Linked bilateral spinal facet implants and methods of use
First Claim
1. A bilateral facet prosthesis system for replacing facets of a mammalian vertebra, the system comprising:
- a first prosthesis mountable to a vertebra proximate a first facet of an adjacent vertebra, the first prosthesis having a first articulating surface for articulating against the first facet of the adjacent vertebra and a first mounting feature, wherein, when the first prosthesis is mounted to the vertebra and the first articulating surface articulates against the first facet of the adjacent vertebra, the mounting feature is on the posterior side of the first prosthesis;
a second prosthesis mountable to the vertebra proximate a second facet of the adjacent vertebra, the second prosthesis having a second articulating surface for articulating against the second facet of the adjacent vertebra and a second mounting feature, wherein, when the second prosthesis is mounted to the vertebra and the second articulating surface articulates against the second facet of the adjacent vertebra, the mounting feature is on the posterior side of the second prosthesis; and
a crosslink adjustably attachable to the first and second mounting features to extend between the first and second prostheses to fix a displacement between the first and second prostheses at any of a plurality of displacement values, wherein the crosslink provides at least one of cephalad-caudal and anterior-posterior adjustability between the relative positions of the first and second prostheses;
wherein, when the prostheses are mounted to the vertebra proximate the facets of the adjacent vertebra and the articulating surfaces articulate against the facets of the adjacent vertebra, the system provides relative axial rotation between the vertebra and the adjacent vertebra.
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Accused Products
Abstract
Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.
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Citations
59 Claims
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1. A bilateral facet prosthesis system for replacing facets of a mammalian vertebra, the system comprising:
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a first prosthesis mountable to a vertebra proximate a first facet of an adjacent vertebra, the first prosthesis having a first articulating surface for articulating against the first facet of the adjacent vertebra and a first mounting feature, wherein, when the first prosthesis is mounted to the vertebra and the first articulating surface articulates against the first facet of the adjacent vertebra, the mounting feature is on the posterior side of the first prosthesis; a second prosthesis mountable to the vertebra proximate a second facet of the adjacent vertebra, the second prosthesis having a second articulating surface for articulating against the second facet of the adjacent vertebra and a second mounting feature, wherein, when the second prosthesis is mounted to the vertebra and the second articulating surface articulates against the second facet of the adjacent vertebra, the mounting feature is on the posterior side of the second prosthesis; and a crosslink adjustably attachable to the first and second mounting features to extend between the first and second prostheses to fix a displacement between the first and second prostheses at any of a plurality of displacement values, wherein the crosslink provides at least one of cephalad-caudal and anterior-posterior adjustability between the relative positions of the first and second prostheses; wherein, when the prostheses are mounted to the vertebra proximate the facets of the adjacent vertebra and the articulating surfaces articulate against the facets of the adjacent vertebra, the system provides relative axial rotation between the vertebra and the adjacent vertebra. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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15. A bilateral facet prosthesis system for replacing facets of a mammalian vertebra, the system comprising:
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a first inferior prosthesis shaped to be coupled to the vertebra proximate a first superior facet of an adjacent vertebra, the first inferior prosthesis having a first articulating surface for articulating against the first superior facet of the adjacent vertebra and a first mounting feature, wherein, when the first inferior prosthesis is coupled to the vertebra and the first articulating surface articulates against the first superior facet of the adjacent vertebra, the mounting feature is on the posterior side of the first inferior prosthesis; a second inferior prosthesis shaped to be coupled to the vertebra proximate a second superior facet of the adjacent vertebra, the second inferior prosthesis having a second articulating surface for articulating against the second superior facet of the adjacent vertebra and a second mounting feature, wherein, when the second inferior prosthesis is coupled to the vertebra and the second articulating surface articulates against the second superior facet of the adjacent vertebra, the mounting feature is on the posterior side of the second inferior prosthesis; a first fixation member comprising a proximal end, and a distal end shaped to be embedded in the vertebra; a second fixation member comprising a proximal end, and a distal end shaped to be embedded in the vertebra; and a crosslink adjustably attachable to the first and second mounting features to extend between the first and second inferior prostheses to fix a displacement between the first and second prostheses at any of a plurality of displacement values, wherein the crosslink is adjustably attachable to the first and second inferior prostheses such that the crosslink is offset from the first and second fixation members when the bilateral facet prosthesis system is coupled to the vertebra; wherein, when the inferior prostheses are mounted to the vertebra proximate the superior facets of the adjacent vertebra and the articulating surfaces articulate against the superior facets of the adjacent vertebra, the system provides relative axial rotation between the vertebra and the adjacent vertebra. - View Dependent Claims (16, 17, 18, 19, 20, 21, 22, 23, 24)
