Expandable intervertebral implant and associated surgical method
The present invention provides an expandable intervertebral implant that is selectively disposed in the intervertebral space and deployed, thereby in-situ distracting, realigning, and/or stabilizing or fusing a portion of the spine of a patient in the treatment of injury, disease, and/or degenerative condition. The expandable intervertebral implant includes a superior member and an inferior member, each of which has a partially or substantially wedge or prismatic shape and a partially or substantially convex or other-shaped surface that is suitable for engaging the substantially concave surfaces of the associated bony superior and inferior intervertebral endplates. Once disposed in the intervertebral space, the expandable intervertebral implant is actuated and deployed, with the superior member and the inferior member moving apart from one another, seating against the associated intervertebral endplates, and distracting, realigning, and/or stabilizing them to a desired degree. The external surface of each of the superior member and the inferior member is provided with a plurality of ridges or other friction structures, providing purchase with the associated intervertebral endplates.
1. An expandable intervertebral implant, comprising:
a superior member configured to engage a superior intervertebral body;
an inferior member configured to engage an inferior intervertebral body; and
an expansion mechanism disposed between the superior member and the inferior member configured to selectively adjust a vertical separation of the superior member and the inferior member, wherein the expansion mechanism comprises a wedge structure that is translated between the superior member and the inferior member;
wherein the superior member is coupled to the inferior member through the wedge structure via a track and rail system, wherein the superior member and the inferior member each comprise a pair of rails, wherein the rails of the superior member are horizontally offset relative to the rails of the inferior member such that each rail of the superior member is disposed substantially side-by-side horizontally adjacent to a respective one of the rails of the inferior member when the expandable vertebral implant is in an unexpanded configuration, and wherein one rail of the superior member is disposed between an associated rail of the inferior member and a central axis of the implant and another rail of the inferior member is disposed between the associated rail of the superior member and the central axis of the implant in the unexpanded configuration.
2. The expandable intervertebral implant of claim 1 , wherein the expansion mechanism further comprises a screw that is coupled to the wedge structure and causes the wedge structure to translate when rotated.
3. The expandable intervertebral implant of claim 1 , wherein one or more of the superior member and the inferior member comprise a ramp structure on their opposed faces.
4. The expandable intervertebral implant of claim 3 , wherein interaction of the wedge structure and the ramp structure of the one or more of the superior member and the inferior member as the wedge structure is translated causes adjustment of the separation of the superior member and the inferior member.
5. The expandable intervertebral implant of claim 3 , wherein the superior member is coupled to the inferior member through the wedge structure and the ramp structure of the one or more of the superior member and the inferior member.
6. The expandable intervertebral implant of claim 1 , wherein the expansion mechanism disposed between the superior member and the inferior member is also configured to selectively translate the superior member with respect to the inferior member.
7. An expandable intervertebral implant having a first external surface and a second external surface opposite the first external surface, the first and second external surfaces for engaging vertebral matter in-situ, the implant comprising:
a first intervertebral member including a friction structure defining the first external surface of the implant and a first expansion structure opposite the first external surface, the first expansion structure including:
a pair of parallel first rails, a midpoint of the first rails offset from a central axis of the first intervertebral member corresponding to a major axis of a screw that runs through the implant;
a first stabilizing flange; and
a first cut-away section defined in the first intervertebral member such that the first stabilizing flange and first cut-away section are on opposite sides of the central axis of the first intervertebral member;
a second intervertebral member including a friction structure defining the second external surface of the implant and a second expansion structure opposite the second external surface, the second expansion structure including:
a pair of parallel second rails, a midpoint of the second rails offset from a central axis of the second intervertebral member corresponding to the major axis of the screw that runs through the implant;
a second stabilizing flange slidable in the first cut-away section; and
a second cut-away section defined in the second intervertebral member such that the second stabilizing flange and second cut-away section are on opposite sides of the central axis of the second intervertebral member, the first stabilizing member slidable in the second cut-away section, wherein
the first and second intervertebral members are movable relative to each other from an unexpanded configuration to variably spaced configurations as the first stabilizing member slides in the second cut-away section and the second stabilizing flange slides in the first cut-away section, and
the first rails are nested with the second rails in the unexpanded configuration such that each first rail is adjacent a second rail.
8. The expandable intervertebral implant of claim 7 , wherein the first and second intervertebral members are interchangeable.
9. The expandable intervertebral implant of claim 7 , further comprising a wedge structure that is translated between the first intervertebral member and the second intervertebral member.