Dynamic intervertebral spacer and method of use

• US 5,865,848 A
• Filed: 09/12/1997
• Issued: 02/02/1999
• Est. Priority Date: 09/12/1997
• Status: Expired due to Term

• Current Assignee: Artifex Limited, BHC Engineering LP
• Original Assignee: Artifex Limited, BHC Engineering LP
• Inventors: Baker, Gregg S.
• Primary Examiner(s): Milano, Michael J.
• Application Number:
  US08/928,728
• Time in Patent Office: 508 Days
• Field of Search: 623/17, 606/61
• US Class Current: 623/17.15
• CPC Class Codes: A61F 2/30767 Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
• CPC Class Codes: A61F 2/30942 for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
• 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 2/447 substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
• CPC Class Codes: A61F 2/4601 for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity
• 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 2002/30113 circular
• CPC Class Codes: A61F 2002/30153 rectangular
• CPC Class Codes: A61F 2002/30224 cylindrical
• CPC Class Codes: A61F 2002/30261 parallelepipedal
• CPC Class Codes: A61F 2002/30266 wedge-shaped parallelepipeds
• CPC Class Codes: A61F 2002/30398 Sliding
• CPC Class Codes: A61F 2002/30487 Circumferential cooperating grooves and beads on cooperating lateral surfaces of a mainly longitudinal connection
• CPC Class Codes: A61F 2002/30494 Cooperating protrusions and recesses, e.g. radial serrations, located on abutting end surfaces of a longitudinal connection
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30515 using a locking wedge or block
• CPC Class Codes: A61F 2002/3052 unrestrained in only one direction, e.g. moving unidirectionally
• CPC Class Codes: A61F 2002/3055 for adjusting length
• CPC Class Codes: A61F 2002/30556 for adjusting thickness
• CPC Class Codes: A61F 2002/30593 : hollow
• CPC Class Codes: A61F 2002/30616 : Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30774 : internally-threaded
• CPC Class Codes: A61F 2002/30785 : parallel
• CPC Class Codes: A61F 2002/30904 : serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2002/30975 : made of two halves
• 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 2230/0019 : rectangular
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2230/0082 : parallelepipedal
• CPC Class Codes: A61F 2250/0009 : for adjusting thickness
• 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 2310/00796 : Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite
• CPC Class Codes: Y10S 606/907 : Composed of particular material or coated

Abstract

A spinal fusion implant assembly for spacing vertebrae and method of using the implant are provided. The implant includes two components each having a vertebral contact surface, a pair of side portions, and an end plate. The two components are complementary such that when placed together they form a whole. Each of the sides has a high point and a low point, such that a sloped edge of each side is defined between the high point and the low point, and the slope of the first sides is complementary to the slope of the second sides. The device also includes a translation mechanism for providing relative motion between the components.

Claims

1. A spinal fusion implant assembly for stabilizing vertebrae comprising:

a first component having a first vertebral contact surface, a pair of side portions extending upwards from said first surface, and a first end plate portion extending upwards from said first surface;

a second component having a second vertebral contact surface, a pair of side portions extending downwards from said second surface, and a second end plate portion extending downwards from said second surface;

each of said side portions having a high point and a low point on respective ends of the side portion, such that a sloped edge of each side portion is defined between the high point and the low point, and wherein the slope of the first side portions is complementary to the slope of the second side portions; and

a translation mechanism for providing relative movement between the first and second components in a horizontal direction.

2. The assembly of claim 1, wherein the assembly, when assembled, has a rectangular cross section.

3. The assembly of claim 1, wherein the assembly, when assembled, has a rounded cross section.

4. The assembly of claim 1, wherein the first and second contact surfaces are perforated.

5. The assembly of claim 1, wherein one of the end plates includes a threaded hole for a bolt.

6. The assembly of claim 5, wherein the translation mechanism is an installation bolt.

7. The assembly of claim 1, wherein the assembly comprises a biocompatible material.

8. The assembly of claim 1, wherein the first and second components have a coating for promoting bony ingrowth.

9. The assembly of claim 1, wherein the first and second vertebral contact surfaces have textured areas for grasping the vertebrae.

10. The assembly of claim 9, wherein the textured areas are ridges.

11. The assembly of claim 1, wherein the sloped edges of each of said first and second side portions have complementary steps, such that the first side portions fit to the second side portions.

12. The assembly of claim 1, wherein the translation mechanism also provides relative movement between the first and second components in a vertical direction.

13. A spinal fusion implant assembly for stabilizing vertebrae comprising:

a first component having a first vertebral contact surface, a pair of side portions extending upwards from said first surface, and a first end plate portion extending upwards from said first surface;

a second component having a second vertebral contact surface, a pair of side portions extending downwards from said second surface, and a second end plate portion extending downwards from said second surface;

each of said side portions having a high point and a low point, such that a sloped edge of each side portion is defined between the high point and the low point, wherein the slope of the first side portions is complementary to the slope of the second side portions, and wherein a greatest height of each side portion for each pair of side portions is located at one end of the component and the end plate of each component is located at an opposite end of the component; and

a translation mechanism for providing relative motion between the components.

