Method and apparatus for stabilizing adjacent bones

• US 6,689,168 B2
• Filed: 07/22/2002
• Issued: 02/10/2004
• Est. Priority Date: 10/05/2000
• Status: Active Grant

• Current Assignee: Cleveland Clinic Foundation
• Original Assignee: Cleveland Clinic Foundation
• Inventors: Lieberman, Isador H.
• Primary Examiner(s): Willse, David H.
• Assistant Examiner(s): Blanco, Javier G.
• Application Number:
  US10/200,206
• Publication Number:
  US 20020183847A1
• Time in Patent Office: 568 Days
• Field of Search: A61/B 1.718, A61/B 1.758, A61/F.244, 623/17.11, 623/17.16, 606/60, 606/61, 606/73
• US Class Current: 623/17.11
• 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 2/446 having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
• CPC Class Codes: A61F 2/4611 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 2002/30062 (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
• CPC Class Codes: A61F 2002/30289 helically-coiled
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30451 soldered or brazed or welded
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30738 Sleeves
• CPC Class Codes: A61F 2002/30841 Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30851 Multiple threadings
• CPC Class Codes: A61F 2210/0004 bioabsorbable
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0058 soldered or brazed or welded
• CPC Class Codes: A61F 2230/0091 helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section
• 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

Abstract

An apparatus (10) is provided for implantation into an adjacent pair of vertebral bodies (12 and 14) having first and second surfaces (17 and 19) that oppose each other. The apparatus (10), when implanted, is attached to the adjacent pair of vertebral bodies and stabilizes the vertebral bodies (12 and 14) while the vertebral bodies fuse together. The apparatus (10) comprises a platform (24) having a third surface (38) extending transverse to the first and second surfaces (17 and 19). The apparatus (10) further comprises at least one helical spike (50, 52) for embedding into each of the adjacent pair of vertebral bodies (12 and 14) upon rotation of the platform (24) to attach the helical spike to each of the vertebral bodies and thus fasten the vertebral bodies together. The helical spike (50, 52) projects from the platform (24) and extends around a longitudinal axis (22). The helical spike (50, 52) has a tip portion (58) at a distal end (62) for penetrating the first and second surfaces (17 and 19) and for screwing into the adjacent pair of vertebral bodies (12 and 14) as the platform (24) is rotated. The helical spike (50, 52) at least partially defines an internal cavity (140) for receiving material (130) that promotes fusion of the vertebral bodies (12 and 14).

Claims

1. An apparatus for implantation into an adjacent pair of vertebral bodies having first and second surfaces, respectively, that oppose each other, said apparatus, when implanted, being attached to each of the vertebral bodies and stabilizing the vertebral bodies while the vertebral bodies fuse together, said apparatus comprising:

a platform having a third surface extending generally transverse to a longitudinal axis of said apparatus; and

at least two helical spikes for embedding into each of the adjacent pair of vertebral bodies upon rotation of said platform to attach said at least two helical spikes to each of the vertebral bodies and thus fasten the vertebral bodies together, said at least two helical spikes projecting from said third surface of said platform and extending around said longitudinal axis;

each of said at least two helical spikes having a tip portion that is oriented generally transverse to said longitudinal axis for penetrating the first and second surfaces and for screwing into each of the adjacent pair of vertebral bodies as said platform is rotated about said longitudinal axis;

said at least two helical spikes at least partially defining an internal cavity for receiving material that promotes fusion of the vertebral bodies.

2. The apparatus of claim 1 wherein said platform includes an axially extending passage through which the material is placed into said internal cavity following implantation of said apparatus in the vertebral bodies.

3. The apparatus of claim 1 wherein said at least two helical spikes comprises a pair of helical spikes, said proximal ends of said pair of helical spikes being spaced 180°

apart.

4. The apparatus of claim 1 wherein said at least two helical spikes comprises three helical spikes, said proximal ends of said three helical spikes being spaced 120°

apart.

5. The apparatus of claim 1 wherein said platform includes structure for connecting spinal fixation instrumentation.

6. The apparatus of claim 1 wherein said tip portion of each of said at least two helical spikes has a self-penetrating terminal end for penetrating into the adjacent vertebrae as said platform is rotated.

7. An apparatus for implantation into an adjacent pair of vertebral bodies having first and second surfaces, respectively, that oppose each other, said apparatus, when implanted, being attached to each of the vertebral bodies and stabilizing the vertebral bodies while the vertebral bodies fuse together, said apparatus comprising:

a platform having a third surface extending generally transverse to a longitudinal axis of said apparatus; and

at least two helical spikes for embedding into each of the adjacent pair of vertebral bodies upon rotation of said platform to attach said at least two helical spikes to each of the vertebral bodies and thus fasten the vertebral bodies together, said at least two helical spikes projecting from said platform and extending around said longitudinal axis, each of said at least two helical spikes having a helical central axis that forms a helix around said longitudinal axis;

each of said at least two helical spikes further having a circular cross-sectional configuration as viewed in a plane extending perpendicular to said helical central axis of each of said helical spikes;

each of said at least two helical spikes including a tip portion that is oriented generally transverse to said longitudinal axis for penetrating the first and second surfaces and for screwing into the adjacent pair of vertebral bodies as said platform is rotated about said longitudinal axis;

said at least two helical spikes at least partially defining an internal cavity for receiving material that promotes fusion of the vertebral bodies.

8. The apparatus of claim 7 wherein said platform includes an axially extending passage through which the material is placed into said internal cavity following implantation of said apparatus in the vertebral bodies.

9. The apparatus of claim 7 wherein said at least two helical spikes comprises a pair of helical spikes, said proximal ends of said pair of helical spikes being spaced 180°

apart.

10. The apparatus of claim 7 wherein said at least two helical spikes comprises three helical spikes, said proximal ends of said three helical spikes being spaced 120°

apart.

11. The apparatus of claim 7 wherein said platform includes structure for connecting spinal fixation instrumentation.

12. The apparatus of claim 7 wherein said tip portion of each of said at least two helical spikes has a self-penetrating terminal end for penetrating into the adjacent vertebrae as said platform is rotated.

13. A method for attaching and stabilizing an adjacent pair of vertebral bodies while the vertebral bodies fuse together, the pair of vertebral bodies having first and second surfaces, respectively, that oppose each other, said method comprising the steps of:

removing disc material disposed between the vertebral bodies to create an interbody space;

providing an interbody stabilizer for spanning the interbody space and implanting into both of the adjacent pair of vertebral bodies, the interbody stabilizer having a longitudinal axis and comprising a platform and at least two helical spikes, the platform having a third surface extending transverse to the longitudinal axis, the at least two helical spikes projecting from the platform and extending around the longitudinal axis;

rotating the platform of the interbody stabilizer to cause the tip portion of each of the at least two helical spikes to penetrate into and subsequently out of each of the first and second surfaces of the vertebral bodies in an alternating manner to thereby fasten the vertebral bodies together with the interbody stabilizer.

14. The method of claim 13 further comprising the step of placing material that promotes fusion of the vertebral bodies into an internal cavity at least partially defined by the at least two helical spikes of the interbody stabilizer.

15. The method of claim 13 further comprising the step of attaching spinal fixation instrumentation to the platform of the interbody stabilizer.