108 results about "Spinal fusion surgery" patented technology

A holder is provided which couples to the spine. In an embodiment, the holder has two conduits into which sleeves may be inserted during a spinal fusion procedure. The holder may have a distractor extending from the bottom of the holder. The distractor secures the holder to the spine and maintains a proper separation distance between adjacent vertebrae. The sides of the distractor may be serrated to better secure the holder to the spine. The sleeves and conduits serve as alignment guides for instruments and implants used during the procedure. In an embodiment, the holder may include holes for fasteners that fixably secure the holder to vertebrae adjacent to a disc space. A flange may be placed around the holder to shield surrounding tissue and to provide a placement location for adjacent blood vessels during the spinal fusion procedure.

An allogenic implant for use in intervertebral fusion is formed from one or more two pieces. The pieces are made from bone, and are joined together to form an implant having sufficient strength and stability to maintain a desired distance between first and second vertebrae in a spinal fusion procedure. The implant pieces may be formed of cortical bone and connected by dovetail joints, and at least one cortical bone pin may be provided to lock the pieces together and to add strength to the implant. Teeth are formed on the vertebra engaging surfaces of the implant prevent short-term slippage of the implant.

A method and apparatus is provided for use in spinal fusion procedures. A one or two piece interbody fusion device has a fusion bearing component designed to bear the axial loading from the end plates of adjacent vertebrae. An optional retention piece prevents migration of the load bearing device. One or more fasteners secure the retention device to the vertebrae above and below the load bearing device. The fasteners cause the end plates of the vertebrae to compress the end plates to the load bearing device to facilitate proper fusion. An anti-backout mechanism prevents the fasteners backing out.

IntraOsteal UltraSound (IOUS) is the use of acoustical energy to facilitate “real-time” manipulation and navigation of a device for intraosseous placement of synthetic or biologic implants and to diagnose the condition of the tissue into which the implant is being placed. Representative applications include placement of synthetic or biologic implants, such as bone screws, through vertebral pedicles during spinal fusion surgery. Devices for use in the placement of the implants include a means for creating a lumen or channel into the bone at the desired site in combination with a probe for providing realtime feedback of differences in density of the tissue, typically differences in acoustical impedance between cancellous and cortical bone. The devices will also typically include means for monitoring the feedback such as a screen creating an image for the surgeon as he creates the channel, and / or an audible signal which different tissues are present. The system can also be used for diagnostic applications.

The present invention is directed to an allograft intervertebral implant sized and configured for insertion between adjacent vertebral bodies in a spinal fusion surgery. The implant is preferably manufactured from two or more pieces of allograft bone joined together by a joint, more preferably a dovetail joint. The dovetail joint being sized and configured to substantially follow the exterior shape or surface (e.g. perimeter) of the intervertebral implant. The intervertebral implant may also include one or more bone pins for joining the allograft pieces, the pins being inserted into the implant at an angle substantially perpendicular with respect to the dovetail joint. The intervertebral implant may also include one or more through-bores for receiving ostegenic or bone graft material. The intervertebral implant is preferably sized and configured for insertion during a T-PLIF or PLIF procedure.

An implant may be formed in a disc space during a spinal fusion procedure. The implant may include implant members and connectors. The connectors may include sections with removed material that allow for some flexibility of the connectors. The connectors may include limiters that limit the amount of flexibility of the connectors. The ability of the connectors to flex may allow stress to be applied to bone growth material positioned in the implant. Stress may promote desirable bone growth.

This invention is directed to improved methods and devices to attach arthroplasty devices, particularly the spine, distract the disc space, machine the disc space to improve the fit between ADRs and the vertebrae, to hold and remove ADRs, and to facilitate spinal fusion for a failed ADR surgery. One aspect of the invention places anchor devices in the spine during a first operation. Spinal devices are connected to the anchoring devices during a second procedure. The second procedure is generally performed months after the insertion of the anchoring devices. The time between the two procedures allows bone to grow into the anchoring devices. Minimal forces are exerted on the anchoring devices between the procedures. Other embodiments are described where a previously implanted ADR having a pair of opposing endplates is immobilized using a device the attached to the endplates, fits between the endplates, or both.

