INTRAOSSEOUS TRANSPEDICULAR METHODS AND DEVICES
First Claim
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1. A method of treating a spine comprising:
- creating an intraosseous channel through a pedicle of a first vertebra, wherein the intraosseous channel extends along an axis of the pedicle from a generally posterior or posterior-inferior aspect to a generally anterior or anterior-superior aspect of the pedicle of the first vertebra;
accessing through at least a portion of the intraosseous channel a spinal region generally superior to the first vertebra and generally inferior to a second vertebra, wherein the spinal region comprises the neuroforamina, lateral recess, epidural space, or intervertebral disc space;
placing a treatment device through at least a portion of the channel into or adjacent the spinal region; and
performing a therapeutic intervention on the spinal region.
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Abstract
This disclosure is directed to minimally-invasive devices, methods and systems for treating vertebral diseases and injuries using multiple therapeutic procedures through small access portals of sufficient dimension that minimize trauma to the patient. More particularly, disclosed herein are devices, methods and systems for an intraosseous transpedicular surgical approach that can be used for a variety of surgical spine procedures.
94 Citations
24 Claims
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1. A method of treating a spine comprising:
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creating an intraosseous channel through a pedicle of a first vertebra, wherein the intraosseous channel extends along an axis of the pedicle from a generally posterior or posterior-inferior aspect to a generally anterior or anterior-superior aspect of the pedicle of the first vertebra; accessing through at least a portion of the intraosseous channel a spinal region generally superior to the first vertebra and generally inferior to a second vertebra, wherein the spinal region comprises the neuroforamina, lateral recess, epidural space, or intervertebral disc space; placing a treatment device through at least a portion of the channel into or adjacent the spinal region; and performing a therapeutic intervention on the spinal region. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20)
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21. A method of treating a spine comprising:
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creating an intraosseous channel through a pedicle of a first vertebra, wherein the intraosseous channel extends along an axis of the pedicle from a generally posterior or posterior-inferior aspect to a generally anterior or anterior-superior aspect of the pedicle of the first vertebra, wherein the channel is created using a first surgical guide; accessing through at least a portion of the intraosseous channel a spinal region generally superior to the first vertebra and generally inferior to a second vertebra, wherein the spinal region is accessed using a second surgical guide having a first axis and a second axis, wherein the second axis is offset at a predetermined angle from the first axis; placing an intervertebral distraction device through at least a portion of the channel into or adjacent the spinal region; distracting the first and second vertebrae with the intervertebral distraction device; inserting a resection device through at least a portion of the channel into the distracted spinal region or a space adjacent thereto and resecting, shaving, shearing, cutting or removing disc material using the resection device; and placing a fixation device through at least a portion of the intraosseous channel in the posterior or posterior-inferior aspect generally along a posterior aspect of the axis of the pedicle. - View Dependent Claims (22, 23, 24)
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Specification