IMPLANTS FOR FACET FUSION
Assemblies of one or more implant structures make possible the achievement of diverse interventions involving the fusion and/or stabilization of lumbar and sacral vertebra in a non-invasive manner, with minimal incision, and without the necessitating the removing the intervertebral disc. The representative lumbar spine interventions, which can be performed on adults or children, include, but are not limited to, translaminar lumbar fusion and lumbar facet fusion involving a curved implant structure.
1 . An implant for fusing a facet joint of a patient, the implant comprising:
an elongate body having a proximal end, a distal end and a lumen extending between the proximal end and the distal end, wherein the elongate body has a curvature extending from the proximal end to the distal end and a rectilinear or curvilinear transverse cross-sectional profile.
2 . The implant of claim 1 , wherein the elongate body is sized and configured to fuse the facet joint of the patient.
3 . The implant of claim 1 , wherein the elongate body is formed of a shape memory material having a straight configuration and a curved configuration.
4 . The implant of claim 1 , wherein the elongate body is formed of a plurality of interlocking segments.
5 . The implant of claim 1 , wherein the elongate body is inflatable with a curable material.
6 . The implant of claim 5 , wherein the elongate body comprises a valve.
7 . The implant of claim 5 , wherein the elongate body is made of an inelastic material that cannot stretch.
8 . The implant of claim 5 , wherein the elongate body is made of an elastic material that can stretch.
9 . The implant of claim 1 , wherein the curvature is constant.
10 . The implant of claim 1 , wherein the curvature is variable.
11 . The implant of claim 1 , wherein the transverse cross-sectional profile is triangular.
12 . The implant of claim 1 , wherein the transverse cross-sectional profile is circular.
13 . The implant of claim 1 , wherein the elongate body has an exterior surface treated to promote bony in-growth.
14 . The implant of claim 13 , wherein the exterior surface has a rough texture.
15 . A method for lumbar facet fusion, the method comprising:
creating a curved insertion path that extends from an inferior articular process of a selected lumbar vertebra in a caudal direction through the adjoining facet capsule into a corresponding superior articular process of an adjacent lumbar vertebra and into a pedicle of the adjacent lumbar vertebra;
providing a curved bone fixation implant comprising a curved elongated implant structure having a longitudinal axis and a rectilinear cross section transverse to the longitudinal axis and including an exterior surface region treated to provide bony in-growth or through-growth along the implant structure; and
inserting the curved bone fixation implant through the insertion path from the inferior articular process of the selected lumbar vertebra, in a caudal direction through the adjoining facet capsule into the corresponding superior articular process of the adjacent lumbar vertebra and into a pedicle of the adjacent lumbar vertebra.
16 . A method for translaminal lumbar fusion, the method comprising:
creating a curved insertion path that extends from a superior articular process of a selected lumbar vertebra, cranially through the adjoining facet capsule into a corresponding inferior articular process of an adjacent lumbar vertebra, and, from there, further through the lamina of the adjacent vertebra into an interior opposite posterolateral region adjacent the spinous process of the adjacent vertebra;
providing a curved bone fixation implant comprising a curved elongated implant structure having a rectilinear cross section including an exterior surface region treated to provide bony in-growth or through-growth along the implant structure; and
inserting the curved bone fixation implant through the insertion path from the superior articular process of the selected lumbar vertebra, cranially through the adjoining facet capsule into the inferior articular process of the adjacent lumbar vertebra, and, from there, further through the lamina of the adjacent vertebra into an interior opposite posterolateral region adjacent the spinous process of the adjacent vertebra.
17 . The method of claim 16 , wherein the step of creating a curved insertion path further comprises:
inserting a curved guide pin into the superior articular process of a selected lumbar vertebra along the curved insertion path; and
advancing a drill or cutting device over the curved guidewire along the curved insertion path.
18 . The method of claim 17 , wherein the step of inserting the curved guide pin comprises rotating the curved guide pin about an axis.
19 . The method of claim 16 , wherein the step of creating a curved insertion path further comprises:
advancing a drill or cutting device along the curved insertion path.
20 . A method for translaminal lumbar fusion of a superior vertebra to an inferior vertebrae, the method comprising:
creating a curved insertion path that starts in the lamina of the superior vertebra, extends distally and laterally to the inferior articular process of the superior vertebra, through the joint between the superior vertebra and the inferior vertebrae, and into the superior articular process of the inferior vertebra;
providing a curved bone fixation implant comprising a curved elongated implant structure having a rectilinear cross section including an exterior surface region treated to provide bony in-growth or through-growth along the implant structure; and
inserting the curved bone fixation implant through the insertion path from the lamina of the superior vertebra, extending distally and laterally to the inferior articular process of the superior vertebra, through the joint between the superior vertebra and the inferior vertebrae, and into the superior articular process of the inferior vertebra.