31 Claims
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1. An apparatus for providing spinal correction in three dimensions, comprising:
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a selectively expanding spinal implant for posterior insertion between opposed superior and inferior vertebral end plates of a patient, said spinal implant comprising;
a cylinder block comprising a base resting on a first end plate and two or more slave cylinders and corresponding pistons having a corrective bone engaging surface for expanding against a second end plate. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A selectively expandable spinal implant for posterior insertion between opposed superior and inferior vertebral end plates of a patient, comprising:
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a slave cylinder block defining at least first and second cylinders, said cylinders receiving corresponding pistons, each piston comprising a surface for expanding against an adjacent end plate to impart a desired spinal correction; and
a bone engaging plate moveably attached to the surface of the pistons to provide an anterior/posterior corrective angle depending on relative expansion of the pistons. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18, 19, 20)
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21. A selectively expandable spinal implant for posterior insertion between opposed superior and inferior vertebral end plates of a patient, comprising:
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a cylinder block defining two or more slave cylinders;
two or more corresponding pistons positioned within said cylinders to provide a corrective bone engaging surface for expanding against a first vertebral end plate; and
said cylinder block comprising a base resting on a second vertebral end plate. - View Dependent Claims (22, 23, 24, 25, 26, 27, 28, 29, 30, 31)
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Specification