Spine stabilization device

• US 6,461,359 B1
• Filed: 11/10/1999
• Issued: 10/08/2002
• Est. Priority Date: 11/10/1999
• Status: Expired due to Term

• Current Assignee: Clifford Tribus
• Original Assignee: Clifford Tribus
• Inventors: Kelly, William J., Tribus, Clifford B., Crozet, Yves
• Primary Examiner(s): Robert, Eduardo C.
• Application Number:
  US09/437,391
• Time in Patent Office: 1,063 Days
• Field of Search: 606/61, 606/71, 606/69, 606/70, 623/17.15, 623/17.16, 623/17.11
• US Class Current: 606/247
• CPC Class Codes: A61B 17/7059 Cortical plates A61B17/7007, A61B17/7058 take precedence
• CPC Class Codes: A61B 17/8061 specially adapted for particular bones A61B17/70 and A61B17/74 take precedence
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61B 2017/0256 for the spine
• CPC Class Codes: A61F 2/28 Bones joints A61F2/30
• 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 2002/2817 Bone stimulation by chemical reactions or by osteogenic or biological products for enhancing ossification, e.g. by bone morphogenetic or morphogenic proteins [BMP] or by transforming growth factors [TGF]
• 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 2002/30014 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2002/30113 circular
• CPC Class Codes: A61F 2002/30131 horseshoe- or crescent- or C-shaped or U-shaped
• CPC Class Codes: A61F 2002/30143 hexagonal
• CPC Class Codes: A61F 2002/30146 octagonal
• CPC Class Codes: A61F 2002/30154 square
• CPC Class Codes: A61F 2002/30329 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30563 having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• 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 2002/30604 : modular
• 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 2002/30777 : Oblong apertures
• CPC Class Codes: A61F 2002/30785 : parallel
• 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 2220/0041 : using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2230/0006 : circular
• CPC Class Codes: A61F 2230/0013 : Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61F 2230/0017 : Angular shapes
• CPC Class Codes: A61F 2230/0021 : square
• CPC Class Codes: A61F 2250/0018 : differing in elasticity, stiffness or compressibility
• 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 2310/00161 : Carbon; Graphite
• CPC Class Codes: A61F 2310/00293 : containing a phosphorus-containing compound, e.g. apatite

Abstract

A spine stabilization device is placed between adjacent vertebral bodies of the vertebrae of a spine to maintain a desired orientation and spacing between the adjacent vertebral bodies and support the adjacent vertebral bodies for fusion at the desired orientation and spacing. The stabilization device includes a plate adapted for fixation to the sides of adjacent vertebral bodies, and at least two legs attached to the plate which are adapted for disposal between the adjacent vertebral bodies to provide support therebetween, there being a space between two of the legs such that together with the plate a U shape is formed as viewed superior to inferior.

Claims

1. A method of stabilizing adjacent vertebral bodies each having an anterior, lateral and posterior face, comprising the steps of:

(a) providing a stabilization device having at least two legs and a bridging member connecting the legs to define a U shape as viewed superior to inferior;

(b) inserting the stabilizing device between the adjacent vertebral bodies such that the legs extend in a direction between anterior and posterior;

(c) inserting a leg fixation member along the legs; and

(d) fixing the stabilization device by inserting at least one fixation device into the anterior, lateral or posterior face of at least one of the adjacent vertebral bodies, wherein the step of providing a stabilization device includes a stabilization device having legs which include a recess extending in a direction between anterior and posterior, and wherein the step of inserting a leg fixation member comprises inserting the leg fixation member within the recess such that the leg fixation member is partly in at least one of the adjacent vertebral bodies and partly in the recess of the leg.

2. A stabilization device comprising:

(a) an intervertebral body adapted for positioning between adjacent vertebral bodies, each vertebral body having a surface, said intervertebral body having a first end and a second end, and a first surface and a second surface for contacting the respective surfaces of the vertebral bodies, and further comprising a channel formed in at least one of said first and second surfaces of said intervertebral body; and

(b) a fixation member adapted to fix said intervertebral body to one of the adjacent vertebral bodies, said fixation member being sized so that when positioned for fixation a portion of said fixation member extends beyond said first surface of said intervertebral body and engages the bone of the vertebral body, and wherein no portion of said fixation member extends beyond said second surface of said intervertebral body.

3. The stabilization device of claim 2, wherein said channel extends between said first end and said second end of said intervertebral body.

