Systems and methods for promoting sacroiliac joint fusion
Embodiments are directed to fusion implants, insertion instruments, and methods of using the same for implanting one or more fusion implants across a sacroiliac joint and into an ilium and sacrum for fusing the sacroiliac joint. In some cases, fusion-promoting material may be inserted in the fusion implant for further promoting fusion across the sacroiliac joint. In some cases, neurophysiologic monitoring may be performed as the fusion implants are placed across the sacroiliac joint.
1. A system for fusing a sacroiliac joint, comprising:
a fusion implant, the fusion implant comprising:
a main body having a longitudinal axis and a length extending from a proximal end to a distal end and being dimensioned for placement across a sacroiliac joint, the main body having a plurality of anti-migration features disposed along at least a portion of the length of the main body, each anti-migration feature comprising a ridge extending radially about the longitudinal axis of the main body, where the ridges extend along most of the length of the main body and are equally spaced along the length of the main body;
a guide hole extending along the longitudinal axis of the main body and through an opening in the proximal end of the fusion implant and through an opening in the distal end of the fusion implant;
a plurality of fusion apertures located along a substantial portion of the length of the fusion implant, said substantial portion of the length of the fusion implant including the at least a portion of the fusion implant having anti-migration features, and wherein at least one of the plurality of fusion apertures extends into the body of the fusion implant through at least one of the plurality of anti-migration features, with the guide hole being in communication with the plurality of fusion apertures;
a coupling head disposed at the proximal end of the fusion implant for attaching an insertion device thereto, the coupling head having at least one gripping feature on its external surface, which allow for bone to grow into the features and secure the implant in position; and
at least one threaded coupling feature on an inner surface of the coupling head; and
an insertion device for implanting the fusion implant across a sacroiliac joint.
2. The system of claim 1 , wherein the insertion device further comprises an inner shaft coupled to an outer shaft, where the inner shaft can rotate and travel along a longitudinal axis of the insertion device independently of the outer shaft.
3. The system of claim 1 , wherein the insertion device further comprises a pusher for pushing fusion-promoting material into the fusion implant.
4. The system of claim 1 , the fusion implant further comprising a tapered nose disposed at a distal end of the fusion implant, the tapered nose configured to assist in the insertion of the fusion implant into a bone.
5. The system of claim 4 wherein the tapered nose is dimensioned such that a surface of the tapered nose forms an angle between 30 to 70 degrees relative to the longitudinal axis of the fusion implant.
6. The system of claim 1 , wherein the fusion apertures are configured to allow a plurality of boney bridges to form across the fusion implant, and wherein the at least one of the plurality of fusion apertures that extends into the body of the fusion implant through at least one of the plurality of anti-migration features is configured to receive one of the plurality of boney bridges therethrough, securing the fusion implant in place.
7. The system of claim 1 , wherein each fusion aperture comprises an elongated oval shaped opening.
8. The system of claim 7 , wherein each fusion aperture forms an interruption in the ridges of at least two adjacent anti-migration features .
9. The system of claim 1 , wherein each ridge comprises a diameter identical to the diameters of the other ridges.