Cervical motion preservation device
View Patent ↗A system of reconstruction for a spinal joint is directed to a modular implant assembly that includes an upper part and a lower part. The upper and lower parts each comprise a unitary body having an approximately ninety degree bend defining vertical and horizontal components. Each vertical component has a fastener hole for attaching it to a bone segment using a bone fastener. The horizontal sections each have a complementary contact surfaces in order to transmit compressive load therebetween and to accommodate sliding and pivoting relative movement therebetween. The vertical sections of each of the upper and lower part are offset with respect to a vertical centerline so that successive assemblies bridging more than one adjacent vertebral space can have an upper part and a lower part according to the present invention coexist on a single vertebra in a space-efficient manner wherein the vertical sections nest spatially.
1. An assembly for implantation into an intervertebral space between a first and a second vertebra, the assembly comprising:
a pair of components, a first of the pair of components adapted to be inserted into the intervertebral space and in contact with a vertical face of the first vertebra and a second of the pair of components adapted to be inserted into the intervertebral space and in contact with a vertical face of the second vertebra; and
a central core, pivotally engaged in the intervertebral space between the pair of components such that translational motion of the pair of components relative to each other is mitigated,
wherein each component comprises:
a first portion with a generally planar shape, with a surface thereof adapted for gripping an endface of the vertebra with which it is used and an opposing surface for engaging the central core; and
a second portion, also with a generally planar shape, the second portion being oriented at about ninety degrees to the first portion and aligned substantially to one side of a centerline of the first portion, with a surface adapted to engage the vertical face of the vertebra with which it is used and,
the second portions of the pair of components are arranged asymmetrically such that the second portion of the first of the components is offset relative to the second portion of the second of the pair of components along a centerline of the assembly normal to a plane parallel to the first portions of the pair of components and wherein the second portions of the pair of components are oriented away from each other such that each second portion extends from the respective first portion,
the second portion is provided with a hole adapted for insertion of a fastener therethrough into the vertical face of a respective vertebra with which it is used, the hole is oversized relative to a shaft of the fastener to allow one or more of sliding or pivoting therein and a captive ring disposed in the hole, where the ring receives a head of the fastener in a manner that causes the fastener to be held therein.
2. The assembly of claim 1 , further comprising:
a convex face on the endface-engaging surface of the first portion; and
a concave face on the opposing surface thereof.
3. The assembly of claim 1 , wherein each second portion of the assembly is shaped to facilitate nesting with another second portion of another assembly attached to an opposite side of a vertebra bearing the assembly.
4. A system for reconstructing each of a pair of adjacent spinal joints, each spinal joint comprising a pair of vertebrae separated by an intervertebral space, the system comprising:
two of the assemblies of claim 1 , the first of the assemblies configured for implantation in the first intervertebral space and the second of the assemblies configured for implantation in the second intervertebral space, such that upon implantation of the two assemblies, the intermediate vertebra in the pair of the adjacent spinal joints will have one of the identical components fastened to each of the endfaces thereof.