Facet augmentation
A method for augmenting or replacing a spinal facet ( 24 ) includes the steps of providing a first plate ( 40 ) and a second plate ( 50 ). An elastomeric member ( 70 ) is secured between and to the first plate ( 40 ) and the second plate ( 50 ). The first plate ( 40 ) is secured to a first vertebra ( 20 ). The second plate ( 50 ) is secured to a second vertebra ( 30 ) adjacent the first vertebra ( 20 ) for mimicking natural articulation between the first and second vertebrae ( 20, 30 ).
1. A method for augmenting a spinal facet of a spinal column, the method comprising the steps of:
providing a first plate and a second plate and an elastomeric member secured between and to the first plate and the second plate and extending along an axis that is parallel to a greatest dimension of the first plate and parallel to an axis of the spinal column extending in a cephalocaudal direction, the first and second plates being spaced entirely from the axis of the elastomeric member;
placing a fastener through an opening in the first plate to secure the first plate to a first vertebra overlying the native facet of the first vertebra; and
securing the second plate to a second vertebra overlying the native facet of the second vertebra such that an axis extending solely in an anterior-posterior direction intersects the first plate, the second plate, and the elastomeric member and such that no part of the first plate, the second plate, and the elastomeric member extends within the facet joint, the second vertebra being adjacent the first vertebra such that the first plate and the second plate mimic natural articulation between the first and second vertebrae.
2. The method of claim 1 wherein the step of securing the first plate to the first vertebra comprises securing the first plate to at least one of a pedicle, a transverse process, a spinous process, a lamina and the facet of the first vertebra and the step of securing the second plate to the second vertebra comprises securing the second plate to at least one of a pedicle, a transverse process, a spinous process, a lamina and the facet of the second vertebra.
3. The method of claim 1 further comprising the step of replacing the vertebral disc of the first vertebra with an artificial disc replacement prosthesis.
4. The method of claim 1 , wherein the first plate and the second plate are adapted to mimic lateral flexion between the first and second vertebrae.
5. The method of claim 1 , wherein the step of providing an elastomeric member comprises providing an elastomeric member formed from a urethane silicone blend or a silicone-polycarbonate-urethane copolymer.
6. The method of claim 1 , wherein the first plate is shaped to match the contour of the first vertebra and the second plate is shaped to match the contour of the second vertebra.
7. The method of claim 6 , wherein each of the first and second plates is one of concave or convex.
8. The method of claim 1 , wherein the elastomeric member deflects under tension, compression, and shear without plastic deformation.
9. The method of claim 1 further comprising:
placing a fastener through an opening in the second plate to secure the second plate to the second vertebra, the openings in the first plate and the second plate being aligned with the elastomeric member in a longitudinal direction extending along the first and second plates.
10. The method of claim 1 , wherein the second plate has a length that extends substantially parallel to the axis, the elastomeric member being positioned between the first plate and the second plate in a direction that extends substantially perpendicular to the axis and through the first plate and second plate.
11. The method of claim 1 comprising securing the first plate and the second plate to the elastomeric member such that the length of the first plate and a length of the second plate extend substantially parallel to one another.
12. The method of claim 1 comprising securing the first plate and the second plate to the elastomeric member such that the first plate and second plate overlap one another in the anterior-posterior direction.
13. The method of claim 1 comprising securing a surface of the first plate to the elastomeric member such that the surface faces towards the first vertebra when the first plate is secured to the first vertebra.
14. The method of claim 13 comprising securing a surface of the second plate to the elastomeric member such that the surface of the second plate faces away from the second vertebra when the second plate is secured to the second vertebra.
15. The method of claim 1 , wherein the first plate and the second plate extend longitudinally in a linear direction.
16. The method of claim 1 comprising positioning the entire first plate posterior of the second plate.
17. A method for augmenting a spinal facet of a spinal column, the method comprising the steps of:
providing a first plate and a second plate and an elastomeric member secured between and to the first plate and the second plate and extending along an axis that is parallel to a greatest dimension of the first plate, parallel to a greatest dimension of the second plate, and parallel to an axis of the spinal column extending in a cephalocaudal direction, the first and second plates being spaced entirely from the axis of the elastomeric member;
securing the first plate directly to a first vertebra overlying the native facet of the first vertebra; and
securing the second plate to a second vertebra overlying the native facet of the second vertebra such that the first plate, the second plate, and the elastomeric member are aligned along an anterior-posterior direction extending away from the first and second vertebrae, the second vertebra being adjacent the first vertebra such that the first plate and the second plate mimic natural articulation between the first and second vertebrae.