Modular interbody fusion implant

• US 7,621,960 B2
• Filed: 03/04/2005
• Issued: 11/24/2009
• Est. Priority Date: 01/22/2001
• Status: Expired due to Fees

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Inventors: Boyd, Lawrence M., Ray, Eddie F. III, Kozak, Jeffrey
• Primary Examiner(s): Robert; Eduardo C
• Assistant Examiner(s): HAMMOND, ELLEN CHRISTINA
• Application Number:
  US11/072,466
• Publication Number:
  US 20050149195A1
• Time in Patent Office: 1,726 Days
• Field of Search: 623 1711- 1716, 623/23.39
• US Class Current: 623/17.16
• 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 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 2002/30004 the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis
• CPC Class Codes: A61F 2002/30057 made from both cortical and cancellous adjacent parts
• CPC Class Codes: A61F 2002/30131 horseshoe- or crescent- or C-shaped or U-shaped
• CPC Class Codes: A61F 2002/30133 kidney-shaped or bean-shaped
• CPC Class Codes: A61F 2002/30387 Dovetail connection
• CPC Class Codes: A61F 2002/30448 using adhesives
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30772 Apertures or holes, e.g. of circular cross section
• CPC Class Codes: A61F 2002/30828 parallel
• CPC Class Codes: A61F 2002/30831 perpendicular with respect to each other
• CPC Class Codes: A61F 2002/30904 serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2002/4485 comprising three or more adjacent spinal implants
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/005 using adhesives
• CPC Class Codes: A61F 2230/0013 : Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61F 2230/0015 : Kidney-shaped, e.g. bean-shaped
• CPC Class Codes: A61F 2250/0014 : having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis

Abstract

An interbody fusion device for engagement between vertebrae includes a pair of lateral spacers for spacing the vertebrae, and a connecting member adapted to couple together the lateral spacers when inserted between the vertebrae. The connecting member, individual lateral spacers, or the entire spinal spacer can be made of bone in order to promote fusion of the vertebrae. The modular construction permits use of bone segments otherwise unsuitable due to size or strength in stable fusion devices.

Claims

1. A spinal implant for engagement between vertebrae, comprising:

at least two lateral spacers made of bone remnants, said lateral spacers each having opposite upper and lower vertebral engaging surfaces adapted to engage the vertebrae and opposite lateral and medial sides, said upper and lower vertebral engaging surfaces each including anti-migration structures comprising a plurality of ridges and grooves configured to limit movement of said lateral spacers in a disc space between the vertebrae, and wherein said medial sides each include a concave recess at least partially defined by at least a portion of a medullary canal wall, said concave recess extending from said upper vertebral engaging surface to said lower vertebral engaging surface and defining a medially-facing concave surface; and

a separate connecting member connected to said medial sides to provide a multi-piece implant assembly, said connecting member including a portion positioned within an interior space between said medially-facing concave surfaces of said lateral spacers, said portion having upper and lower vertebral engaging surfaces and defining a central opening extending therethrough and opening onto each of said upper and lower vertebral engaging surfaces;

a first coupling mechanism defined between said connecting member and a first of said lateral spacers, said first coupling mechanism comprising a first projecting portion engaged within a first recess;

a second coupling mechanism defined between said connecting member and a second of said lateral spacers, said second coupling mechanism comprising a second projecting portion engaged within a second recess; and

wherein said first and second coupling mechanisms interconnect said connecting member with said first and second lateral spacers to provide said multi-piece implant assembly.

2. The implant of claim 1, wherein said lateral side of each of said lateral spacers includes a laterally-facing convex surface, said laterally-facing convex surface extending along substantially an entire length of said lateral side of said lateral spacers.

3. The implant of claim 1, wherein said first and second lateral spacers each have opposite anterior and posterior end portions with said lateral and medial sides extending along a longitudinal axis between said anterior and posterior end portions;

and

wherein said medially-facing concave surface extends axially along a central portion of said medial side from said anterior end portion to said posterior end portion.

