Method and apparatus for spinal stabilization

• US 7,648,523 B2
• Filed: 02/11/2005
• Issued: 01/19/2010
• Est. Priority Date: 12/08/2004
• Status: Active Grant

• Current Assignee: Decima Spine, Inc
• Original Assignee: Interventional Spine, Inc (Johnson & Johnson)
• Inventors: Culbert, Brad S., Mirkovic, Srdjan
• Primary Examiner(s): Robert; Eduardo C
• Assistant Examiner(s): Fisher; Elana B
• Application Number:
  US11/056,991
• Publication Number:
  US 20060122609A1
• Time in Patent Office: 1,803 Days
• Field of Search: 606 60- 61, 606/246, 606/247, 606/248, 606/249
• US Class Current: 606/279
• 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 17/70 Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
• CPC Class Codes: A61B 17/8685 comprising multiple separate parts

Abstract

A method of limiting at least one degree of movement between a superior vertebral body and an inferior vertebral body of a patient includes advancing a distal end of a stabilization device into a pedicle of the inferior vertebral body. A proximal portion of the stabilization device is positioned such that the proximal portion limits at least one degree of movement between a superior vertebral body and an inferior vertebral body by contacting a surface of the superior vertebral body.

Claims

1. A method of limiting at least a first degree of movement between a superior vertebral body and an inferior vertebral body while preserving at least a second degree of movement between the superior vertebral body and the inferior vertebral body of a patient, comprising:

advancing a distal end of a stabilization device into a pedicle of the inferior vertebral body; and

after advancing the distal end of the stabilization device into the pedicle of the inferior vertebral body, positioning a proximal portion of the stabilization device such that the proximal portion limits at least a first, downward degree of movement between the superior vertebral body and the inferior vertebral body by abutting against a surface of an inferior articular process of the superior vertebral body such that motion between the superior and inferior vertebral bodies other than in the first, downward degree of movement is preserved.

2. The method of claim 1, wherein the step of positioning a proximal portion of the stabilization device comprises advancing a proximal anchor distally over an elongated body of the stabilization device.

3. The method of claim 2, wherein the step of advancing a proximal anchor distally over an elongated body of the stabilization device comprises proximally moving the elongated body with respect to the proximal anchor.

4. The method of claim 2, wherein the step of advancing a proximal anchor distally over an elongated body of the stabilization device comprises applying a distal force to the proximal anchor.

5. The method of claim 1, further comprising maintaining the patient in a face down position during the step of advancing a distal end of a stabilization device into the pedicle of the inferior vertebral body.

6. The method of claim 1, wherein the step of advancing a distal end of a stabilization device into a pedicle of the inferior vertebral body comprises advancing the distal end of the stabilization device through the pars of the inferior vertebral body.

7. The method of claim 1, wherein the steps of advancing a distal end of a stabilization device into a pedicle of the inferior vertebral body and positioning a proximal portion of the stabilization device are accomplished through a minimally invasive surgical approach.

8. The method of claim 1, wherein the step of advancing a distal end of a stabilization device into a pedicle of the inferior vertebral body comprises rotating the distal end of the stabilization device.

9. The method of claim 1, wherein advancing a distal end of a stabilization device into a pedicle of the inferior vertebral body further comprises advancing the stabilization device over a guidewire.

10. The method of claim 1, wherein advancing a distal end of a stabilization device into a pedicle of the inferior vertebral body further comprises advancing the stabilization device through an expanded tissue tract.

11. The method of claim 1, further comprising the step of advancing a tissue expander over the guidewire prior to advancing the distal end of the stabilization device over the guidewire.

12. The method of claim 11, further comprising the step of advancing a sheath over the tissue expander prior to advancing the distal end of the stabilization device over the guidewire.

13. The method of claim 1, wherein the method is accomplished on a patient in combination with a laminectomy.

14. The method of claim 1, wherein the method is accomplished on a patient in combination with a discectomy.

15. The method of claim 1, wherein the method is accomplished on a patient in combination with an artificial disc replacement.

16. The method of claim 1, wherein the advancing step is accomplished in a percutaneous procedure.

17. The method of claim 1, wherein the proximal portion of the stabilization device is integrally formed with the distal end of the stabilization device.

18. The method of claim 1, wherein the proximal portion of the stabilization device is attached to the distal end of the stabilization device.

19. The method of claim 1, further comprising advancing the distal end of the stabilization device into the inferior vertebral body until the proximal portion of the stabilization device limits at least a first, downward degree of movement between the superior vertebral body and the inferior vertebral body by abutting against a surface of an inferior articular process of the superior vertebral body such that motion between the superior and inferior vertebral bodies other than in the first, downward degree of movement is preserved.

20. A method of limiting downward movement of a facet of a superior vertebral body with respect to an inferior vertebral body of a patient, comprising:

advancing a distal end of a first stabilization device along a first axial path into a pedicle of the inferior vertebral body;

after advancing the distal end of the stabilization device along the first axial path into the pedicle of the inferior vertebral body, advancing a proximal portion of the first stabilization device over the first axial path to position a proximal portion of the first stabilization device such that the proximal portion abuts against a surface of a first inferior articular process of the superior adjacent vertebral body to limit downward movement of the superior vertebral body with respect to the inferior vertebral body;

advancing a distal end of a second stabilization device along a second axial path into a pedicle of the inferior vertebral body such that it is positioned with bilateral symmetry with respect to the first stabilization device; and

advancing a proximal portion of the second stabilization device along the second axial path such that the proximal portion abuts, with bilateral symmetry with respect to the first stabilization device, against a surface of a second inferior articular process of the superior adjacent vertebral body to limit downward movement of the superior vertebral body with respect to the inferior vertebral body.

21. The method of claim 20, wherein the first and second stabilization device limit flexion between the superior vertebral body and the inferior vertebral body.

22. The method of claim 20, wherein the first and second stabilization device limit lateral movement between the superior vertebral body and the inferior vertebral body.

23. The method of claim 20, wherein the proximal portion of the first stabilization device is integrally formed with the distal end of the first stabilization device.

24. The method of claim 20, wherein the proximal portion of the first stabilization device is attached to the distal end of the first stabilization device.

25. The method of claim 20, further comprising advancing the distal end of the first stabilization device into the pedicle of the inferior vertebral body until the proximal portion of the first stabilization device abuts against a surface of a first inferior articular process of the superior adjacent vertebral body to limit downward movement of the superior vertebral body with respect to the inferior vertebral body.