SYSTEM AND METHOD FOR MULTIPLE LEVEL FACET JOINT ARTHROPLASTY AND FUSION

• US 20090024169A1
• Filed: 09/29/2008
• Published: 01/22/2009
• Est. Priority Date: 06/02/2004
• Status: Active Grant

• Current Assignee: Globus Medical, Inc.
• Original Assignee: Facet Solutions, Inc. (Globus Medical, Inc.)
• Inventors: Triplett, Daniel J., Chervitz, Alan
• Granted Patent: US 8,777,994 B2
• Time in Patent Office: Days
• US Class Current: 606/248
• CPC Class Codes: A61B 17/1757 for the spine
• CPC Class Codes: A61B 17/7032 Screws or hooks with U-shaped head or back through which longitudinal rods pass
• CPC Class Codes: A61B 17/7035 Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
• CPC Class Codes: A61B 17/704 the longitudinal element passing through a ball-joint in the screw head
• CPC Class Codes: A61B 17/7043 with a longitudinal element fixed to one or more transverse elements which connect multiple screws or hooks
• CPC Class Codes: A61B 17/7064 Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
• CPC Class Codes: A61F 2/4405 for apophyseal or facet joints, i.e. between adjacent spinous or transverse processes devices implanted between spinous or transverse processes A61B17/7062
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30649 Ball-and-socket joints
• CPC Class Codes: A61F 2002/448 comprising multiple adjacent spinal implants within the same intervertebral space or within the same vertebra, e.g. comprising two adjacent spinal implants
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements

Abstract

Facet joint replacement implants may be designed for use on multiple adjacent vertebral levels. Each superior implant may have a substantially semispherical concave surface, and each inferior implant may have a cooperating semispherical convex surface that is deformable to enable it to be pressed into the superior implant concave surface to fix the relative orientations of the superior and inferior implants. Thus, the inferior implant may be attached to the same pedicle as the superior implant, but may also be oriented independently of the superior implant and then fixed in position. Similar mounting structures may be used to attach one or more fusion implants to a level adjacent to that of a facet joint replacement implant.

Claims

1. A system comprising:

a superior articular surface attachable to a first vertebra to articulate with an adjacent inferior articular surface; and

an inferior articular surface attachable to the first vertebra, independently of attachment of the superior articular surface to the first vertebra, to articulate with an adjacent superior articular surface;

wherein at least one of the superior and inferior articular surfaces is polyaxially adjustably attachable to the first vertebra.

2. The system of claim 1, wherein the superior articular surface is incorporated into a first superior prosthesis and the inferior articular surface is incorporated into a first inferior prosthesis.

3. The system of claim 2, wherein the superior articular surface and the inferior articular surface are both configured to be positioned on a side selected from a right side of the first vertebra, and a left side of the first vertebra.

4. The system of claim 2, further comprising a fixation member implantable in the first vertebra to attach the first superior prosthesis and the first inferior prosthesis to the first vertebra.

5. The system of claim 2, wherein the first superior prosthesis and the first inferior prosthesis are both polyaxially adjustably attachable to the first vertebra.

6. The system of claim 5, wherein the first superior and inferior prostheses are configured to be assembled with the vertebra such that, prior to complete attachment of the first superior and inferior prostheses to the first vertebra, the first superior and inferior prostheses are both polyaxially rotatable with respect to the first vertebra about a single center of rotation.

7. The system of claim 6, wherein each of the first superior and inferior prostheses comprises a mounting portion comprising a semispherical surface, wherein the semispherical surfaces of the first superior and inferior prostheses are shaped to nest against each other to provide the single center of rotation.

8. The system of claim 7, wherein at least one of the semispherical surfaces of the first superior and inferior prostheses comprises a feature configured to facilitate deformation of the semispherical surface as the mounting portions are attached to the first vertebra.

9. The system of claim 2, further comprising a second superior prosthesis and a second inferior prosthesis, wherein the first and second superior and inferior prostheses are configured to cooperate to provide left and right superior articular surfaces and left and right inferior articular surfaces on the first vertebra.

10. The system of claim 9, further comprising a crosslink attachable to the first and second inferior prostheses to substantially prevent relative motion between the first and second inferior prostheses.

11. A system comprising:

a second prosthesis attachable to a first vertebra and a second vertebra of a spine to substantially prevent relative motion between the first and second vertebrae; and

a first prosthesis attachable to the first vertebra independently of prevention of relative motion between the first and second vertebrae via the second prosthesis, the first prosthesis comprising a first articular surface shaped to articulate with a second articular surface on a third vertebra of the spine.

12. The system of claim 11, wherein the first prosthesis is further attachable to the first vertebra independently of attachment of the second prosthesis to the first vertebra.

13. The system of claim 11, further comprising a fixation member implantable in the first vertebra to attach the first prosthesis and the second prosthesis to the first vertebra.

14. The system of claim 13, wherein the first prosthesis is polyaxially adjustably attachable to the first vertebra, wherein the second prosthesis comprises:

a rod configured to be attached to the first and second vertebrae; and

a yoke configured to receive the rod, wherein the yoke is polyaxially adjustably attachable to pone of the first and second vertebrae.

15. The system of claim 14, wherein the yoke is polyaxially adjustably attachable to the first vertebra.

16. The system of claim 11, wherein at least one of the first and second prostheses is polyaxially adjustably attachable to the first vertebra.

17. The system of claim 16, wherein the first and second prostheses are configured to be assembled with the first vertebra such that, prior to complete attachment of the first and second prostheses to the first vertebra, the first and second prostheses are both polyaxially rotatable with respect to the first vertebra about a single center of rotation.

18. The system of claim 17, wherein each of the first and second prostheses comprises a mounting portion comprising a semispherical surface, wherein the semispherical surfaces of the first and second prostheses are shaped to nest against each other to provide the single center of rotation.

19. The system of claim 18, wherein at least one of the semispherical surfaces of the first and second prostheses comprises a feature configured to facilitate deformation of the semispherical surface as the mounting portions are attached to the first vertebra.

20. The system of claim 11, further comprising a third prosthesis attachable to the first and second vertebrae to cooperate with the second prosthesis to substantially prevent relative motion between the first and second vertebrae;

and a crosslink attachable to the second and third prostheses to substantially prevent relative motion between the second and third prostheses.