4. A spinal implant for engagement between vertebrae, comprising:

at least two lateral spacers made of bone remnants, said lateral spacers each having opposite upper and lower vertebral engaging surfaces adapted to engage the vertebrae and opposite lateral and medial sides, said upper and lower vertebral engaging surfaces each including anti-migration structures comprising a plurality of ridges and grooves configured to limit movement of said lateral spacers in a disc space between the vertebrae, and wherein said medial sides each include a concave recess at least partially defined by at least a portion of a medullary canal wall, said concave recess extending from said upper vertebral engaging surface to said lower vertebral engaging surface and defining a medially-facing concave surface; and

a separate connecting member connected to said lateral spacers at said medial sides to provide a multi-piece implant assembly, said connecting member including a portion positioned within an interior space between said medially-facing concave surfaces of said lateral spacers, said portion having upper and lower vertebral engaging surfaces and defining a central opening extending therethrough and opening onto each of said upper and lower vertebral engaging surfaces; and

wherein said connecting member has a pair of rails, and wherein each of said medial sides of said lateral spacers has a channel defined therein to receive said rails to interconnect said connecting member with said lateral spacers.

5. A spinal implant for engagement between vertebrae, comprising:

at least two lateral spacers made of bone remnants, said lateral spacers each having opposite upper and lower vertebral engaging surfaces adapted to engage the vertebrae and opposite lateral and medial sides, wherein said medial sides each include a concave recess at least partially defined by at least a portion of a medullary canal wall, said concave recess extending from said upper vertebral engaging surface to said lower vertebral engaging surface and defining a medially-facing concave surface; and

a separate connecting member connected to said lateral spacers at said medial sides to provide a multi-piece implant assembly, said connecting member including a portion positioned within an interior space between said medially-facing concave surfaces of said lateral spacers, said portion having upper and lower vertebral engaging surfaces and defining a central opening extending therethrough and opening onto each of said upper and lower vertebral engaging surfaces; and

wherein said connecting member has a pair of rails, and wherein each of said medial sides of said lateral spacers has a channel defined therein to receive said rails to interconnect said connecting member with said lateral spacers;

said lateral spacers each having a posterior end and an anterior end;

said anterior end defines an anterior end wall; and

said channel is interrupted by said concave recess and resumes adjacent said posterior end.

6. A spinal implant for engagement between vertebrae, comprising:

at least two lateral spacers formed from bone pieces that each include a portion of a medullary canal, each of said lateral spacers having;

opposite upper and lower vertebral engaging surfaces extending along a longitudinal axis and adapted to engage the vertebrae, said upper and lower vertebral engaging surfaces each including anti-migration structures comprising a plurality of ridges and grooves configured to limit movement of said lateral spacers in a disc space between the vertebrae,

opposite anterior and posterior end portions, and

opposite lateral and medial sides extending along said longitudinal axis, said medial side including a concave recess at least partially defined by said portion of the medullary canal, said concave recess defining a medially-facing concave surface extending along said longitudinal axis between said anterior and posterior end portions and between said upper and lower vertebral engaging surfaces; and

a separate connecting member extending between said medial sides of said lateral spacers and interconnected with said lateral spacers to provide a multi-piece implant assembly, said connecting member including anterior and posterior portions positioned between said anterior and posterior end portions of said lateral spacers and a central portion positioned within an interior space between said medially-facing concave surfaces of said lateral spacers; and

wherein said medial side of each of said lateral spacers defines a channel extending along said longitudinal axis, said connecting member including a pair of opposite rails engaged within said channels defined by said lateral spacers to provide said multi-piece implant assembly.

