Spinal stabilization devices, systems, and methods
This specification describes spinal stabilization devices that may be introduced into the spine via surgical procedures. In particular, this specification describes an inter-spinous process spacer having a core chosen, in one variation, to provide a kyphotic or lordotic angle to the device. The specification also describes systems including the described devices and methods of introducing the devices and systems into the spine to provide effective stabilization.
1. An interspinous process spinal stabilization device implantable between upper and lower spinous processes of adjacent vertebrae in a spine, the spine having a spinal axis that is substantially parallel with the spinal cord in the spine, the device comprising:
a.) an upper end plate configured to attach to an upper spinous process with a first fixation structure, and further configured with a cavity situated opposite from the first fixation structure, the cavity substantially conforming in shape to a compressible, elastic, polymeric core member,
b.) a lower end plate configured to attach to a lower spinous process with a second fixation structure, and further configured with a cavity situated opposite from the second fixation structure, the cavity substantially conforming in shape to the compressible, elastic, polymeric core member,
c.) one or more flexible members selected from the group consisting of fibers, ribbons, and membranes extending between the upper end plate and the lower end plate and associating movement in one end plate with movement in the other end plate, and
d.) said compressible, elastic, polymeric core member having a core axis along a core length, the core member having dimensions perpendicular to the core length that are all shorter than the core length, the core axis forming an included angle with the spinal axis greater than about 35° to and including 90°.
2. The device of claim 1 wherein the core member has a core cross-section perpendicular to the core axis and wherein the core cross-section has a shape selected from the group consisting of substantially circular, oval, square, rectangular, and polygonal.
3. The device of claim 1 wherein the core member has a core cross-section perpendicular to the core axis and wherein the core cross-section is substantially circular.
4. The device of claim 1 wherein the core member comprises elastomeric material.
5. The device of claim 1 wherein the core member comprises TPE.
6. The device of claim 2 wherein the core member is tapered.
7. The device of claim 3 wherein the core member is tapered.
8. The device of claim 2 wherein the core member is threaded.
9. The device of claim 7 wherein the core member is threaded.
10. The device of claim 1 wherein the upper end plate comprises the first fixation structure and an upper support member,
wherein the upper support member contains the cavity substantially conforming in shape to the core member, and
wherein the first fixation structure and the upper support member are removably slidably attachable to each other, and
wherein the lower end plate comprises the second fixation structure and a lower support member,
wherein the lower support member contains the cavity substantially conforming in shape to the core member, and
wherein the second fixation structure and the lower support member are removably slidably attachable to each other.
11. The device of claim 10 wherein the first and second fixation structures comprise slidable keyways and wherein the upper and lower support members comprise members slidable within the slidable keyways.
12. The device of claim 1 wherein the one or more flexible members comprise more than one fiber interconnecting upper and lower end plates.
13. The device of claim 1 wherein the one or more flexible members comprise more than one ribbon interconnecting upper and lower end plates.
14. A spinal stabilization system comprising the interspinous process spinal stabilization device of claim 1 and an implantable prosthetic disc.
15. An interspinous process spinal stabilization device implantable between upper and lower spinous processes of adjacent vertebrae in a spine, the spine having a spinal axis that is substantially parallel with the spinal cord in the spine, the device comprising:
a.) an upper end plate configured to attach to an upper spinous process with a first fixation structure comprising a pair of tabs configured such that, when the device is implanted, the upper spinous process lies between the pair of tabs, and further configured with a cavity situated opposite from the first fixation structure, the cavity substantially conforming in shape to a compressible, elastic, polymeric core member,
b.) a lower end plate configured to attach to a lower spinous process with a second fixation structure comprising a pair of tabs configured such that, when the device is implanted, the lower spinous process lies between the pair of tabs, and further configured with a cavity situated opposite from the second fixation structure, the cavity substantially conforming in shape to the compressible, elastic, polymeric core member,
c.) one or more flexible members selected from the group consisting of fibers, ribbons, and membranes extending between the upper end plate and the lower end plate and associating movement in one end plate with movement in the other end plate, and
d.) said compressible, elastic, polymeric core member having a core axis along a core length, the core member having dimensions perpendicular to the core length that are all shorter than the core length, the core axis forming an included angle with the spinal axis greater than about 35° to and including 90°.