A pedicle screw and rod system that has particular application for spinal fusion surgery. The system includes pedicle screws having ball-shaped heads that are threaded through pedicles of adjacent vertebra into the vertebral body. The system also includes two cannulated posts having a head portion with a planar portion and an opening for accepting the head of the pedicle screw in a secure and multi-axial engagement. The system further includes a tube portion that is coupled to the head portion and extends above the patient's skin. The system also includes a lordotic slotted rod that is slid down the tube portions to be positioned on top of the head portions of the posts so that the planar portions are locked within the slot. Bolts are then slid down the tube portions and are threaded to a threaded portion on the planar portion.

A holder is provided which couples to the spine. In an embodiment, the holder has two conduits into which sleeves may be inserted during a spinal fusion procedure. The holder may have a distractor extending from the bottom of the holder. The distractor secures the holder to the spine and maintains a proper separation distance between adjacent vertebrae. The sides of the distractor may be serrated to better secure the holder to the spine. The sleeves and conduits serve as alignment guides for instruments and implants used during the procedure. In an embodiment, the holder may include holes for fasteners that fixably secure the holder to vertebrae adjacent to a disc space. A flange may be placed around the holder to shield surrounding tissue and to provide a placement location for adjacent blood vessels during the spinal fusion procedure.

A method and apparatus is provided for use in spinal fusion procedures. An interbody fusion device has a first piece that is a load bearing device designed to bear the axial loading from the end plates of adjacent vertebrae. A second piece of the interbody fusion device is a retention device whose function is to prevent migration of the load bearing device. One or more fasteners secure the retention device to the vertebrae above and below the load bearing device. The fasteners cause the end plates of the vertebrae to compress the end plates to the load bearing device to facilitate proper fusion.

The present invention provides a device and methodology for use in spinal fusion surgeries. An implant is proved for forming a rigid structure between adjoining vertebrae in a patient. The implant is a cage defined by at least a first end, second end, first side, and second side surface, wherein first and second side surfaces extend substantially parallel to each other to span a space between adjoining vertebrae and first and second ends interconnect the first side surface and second side surface. The cage incorporates one or more flexible joints that allow the cage to be deformed for insertion into a patient. The ability to deform the cage allows a greater ease and flexibility in inserting and positioning the implant.

The present invention provides a device and methodology for use in spinal fusion surgeries. An implant is proved for forming a rigid structure between adjoining vertebrae in a patient. The implant is a cage defined by at least a first end, second end, first side, and second side surface, wherein first and second side surfaces extend substantially parallel to each other to span a space between adjoining vertebrae and first and second ends interconnect said first side surface and second side surface. The cage incorporates one or more flexible joints that allow the cage to be deformed for insertion into a patient. The ability to deform the cage allows a greater ease and flexibility in inserting and positioning the implant.

Disclosed is a pedicle screw used in spinal fusion surgery and a device for injecting bone cement into a spine having low bone mineral density by using the pedicle screw so as to enhance strength of the spine. The pedicle screw includes a screw rod fixedly inserted into a bone, a head section provided at an upper portion of the screw rod and formed at an inner portion thereof with a U-shaped recess and a screw part, and a coupling section coupled with the screw part of the head section. The coupling section is coupled with a rod support section including a bolt having a screw structure provided at an upper portion of the rod support section, a reverse U-shaped recess formed at a lower portion of the rod support section, and a pair of protrusions provided at lateral portions of the rod support section. The screw part of the head section is formed with a pair of guide slots. The screw rod is formed at an inner portion thereof with a hollow section, injection holes communicated with the hollow section are formed in the screw rod, and a feeding hole is formed in the U-shaped recess for feeding bone cement. The bone cement injection device has a cannula including an elongated body, a pedicle screw coupling member provided at one end of the elongated body so as to be fixed to the pedicle screw, and a handle provided at the other end of the elongated body and having an injector coupling member which is coupled to an inlet of an injector, and an impactor including an elongated cylindrical pressing rod inserted into the elongated body of the cannula and having a length longer than a length of the elongated body of the cannula, and a handle attached to one end of the elongated cylindrical pressing rod.

