Method and implant for expanding a spinal canal

• US 6,358,254 B1
• Filed: 09/11/2000
• Issued: 03/19/2002
• Est. Priority Date: 09/11/2000
• Status: Expired due to Term

• Current Assignee: Innovative Surgical Designs Inc
• Original Assignee: Anderson D. Greg
• Inventors: Anderson, D. Greg
• Primary Examiner(s): Hirsch, Paul J.
• Application Number:
  US09/659,180
• Time in Patent Office: 554 Days
• Field of Search: 606/61, 606/74, 606/103, 623/17.11, 623/17.16
• US Class Current: 606/103
• CPC Class Codes: A61B 17/1617 with mobile or detachable parts
• CPC Class Codes: A61B 17/1631 Special drive shafts, e.g. flexible shafts A61B17/1642, A61B17/164 take precedence
• CPC Class Codes: A61B 17/1637 Hollow drills or saws producing a curved cut, e.g. cylindrical A61B10/025, A61B17/1695 take precedence
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/7071 Implants for expanding or repairing the vertebral arch or wedged between laminae or pedicles; Tools therefor
• CPC Class Codes: A61B 17/8004 with means for distracting or compressing the bone or bones
• CPC Class Codes: A61B 17/8685 comprising multiple separate parts
• CPC Class Codes: A61B 2017/22038 with a guide wire

Abstract

The present invention expands a spinal canal by making two pedicle cuts (osteotomies) in a vertebra, separating each vertebral cut by inserting an implant into the cut which expands the spinal canal, and securing each separated vertebral cut allowing the vertebra to heal with the spinal canal expanded. The implant includes two stents, two washers, two screws and a cable. One stent is impacted into each pedicle cut in the vertebra. One screw is inserted through one washer and one stent and is threaded into an anterior portion of the vertebra for each pedicle cut in the vertebra. The cable is attached at each end to a washer and is strapped around and through a posterior portion of the vertebra to secure the posterior portion of the vertebra to the anterior portion of the vertebra, stabilizing the expanded spinal canal and allowing the vertebra to heal with the spinal canal expanded.

Claims

1. A method for expanding a spinal canal, comprising:

a. cutting a vertebra through to the spinal canal in at least one location;

b. separating each vertebral cut to expand the spinal canal;

c. securing each separated vertebral cut to allow the vertebra to heal with the spinal canal expanded.

2. The method of claim 1, wherein the vertebra is cut through the pedicle.

3. The method of claim 1, wherein the vertebral cut is separated by inserting an implant into the vertebral cut.

4. The method of claim 3, wherein the implant includes a stent and a screw, the stent separates the vertebral cut and the screw secures the stent and the separated vertebral cut.

5. The method of claim 4, wherein the stent is U-shaped having an interior section adapted to accept bone graft material to facilitate healing of the vertebral cut.

6. The method of claim 4, wherein the stent includes a rounded, wedge-shaped end for separating the vertebral cut.

7. The method of claim 4, wherein the stent includes a flange to prevent the stent from entering the spinal canal.

8. The method of claim 4, wherein the stent includes a rounded depression and the screw includes a rounded head, the rounded depression being adapted to rotatably accept the rounded head.

9. The method of claim 4, wherein the screw includes self-tapping, bone gripping threads for inserting the screw into the vertebra.

10. A method for expanding a spinal canal, comprising:

a. cutting a vertebra in two locations, one cut through each pedicle of the vertebra, beginning at a base of a transverse process of the vertebra and coursing medially and anteriorly through the pedicle to the spinal canal;

b. separating each vertebral cut by impacting a stent into each vertebral cut, whereby the spinal canal is expanded;

c. securing each separated vertebral cut by inserting a screw through a washer and the stent and threading the screw into an anterior portion of the vertebra; and

d. securing a posterior portion of the vertebra to the anterior portion of the vertebra by strapping a cable around the posterior portion of the vertebra, the cable being attached to a washer at each of its two ends.

11. The method of claim 10, wherein the screw includes a rounded head, the washer includes a rounded shape and the stent includes a rounded depression, the rounded washer engagably accepting the rounded head of the screw and rotatably residing within the rounded depression in the stent.

12. The method of claim 10, wherein at least one of the washers includes a crushable side-passage allowing slidable insertion of the cable through the side-passage, taut tensioning of the cable and permanent fixation of the cable to the washer by crushing the side-passage.

13. The method of claim 10, wherein the cable secures the posterior portion of the vertebra by lying over laminae of the vertebra and passing through a hole in a spinous process of the vertebra.

14. The method of claim 10, wherein the cable secures the posterior portion of the vertebra by lying over laminae of the vertebra and around a spinous process of the vertebra.

15. An implant for expanding a spinal canal, comprising:

a. a stent for insertion into a cut in the vertebra to expand the spinal canal; and

b. a screw inserted through the stent and threaded into the vertebra to secure the stent within the cut in the vertebra.

16. The implant of claim 15, wherein the stent includes a rounded, wedge-shaped end for inserting the stent into the cut in the vertebra.

17. The implant of claim 15, wherein the stent is U-shaped with an interior section adapted to accept bone graft material to facilitate healing of the cut in the vertebra.

18. The implant of claim 15, wherein the stent includes a flange limiting the distance the stent can be inserted into the cut in the vertebra, the flange preventing the stent from penetrating the spinal canal.

19. The implant of claim 17, wherein the stent includes a rounded depression and the screw includes a rounded head, the rounded head rotatably residing within the rounded depression.

20. An implant for expanding a spinal canal, comprising:

a. two stents, one stent inserted into each of two cuts in the vertebra, each inserted stent expanding the spinal canal;

b. two washers, one washer attached to each of two ends of a cable; and

c. two screws, one screw inserted through one washer and one stent, each screw being threaded into an anterior portion of the vertebra to secure one washer and one stent to the anterior portion of the vertebra, with the cable strapped around a posterior portion of the vertebra to secure the posterior portion of the vertebra to the anterior portion of the vertebra to stabilize the expanded spinal canal.

21. The implant of claim 20, wherein the stents include a rounded depression, the washers include a rounded shape and the screws include a rounded head, the rounded head residing within the rounded washer and the rounded washer rotatably residing within the rounded depression.

22. The implant of claim 20, wherein at least one washer includes a crushable sidepassage for slidably accepting the cable therethrough, adjusting the cable tension and fixedly securing the cable to the washer by crushing the side-passage.

23. The implant of claim 20, wherein the cable additionally passes through a hole in a spinous process of the vertebra to further secure the posterior portion of the vertebra to the anterior portion of the vertebra.

24. The implant of claim 20, wherein each stent includes a rounded, wedge-shaped end for inserting the stent into the cut in the vertebra.

25. The implant of claim 20, wherein each stent is U-shaped with an interior section adapted to accept bone graft material to facilitate healing of the cuts in the vertebra.

26. The implant of claim 20, wherein each stent includes a flange limiting the distance the stent can be inserted into the cut in the vertebra, the flange preventing the stent from penetrating the spinal canal.