Lordotic interbody spinal fusion implants
First Claim
1. An artificial interbody spinal fusion implant for insertion within an implantation space formed across the height of a disc space between adjacent vertebral bodies of a human spine, the vertebral bodies having an anterior aspect and a posterior aspect therebetween, said implant comprising:
- a leading end for insertion first into the disc space and a trailing end opposite said leading end, a mid-longitudinal axis, and a depth along said mid-longitudinal axis;
a top and a bottom between said leading and trailing ends adapted to space apart the adjacent vertebral bodies, a height between said top and said bottom, said top and said bottom having at least one opening therethrough, said openings being in communication with one another to permit for the growth of bone from adjacent vertebral body to adjacent vertebral body through said implant, said top and said bottom being in an angular relationship to each other along at least a portion of the depth of said implant sufficient to maintain the adjacent vertebral bodies in an angular relationship to each other, said top and said bottom each having an interior surface oriented toward one another, said interior surfaces being spaced apart to define a hollow interior in communication with said openings; and
opposite sides between said top and said bottom, and between said leading and trailing ends, a width between said opposite sides, and a maximum width of said implant being larger than a maximum height of said implant.
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Accused Products
Abstract
The present application is directed to interbody spinal fusion implants having a structural configuration that provides for the maintaining and creating of the normal anatomic angular relationship of two adjacent vertebrae of the spine to maintain and create spinal lordosis. The spinal fusion implants are sized to fit within the disc space created by the removal of disc material between two adjacent vertebrae and conform wholly or in part to the disc space created. The spinal fusion implants of the present invention have upper and lower surfaces that form a support structure for bearing against the end plates of the adjacent vertebrae. The upper and lower surfaces are disposed in a converging angular relationship to each other such that the implants have an overall “wedged-shape” in an elevational side view. The angular relationship of the upper and lower surfaces places and maintains the vertebrae adjacent to those surfaces in an angular relationship to each other, creating and maintaining the desired lordosis.
541 Citations
116 Claims
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1. An artificial interbody spinal fusion implant for insertion within an implantation space formed across the height of a disc space between adjacent vertebral bodies of a human spine, the vertebral bodies having an anterior aspect and a posterior aspect therebetween, said implant comprising:
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a leading end for insertion first into the disc space and a trailing end opposite said leading end, a mid-longitudinal axis, and a depth along said mid-longitudinal axis;
a top and a bottom between said leading and trailing ends adapted to space apart the adjacent vertebral bodies, a height between said top and said bottom, said top and said bottom having at least one opening therethrough, said openings being in communication with one another to permit for the growth of bone from adjacent vertebral body to adjacent vertebral body through said implant, said top and said bottom being in an angular relationship to each other along at least a portion of the depth of said implant sufficient to maintain the adjacent vertebral bodies in an angular relationship to each other, said top and said bottom each having an interior surface oriented toward one another, said interior surfaces being spaced apart to define a hollow interior in communication with said openings; and
opposite sides between said top and said bottom, and between said leading and trailing ends, a width between said opposite sides, and a maximum width of said implant being larger than a maximum height of said implant. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115)
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14. An artificial interbody spinal fusion implant for insertion within an implantation space formed across the height of a disc space between adjacent vertebral bodies of a human spine, the vertebral bodies having an anterior aspect and a posterior aspect therebetween, said implant comprising:
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a leading end for insertion first into the disc space and a trailing end opposite said leading end, a mid-longitudinal axis, and a depth along said mid-longitudinal axis;
a top and a bottom between said leading and trailing ends adapted to be placed within the disc space to contact and support space apart the adjacent vertebral bodies, a height between said top and said bottom, said top and said bottom having at least one opening therethrough, said openings being in communication With one another to permit for the growth of bone from adjacent vertebral body to adjacent vertebral body through said implant, said top and said bottom being in an angular relationship to each other along at least a portion of the depth of said implant sufficient to maintain the adjacent vertebral bodies in an angular relationship to each other, said top and said bottom each having an interior surface oriented toward one another, said interior surfaces being spaced apart to define a hollow interior in communication with said openings, and wherein at least one of said openings is microscopic in size.
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73. An artificial interbody spinal fusion implant for insertion within an implantation space formed across the height of a disc space between adjacent vertebral bodies of a human spine, the vertebral bodies having an anterior aspect and a posterior aspect therebetween, said implant comprising:
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a leading end for insertion first into the disc space and a trailing end opposite said leading end, a mid-longitudinal axis, and a depth along said mid-longitudinal axis;
a top and a bottom between said leading and trailing ends adapted to space apart the adjacent vertebral bodies, a height between said top and said bottom, said top and said bottom having at least one opening therethrough, said openings being in communication with one another to permit for the growth of bone from adjacent vertebral body to adjacent vertebral body through said implant, said top and said bottom being in an angular relationship to each other along at least a portion of the depth of said implant sufficient to maintain the adjacent vertebral bodies in an angular relationship to each other, said top and said bottom each having an interior surface, said interior surfaces being spaced apart to define a hollow interior in communication with said openings;
opposite sides between said top and said bottom, and between said leading and trailing ends, a width between said opposite sides, and a maximum width of said implant being larger than a maximum height of said implant; and
an exterior surface, at least a portion of which is treated to promote bone ingrowth between said surface and a vertebral body.
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116. An artificial interbody spinal fusion implant for insertion within a disc space between adjacent vertebral bodies of a human spine, the vertebral bodies having an anterior aspect and a posterior aspect, said implant comprising:
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a leading end for insertion first into the disc space and a trailing end opposite said leading end, a mid-longitudinal axis, and a depth along said mid-longitudinal axis;
a top and a bottom between said leading and trailing ends adapted to be placed within the disc space to contact and support the adjacent vertebral bodies, said top and said bottom having at least one opening therethrough, said openings being in communication with one another to permit for the growth of bone from adjacent vertebral body to adjacent vertebral body through said implant, said top and said bottom being in an angular relationship to each other along at least a portion of the depth of said implant sufficient to maintain the adjacent vertebral bodies in an angular relationship to each other, each of said top and said bottom having an interior surface, said interior surfaces being spaced apart to define a hollow interior in communication with said openings;
opposite sides between said top and said bottom, and between said leading and trailing ends;
an access opening for accessing said hollow interior; and
a cover for closing said access opening, said cover cooperatively engaging said access opening, said cover including a surface deviation to facilitate opening and closing of said access opening with said cover.
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Specification