Methods and apparatus for controlling flexion in a spinal segment of a patient include performing a spinal fusion procedure on a pair of adjacent vertebrae in the spinal segment and implanting a constraint device into the patient. Adjusting length or tension in the constraint device allows the constraint device to provide a force a force resistant to flexion of the spinal segment undergoing fusion. The constraint device also modulates loads borne by the spinal segment undergoing fusion or tissue adjacent thereto.

A drill guide, drill guide system and method of use is disclosed. The drill guide assembly includes one or more alignment drill tubes that are remotely alignable with corresponding fastener holes of a bone plate to which the drill guide is releasably lockable. The drill guide is configured to allow a bone hole to be drilled slightly off-center with respect to the fastener holes of the plate so that fasteners inserted in those holes may be used to compress the underlying bone segments together when the fasteners are tightened in the bone and plate. In one embodiment, the drill guide is disclosed for use in compressing and fixing adjacent vertebra as part of a spinal fusion procedure.

A method and apparatus is provided for use in spinal fusion procedures. An interbody fusion device has a first piece that is a load bearing device designed to bear the axial loading from the end plates of adjacent vertebrae. A second piece of the interbody fusion device is a retention device whose function is to prevent migration of the load bearing device. One or more fasteners secure the retention device to the vertebrae above and below the load bearing device. The fasteners cause the end plates of the vertebrae to compress the end plates to the load bearing device to facilitate proper fusion. The second piece can be configured to include lips that abut the apothyseal rings during, with the plate including bores angled such that fasteners penetrate the apothyseal rings.

A surgical delivery system that has particular application for providing bone graft material to an interbody device that restores disc space height during spinal fusion surgery. The bone graft delivery system includes a body portion and a shaft coupled thereto. An auger extends through a bore in the shaft and into the body portion. An end of the shaft opposite to the body portion is configured to be coupled to the interbody device, where the auger extends through a channel in the interbody device. Bone graft material is placed in a hopper coupled to the shaft, where the auger is manually or automatically rotated to deliver the bone graft material through the shaft and into the interbody device where it is dispersed into the disc space.

A pedicle screw and rod system for minimally invasive spinal fusion surgery that allows for ease of placement of a fusion rod on the heads of pedicle screws. The system includes extender tubes having a bore extending therethrough. The bore includes a cylindrical portion and a key portion. A slot is formed in the tube along the length of the tube and is open to the bore. The pedicle screws are threaded into the vertebra and the extender tubes are coupled to the heads of the screws so that the slots face each other. The rod is positioned in the slots and is slid down the bores to be coupled to the heads of the pedicle screws. Bolts are slid down the tubes and threaded to the heads of the pedicle screws to secure the rod thereto, and the extender tubes are removed.

A vertebral processor designed to collect and interpret data from multiple surgically implanted accelerometers. Each accelerometer is surgically implanted into a vertebra of a patient utilizing a bone screw. Additional accelerometers are implanted in adjacent vertebrae. The data from the accelerometers is compared by an algorithm to determine the relative movement of the accelerometers implanted in adjacent vertebrae. Data is generated via the algorithm and compared against the expected behavior of the surgically implanted accelerometers as if they were connected to a rigid body, thus determining the level of success of a spinal fusion procedure for those adjacent segments. The apparatus may be utilized with or without spinal stabilization hardware, and with or without fusion cages or artificial discs. The vertebral processor is supplemented by an external system worn by the patient, which provides for an inductive charging power source and for data transfer.

Translational bone fixation assemblies, kits containing such assemblies, and methods of use are described herein. The described assemblies may be used in spinal fusion procedures in which a damaged or diseased disc (or part of a disc) is removed from between a pair of vertebrae and a spinal fusion spacer is placed between the vertebrae. The assemblies may be applied to an anterior portion of the affected vertebrae to span the affected disc space, and may be fixed to the vertebrae using bone screws. The assemblies may function to maintain the vertebrae aligned during the initial period following fixation in which fusion of the spacer to the adjacent vertebrae occurs. The assemblies may also function to share some of the axial spinal load applied to the fusion spacer to prevent extreme subsidence of the spacer into the vertebral body, such as where the patient has poor bone quality.