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25. A bilateral facet prosthesis system for replacing facets of a mammalian vertebra, the system comprising:
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a first prosthesis mountable to a vertebra proximate a first facet of an adjacent vertebra, the first prosthesis having a first articulating surface for articulating against the first facet of the adjacent vertebra and a first mounting feature, wherein, when the first prosthesis is coupled to the vertebra and the first articulating surface articulates against the first facet of the adjacent vertebra, the mounting feature is on the posterior side of the first prosthesis; a first fixation member implantable in the vertebra; a first fastener securable to the first fixation member to secure the first prosthesis to the vertebra; a second prosthesis mountable to the vertebra proximate a second facet of the adjacent vertebra, the second prosthesis having a second articulating surface for articulating against the second facet of the adjacent vertebra and a second mounting feature, wherein, when the second prosthesis is coupled to the vertebra and the second articulating surface articulates against the second facet of the adjacent vertebra, the mounting feature is on the posterior side of the second prosthesis; a second fixation member implantable in the vertebra; a second fastener securable to the second fixation member to secure the second prosthesis to the vertebra; and a crosslink adjustably attachable to the first and second mounting features to extend between the first and second prostheses to fix an angular displacement between the prostheses about a first axis at any of a plurality of angular displacement values; wherein, when the prostheses are mounted to the vertebra proximate the facets of the adjacent vertebra and the articulating surfaces articulate against the facets of the adjacent vertebra, the system provides relative axial rotation between the vertebra and the adjacent vertebra. - View Dependent Claims (26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36)
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37. A bilateral facet prosthesis system for replacing facets of a mammalian vertebra, the system comprising:
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a first prosthesis shaped to be coupled to the vertebra proximate a first facet of an adjacent vertebra, the first prosthesis having a first articulating surface for articulating against the first facet of the adjacent vertebra and a first mounting feature, wherein, when the first prosthesis is coupled to the vertebra and the first articulating surface articulates against the first facet of the adjacent vertebra, the mounting feature is on the posterior side of the first prosthesis; a first fixation member implantable in the vertebra; a first fastener securable to the first fixation member to secure the first prosthesis to the vertebra; a second prosthesis shaped to be coupled to the vertebra proximate a second facet of the adjacent vertebra, the second prosthesis having a second articulating surface for articulating against the second facet of the adjacent vertebra and a second mounting feature, wherein, when the second prosthesis is coupled to the vertebra and the second articulating surface articulates against the second facet of the adjacent vertebra, the mounting feature is on the posterior side of the second prosthesis; a second fixation member implantable in the vertebra; a second fastener securable to the second fixation member to secure the second prosthesis to the vertebra; a crosslink adjustably attachable to the first and second mounting features to extend between the first and second prostheses; and a first coupling coupled to the first prosthesis, the first coupling having a first gripping mechanism configured to grip the crosslink to couple the first prosthesis to the crosslink; wherein, when the prostheses are mounted to the vertebra proximate the facets of the adjacent vertebra and the articulating surfaces articulate against the facets of the adjacent vertebra, the system provides relative axial rotation between the vertebra and the adjacent vertebra. - View Dependent Claims (38, 39, 40, 41, 42, 43, 44, 45, 46)
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47. A bilateral facet prosthesis system for replacing facets of a mammalian vertebra, the system comprising:
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a first prosthesis mountable to a vertebra, the first prosthesis having a first articulating surface for articulating against a first facet of an adjacent vertebra and a first mounting feature, wherein, when the first prosthesis is mounted to the vertebra and the first articulating surface articulates against the first facet of the adjacent vertebra, the mounting feature is on the posterior side of the first prosthesis; a second prosthesis mountable to the vertebra, the second prosthesis having a second articulating surface for articulating against a second facet of the adjacent vertebra and a second mounting feature, wherein, when the second prosthesis is mounted to the vertebra and the second articulating surface articulates against the second facet of the adjacent vertebra, the mounting feature is on the posterior side of the second prosthesis; a crosslink adjustably attachable to the first and second mounting features to extend between the first and second prostheses to fix a displacement between the first and second prostheses at any of a plurality of displacement values, wherein the crosslink provides at least one of cephalad-caudal and anterior-posterior adjustability between the relative positions of the first and second prostheses, wherein the crosslink comprises a rod having a substantially rigid construction; and a first coupling coupled to the first prosthesis, the first coupling having a first gripping mechanism configured to grip the crosslink to couple the first prosthesis to the crosslink at any of a plurality of positions along an axis of the crosslink, wherein the first gripping mechanism comprises flanges positionable on either side of the crosslink such that the crosslink is gripped between the flanges, wherein the first gripping mechanism further comprises a first turnbuckle that is rotatable to urge the flanges together to grip the crosslink.
