Interbody fusion implant and related methods
View Patent ↗An implant for performing interbody fusion within a human spine, inserters for such an implant, and associated methodology. The implant is preferably formed in situ from at least two separate but lockable members (a base member and a closure member). The base member may be implanted into an interbody space first, after which the end plates may be finally prepared and the base member packed with fusion promoting substances before engaging and locking the closure member. The closure member provides structural support for the adjacent vertebral bodies (along with the base member) and may be selected after implantation of the base member having a specific length, width, height, taper, etc. . . . to ensure an optimal sizing of the implant for desired restoration of disc height, coronal taper, sagittal taper, etc. . . . .
1. An interbody fusion implant for use in lateral access spinal surgery, comprising:
a base member having a first side wall, a second side wall and an end wall integrally coupled between respective first ends of the first side wall and the second side wall and spacing the side walls to define defining an open trailing end coinciding with second ends of the side walls located opposite the first ends thereof, and to define an interior bounded by the side walls and the end wall, at least a portion of the end wall dimensioned to serve as a structural support between cortical bone regions of adjacent vertebral bodies in the lumbar or thoracic spine, and the side walls and the end wall being dimensioned to serve as a protective barrier between the interior and adjacent neural structure and/or vasculature, the sidewalls and the end wall defining unobstructed areas on the adjacent vertebral bodies beginning from the open trailing end for end plate preparation after the base member is positioned between the adjacent vertebral bodies;
a closure member configured for assembly onto the second ends of the side walls of the base member to enclose the interior after the base member has been positioned in a preliminarily prepared disc space in between the vertebral bodies and end plate preparation has taken place within the interior of the base member, the closure member being dimensioned to make contact with the vertebral bodies after it is locked to the base member to provide partial structural support between cortical bone regions of the adjacent vertebral bodies and including first and second overlapping portions each located adjacent a respective end of the closure member and each extending over a respective second end of a side wall when said closure member and said base member are assembled;
a first elongated tie and a second elongated tie, each elongated tie having a first embedded portion terminating at a first terminal end thereof and a second projecting portion that includes a second terminal end thereof located opposite the first terminal end, each first embedded portion being either received in and affixed to one of the side walls with its projecting away from a respective second end, or received in and affixed to the closure member with its projecting portion projecting from a respective overlapping portion, the projecting portion including an end portion, which includes the second terminal end, the end portion being no wider than the rest of the projecting portion; and
a first elongated bore and a second elongated bore, each bore being defined in either a respective side wall or defined in the closure member, each bore having a mouth defined at a respective second end of a side wall or at a respective overlapping portion dimensioned to receive a respective projecting portion, and each bore having an interior dimensioned to have at least a portion of an interior surface thereof frictionally engage a respective projecting portion of a respective elongated tie, wherein the bores register with the projecting portions to allow the closure member and the side walls to align with one another during assembly of the closure member onto the side walls of the base member.
2. The implant of claim 1 , wherein the first elongated tie and the second elongated tie are pins.
3. The implant of claim 1 , wherein the closure member includes a portion that abuts the sidewalls and a portion that is receivable in the interior of the base member from the open trailing end.
4. The implant of claim 1 , wherein the elongated ties are comprised of a radiopaque material and the base member and the closure member are comprised of a radiolucent material.
5. The implant of claim 4 , wherein the elongated ties are metallic.
6. The implant of claim 5 , wherein the radiolucent material is PEEK.
7. An interbody fusion implant system for lateral access spinal surgery, comprising:
a base member having a first side wall, a second side wall and an end wall integrally coupled between respective first ends of the first side wall and the second side wall and spacing the side walls to define an open trailing end coinciding with second ends of the side walls located opposite the first ends thereof, and to define an interior bounded by the side walls and the end wall, at least a portion of the end wall dimensioned to serve as a structural support between cortical bone regions of adjacent vertebral bodies in the lumbar or thoracic spine, and the side walls and the end wall dimensioned to serve as a protective barrier between the interior and adjacent neural structure and/or vasculature, the sidewalls and the end wall defining unobstructed areas on the adjacent vertebral bodies beginning from the open trailing end for end plate preparation after the base member is positioned between the adjacent vertebral bodies;
a closure member configured for assembly onto the second ends of the side walls of the base member to enclose the interior after the base member has been positioned in a preliminarily prepared disc space in between the adjacent vertebral bodies and final end plate preparation has taken place within the interior of the base member, the closure member being dimensioned to make contact with the vertebral bodies after it is locked to said base member whereby the closure member and the base member together provide structural support between cortical bone regions of the adjacent vertebral bodies, the closure member including first and second overlapping portions each located adjacent a respective end of the closure member and each extending over a respective second end of a side wall when said closure member and said base member are assembled;
a first elongated tie and a second elongated tie, each elongated tie having a first embedded portion that includes a first terminal end thereof and a second projecting portion that includes a second terminal end thereof located opposite the first terminal end, each first embedded portion being either embedded in and affixed to one of the side walls with its projecting portion projecting away from a respective second end, or embedded in and affixed to the closure member with its projecting portion projecting from a respective overlapping portion the projecting portion including an end portion, which includes the second terminal end, and is no wider than the rest of the projecting portion; and
a first elongated bore and a second elongated bore, each bore being defined in either a respective side wall or defined in the closure member, each bore having a mouth defined at a respective second end of a side wall or at a respective overlapping portion dimensioned to receive a respective projecting portion, and each bore having an interior dimensioned to have at least a portion of an interior surface thereof frictionally engage a respective projecting portion of a respective elongated tie, wherein the bores register with the projecting portions to allow the closure member and the side walls to align with one another during assembly of the closure member onto the side walls of the base member.
8. The system of claim 7 , wherein the first elongated tie and the second elongated tie are pins.
9. The implant of claim 7 , wherein the closure member includes alignment features projecting from a surface thereof and dimensioned to be received by the base member to align the closure member and the base member.