Multiple facet joint replacement
View Patent ↗A prosthesis for the replacement of multiple diseased or traumatized spinal facets comprises a portion that replaces at least a bony portion of the facets to be replaced and where the prosthesis attaches to the vertebra in a manner that does not require attachment to, or abutment against, the lamina. Multiple configurations of the prosthesis provide for replacement of the two inferior facets, the two superior facets, a superior and inferior facet, or all four facets. A method of installing the prosthesis is provided that is comprised of the steps of resecting at least a portion of the facets that carry the diseased or traumatized spinal facets and attaching the prosthesis in a manner that does not require attachment or abutment against the lamina.
1. An implant for replacing at least a left inferior facet and a right inferior facet of a first vertebra comprising a natural lamina, a natural left inferior facet, and a natural right inferior facet, the implant comprising:
a left inferior articular surface shaped to replace the natural left inferior facet;
a right inferior articular surface shaped to replace the natural right inferior facet; and
a bridge extending along a substantially straight path between the left and right articular surfaces to couple the left and right inferior articular surfaces together;
wherein the bridge comprises a cross sectional shape perpendicular to the path that remains uniform over at least a portion of a length of the path.
2. The implant of claim 1 , wherein the left and right inferior articular surfaces are attachable to the first vertebra independently of attachment to a transverse process of the first vertebra.
3. The implant of claim 1 , wherein the cross sectional shape remains substantially uniform along substantially all of the length of the path.
4. The implant of claim 1 , wherein the path extends substantially medial-laterally.
5. The implant of claim 1 , wherein the left and right inferior articular surfaces are positioned substantially in-line with the path.
6. The implant of claim 1 , wherein the bridge couples the left and right inferior articular surfaces together in such a manner that the left and right inferior articular surfaces are non-adjustably positionable relative to each other.
7. The implant of claim 6 , wherein the left and right inferior articular surfaces are formed as a single piece with the bridge.
8. An implant for replacing at least a left facet and a right facet of a first vertebra comprising a natural lamina, a natural left facet, and a natural right facet, the implant comprising:
a left articular surface shaped to replace the natural left facet;
a right articular surface shaped to replace the natural right facet; and
a bridge extending along a substantially straight path to couple the left and right articular surfaces together such that the left and right articular surfaces are positioned substantially in-line with the substantially straight path;
wherein the bridge comprises a cross sectional shape perpendicular to the path that remains uniform over at least a portion of a length of the path.
9. The implant of claim 8 , wherein the left and right articular surfaces are attachable to the first vertebra independently of attachment to a transverse process of the first vertebra.
10. The implant of claim 8 , wherein the cross sectional shape remains substantially uniform along substantially all of the length of the path.
11. The implant of claim 8 , wherein the path extends substantially medial-laterally.
12. The implant of claim 8 , wherein the left and right articular surfaces comprise left and right inferior articular surfaces shaped to articulate with left and right superior articular surfaces of a second vertebra inferior to the first vertebra.
13. The implant of claim 8 , wherein the bridge couples the left and right articular surfaces together in such a manner that the left and right articular surfaces are non-adjustably positionable relative to each other.
14. The implant of claim 13 , wherein the left and right articular surfaces are formed as a single piece with the bridge.
15. An implant for replacing at least a left facet and a right facet of a first vertebra comprising a natural lamina, a natural left facet, and a natural right facet, the implant comprising:
a left articular surface shaped to replace the natural left facet;
a right articular surface shaped to replace the natural right facet; and
a bridge formed as a single piece with the left articular surface and the right articular surface to couple the left and right articular surfaces together;
wherein the bridge occupies a volume between the left and right articular surfaces;
wherein at least one of the left and right articular surfaces comprises an inferior articular surface shaped to articulate with a superior articular surface of a second vertebra inferior to the first vertebra.
16. The implant of claim 15 , wherein the left and right articular surfaces are attachable to the first vertebra independently of attachment to a transverse process of the first vertebra.
17. The implant of claim 15 , wherein the bridge comprises a cross sectional shape that remains substantially uniform along substantially all of the length of the path.
18. The implant of claim 15 , wherein the bridge extends along a substantially straight path between the left and right articular surfaces.
19. The implant of claim 15 , wherein the path extends substantially medial-laterally.
20. The implant of claim 15 , wherein the left and right articular surfaces comprise left and right inferior articular surfaces shaped to articulate with left and right superior articular surfaces of a second vertebra inferior to the first vertebra.