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48. A bilateral facet prosthesis system for replacing facets of a mammalian vertebra, the system comprising:
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a first prosthesis mountable to a vertebra, the first prosthesis having a first articulating surface for articulating against a first facet of an adjacent vertebra and a first mounting feature, wherein, when the first prosthesis is mounted to the vertebra and the first articulating surface articulates against the first facet of the adjacent vertebra, the mounting feature is on the posterior side of the first prosthesis; a second prosthesis mountable to the vertebra, the second prosthesis having a second articulating surface for articulating against a second facet of the adjacent vertebra and a second mounting feature, wherein, when the second prosthesis is mounted to the vertebra and the second articulating surface articulates against the second facet of the adjacent vertebra, the mounting feature is on the posterior side of the second prosthesis; a crosslink adjustably attachable to the first and second mounting features to extend between the first and second prostheses to fix a displacement between the first and second prostheses at any of a plurality of displacement values, wherein the crosslink provides at least one of cephalad-caudal and anterior-posterior adjustability between the relative positions of the first and second prostheses, wherein the crosslink comprises a rod having a substantially rigid construction; and a first coupling coupled to the first prosthesis, the first coupling having a first gripping mechanism configured to grip the crosslink to couple the first prosthesis to the crosslink at any of a plurality of positions along an axis of the crosslink, wherein the first gripping mechanism comprises flanges positionable on either side of the crosslink such that the crosslink is gripped between the flanges, wherein the first coupling enables the first prosthesis to lockably pivot with respect to the crosslink to enable fixation of an angular displacement between the prostheses about a first axis at any of a plurality of angular displacement values, wherein the flanges engage a semispherical member of the first prosthesis to provide a ball-and-socket joint. - View Dependent Claims (49, 50)
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51. A bilateral facet prosthesis system for replacing facets of a mammalian vertebra, the system comprising:
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a first inferior prosthesis shaped to be coupled to the vertebra, the first inferior prosthesis having a first articulating surface for articulating against a first superior facet of an adjacent vertebra and a first mounting feature, wherein, when the first inferior prosthesis is coupled to the vertebra and the first articulating surface articulates against the first superior facet of the adjacent vertebra, the mounting feature is on the posterior side of the first inferior prosthesis; a first fixation member comprising a proximal end, and a distal end shaped to be embedded in the vertebra; a second inferior prosthesis shaped to be coupled to the vertebra, the second inferior prosthesis having a second articulating surface for articulating against a second superior facet of the adjacent vertebra and a second mounting feature, wherein, when the second inferior prosthesis is coupled to the vertebra and the second articulating surface articulates against the second superior facet of the adjacent vertebra, the mounting feature is on the posterior side of the second inferior prosthesis; a second fixation member comprising a proximal end, and a distal end shaped to be embedded in the vertebra; a crosslink adjustably attachable to the first and second mounting features to extend between the first and second inferior prostheses to fix a displacement between the first and second prostheses at any of a plurality of displacement values, wherein the crosslink is adjustably attachable to the first and second inferior prostheses such that the crosslink is offset from the first and second fixation members when the bilateral facet prosthesis system is coupled to the vertebra, wherein the crosslink comprises a rod having a substantially rigid construction; and a first coupling coupled to the first prosthesis, the first coupling having a first gripping mechanism configured to grip the crosslink to couple the first prosthesis to the crosslink at any of a plurality of positions along an axis of the crosslink, wherein the first gripping mechanism comprises flanges positionable on either side of the crosslink such that the crosslink is gripped between the flanges, wherein the first gripping mechanism further comprises a first turnbuckle that is rotatable to urge the flanges together to grip the crosslink.