14. A spinal fusion implant assembly for stabilizing vertebrae comprising:

a first component having a first vertebral contact surface, a pair of side portions extending upwards from said first surface, and a first end plate portion extending upwards from said first surface;

a second component having a second vertebral contact surface, a pair of side portions extending downwards from said second surface, and a second end plate portion extending downwards from said second surface;

each of said side portions having a high point and a low point, such that a sloped edge of each side portion is defined between the high point and the low point, the sloped edges of each of said first and second side portions having complementary slopes and complementary ridges, such that the first side portions fit to the second side portions; and

a translation mechanism for providing relative motion between the components.

15. A fusion implant assembly comprising:

first and second complementary portions, each portion having a vertebral contact surface, two sides and an end plate, said portions fitting together to form a whole, wherein the vertebral contact surface of the first portion is positioned above the vertebral contact surface of the second portion; and

means for providing relative movement between the first and second complementary portions in a horizontal direction.

16. The fusion implant assembly of claim 15, wherein each of said sides includes a high point and a low point, such that a sloped edge of each side is defined between the high point and the low point, and wherein the slope of the first sides is complementary to the slope of the second sides.

17. The fusion implant assembly of claim 15, wherein the assembly, when assembled, has a rectangular cross section.

18. The fusion implant assembly of claim 15, wherein the assembly, when assembled, has a rounded cross section.

19. The fusion implant assembly of claim 15, wherein the first and second vertebral contact surfaces are perforated.

20. The fusion implant assembly of claim 15, wherein one of the end plates includes a threaded hole for a bolt.

21. The fusion implant assembly of claim 20, wherein the translation mechanism is an installation bolt.

22. The fusion implant assembly of claim 15, wherein the translation mechanism also provides relative movement between the first and second components in a vertical direction.

23. A fusion implant assembly comprising:

first and second complementary portions, each portion having a vertebral contact surface, two sides and an end plate, said portions fitting together to form a whole, each of said sides including a high point and a low point, such that a sloped edge of each side is defined between the high point and the low point, the slope of the first sides being complementary to the slope of the second sides, and wherein a greatest height of each side for each pair of sides is located at one end of the component and the end plate of each component is located at an opposite end of the component; and

a translation mechanism for providing relative motion between the complementary portions.

24. A fusion implant assembly comprising:

first and second complementary portions, each portion having a vertebral contact surface, two sides and an end plate, said portions fitting together to form a whole, each of said sides including a high point and a low point, such that a sloped edge of each side is defined between the high point and the low point, wherein the slope of the first sides is different from the slope of the second sides; and

a translation mechanism for providing relative motion between the complementary portions.

25. A method of implanting a fusion assembly between adjacent vertebrae comprising:

gaining exposure to the surgical site;

removing disc material from between adjacent vertebrae;

creating a cavity of desired dimensions for the fusion assembly;

placing the fusion assembly with the cavity;

providing relative horizontal movement between vertebral contact surfaces of components of the fusion assembly to adjust the size or shape of the fusion assembly; and

closing the surgical site.

26. The method of claim 25 wherein the providing of relative movement includes tightening a screw mechanism.

27. The method of claim 25 wherein the method further includes removing a translation mechanism before closing the surgical site.

28. The method of claim 25 wherein gaining exposure to the surgical site is done in either an anterior or posterior approach.

29. The method of claim 25 wherein the method further includes:

packing the fusion assembly, if it contains perforations, with a bone material prior to inserting the fusion assembly into the cavity; and

displacing the bone material through the perforations by actuating a translation mechanism.

30. A method of correcting spondylolisthesis, including:

gaining access to the surgical site;

selecting a fusion implant assembly including complementary components;

locating the implant assembly between a normal vertebrae and a slipped vertebrae;

providing relative horizontal and vertical movement between vertebral contact surfaces of the complementary components of the fusion implant assembly to adjust the height between the two vertebrae and to move the slipped vertebrae into its normal position; and

closing the surgical site.

31. A spinal fusion implant kit comprising:

at least two spinal fusion implant devices, wherein each implant device comprises;

first and second complementary portions, each portion having a vertebral contact surface, two sides and an end plate, said portions fitting together to form a whole, wherein the vertebral contact surface of the first portion is positioned above the vertebral contact surface of the second portion; and

a translation mechanism for providing relative horizontal movement between the complementary portions.

32. The spinal fusion implant kit of claim 31, wherein the at least two spinal fusion implant devices are of different sizes.

33. The spinal fusion implant kit of claim 31, wherein the first and second complementary portions of the first implant device have a different slope than the slope of the first and second complementary portions of the second implant device.

34. The spinal fusion implant kit of claim 31, wherein the kit includes at least one device with a rectangular cross section and at least one device with a rounded cross section.

35. The spinal fusion implant kit of claim 31, wherein the first and second components of a device having a certain size, shape, and slope are interchangeable with the first and second components of other devices having different sizes, shapes, and slopes.

36. A method of surgically adjusting intervertebral spacing, comprising:

gaining exposure to a surgical site;

locating an intervertebral space;

choosing implant components of appropriate size and shape;

locating the components within the intervertebral space; and

adjusting the size and shape of the intervertebral space by providing relative horizontal and vertical movement between vertebral contact surfaces of the implant components until a desired positioning is achieved.