Offset radius lordosis
View Patent ↗A vertebral body replacement or spacer that re-creates a lordosis angle (or other angle) of a human spine. An embodiment of the spacer may comprise contoured superior and inferior bearing surfaces. More particularly, the contoured surfaces may be defined by compound curves such as two radii substantially orthogonal to each other. As a result, the bearing surfaces may conform to the convex end plates of adjacent vertebra. In another embodiment, the present invention may provide a method of establishing a lordosis angle. The method may comprise inserting a spacer into an intervertebral space and positioning the spacer in such a manner that the contoured surfaces generally correspond to the end plates of the adjacent vertebra. However, the spacers and methods of the embodiments of the present invention may be used to re-create other angles in the human spine.
1. A spinal implant for posterior or lateral placement between adjacent vertebrae, said implant comprising:
a first dimension along a medial-lateral axis between a lateral end and a medial end of said implant;
a second dimension along an anterior-posterior axis substantially orthogonal to said medial-lateral axis and less than said first dimension;
a first bearing surface configured to abut a first vertebra;
a second bearing surface configured to abut a second vertebra;
a compound curve comprising a first radius in a first plane of curvature perpendicular to said anterior-posterior axis and a second radius in a second plane of curvature perpendicular to said medial-lateral axis, said second plane of curvature being orthogonal to said first plane of curvature and said compound curve defining at least one of said first bearing surface and said second bearing surface, said first radius in said first plane of curvature of said compound curve being longitudinally offset at a first non-zero distance along said medial-lateral axis from a longitudinal center axis of said implant;
wherein said first radius is continuous from said lateral end to said medial end of said implant;
a first cavity and a second cavity configured to extend through at least said first bearing surface and said second bearing surface; and
an intermediate member interposed between said first cavity and said second cavity.
2. The spinal implant of claim 1 further comprising:
a first end configured to be substantially semi-spheroidal in shape; and
a second end configured to be substantially semi-circular when viewed perpendicular to one of said first and second bearing surfaces.
3. The spinal implant of claim 2 further comprising a first angled landing coupling one of said first and second bearing surfaces to said first end.
4. The spinal implant of claim 3 further comprising a second angled landing coupling said other of said first and second bearing surfaces to said first end.
5. The spinal implant of claim 1 further comprising at least one row of engaging protrusions configured to follow a contour of at least one of said first and second bearing surfaces.
6. The spinal implant of claim 5 wherein said at least one row of engaging protrusions comprises a first row of engaging protrusions and a second row of engaging protrusions configured to follow said contour of said first bearing surface and said second bearing surface.
7. The spinal implant of claim 1 further comprising a radiopaque marker member positioned proximate to an attachment slot of said implant.
8. The spinal implant of claim 1 wherein said second radius is in said second plane of curvature of said compound curve, said second radius being transversely offset at a second non-zero distance along said anterior-posterior axis from a transverse center axis of said implant.
9. A spinal implant for posterior or lateral placement between a first vertebral plate and a second vertebral plate of adjacent vertebrae, said implant comprising:
an implant body wherein said implant body comprises:
a length along a medial-lateral direction and a width along an anterior-posterior direction orthogonal to said medial-lateral direction, wherein said length being greater than said width of said implant body;
a first bearing surface configured to abut the first vertebral plate,
a second bearing surface configured to abut the second vertebral plate,
said first bearing surface having a first curvature in said medial-lateral direction along said length of said body in a first plane of curvature defining a first radius about a first center of curvature, said first plane of curvature being perpendicular to said anterior-posterior direction, said first center of curvature being longitudinally offset at a first non-zero distance along said length away from a centroidal axis, wherein said first curvature extends in opposing directions from said first center of curvature in said medial-lateral direction along said length;
said first bearing surface having a second curvature in said anterior-posterior direction along said width of said body in a second plane of curvature defining a second radius, said second plane of curvature being perpendicular to said medial-lateral direction;
a first and second cavity open to at least said first bearing surface and said second bearing surface; and
an intermediate member interposed between said first and said second cavity.
10. The spinal implant of claim 9 wherein said implant body comprises:
a first end and a second end at opposing ends of said implant along said length;
said first end comprises a first end thickness between said first bearing surface and said second bearing surface; and
said second end opposite to said first end and that comprises a second end thickness between said first bearing surface and said second bearing surface not equal to said first end thickness.
11. The spinal implant of claim 10 wherein said implant body comprises:
a third end and a fourth end at opposing ends of said implant along said width;
said third end comprises a third end thickness between said first bearing surface and said second bearing surface; and
said fourth end opposite to said third end and that comprises a fourth end thickness between said first bearing surface and said second bearing surface substantially equal to said third end thickness.
