Pair of lumbar interbody implants and method of fusing together adjoining vertebrae bodies
The pair of lumbar interbody implants is designed to be pushed laterally in a space between adjacent vertebrae for replacing the disc between these vertebrae. Each implant comprises a first and a second saggital wall and an anterior wall at one end and a posterior wall at the other end. The two implants are asymmetric to each other and are therefore more appropriate for the transforaminal lumbar interbody fusion. Preferably a first implant has a first saggital wall with an outer surface that is curved and a second saggital wall that is essentially plane.
1. A pair of lumbar interbody implants, each of generally rectangular cross-section, adapted to be pushed laterally in the disc space between adjacent vertebrae for spinal, interbody fusion, wherein each implant comprises:
a first and second saggital wall ( 5 , 7 ; 6 , 8 );
an anterior wall ( 10 ) at one end and a posterior wall ( 9 , 11 ) at the other end;
said posterior wall ( 9 , 12 ) has means ( 21 ) to receive a positioning tool;
an upper surface ( 13 ) and a bottom surface ( 14 );
said first and second saggital walls each of which has an outer surface and top and bottom edges, wherein
a hollow space ( 28 ) is located within said walls, said hollow space ( 28 ) being adapted to receive therewithin bone graft material; and
the two implants are asymmetric to each other.
2. A pair of claim 1 , wherein a first implant has a first saggital wall with an outer surface that is curved and a second saggital wall that is essentially plane.
3. A pair of claim 2 , wherein a second implant has a first saggital wall with an outer surface that is curved and a second saggital wall that is essentially flat.
4. A pair of claim 2 , wherein the essentially plane surfaces of the saggital walls are mating surfaces.
5. A pair of claim 1 , wherein at least one strut ( 15 , 16 ) is extending between the two saggital walls.
6. A pair of claim 5 , wherein the outer surface of the first saggital wall is spaced from the outer surface of the second saggital wall of the first implant a distance larger than spacing between the two outer surfaces of the second implant.
7. A pair of claim 1 , wherein at least one saggital wall of the first cage and one saggital wall of the second cage has a top and a bottom edge each of which is rounded.
8. A pair of claim 1 , wherein the implants are in the form of cages.
9. A pair of claim 8 , wherein the second cage that is to be inserted second into the disc space has rounded leading edges on a far lateral side.
10. A pair of claim 1 , wherein a first implant, that is to be inserted first into the disc space, has a rounded lateral side, which enters first.
11. A pair of claim 1 , wherein at least one of the implants has upward struts designed to make insertion of the implants into the disc space easier, and to prevent anterior as well as posterior migration of inserted implant.
12. A pair of claim 1 , wherein at least one of the implants is shaped with a posterior portion that is not as high as an anterior portion, providing lordosis.
13. A pair of claim 1 , wherein the second implant that is to be inserted second into the disc space, is smaller than the first cage, wherein the height and the length of the two implants are essentially the same.
14. A method of fusing together adjoining vertebrae bodies with a disc space therebetween, which comprises
clearance of the intervertebral disc space and opening the neuroforamen on one side wherein a spinal canal is opened,
inserting a first implant, that has a rounded lateral side and a hollow space therein containing bone graft material, the furthest into the disc space laterally,
introducing a second implant that has rounded leading edges on a far lateral side and a hollow space therein containing bone graft material,
with this second implant pushing the first implant contralaterally into its first position,
wherein the second implant is asymmetric to the first implant and either mates with the first implant pushing it further laterally or is closely spaced therefrom.
15. The method of claim 14 , wherein the second implant has a flat side mating with one lateral side of the first implant.
16. The method of claim 14 , wherein the second implant has a flat side mating with a flat lateral side of the first implant.
17. The method of claim 14 , wherein the second implant is smaller than the first implant.
18. The method of claim 14 , wherein the first as well as the second implant each has a posterior side that is shorter than an anterior side.
19. The method of claim 14 , wherein the two implants are in the form of a cage.