7. A spinal implant for engagement between vertebrae, comprising:

at least two lateral spacers formed of bone having a medullary canal, a first of said lateral spacers formed from a first bone piece segment including a medullary canal portion, a second of said lateral spacers formed from a second bone piece segment including a medullary canal portion, each of said lateral spacers including;

opposite upper and lower vertebral engaging surfaces extending along a longitudinal axis and adapted to engage the vertebrae,

opposite anterior and posterior end portions, and

opposite lateral and medial sides extending along said longitudinal axis, said lateral side including a laterally-facing convex surface extending along the longitudinal axis, said medial side including a concave recess at least partially defined by said medullary canal portion, said concave recess defining a medially-facing concave surface extending along said longitudinal axis between said anterior and posterior end portions and between said upper and lower vertebral engaging surfaces; and

a separate connecting member formed from a third bone piece segment, said connecting member extending between said medial sides of said lateral spacers and interconnected with said lateral spacers to provide a multi-piece implant assembly, said connecting member including anterior and posterior portions positioned between said anterior and posterior end portions of said lateral spacers and a central portion positioned within an interior space between said medially-facing concave surfaces of said lateral spacers; and

wherein said medial side of each of said lateral spacers defines a channel extending along said longitudinal axis, said connecting member including a pair of opposite rails engaged within said channels defined by said lateral spacers to provide said multi-piece implant assembly; and

wherein said channel is interrupted by said medially-facing concave surface.

8. A spinal implant for engagement between vertebrae, comprising:

at least two lateral spacers made of bone remnants, said lateral spacers each having opposite upper and lower vertebral engaging surfaces adapted to engage the vertebrae and opposite lateral and medial sides, said upper and lower vertebral engaging surfaces each including anti-migration structures comprising a plurality of ridges and grooves configured to limit movement of said lateral spacers in a disc space between the vertebrae, and wherein said medial sides each include a concave recess at least partially defined by at least a portion of a medullary canal wall, said concave recess extending from said upper vertebral engaging surface to said lower vertebral engaging surface and defining a medially-facing concave surface; and

a separate connecting member connected to said medial sides to provide a multi-piece implant assembly, said connecting member including a portion positioned within an interior space between said medially-facing concave surfaces of said lateral spacers, said portion having upper and lower vertebral engaging surfaces and defining a central opening extending therethrough and opening onto each of said upper and lower vertebral engaging surfaces;

a first coupling mechanism defined between said connecting member and a first of said lateral spacers, said first coupling mechanism comprising a first projecting portion engaged within a first recess;

a second coupling mechanism defined between said connecting member and a second of said lateral spacers, said second coupling mechanism comprising a second projecting portion engaged within a second recess; and

wherein said first and second projecting portions each comprise a rail and wherein said first and second recesses each comprise a channel, said rails engaged within said channels to interconnect said connecting member with said first and second lateral spacers to provide said multi-piece implant assembly.

9. The implant of claim 8, wherein said first and second rails are defined by said connecting member and wherein said first and second channels are defined along said medial sides of said first and second lateral spacers, respectively.

10. A spinal implant for engagement between vertebrae, comprising:

at least two lateral spacers formed from bone pieces that each include a portion of a medullary canal, each of said lateral spacers having;

opposite upper and lower vertebral engaging surfaces extending along a longitudinal axis and adapted to engage the vertebrae, said upper and lower vertebral engaging surfaces each including anti-migration structures comprising a plurality of ridges and grooves configured to limit movement of said lateral spacers in a disc space between the vertebrae,

opposite anterior and posterior end portions, and

opposite lateral and medial sides extending along said longitudinal axis, said medial side including a concave recess at least partially defined by said portion of the medullary canal, said concave recess defining a medially-facing concave surface extending axially along a central portion of said medial side from said anterior end portion to said posterior end portion and between said upper and lower vertebral engaging surfaces; and

a separate connecting member extending between said medial sides of said lateral spacers and interconnected with said lateral spacers to provide a multi-piece implant assembly, said connecting member including anterior and posterior portions positioned between said anterior and posterior end portions of said lateral spacers and a central portion positioned within an interior space between said medially-facing concave surfaces defined by said central portions of said lateral spacers; and

a first coupling mechanism defined between said connecting member and a first of said lateral spacers, said first coupling mechanism comprising a first projecting portion engaged within a first recess;

a second coupling mechanism defined between said connecting member and a second of said lateral spacers, said second coupling mechanism comprising a second projecting portion engaged within a second recess; and

wherein said first and second coupling mechanisms interconnect said connecting member with said first and second lateral spacers to provide said multi-piece implant assembly, and wherein said first and second projecting portions each comprise a rail and wherein said first and second recesses each comprise a channel, said rails engaged within said channels to interconnect said connecting member with said first and second lateral spacers to provide said multi-piece implant assembly.

