Expandable spinal fusion implants and related methods

• US 9,198,765 B1
• Filed: 10/31/2012
• Issued: 12/01/2015
• Est. Priority Date: 10/31/2011
• Status: Active Grant

• Current Assignee: Nuvasive Incorporated
• Original Assignee: Nuvasive Incorporated
• Inventors: Pimenta, Luiz
• Primary Examiner(s): HOFFMAN, MARY C
• Application Number:
  US13/665,787
• Time in Patent Office: 1,126 Days
• Field of Search: 623 1711- 1716
• US Class Current: 1/1
• 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 2/447 substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
• 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 2002/3008 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61F 2002/30331 made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2002/30462 retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2002/30537 adjustable
• CPC Class Codes: A61F 2002/3055 for adjusting length
• CPC Class Codes: A61F 2002/30579 with mechanically expandable devices, e.g. fixation devices
• CPC Class Codes: A61F 2002/30588 filled with solid particles
• CPC Class Codes: A61F 2002/30601 telescopic
• CPC Class Codes: A61F 2002/3093 for promoting ingrowth of bone tissue

Abstract

A system and methods for promoting fusion across an intervertebral disc space, the system including an expandable system of spinal fusion implants wherein the system of implants is inserted into an intervertebral disc space in a smaller profile, collapsed insertion state, and then expanded anteriorly to an expanded state.

Claims

1. A method for promoting fusion across an intervertebral disc space, the method comprising the steps of:

accessing an intervertebral disc space via a lateral approach;

inserting an expandable system of spinal fusion implants in an insertion state into the intervertebral disc space, wherein said expandable system of spinal fusion implants comprises;

a first implant having a length extending between a leading end and a trailing end, an anterior wall and a posterior wall, and a top surface and a bottom surface, wherein the length of the first implant spans the width of the interverterbral space from a first lateral aspect of a vertebral body adjacent the intervertebral space to a second lateral aspect of the vertebral body, a second implant having a leading end and a trailing end, an anterior wall and a posterior wall, and a top surface and a bottom surface; and

a flexible element coupled to the leading end of the first implant and the leading end of the second implant;

displacing said second implant anteriorly relative to first implant within the intervertebral disc space until the expandable system of spinal fusion implants achieves a fully expanded state, wherein the anterior wall of the second implant rests on an anterior cortical rim of an inferior vertebral body adjacent the intervertebral disc space, and wherein, in the fully expanded state, the posterior wall of the second implant is spaced apart anteriorly from the anterior wall of the first implant, thereby creating a gap extending from the anterior wall of the first implant to the posterior wall of the second implant.

2. The method of claim 1, further comprising the step of filling the gap between the first implant and the second implant with bone growth enhancing material.

3. The method of claim 1, wherein the second implant has a length extending between the leading end and the trailing end that is shorter than the length of the first implant.

4. The method of claim 1, wherein the first implant and the second implant are equal in height.

5. The method of claim 1, wherein the second implant has a maximum height that is greater than a maximum height of the first implant.

6. The method of claim 1, wherein the first implant is coupled to the second implant during insertion.

7. The method of claim 1, wherein the system of implants is inserted simultaneously using a single insertion tool.

8. The method of claim 1, wherein the first implant is inserted with a first insertion tool and the second implant is inserted with a second insertion tool.