摘要:
An artificial functional spinal unit including an expandable intervertebral implant that can be inserted via a posterior surgical approach and used with one or more facet replacement devices to provide an anatomically correct range of motion is described. Lordotic and non-lordotic expandable, articulating implants and cages are described, along with embodiments of facet replacement devices and instruments for insertion. Methods of insertion are also described.
摘要:
An antenna for an implantable medical device (IMD) is provided including a monolithic structure derived from a plurality of discrete dielectric layers having an antenna embedded within the monolithic structure. Superstrate dielectric layers formed above the antenna may provide improved matching gradient with the surrounding environment to mitigate energy reflection effects. A outermost biocompatible layer is positioned over the superstrates as an interface with the surrounding environment. A shielding layer is positioned under the antenna to provide electromagnetic shielding for the IMD circuitry. Substrate dielectric layers formed below the antenna may possess higher dielectric values to allow the distance between the antenna and ground shielding layer to be minimized. An electromagnetic bandgap layer may be positioned between the antenna and the shielding layer. The dielectric layers may comprise layers of ceramic material that can be co-fired together with the antenna to form a hermetically sealed monolithic antenna structure.
摘要:
A method of inserting an expandable intervertebral implant between vertebrae of a human spine without overdistraction of the vertebrae is described. The method includes removing a portion of a disc between the vertebrae to create a disc space between the vertebrae. The unexpanded intervertebral implant may be positioned in the disc space. The intervertebral implant may be expanded to increase a height of the intervertebral implant, thereby increasing a separation distance between the vertebrae or a separation distance between an upper body and a lower body of the intervertebral implant. The increased height of the intervertebral implant may be maintained at substantially the expanded height, wherein the maximum separation distance between the two vertebrae during the procedure is the separation distance created during expansion of the intervertebral implant.
摘要:
An artificial functional spinal unit including an expandable intervertebral implant that can be inserted via a posterior surgical approach and used with one or more facet replacement devices to provide an anatomically correct range of motion is described. Lordotic and non-lordotic expandable, articulating implants and cages are described, along with embodiments of facet replacement devices and instruments for insertion. Methods of insertion are also described.
摘要:
A method of inserting an intervertebral implant between vertebrae in a human spine includes positioning the intervertebral implant in a closed configuration between the vertebrae. After positioning the intervertebral implant, the intervertebral implant is activated to increase a height of the intervertebral implant. After activation, at least a portion of the increased height of the intervertebral implant is maintained.
摘要:
An articulating expandable intervertebral implant is described for insertion between vertebrae of a human spine. The articulating expandable intervertebral implant includes an upper body that engages a first vertebra, a lower body that engages a second vertebra, and an insert. The inferior surface of the upper body may include a concave portion. The superior surface of the insert may include a convex portion. The insert may be positioned between the superior surface of the lower body and the concave portion of the inferior surface of the upper body. In some embodiments, an expansion member may engage the insert to increase a height of the intervertebral implant and/or allow or increase articulation of the upper body with respect to the insert. The insert may include one or more features designed to limit articulation of the upper body with respect to the insert.
摘要:
A dynamic posterior stabilization system is provided to stabilize a human spine. In some embodiments, the dynamic posterior stabilization system includes a first bone fastener, a second bone fastener, and an elongated member coupled to the first bone fastener and the second bone fastener. The longitudinal position of the elongated member relative to the first bone fastener may be fixed. The longitudinal position of the second bone fastener relative to the elongated member may vary so that the dynamic posterior stabilization system can accommodate flexion/extension and/or lateral bending. The dynamic posterior stabilization system may also be able to accommodate axial rotation. Bias members may be coupled to the elongated member. The bias members may allow the dynamic posterior stabilization system to mimic the resistance behavior of a normal functional spinal unit.
摘要:
An artificial functional spinal unit is provided comprising, generally, an expandable artificial intervertebral implant that can be placed via a posterior surgical approach and used in conjunction with one or more artificial facet joints to provide an anatomically correct range of motion. Expandable artificial intervertebral implants in both lordotic and non-lordotic designs are disclosed, as well as lordotic and non-lordotic expandable cages for both PLIF (posterior lumber interbody fusion) and TLIF (transforaminal lumbar interbody fusion) procedures. The expandable implants may have various shapes, such as round, square, rectangular, banana-shaped, kidney-shaped, or other similar shapes. By virtue of their posteriorly implanted approach, the disclosed artificial FSU's allow for posterior decompression of the neural elements, reconstruction of all or part of the natural functional spinal unit, restoration and maintenance of lordosis, maintenance of motion, and restoration and maintenance of disc space height.
摘要:
A stabilization system for a human spine is provided comprising at least two dynamic interbody device and at least one dynamic posterior stabilization system. In some embodiments the stabilization system comprises a pair of dynamic interbody devices and a pair of dynamic posterior stabilization systems. The dynamic interbody devices may work in conjunction with the dynamic posterior stabilization systems to allow for movement of vertebrae coupled to the stabilization system. The dynamic posterior stabilization systems may provide resistance to movement that mimics the resistance provided by a normal functional spinal unit. In some embodiments, a bridge may couple a dynamic interbody device to a dynamic posterior stabilization system.