4. The stabilization device of claim 2, wherein said fixation member has a width and when positioned for fixation, at least about 25% of the width of said fixation member is in one of the vertebral bodies and the remaining width of said fixation member is within said intervertebral body.

5. The stabilization device of claim 4, wherein said fixation member has a width and when positioned for fixation, about 25% to about 50% of the width of said fixation member is in one of the vertebral bodies and the remaining width of said fixation member is within said intervertebral body.

6. A stabilization device, comprising:

(a) an intervertebral body adapted for positioning between adjacent vertebral bodies, each vertebral body having a surface, said intervertebral body having a first end and a second end, and a first surface and a second surface for contacting the respective surfaces of the vertebral bodies, and further comprising a plate attached to said intervertebral body, said plate being adapted for fixation to at least one of the adjacent vertebral bodies; and

(b) a fixation member adapted to fix said intervertebral body to one of the adjacent vertebral bodies, said fixation member being sized so that when positioned for fixation a portion of said fixation member extends beyond said first surface of said intervertebral body and engages the bone of the vertebral body, and wherein no portion of said fixation member extends beyond said second surface of said intervertebral body.

7. The stabilization device of claim 6, wherein said plate is adapted for fixation to the anterior or lateral sides of both of the adjacent vertebral bodies.

8. A method of stabilizing adjacent vertebral bodies, comprising the steps of:

(a) inserting an intervertebral body between the adjacent vertebral bodies, the intervertebral body having a first end and a second end, and a first surface and a second surface which contact the respective surfaces of the vertebral bodies, wherein the step of inserting an intervertebral body includes inserting an intervertebral body which includes a channel formed in at least one of the first and second surfaces; and

(b) inserting at least one fixation member which is sized so that a portion of the fixation member extends beyond the first surface of the intervertebral body and engages one of the vertebral bodies, and such that no portion of the fixation member extends beyond the second surface of the intervertebral body.

9. The method of claim 8, wherein the step of inserting at least one fixation member includes inserting a fixation member which has a width and when positioned for fixation, at least about 25% of the width of the fixation member is in one of the vertebral bodies and the remaining width of the fixation member is within the intervertebral body.

10. The method of claim 9, wherein the step of inserting at least one fixation member includes inserting a fixation member which has a width and when positioned for fixation, about 25% to about 50% of the width of the fixation member is in one of the vertebral bodies and the remaining width of the fixation member is within the intervertebral body.

11. A method of stabilizing adjacent vertebral bodies, comprising the steps of:

(a) inserting an intervertebral body between the adjacent vertebral bodies, the intervertebral body having a first end and a second end, and a first surface and a second surface which contact the respective surfaces of the vertebral bodies, wherein the step of inserting an intervertebral body includes inserting an intervertebral body which includes a channel formed in at least one of the first and second surfaces, the channel extending longitudinally between the first and second ends of the intervertebral body, and

(b) inserting at least one fixation member which is sized so that a portion of the fixation member extends beyond the first surface of the intervertebral body and engages one of the vertebral bodies, and such that no portion of the fixation member extends beyond the second surface of the intervertebral body.

12. A method of stabilizing adjacent vertebral bodies, comprising the steps of:

(a) inserting an intervertebral body between the adjacent vertebral bodies, the intervertebral body having a first end and a second end, and a first surface and a second surface which contact the respective surfaces of the vertebral bodies, and

(b) inserting at least one fixation member which is sized so that a portion of the fixation member extends beyond the first surface of the intervertebral body and engages one of the vertebral bodies, and such that no portion of the fixation member extends beyond the second surface of the intervertebral body; and

(c) further comprising the step of affixing a plate attached to the intervertebral body to the anterior or lateral side of at least one of the adjacent vertebral bodies.

13. The method of claim 12, wherein the step of affixing the plate includes affixing the plate to the anterior or lateral sides of both of the adjacent vertebral bodies.

14. A stabilization device, comprising an intervertebral body adapted for positioning between adjacent vertebral bodies each having a surface, said intervertebral body having a first end and a second, and a first surface and a second surface for contacting the respective surfaces of the vertebral bodies, said intervertebral body being constructed and arranged to allow said stabilization device to flex superiorly and inferiorly when arranged between the vertebral bodies after positioning of the intervertebral body between the vertebral bodies is complete and prior to fusion of the vertebral bodies;

wherein said intervertebral body includes a plate adapted for fixation to the adjacent vertebral bodies, and legs extending transversely from said plate such that there is a space between said legs and to form an approximate U-shaped device, said legs including a slot to allow said stabilization device to flex superiorly and inferiorly when arranged between the vertebral bodies and prior to fusion of the vertebral bodies.