16. The device of claim 15 wherein the core member has a core cross-section perpendicular to the core axis and wherein the core cross-section has a shape selected from the group consisting of substantially circular, oval, square, rectangular, and polygonal.
17. The device of claim 15 wherein the core member has a core cross-section perpendicular to the core axis and wherein the core cross-section is substantially circular.
18. The device of claim 15 wherein the core member comprises elastomeric material.
19. The device of claim 15 wherein the core member comprises TPE.
20. The device of claim 16 wherein the core member is tapered.
21. The device of claim 17 wherein the core member is tapered.
22. The device of claim 16 wherein the core member is threaded.
23. The device of claim 21 wherein the core member is threaded.
24. The device of claim 15 wherein the upper end plate comprises the first fixation structure and an upper support member,
wherein the upper support member contains the cavity substantially conforming in shape to the core member, and
wherein the first fixation structure and the upper support member are removably slidably attachable to each other, and
wherein the lower end plate comprises the second fixation structure and a lower support member,
wherein the lower support member contains the cavity substantially conforming in shape to the core member, and
wherein the second fixation structure and the lower support member are removably slidably attachable to each other.
25. The device of claim 24 wherein the first and second fixation structures comprise slidable keyways and wherein the upper and lower support members comprise members slidable within the slidable keyways.
26. The device of claim 15 wherein the one or more flexible members comprise more than one fiber interconnecting upper and lower end plates.
27. The device of claim 15 wherein the one or more flexible members comprise more than one ribbon interconnecting upper and lower end plates.
28. The device of claim 15 wherein the tabs contain openings for fixation to the upper and lower spinous processes.
29. A spinal stabilization system comprising the interspinous process spinal stabilization device of claim 15 and an implantable prosthetic disc.
30. An interspinous process spinal stabilization device implantable between upper and lower spinous processes of adjacent vertebrae in a spine, the spine having a spinal axis that is substantially parallel with the spinal cord in the spine, the device comprising:
a.) an upper end plate configured to attach to an upper spinous process with a first fixation structure comprising a pair of tabs configured such that, when the device is implanted, the upper spinous process lies between the pair of tabs, each of the tabs containing openings for fixation to the upper spinous process, and further configured with a cavity situated opposite from the first fixation structure, the cavity substantially conforming in shape to a compressible, elastic, polymeric core member,
b.) a lower end plate configured to attach to a lower spinous process with a second fixation structure comprising a pair of tabs configured such that, when the device is implanted, the lower spinous process lies between the pair of tabs containing openings for fixation to the lower spinous process, and further configured with a cavity situated opposite from the second fixation structure, the cavity substantially conforming in shape to the compressible, elastic, polymeric core member,
c.) one or more flexible members selected from the group consisting of fibers, ribbons, and membranes extending between the upper end plate and the lower end plate and associating movement in one end plate with movement in the other end plate, and
d.) said compressible, elastic, polymeric core member having a core axis along a core length, the core member having dimensions perpendicular to the core length that are all shorter than the core length, the core axis forming an included angle with the spinal axis greater than about 35° to and including 90° and further wherein the polymeric core member has a substantially circular core cross-section perpendicular to the core axis.
31. The device of claim 30 wherein the core member comprises elastomeric material.
32. The device of claim 30 wherein the core member comprises TPE.
33. The device of claim 30 wherein the core member is tapered.
34. The device of claim 30 wherein the core member is threaded.
35. The device of claim 30 wherein the upper end plate comprises the first fixation structure and an upper support member,
wherein the upper support member contains the cavity substantially conforming in shape to the core member, and
wherein the first fixation structure and the upper support member are removably slidably attachable to each other, and
wherein the lower end plate comprises the second fixation structure and a lower support member,
wherein the lower support member contains the cavity substantially conforming in shape to the core member, and
wherein the second fixation structure and the lower support member are removably slidably attachable to each other.
36. The device of claim 35 wherein the first and second fixation structures comprise slidable keyways and wherein the upper and lower support members comprise members slidable within the slideable keyways.
37. The device of claim 35 wherein the one or more flexible members comprise more than one fiber interconnecting upper and lower end plates.
38. The device of claim 30 wherein the one or more flexible members comprise more than one ribbon interconnecting upper and lower end plates.
39. A spinal stabilization system comprising the interspinous process spinal stabilization device of claim 30 and an implantable prosthetic disc.