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52. A bilateral facet prosthesis system for replacing facets of a mammalian vertebra, the system comprising:
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a first inferior prosthesis shaped to be coupled to the vertebra, the first inferior prosthesis having a first articulating surface for articulating against a first superior facet of an adjacent vertebra and a first mounting feature, wherein, when the first inferior prosthesis is coupled to the vertebra and the first articulating surface articulates against the first superior facet of the adjacent vertebra, the mounting feature is on the posterior side of the first inferior prosthesis; a first fixation member comprising a proximal end, and a distal end shaped to be embedded in the vertebra; a second inferior prosthesis shaped to be coupled to the vertebra, the second inferior prosthesis having a second articulating surface for articulating against a second superior facet of the adjacent vertebra and a second mounting feature, wherein, when the second inferior prosthesis is coupled to the vertebra and the second articulating surface articulates against the second superior facet of the adjacent vertebra, the mounting feature is on the posterior side of the second inferior prosthesis; a second fixation member comprising a proximal end, and a distal end shaped to be embedded in the vertebra; a crosslink adjustably attachable to the first and second mounting features to extend between the first and second inferior prostheses to fix a displacement between the first and second prostheses at any of a plurality of displacement values, wherein the crosslink is adjustably attachable to the first and second inferior prostheses such that the crosslink is offset from the first and second fixation members when the bilateral facet prosthesis system is coupled to the vertebra, wherein the crosslink comprises a rod having a substantially rigid construction; and a first coupling coupled to the first prosthesis, the first coupling having a first gripping mechanism configured to grip the crosslink to couple the first prosthesis to the crosslink at any of a plurality of positions along an axis of the crosslink, wherein the first gripping mechanism comprises flanges positionable on either side of the crosslink such that the crosslink is gripped between the flanges, wherein the flanges engage a semispherical member of the first inferior prosthesis to provide a ball-and-socket joint. - View Dependent Claims (53)
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54. A bilateral facet prosthesis system for replacing facets of a mammalian vertebra, the system comprising:
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a first prosthesis having a first articulating surface for articulating against a first facet of an adjacent vertebra and a first mounting feature, wherein, when the first prosthesis is coupled to the vertebra and the first articulating surface articulates against the first facet of the adjacent vertebra, the mounting feature is on the posterior side of the first prosthesis; a first fixation member implantable in the vertebra; a first fastener securable to the first fixation member to secure the first prosthesis to the vertebra; a second prosthesis having a second articulating surface for articulating against a second facet of the adjacent vertebra and a second mounting feature, wherein, when the second prosthesis is coupled to the vertebra and the second articulating surface articulates against the second facet of the adjacent vertebra, the mounting feature is on the posterior side of the second prosthesis; a second fixation member implantable in the vertebra; a second fastener securable to the second fixation member to secure the second prosthesis to the vertebra; a crosslink adjustably attachable to the first and second mounting features to extend between the first and second prostheses to fix an angular displacement between the prostheses about a first axis at any of a plurality of angular displacement values, wherein the crosslink comprises a rod having a substantially rigid construction; and a first coupling coupled to the first prosthesis, the first coupling having a first gripping mechanism configured to grip the crosslink to couple the first prosthesis to the crosslink at any of a plurality of positions along an axis of the crosslink, wherein the first gripping mechanism comprises flanges positionable on either side of the crosslink such that the crosslink is gripped between the flanges, wherein the first gripping mechanism further comprises a first turnbuckle that is rotatable to urge the flanges together to grip the crosslink.
