Oblique lumbar interbody fusion

• US 8,100,950 B2
• Filed: 07/24/2008
• Issued: 01/24/2012
• Est. Priority Date: 07/27/2007
• Status: Active Grant

• Current Assignee: Cleveland Clinic Foundation
• Original Assignee: Cleveland Clinic Foundation
• Inventors: St. Clair, Selvon, Lieberman, Isador H., Kayanja, Mark
• Primary Examiner(s): Robert, Eduardo C
• Assistant Examiner(s): COMSTOCK, DAVID C
• Application Number:
  US12/178,995
• Publication Number:
  US 20090163957A1
• Time in Patent Office: 1,279 Days
• Field of Search: 606/246, 606/279, 606/301, 606/304, 606/323, 606/97, 606/99, 606/102, 606/104, 606/86.A, 606/130, 623/17.11
• US Class Current: 606/279
• CPC Class Codes: A61B 17/7064 Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
• CPC Class Codes: A61B 2017/564 Methods for bone or joint treatment

Abstract

A method fuses an inferior vertebra and a superior vertebra together. The method includes the steps of: extending a screw obliquely, both anteriorly and superiorly, through the inferior vertebra; and further extending the screw across an interbody space and into the superior vertebra both anteriorly and superiorly.

Claims

1. A method for fusing an inferior vertebra and a superior vertebra together, said method comprising the steps of:

extending a screw obliquely, both anteriorly and superiorly, through the inferior vertebra;

further extending the screw across an interbody space and into the superior vertebra both anteriorly and superiorly; and

defining a trajectory for the screw utilizing fluoroscopic imaging;

wherein said method is performed percutaneously on a non-spondylolisthetic subject.

2. The method as set forth in claim 1 further including the step of inserting and mounting the screw to the inferior and superior vertebrae entirely through a cannula.

3. The method as set forth in claim 1 further including the steps of traversing a pedicle of the inferior vertebra with the screw and extending the screw through a superior endplate of the inferior vertebra.

4. The method as set forth in claim 3 further including the step of further extending the screw through an inferior endplate of the superior vertebra and through a centrum of the superior vertebra.

5. The method as set forth in claim 4 further including the step of further extending the screw to a junction of a superior endplate of the superior vertebra and an anterior vertebral wall.

6. The method as set forth in claim 1 further including the step of extending the screw through a pedicle of a posterior portion of the inferior vertebra, through a superior endplate of the inferior vertebra, across the interbody space, through an inferior endplate of the superior vertebra, through a centrum of the superior vertebra, and to a junction of a superior endplate of the superior vertebra with a anterior vertebral wall.

7. The method as set forth in claim 1 further including the step of guiding the screw across the interbody space between the inferior vertebra and the superior vertebra with at least one wire.

8. The method as set forth in claim 1 further including the step of extending the screw at an angle between 45-55 degrees relative to a longitudinal axis defined by the inferior and superior vertebrae.

9. The method as set forth in claim 1 further including the steps of:

extending a second screw obliquely, both anteriorly and superiorly, through the inferior vertebra, the second screw extending on a lateral side of a spine extending through the inferior and superior vertebrae other than a side of the first screw; and

further extending the second screw across the interbody space and into the superior vertebra both anteriorly and superiorly.

10. A method for fusing an inferior vertebra and a superior vertebra together, said method comprising the steps of:

extending a screw obliquely, both anteriorly and superiorly, through the inferior vertebra;

further extending the screw across an interbody space and into the superior vertebra both anteriorly and superiorly; and

defining a trajectory for the screw utilizing either of a robotic and a navigation system;

wherein said method is performed percutaneously on a non-spondylolisthetic subject.