11. The implant of claim 10, wherein said lateral side of each of said lateral spacers defines a laterally-facing convex surface extending along the longitudinal axis and shaped to correspond to an apophysis ring of the vertebrae, said laterally-facing convex surface extending along substantially an entire length of said lateral side of said lateral spacers.

12. The implant of claim 10, wherein said connecting member includes upper and lower vertebral engaging surfaces and defines a central opening extending through said central portion and opening onto each of said upper and lower vertebral engaging surfaces, said upper and lower vertebral engaging surfaces of said connecting member each including anti-migration structures comprising a plurality of ridges and grooves configured to limit movement of said connecting member in a disc space between the vertebrae;

and

further comprising an osteogenic material positioned within said central opening to facilitate fusion between the vertebrae.

13. A spinal implant for engagement between vertebrae, comprising:

at least two lateral spacers formed of bone having a medullary canal, a first of said lateral spacers formed from a first bone piece segment including a medullary canal portion, a second of said lateral spacers formed from a second bone piece segment including a medullary canal portion, each of said lateral spacers including;

opposite upper and lower vertebral engaging surfaces extending along a longitudinal axis and adapted to engage the vertebrae, said upper and lower vertebral engaging surfaces each including anti-migration structures comprising a plurality of ridges and grooves configured to limit movement of said lateral spacers in a disc space between the vertebrae,

opposite anterior and posterior end portions, and

opposite lateral and medial sides extending along said longitudinal axis, said lateral side including a laterally-facing convex surface extending along the longitudinal axis, said medial side including a concave recess at least partially defined by said medullary canal portion, said concave recess defining a medially-facing concave surface extending axially along a central portion of said medial side from said anterior end portion to said posterior end portion and between said upper and lower vertebral engaging surfaces; and

a separate connecting member formed from a third bone piece segment, said connecting member extending between said medial sides of said lateral spacers and interconnected with said lateral spacers to provide a multi-piece implant assembly, said connecting member including anterior and posterior portions positioned between said anterior and posterior end portions of said lateral spacers and a central portion positioned within an interior space between said medially-facing concave surfaces defined by said central portions of said lateral spacers;

a first coupling mechanism defined between said connecting member and a first of said lateral spacers, said first coupling mechanism comprising a first projecting portion engaged within a first recess;

a second coupling mechanism defined between said connecting member and a second of said lateral spacers, said second coupling mechanism comprising a second projecting portion engaged within a second recess; and

wherein said first and second coupling mechanisms interconnect said connecting member with said first and second lateral spacers to provide said multi-piece implant assembly, and wherein said first and second projecting portions each comprise a rail and wherein said first and second recesses each comprise a channel, said rails engaged within said channels to interconnect said connecting member with said first and second lateral spacers to provide said multi-piece implant assembly.

14. The implant of claim 13, wherein said laterally-facing convex surface of each of said lateral spacers is shaped to correspond to an apophysis ring of the vertebrae, said laterally-facing convex surface extending along substantially an entire length of said lateral side of said lateral spacers.

15. The implant of claim 13, wherein said connecting member includes upper and lower vertebral engaging surfaces and defines a central opening extending through said central portion and opening onto each of said upper and lower vertebral engaging surfaces, said central opening at least partially defined by a medullary canal of said third bone piece segment, said upper and lower vertebral engaging surfaces of said connecting member each including anti-migration structures comprising a plurality of ridges and grooves configured to limit movement of said connecting member in a disc space between the vertebrae.