Method for preparing a space between adjacent vertebrae to receive an insert
View Patent ↗A device and method for use in a human spine to prepare a space between adjacent vertebral bodies and into the vertebral end plates to receive an implantable insert. The device includes a handle, a shaft, and a mounting member at one end of the shaft. An abrading element is mounted on the mounting member and is coupled to a drive mechanism. The drive mechanism is operable to move the abrading element in at least one degree of freedom to create surfaces having predetermined contours in the end plates of the adjacent vertebral bodies.
1. A method for performing surgery on a spinal segment including a disc space and two vertebral bodies adjacent the disc space of a human spine, said method comprising the steps of:
forming a socket by removing bone from at least a portion of at least one of the adjacent vertebral bodies from within the disc space and between the external perimeters of the two adjacent vertebral bodies, the socket formed in the bone having an entrance, an abutment wall formed in the bone opposite the entrance, an axis of insertion through the entrance and the abutment wall, and a depth along the axis of insertion, the abutment wall having a height and a width, the socket having a surface formed in the bone from the abutment wall to the entrance and extending from the side to the side, the surface having a plurality of points in a horizontal plane that passes through the surface, the horizontal plane being parallel to the axis of insertion and being perpendicular to a vertical plane the vertical plane passing through and being parallel with the axis of insertion and passing through the adjacent vertebral bodies the abutment wall being in the shape of approximately one half of a circle from side to side in the horizontal plane; and
inserting a spinal insert into the socket, the spinal insert having a leading end and a trailing end opposite the leading end, the leading end of the insert having an exterior configured to substantially correspond to the shape of the abutment wall of the socket.
2. The method of claim 1 , wherein the step of forming includes removing bone from at least a portion of each of the adjacent vertebral bodies.
3. The method of claim 2 , wherein the step of forming includes forming the socket to have upper and lower surfaces that are angled relative to one another.
4. The method of claim 2 , wherein the step of forming includes forming the socket to have upper and lower surfaces that are generally parallel relative to one another.
5. The method of claim 1 , wherein the step of forming includes forming the socket to have at least one of an upper surface and a lower surface that is at least in part concave.
6. The method of claim 1 , wherein the step of forming includes forming the socket to have at least one of an upper surface and a lower surface that is at least in part planar.
7. The method of claim 1 , wherein the step of forming includes forming the socket to have a distance between the entrance and the abutment wall that is greater than one-half the width of the abutment wall.
8. The method of claim 1 , wherein the step of forming includes forming the socket to have a distance between the entrance and the abutment wall that is greater than the width of the abutment wall.
9. The method of claim 1 , wherein the spinal insert is an artificial disc.
10. The method of claim 1 , wherein the spinal insert is a motion preserving device.
11. The method of claim 1 , wherein the spinal insert is a bone graft.
12. The method of claim 1 , wherein the spinal insert is a fusion implant.
13. The method of claim 1 , further comprising the step of combining the spinal insert with a fusion promoting material.
14. The method of claim 13 , wherein the spinal insert includes a hollow portion and the step of combining includes packing the spinal insert with the fusion promoting material.
15. The method of claim 13 , wherein the fusion promoting material is bone.
16. The method of claim 1 , further comprising the step of suctioning debris from the socket.
17. The method of claim 1 , further comprising the step of imigating the socket.
18. The method of claim 1 , wherein the step of forming includes removing bone with a device that is mechanically driven.
19. The method of claim 18 , wherein the device includes an abrading element.
20. The method of claim 1 , wherein the step of forming includes forming the socket to have opposed side walls between the entrance and abutment wall, at least one of the side walls being at least in part straight.
21. The method of claim 20 , wherein the step of brining includes forming the socket to have at least one of an upper surface and a lower surface that is at least in part concave.
22. The method of claim 20 , wherein the step of forming includes forming the socket to have at least one of an upper surface and a lower surface that is at least in part planar.
23. The method of claim 20 , wherein the step of forming includes removing bone from at least a portion of each of the adjacent vertebral bodies.
24. The method of claim 23 , wherein the step of brining includes forming the socket to have upper and lower surfaces that are angled relative to one another.
25. The method of claim 23 , wherein the step of brining includes forming the socket to have upper and lower surfaces that are generally parallel relative to one another.
