摘要:
The invention discloses devices, methods and systems for an implantable revision device useful for altering the biomechanics of an implanted spinal arthroplasty device. The revision device has a first surface adapted to communicate with a natural anatomical surface; and a second surface adapted to engage a portion of the arthroplasty device. The device alters the biomechanics of the implanted spinal arthroplasty device permanently semipermanently and/or temporarily.
摘要:
Cephalad and caudal vertebral facet joint prostheses and methods of use are provided. A pair of fixation elements are adapted to be secured within a vertebra in an orientation that best assures a secure and durable attachment to cortical and/or cancellous bone. Artificial facet joint surfaces are mounted on the fixation elements, either directly or with the aid of a support. The artificial facet joint structure may be carried by an arm. The artificial facet joint structure is adapted for articulation with a complementary natural or artificial facet joint structure. Bilateral prostheses may be coupled by a brace to further secure and stabilize the prostheses. Artificial facet joints can be used in combination with artificial intervertebral discs to treat a spinal pathology.
摘要:
The invention discloses methods and devices for repairing, replacing and/or augmenting natural facet joint surfaces and/or facet capsules. A facet joint restoration device (410) of the invention for use in a restoring a facet joint surface comprises: a cephalad facet joint element comprising a flexible member (422) adapted to engage a first vertebrae and an artificial cephalad joint (426) ; and a caudad facet joint element comprising a connector adapted for fixation to a second vertebrae and an artificial caudad joint (428) adapted to engage the cephalad facet joint. In another embodiment, the invention discloses a facet joint replacement device for use in replacing all or a portion of a natural facet joint between a first vertebrae and a second vertebrae.
摘要:
Prostheses, systems, and methods are provided for replacement of natural facet joints between adjacent vertebrae using polyaxial attachment mechanisms for securing the prostheses to the vertebrae. A cephalad prosthesis attached to a superior adjacent vertebra replaces the inferior half of a natural facet joint. A caudal prosthesis attached to an inferior adjacent vertebra replaces the superior half of a natural facet joint. Both the cephalad and caudal prostheses are configured with artificial facet joint structures that include articulating surfaces that cooperate and form an artificial articular configuration. The polyaxial attachment mechanism permits adjustment of the position of the artificial facet joint structure along more than one axis at or after the time the cephalad or caudal prosthesis is attached to a vertebra.
摘要:
Cephalad and caudal vertebral facet joint prostheses (36 and 38) and methods of use are provided. The prostheses provide an artificial facet joint structure including an artificial articular configuration unlike the preexisting articular configuration. The radii and material stress values of the prostheses are configured to sustain contact stress. The cephalad prosthesis (36) provides for posterior-anterior adjustment. Both prostheses permit lateral adjustment and adjustment to accommodate interpedicle distance. Further, the prostheses may be customized to provide a pre-defined lordotic angle and a pre-defined pedicle entry angle.
摘要:
An adaptable spinal facet joint prosthesis, including a pedicle fixation element; a laminar fixation element; d a facet joint bearing surface having a location adaptable with respect at least one of the pedicle fixation element d the laminar fixation element. Also disclosed is a method of implanting an adaptable spinal facet joint asthesis including the steps of determining a desired position for a facet joint bearing surface; and attaching a prosthesis comprising a facet joint bearing surface to a pedicle portion of a vertebra and a lamina portion of a vertebra to place the facet joint bearing surface in the desired position. The invention also provides a facet joint prosthesis implant tool including a tool guide adapted to guide a vertebra cutting tool; and first and second fixation le alignment elements extending from the saw guide. The invention also provides systems for treating spinal pathologies that include intervertebral discs in combination with spinal and facet joint prostheses.
摘要:
The invention discloses an implantable facet arthroplasty device suitable for treating adjacent level disease. The device is designed for implantation between a first vertebra and a second vertebra. Components of the device include: a crossbar; a first component having a first attachment mechanism adapted to attach to a first location of a spinal fusion device attached to a first vertebra and a second attachment mechanism adapted to attach to the crossbar; and a second component having a second attachment mechanism adapted to attach to a second location of a spinal fusion device attached to the first vertebra and a second attachment mechanism adapted to attach to the crossbar. The first component articulates relative to the second component and the first vertebra articulates relative to the device itself.
摘要:
Cephalad and caudal vertebral facet joint prostheses and methods of use are provided. The cephalad prostheses are adapted and configured to be attached to a lamina portion of a vertebra without blocking a pedicle portion of the cephalad vertebra. In one embodiment, the facet prosthesis (200) comprises a cylindrical body (205) having an expanded section (250) at a proximal end and a collar (220) securing against the expanded section. A distal collar (225) is secured about the body more proximally. A bearin ball (230) having an opening is fitted and secured over the distal end (215) of the body. In another embodiment, the facet prosthesis (200a) comprises a cylindrical hollow body (205a) having a longitudinally extending bore (207a) and an outer ridge (217a) to engage with a proximal collar (220a).A threaded shaft extends through and is screwed into the bore. The shaft has an enlarged distal plug (265a) to deform the distal end of the hollow body when advanced proximally. A bearing (235) a having an aperture (233) is positioned over the distal end (215a) and locked into place by this deformation.