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55. A bilateral facet prosthesis system for replacing facets of a mammalian vertebra, the system comprising:
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a first prosthesis having a first articulating surface for articulating against a first facet of an adjacent vertebra and a first mounting feature, wherein, when the first prosthesis is coupled to the vertebra and the first articulating surface articulates against the first facet of the adjacent vertebra, the mounting feature is on the posterior side of the first prosthesis; a first fixation member implantable in the vertebra; a first fastener securable to the first fixation member to secure the first prosthesis to the vertebra; a second prosthesis having a second articulating surface for articulating against a second facet of the adjacent vertebra and a second mounting feature, wherein, when the second prosthesis is coupled to the vertebra and the second articulating surface articulates against the second facet of the adjacent vertebra, the mounting feature is on the posterior side of the second prosthesis; a second fixation member implantable in the vertebra; a second fastener securable to the second fixation member to secure the second prosthesis to the vertebra; a crosslink adjustably attachable to the first and second mounting features to extend between the first and second prostheses to fix an angular displacement between the prostheses about a first axis at any of a plurality of angular displacement values, wherein the crosslink comprises a rod having a substantially rigid construction; and a first coupling coupled to the first prosthesis, the first coupling having a first gripping mechanism configured to grip the crosslink to couple the first prosthesis to the crosslink at any of a plurality of positions along an axis of the crosslink, wherein the first gripping mechanism comprises flanges positionable on either side of the crosslink such that the crosslink is gripped between the flanges, wherein the first coupling enables the first prosthesis to lockably pivot with respect to the crosslink to enable fixation of the angular displacement between the prostheses, wherein the flanges engage a semispherical member of the first prosthesis to provide a ball-and-socket joint. - View Dependent Claims (56)
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57. A bilateral facet prosthesis system for replacing facets of a mammalian vertebra, the system comprising:
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a first prosthesis shaped to be coupled to the vertebra, the first prosthesis having a first articulating surface for articulating against a first facet of an adjacent vertebra and a first mounting feature, wherein, when the first prosthesis is coupled to the vertebra and the first articulating surface articulates against the first facet of the adjacent vertebra, the mounting feature is on the posterior side of the first prosthesis; a first fixation member implantable in the vertebra; a first fastener securable to the first fixation member to secure the first prosthesis to the vertebra; a second prosthesis shaped to be coupled to the vertebra, the second prosthesis having a second articulating surface for articulating against a second facet of the adjacent vertebra and a second mounting feature, wherein, when the second prosthesis is coupled to the vertebra and the second articulating surface articulates against the second facet of the adjacent vertebra, the mounting feature is on the posterior side of the second prosthesis; a second fixation member implantable in the vertebra; a second fastener securable to the second fixation member to secure the second prosthesis to the vertebra; a crosslink adjustably attachable to the first and second mounting features to extend between the first and second prostheses; and a first coupling coupled to the first prosthesis, the first coupling having a first gripping mechanism configured to grip the crosslink to couple the first prosthesis to the crosslink, wherein the crosslink comprises a rod having a substantially rigid construction, wherein the first gripping mechanism is further configured to couple the first prosthesis to the crosslink at any of a plurality of positions along an axis of the crosslink, wherein the first gripping mechanism comprises flanges positionable on either side of the crosslink such that the crosslink is gripped between the flanges, wherein the first gripping mechanism further comprises a first turnbuckle that is rotatable to urge the flanges together to grip the crosslink.
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58. A bilateral facet prosthesis system for replacing facets of a mammalian vertebra, the system comprising:
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a first prosthesis shaped to be coupled to the vertebra, the first prosthesis having a first articulating surface for articulating against a first facet of an adjacent vertebra and a first mounting feature, wherein, when the first prosthesis is coupled to the vertebra and the first articulating surface articulates against the first facet of the adjacent vertebra, the mounting feature is on the posterior side of the first prosthesis; a first fixation member implantable in the vertebra; a first fastener securable to the first fixation member to secure the first prosthesis to the vertebra; a second prosthesis shaped to be coupled to the vertebra, the second prosthesis having a second articulating surface for articulating against a second facet of the adjacent vertebra and a second mounting feature, wherein, when the second prosthesis is coupled to the vertebra and the second articulating surface articulates against the second facet of the adjacent vertebra, the mounting feature is on the posterior side of the second prosthesis; a second fixation member implantable in the vertebra; a second fastener securable to the second fixation member to secure the second prosthesis to the vertebra; a crosslink adjustably attachable to the first and second mounting features to extend between the first and second prostheses; and a first coupling coupled to the first prosthesis, the first coupling having a first gripping mechanism configured to grip the crosslink to couple the first prosthesis to the crosslink, wherein the crosslink comprises a rod having a substantially rigid construction, wherein the first gripping mechanism is further configured to couple the first prosthesis to the crosslink at any of a plurality of positions along an axis of the crosslink, wherein the first gripping mechanism comprises flanges positionable on either side of the crosslink such that the crosslink is gripped between the flanges, wherein the first coupling enables the first prosthesis to lockably pivot with respect to the crosslink to enable fixation of an angular displacement between the prostheses about a first axis at any of a plurality of angular displacement values, wherein the flanges engage a semispherical member of the first prosthesis to provide a ball-and-socket joint. - View Dependent Claims (59)
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Specification