26. The method of claim 1 , wherein the step of forming includes fanning the abutment wall with a first arc of radius from side to side and a second arc of radius from side to side that is spaced from the first arc of radius along the height of the abutment wall, the first and second arcs of radii being the same.
27. The method of claim 1 , wherein the step of forming includes forming the socket to have a non-cylindrical shape transverse to the axis of insertion along a majority of the depth of the socket.
28. The method of claim 1 , wherein the step of forming includes forming the surface of the socket to be at least in part curved in a plane parallel to the axis of insertion.
29. The method of claim 1 , wherein the step of forming includes forming the socket to have upper and lower surfaces that are at least in part curved in a plane parallel to the axis of insertion.
30. The method of claim 1 , wherein the step of forming includes removing bone from at least a portion of each of the adjacent vertebral bodies.
31. The method of claim 30 , wherein the step of forming includes forming the socket to have upper and lower surfaces that are angled relative to one another.
32. The method of claim 30 , wherein the step of forming includes forming the socket to have upper and lower surfaces that are generally parallel relative to one another.
33. The method of claim 1 , wherein the step of forming includes forming the socket to have a distance between the entrance and the abutment wall that is greater than the width of the abutment wall.
34. The method of claim 1 , wherein the spinal insert is a bone graft.
35. The method of claim 1 , wherein the spinal insert is a fusion implant.
36. The method of claim 1 , further comprising the step of combining the spinal insert with a fusion promoting material.
37. The method of claim 36 , wherein the fusion promoting material is bone.
38. A method for performing surgery on a spinal segment including a disc space and two vertebral bodies adjacent the disc space of a human spine, said method comprising the steps of:
forming a socket by removing bone from at least a portion of at least one of the adjacent vertebral bodies from within the disc space and between the external perimeters of the two adjacent vertebral bodies, the socket formed in the bone having an entrance, an abutment wall formed in the bone opposite the entrance, an axis of insertion through the entrance and the abutment wall, and a depth along the axis of insertion, the abutment wall having a height and a width, the abutment wall being in the shape of approximately one half of a circle from side to side in a horizontal plane that is parallel with the axis of insertion and passes through the abutment wall of only one of the adjacent vertebral bodies, the socket having a surface formed in the bone from the abutment wall to the entrance and extending from the side to the side, the surface being at least in part planar; and
inserting a spinal insert into the socket, the spinal insert having a leading end and a trailing end opposite the leading end, the leading end of the insert having an exterior configured to substantially correspond to the shape of the abutment wall of the socket.
39. A method for performing surgery on a spinal segment including a disc space and two vertebral bodies adjacent the disc space of a human spine, said method comprising the steps of:
forming a socket by removing bone from at least a portion of at least one of the adjacent vertebral bodies from within the disc space and between the external perimeters of the two adjacent vertebral bodies, the socket formed in the bone having an entrance, an abutment wall formed in the bone opposite the entrance, an axis of insertion through the entrance and the abutment wall, and a depth along the axis of insertion, the abutment wall having a height and a width, the abutment wall being in the shape of approximately one half of a circle from side to side in a horizontal plane that is parallel with the axis of insertion and passes through the abutment wall of only one of the adjacent vertebral bodies, the socket having a surface formed in the bone from the abutment wall to the entrance and extending from the side to the side, the surface being at least in part curved in a plane parallel with the axis of insertion; and
inserting a spinal insert into the socket, the spinal insert having a leading end and a trailing end opposite the leading end, the leading end of the insert having an exterior configured to substantially correspond to the shape of the abutment wall of the socket.
40. The method of claim 39 , wherein the step of forming includes removing bone from at least a portion of each of the adjacent vertebral bodies.
41. The method of claim 40 , wherein the step of forming includes forming the socket to have upper and lower surfaces that are angled relative to one another.
42. The method of claim 39 , wherein the step of forming includes forming the socket to have at least one of an upper surface and a lower surface that is at least in part concave.
43. The method of claim 39 , wherein the step of forming includes forming the socket to have a distance between the entrance and the abutment wall that is greater than the width of the abutment wall.
44. The method of claim 39 , wherein the spinal insert is a bone graft.
45. The method of claim 39 , wherein the spinal insert is a fusion implant.
46. The method of claim 39 , further comprising the step of combining the spinal insert with a fusion promoting material.
47. The method of claim 46 , wherein the fusion promoting material is bone.