Devices and methods for correcting vertebral misalignment
Embodiments of devices and methods of correcting vertebral misalignment, including, e.g., spondylolisthesis, are disclosed. In one embodiment, a vertebral implant may include an assembly configured to be secured to a first vertebral body, wherein the assembly includes a frame made of a first material and at least one end plate made of a second material different than the first material; a reducing plate configured to be slidably received over the central portion, wherein the reducing plate is configured to be secured to a second vertebral body; and an actuator configured to move the reducing plate relative to the frame.
1. A method of correcting vertebral misalignment, the method comprising:
positioning an implant within a space between two adjacent vertebral bodies, wherein the implant comprises:
a frame assembly include a left lateral portion, a central portion, and a right lateral portion, wherein the left and right lateral portions define enlarged heads configured to receive fasteners therein for securing the frame assembly to a first vertebral body, and wherein the central portion defines a lumen therethrough;
a reducing member configured to be slidably received in the lumen of the central portion, wherein the reducing member includes an anterior portion and a plurality of extensions extending posteriorly therefrom, wherein the plurality of extensions define a channel therebetween, wherein the channel is configured to receive a portion of the central portion; and
an actuator positioned within the reducing member and extending into an actuator receiving portion of the frame assembly, and configured to control a position of the reducing member relative to the frame assembly;
securing the frame assembly to a first vertebral body of the two adjacent vertebral bodies;
securing the reducing member to a second vertebral body of the two adjacent vertebral bodies, wherein the second vertebral body is disposed superiorly of the first vertebral body;
rotating the actuator to move the second vertebral body relative to the first vertebral body; and
securing the reducing member relative to the frame assembly.
2. The method of claim 1 , further comprising one of removing a native disc prior to positioning the implant or roughening a vertebral body surface adjacent the space.
3. The method of claim 1 , wherein the first vertebral body is the LS vertebral body.
4. The method of claim 3 , wherein the second vertebral body is the SI vertebral body.
5. The method of claim 1 , further comprising securing the frame assembly to the space with bone cement.
6. The method of claim 1 , wherein securing the frame assembly to the first vertebral body includes advancing a plurality of threaded fasteners through the frame assembly and into the first vertebral body.
7. The method of claim 6 , wherein the plurality of threaded fasteners are advanced into the first vertebral body in directions towards one another.
8. The method of claim 6 , further comprising activating a fastener restricting mechanism to retain at least one of the plurality of threaded fasteners relative to the frame assembly.
9. The method of claim 1 , wherein securing the reducing member to the second vertebral body includes advancing a plurality of threaded fasteners through the reducing member and into the second vertebral body.
10. The method of claim 9 , further comprising activating a fastener restricting mechanism to retain at least one of the plurality of threaded fasteners relative to the reducing member.
11. The method of claim 9 , wherein the plurality of threaded fasteners are advanced through the reducing member in directions away from one another.
12. The method of claim 10 , wherein securing the reducing member relative to the frame assembly includes preventing rotating of the actuator.
13. The method of claim 12 , wherein the fastener restricting mechanism prevents rotation of the actuator.
14. The method of claim 1 , wherein the frame assembly comprises an anterior end face, wherein the anterior end face is configured to receive a friction ring.
15. The method of claim 1 , wherein the central portion of the frame comprises a longitudinal member with the lumen formed therethrough.
16. The method of claim 15 , wherein the lumen extends across the entire length of the longitudinal member.
17. The method of claim 15 , wherein the lumen extends across only a partial length of the longitudinal member.
18. The method of claim 15 , wherein the longitudinal member includes one or more flanges extending laterally away therefrom.
19. The method of claim 1 , wherein the reducing member comprises an anterior head portion.