12. The spinal implant of claim 10 wherein said implant body comprises:
a third end and a fourth end at opposing ends of said implant along said width;
said third end comprises a third end thickness between said first bearing surface and said second bearing surface; and
said fourth end opposite to said third end and that comprises a fourth end thickness between said first bearing surface and said second bearing surface not equal to said third end thickness.
13. The spinal implant of claim 9 wherein said implant body comprises:
a first end and a second end at opposing ends of said implant along said width;
said first end comprises a first end thickness between said first bearing surface and said second bearing surface; and
said second end opposite to said first end and that comprises a second end thickness between said first bearing surface and said second bearing surface substantially equal to said first end thickness.
14. The spinal implant of claim 9 wherein said implant body comprises:
a first end and a second end at opposing ends of said implant along said width;
said first end comprises a first end thickness between said first bearing surface and said second bearing surface; and
said second end opposite to said first end and that comprises a second end thickness between said first bearing surface and said second bearing surface not equal to said first end thickness.
15. The spinal implant of claim 9 wherein:
said second radius in said second plane of curvature is defined about a second center of curvature, said second center of curvature being transversely offset at a second non-zero distance along said width away from said centroidal axis.
16. A spinal implant for placement within an intervertebral space between a first vertebra and an adjacent second vertebra, said implant comprising:
an implant body having a first cross-section in a medial-lateral direction along said implant, and further comprising:
a superior bearing surface configured to abut a first vertebra,
an inferior bearing surface configured to abut a second vertebra,
at least one of said superior bearing surface and said inferior bearing surface having a first curvature in said medial-lateral direction with a first radius about a first center of curvature, said first center of curvature being located in a first plane of curvature perpendicular to said medial-lateral direction, said first center of curvature being longitudinally offset at a non-zero distance along a length of said body away from a centroidal axis of said body in said first plane of curvature;
said implant having a second cross-section in an anterior-posterior direction along said implant substantially orthogonal to said medial-lateral direction, said implant body comprising:
at least one of said superior bearing surface and said inferior bearing surface having a second curvature in said anterior-posterior direction with a second radius;
a first cavity configured to establish a communicative pathway through said implant, between the first vertebra and the second vertebra;
a second cavity configured to establish a communicative pathway through said implant, between said first vertebra and the second vertebra;
an intermediate member between said first and said second cavity; and
an angled landing provided at the junction of said superior bearing surface or said inferior bearing surface and at one of opposing medial-lateral ends of said implant body.
17. The spinal implant of claim 16 further comprising a plurality of longitudinal radii in said medial-lateral direction.
18. The spinal implant of claim 16 further comprising a plurality of transverse radii in said anterior-posterior direction.
19. The spinal implant of claim 16 wherein said second radius is located in a second plane of curvature perpendicular to said anterior-posterior direction and is defined about a second center of curvature, said second center of curvature being transversely offset at a second non-zero distance along a width of said body away from said centroidal axis of said body in said second plane of curvature.
20. A spinal implant for placement within an intervertebral space between a first vertebra and an adjacent second vertebra, comprising:
an implant having a first end surface and a second end surface connected by first and second walls, and a first load bearing surface and a second load bearing surface;
said first load bearing surface having a first curvature in a medial-lateral direction along a length of said implant with a longitudinal radius about a center of curvature, said center of curvature being located in a first plane of curvature perpendicular to said medial-lateral direction, said implant having a centroidal axis centered on said length of said implant and said first plane of curvature, wherein said center of curvature of said longitudinal radius is longitudinally offset from said centroidal axis at a first non-zero distance along a direction of said length;
wherein said first curvature extends in opposing directions from said center of curvature of said longitudinal radius in said medial-lateral direction along said length of said implant; and
wherein said first load bearing surface having a second curvature in an anterior-posterior direction along a width orthogonal to said medial-lateral direction with a transverse radius about a second center of curvature, said second center of curvature being located in a second plane of curvature perpendicular to said anterior-posterior direction, said implant having said centroidal axis centered on said width of said implant and said second plane of curvature, wherein said second center of curvature of said transverse radius is transversely offset from said centroidal axis at a second non-zero distance along a direction of said width.
21. The spinal implant as in claim 20 wherein said first or said second load bearing surfaces include protrusions.
22. The spinal implant as in claim 20 wherein said implant includes one or more cavities therein.
23. The spinal implant as in claim 20 wherein said implant includes a plurality of said longitudinal radii.
24. The spinal implant as in claim 20 wherein said implant includes at least one local maximum height between said first load bearing surface and said second load bearing surface at said first non-zero distance in said medial-lateral direction.