Method of lumbar intervertebral disk stabilization

• US 5,653,761 A
• Filed: 06/07/1995
• Issued: 08/05/1997
• Est. Priority Date: 03/18/1994
• Status: Expired due to Term

• Current Assignee: Madhavan Pisharodi
• Original Assignee: Madhavan Pisharodi
• Inventors: Pisharodi, Madhavan
• Primary Examiner(s): Prebilic, Paul B.
• Application Number:
  US08/471,910
• Time in Patent Office: 790 Days
• Field of Search: 623/17, 623/66, 606/60, 606/61, 606/62, 606/63, 606/66, 606/73, 606/53
• US Class Current: 606/86.00A
• CPC Class Codes: A61B 17/025 Joint distractors
• CPC Class Codes: A61B 2017/0256 for the spine
• CPC Class Codes: A61F 2/30965 Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
• 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 2/4455 for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages intervertebral discs A61F2/442
• 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 2/4603 for insertion or extraction of endoprosthetic joints or of accessories thereof
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• 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 2002/30214 having tapered sections of different conicities
• CPC Class Codes: A61F 2002/30224 cylindrical
• CPC Class Codes: A61F 2002/30253 ellipsoidal or ovoid
• CPC Class Codes: A61F 2002/30286 barrel-shaped
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30426 Bayonet coupling
• CPC Class Codes: A61F 2002/30579 with mechanically expandable devices, e.g. fixation devices
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30594 slotted, e.g. radial or meridian slot ending in a polar aperture, non-polar slots, horizontal or arcuate slots
• CPC Class Codes: A61F 2002/30777 Oblong apertures
• CPC Class Codes: A61F 2002/30797 internally-threaded
• 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 2002/4627 : with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
• CPC Class Codes: A61F 2002/4629 : connected to the endoprosthesis or implant via a threaded connection
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2230/0063 : Three-dimensional shapes
• CPC Class Codes: A61F 2230/0067 : conical
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2230/0076 : ellipsoidal or ovoid
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys
• CPC Class Codes: Y10S 606/914 : Toolkit for installing or removing spinal positioner or stabilizer

Abstract

A method of intervertebral disk stabilization in which adjacent vertebrae are spread and a portion of the intervertebral disk is removed from therebetween is disclosed. An elongate, generally cylindrically shaped implant having middle and end portions, the middle portion being of larger diameter than the end portions, is inserted into the space between the adjacent vertebrae from which the disk was removed and then rotated. Threads formed on the outside surface of the implant bear against the bodies of the adjacent vertebrae to move the implant back and forth in an anterior-posterior direction in the disk space to a position in which both the larger diameter middle portion and the smaller diameter end portions of the implant engage the bodies of the adjacent vertebrae to stabilize the adjacent vertebrae relative to each other.

Claims

1. A method of intervertebral disk stabilization comprising the steps of:

spreading adjacent vertebrae;

removing a portion of the intervertebral disk from between the adjacent vertebrae;

inserting an elongate, generally cylindrically shaped implant having middle and end portions, the middle portion being an expanded larger diameter than the end portions, into the space between the adjacent vertebrae from which a portion of the disk has been removed; and

rotating the elongate implant to cause threads formed on the outside surface thereof to bear against the adjacent vertebrae to move the implant in an anterior-posterior direction until positioned at a point between the adjacent vertebrae at which both the larger diameter middle portion and the smaller diameter end portions of the elongate implant engage the bodies of the adjacent vertebrae to stabilize the adjacent vertebrae relative to each other.

2. The method of claim 1 wherein the elongate implant is detachably mounted to an applicator for insertion into the space from which a portion of the disk has been removed.

3. The method of claim 2 additionally comprising detaching the applicator from the elongate implant.

4. The method of claim 2 wherein the elongate implant is mounted to the applicator on threads and the applicator is detached from the elongate implant by rotating the applicator relative to the elongate implant after insertion of the elongate implant.

5. The method of claim 4 additionally comprising rotating the applicator to position the elongate implant.

6. The method of claim 5 additionally comprising preventing relative rotation of the elongate implant and the applicator during the positioning of the elongate implant.

7. The method of claim 1 additionally comprising preventing anterior-posterior movement of the elongate implant after the elongate implant is positioned.

8. The method of claim 1 wherein the adjacent vertebrae are spread by inserting a spreader comprised of a handle and an integral implant portion, the implant portion of the spreader being shaped in a similar shape to the elongate implant, between the adjacent vertebrae.

9. A method of intervertebral disk stabilization comprising the steps of:

spreading adjacent vertebrae by inserting a spreader comprised of a handle and an integral implant portion between the adjacent vertebrae,

removing a portion of the intervertebral disk from between the adjacent vertebrae;

inserting the implant portions of additional spreaders between the adjacent vertebrae, each of the additional spreaders having implant portions of increasingly larger diameters, to spread the adjacent vertebrae progressively further apart;

inserting an elongate, generally cylindrically-shaped implant having middle and end portions, the middle portion being an expanded larger diameter than the end portions, into the space between the adjacent vertebrae from which a portion off the disk has been removed, the implant portions of the respective spreaders being shaped in a shape similar to the elongate implant; and

rotating the elongate implant to cause threads formed on the outside surface thereof to bear against the adjacent vertebrae to move the implant in an anterior-posterior direction until positioned at a point between the adjacent vertebrae at which both the larger diameter middle portion and the smaller diameter end portion of the elongate implant engage the bodies of the adjacent vertebrae to stabilize the adjacent vertebrae relative to each other.

10. The method of claim 9 additionally comprising preventing movement of the implant in an anterior or posterior direction in the disk space after the implant is positioned.

11. A method of intervertebral disk stabilization comprising the steps of:

removing a portion of the intervertebral disk from between adjacent vertebrae;

inserting a generally cylindrically-shaped implant comprised of middle and end portion having threads formed on the surface thereof into the space between the adjacent vertebrae from which the portion of the disk has been removed, the middle portion of the implant having an expanded larger diameter than the end portions of the implant;

rotating the implant to cause the threads to bear against the adjacent vertebrae to cause the implant to move back and forth in the space between the adjacent vertebrae to position the implant at a point at which both the middle and end portions of the implant engage the adjacent vertebrae to stabilize the adjacent vertebrae relative to each other.

12. The method of claim 11 wherein the implant is attached to an applicator for insertion into the disk space and then detached from the applicator after the implant is positioned in the disk space.

13. The method of claim 12 additionally comprising rotating the applicator to position the implant.

14. The method of claim 13 additionally comprising preventing rotation between the implant and the applicator until after the implant is positioned in the disk space.

15. The method of claim 14 additionally comprising preventing movement of the implant in the anterior or posterior direction after the implant is positioned in the disk space.

16. The method of claim 11 additionally comprising spreading the adjacent vertebrae before inserting the implant into the disk space.