15. A stabilization device, comprising an intervertebral body adapted for positioning between adjacent vertebral bodies each having a surface, said intervertebral body having a first end and a second end, and a first surface and a second surface for contacting the respective surfaces of the vertebral bodies, said intervertebral body being constructed and arranged to allow said stabilization device to flex superiorly and inferiorly when arranged between the vertebral bodies after positioning of the intervertebral body between the vertebral bodies is complete and prior to fusion of the vertebral bodies, wherein said intervertebral body includes a plate adapted for fixation to the adjacent vertebral bodies, and legs extending transversely from said plate such that there is a space between said legs and to form an approximate U-shaped device, said legs being of different elasticity than said plate to allow said stabilization device to flex superiorly and inferiorly when arranged between the vertebral bodies and prior to fusion of the vertebral bodies.

16. The stabilization device of claim 15, wherein said legs are formed from polyethylene ether ketone (PEEK).

17. A method of stabilizing adjacent vertebral bodies each having anterior, lateral and posterior sides, comprising the step of:

inserting a stabilization device between adjacent vertebral bodies, the stabilization device having a first end and a second end, and a first surface and a second surface for contacting the vertebral bodies, the stabilization device being constructed and arranged to allow the stabilization device to flex superiorly and inferiorly when arranged between the vertebral bodies after positioning of the stabilization device between the vertebral bodies is complete and prior to fusion of the vertebral bodies, wherein the step of inserting the stabilization device includes inserting a stabilization device having a plate adapted for fixation to the adjacent vertebral bodies, and legs extending transversely from the plate such that there is a space between the legs and to form a U-shaped device, the legs including a slot extending transversely in a direction between anterior and posterior to allow the stabilization device to flex superiorly and inferiorly when arranged between the vertebral bodies and prior to fusion of the vertebral bodies.

18. A method of stabilizing adjacent vertebral bodies each having anterior, lateral and posterior sides, comprising the step of:

inserting a stabilization device between adjacent vertebral bodies, the stabilization device having a first end and a second end, and a first surface and a second surface for contacting the vertebral bodies, the stabilization device being constructed and arranged to allow the stabilization device to flex superiorly and inferiorly when arranged between the vertebral bodies after positioning of the stabilization device between the vertebral bodies is complete and prior to fusion of the vertebral bodies, wherein the step of inserting the stabilization device includes inserting a stabilization device having a plate adapted for fixation to the anterior or lateral sides of adjacent vertebral bodies, and legs extending transversely from the plate such that there is a space between the legs and to form an approximate U-shaped device, the legs being of different elasticity than the plate to allow the stabilization device to flex superiorly and inferiorly when arranged between the vertebral bodies and prior to fusion of the vertebral bodies.

19. The method of claim 18, wherein the step of inserting the stabilization device includes inserting a stabilization device having a plate and legs, wherein the legs are formed of polyether ether ketone (PEEK).

20. A method for reducing a displaced vertebra in a spine, comprising the steps of:

(a) providing a stabilization device having a plate adapted for fixation to adjacent vertebral bodies, and legs adapted for disposal between the adjacent vertebral bodies to provide support therebetween, there being a space between the legs such that the legs and the plate together define an approximate U-shape as viewed superior to inferior;

(b) positioning the stabilization device between a first vertebral body and a second vertebral body, the first vertebral body being in proper alignment with remaining vertebral bodies;

(c) attaching the device to the first vertebral body;

(d) reducing the second vertebral body by translating the second vertebral body so that it is in alignment with the first vertebral body; and

(e) attaching the device to the second vertebral body.

21. A kit, comprising:

(a) at least one plate adapted for fixation to adjacent vertebral bodies, said plate having a front face and a back face, said plate extending along a plane, and

(b) a plurality of separate and different stabilization members attachable to said plate, said stabilization members having a first surface and a second surface for contacting the vertebral bodies, which when affixed to said back face of said plate extend along a plane which is transverse to the plane of said plate.

22. A kit, comprising:

(a) a plurality of separate and different plates adapted for fixation to anterior or posterior sides of adjacent vertebral bodies, said plates having a front face and a back face and extending along a plane, and

(b) at least one stabilization member having a first surface and a second surface for contacting the vertebral bodies, which when affixed to said back face of said plate extends along a plane which is transverse to the plane of said plate.