摘要:
Methods and devices are provided for replacing a nucleus of a spinal disc, and in particular for preventing nucleus disc replacement expulsion. The nucleus of a spinal disc can be removed from the annulus by forming a small opening in the annulus. Once the nucleus is removed, one or more insert devices can be implanted within the annulus of a spinal disc and they can be mated to one or both endplates of the adjacent vertebrae. The insert(s) is configured to interact with a nucleus disc replacement implant to prevent expulsion of the implant from the annulus.
摘要:
Methods and devices are provided for replacing a nucleus of a spinal disc, and in particular for preventing nucleus disc replacement expulsion. The nucleus of a spinal disc can be removed from the annulus by forming a small opening in the annulus. Once the nucleus is removed, one or more insert devices can be implanted within the annulus of a spinal disc and they can be mated to one or both endplates of the adjacent vertebrae. The insert(s) is configured to interact with a nucleus disc replacement implant to prevent expulsion of the implant from the annulus.
摘要:
Several devices and methods for preparing the vertebral endplates while minimizing damage to the vertebral endplates. Each design incorporates flexible means to reduce endplate damage while enabling removal of the cartilage adhered to the endplate cortical bone.
摘要:
A method of delivering a fusion cage to an intervertebral disc space bounded by adjacent vertebral endplates, comprising the step of delivering the fusion cage into the disc space without contacting its teeth to the vertebral endplates during delivery, wherein a sheath is interposed between a cage surface and the endplates to prevent contact therebetween during delivery.
摘要:
A method of correcting spinal deformity, which includes locating pharmaceutical-loaded implants adjacent to targeted spinal growth plates, and then eluting the pharmaceutical onto the growth plates. Preferably, the method involves correcting spinal deformity by simply inserting a pharmaceutical-eluting pedicle screw onto the concave side of a scoliotic curve. The screw has a cannulated internal reservoir that contains a chondrocyte growth-inducing pharmaceutical (such as a growth factor or small molecule) and at least one fenestration that allows the pharmaceutical to elute onto the vertebral body growth plate.
摘要:
A method for manipulating intervertebral tissue in one embodiment includes inserting at least one abrading member for abrading tissue into an area to be cleared, expanding at least one expandable member from a first condition to a second condition, wherein the volume defined by the at least one expandable member in the second condition is greater than the volume defined by the at least one expandable member in the first condition, moving the inserted at least one abrading member from a first position to a second position by the expansion of the at least one expandable member, manipulating the inserted at least one abrading member to loosen tissue, and removing the loosened tissue from the area to be cleared.
摘要:
A method for manipulating intervertebral tissue in one embodiment includes inserting at least one abrading member for abrading tissue into an area to be cleared, expanding at least one expandable member from a first condition to a second condition, wherein the volume defined by the at least one expandable member in the second condition is greater than the volume defined by the at least one expandable member in the first condition, moving the inserted at least one abrading member from a first position to a second position by the expansion of the at least one expandable member, manipulating the inserted at least one abrading member to loosen tissue, and removing the loosened tissue from the area to be cleared.
摘要:
An intervertebral fusion device comprising inferior and superior fusion cage devices that provide an ability to correct spondylolisthesis via in-situ adjustment.
摘要:
A prosthetic is provided for replacing a vertebral disc. The prosthesis can comprise first and second endplates formed of a ceramic material, each including an articulating contact surface and a bone facing surface. The contact surface of the first endplate can have a shape complementary to the contact surface of the second endplate, thereby facilitating articulation of the first and second endplates while in contact with one another. The device can further include at least one non-ceramic bone attachment element mated with at least one of the bone facing surfaces, such that the bone attachment element covers less than a full area of the bone facing surface.
摘要:
A method of correcting spinal deformity, which includes locating pharmaceutical-loaded implants adjacent to targeted spinal growth plates, and then eluting the pharmaceutical onto the growth plates. Preferably, the method involves correcting spinal deformity by simply inserting a pharmaceutical-eluting pedicle screw onto the concave side of a scoliotic curve. The screw has a cannulated internal reservoir that contains a chondrocyte growth-inducing pharmaceutical (such as a growth factor or small molecule) and at least one fenestration that allows the pharmaceutical to elute onto the vertebral body growth plate.