A system and method includes surgical instrumentation, implants, bone graft material, and measurement equipment to enable a spine fusion procedure to proceed more accurately, efficiently and safely by allowing precision measurement of the characteristics of the intervertebral space, selection of and provision of new implants, placement of an intervertebral implant, and to help overcome bone resorption all where improved healing thereafter takes place.

The invention relates to the technical field of biomedical materials, and particularly relates to a BMP microsphere loaded 3D printing porous metal stent and a preparation method thereof. According to the invention, a loaded microsphere-containing three-dimensional micro-stent is built in each hole of a 3D printing titanium stent. The problem that in the prior art, because the diameter of a hole is overlarge, cells only can be subjected to climbed growth on the two-dimensional space of the wall of the hole, and difficult to be subjected to three-dimensional hierarchical growth in the whole hole is solved, and by filling the three-dimensional micro-stent with a rhBMP-2 or rhBMP-7 loaded chitosan microsphere, a better growth and differentiation environment is provided for cells, thereby further promoting the combination of bone tissues and the stent. The three-dimensional micro-stent provided by the invention makes the complete healing of numerous patients with bone tissue defect caused by illnesses and accidents and the like possible; the three-dimensional micro-stent can also be used as a novel interbody fusion instrument, and applicable to an interbody fusion surgery, therefore, the three-dimensional micro-stent has an important clinical application value.

A method and apparatus is provided for use in spinal fusion procedures. An interbody fusion device has a first piece that is a load bearing device designed to bear the axial loading from the end plates of adjacent vertebrae. A second piece of the interbody fusion device is a retention device whose function is to prevent migration of the load bearing device. One or more fasteners secure the retention device to the vertebrae above and below the load bearing device. The fasteners cause the end plates of the vertebrae to compress the end plates to the load bearing device to facilitate proper fusion. The device includes a snap in mechanism for coupling the first piece to the second piece.

An interbody device that restores the disc space height between two vertebrae during spinal fusion surgery. The device includes a center plate surrounded by a perimeter portion that combine to have a relatively flat configuration in one dimension and relatively wide configuration in a perpendicular dimension. After the disc space has been cleared, the device is inserted into the disc space in a direction so that the wide dimension of the device is substantially parallel to the body of the vertebrae. The device is then rotated so that the wide dimension of the device becomes perpendicular to the vertebral body so as to cause the disc space height to be restored. Bone graft material is then introduced through a fill tube coupled to the device so that the bone graft material is distributed on both sides of the center plate and into the disc space.

Improved interbody spinal implant devices and related instrumentation used for surgical installation of such implant devices for use in spinal fusion surgeries. The spinal implant devices are configured with apertures preferably used in conjunction with the instrumentation of the invention to improve the retention of bone graft material within the implant during installation. The invention also includes improved implants with deployable spike mechanisms.

Disclosed herein are an orthopedic rod-to-rod connector and rod-to-rod connector assemblies for spinal fusion surgery. The rod-to-rod connector may include a first connector portion and a second connector portion. The first connector portion may have a first aperture configured to receive at least a portion of a bone-engaging screw and a first spinal rod. The second connector portion may be rotatably connected with the first connector portion and may include a second aperture to receive a second spinal rod. The second connector portion may be L-shaped and may include a set screw to control rotation of the first connector portion with respect to the second connector portion.

An implant assembly is provided for surgical implantation into an intervertebral space, such as for stabilization of vertebrae adjacent the intervertebral space during a spinal fusion procedure. The implant assembly includes a primary segment separate from a secondary segment. These segments are elongate and of sufficiently small cross-section that they can be implanted posteriorly in a minimally invasive manner. The primary segment preferably includes a tunnel and the secondary segment preferably includes a neck with the tunnel and neck sized complementally so that the segments stabilize each other where they intersect with the neck within the tunnel. The entire implant assembly is thus provided which both widens and supports the intervertebral space and is sufficiently rigid to provide adequate support for the intervertebral space as the vertebrae are fusing together.