Cervical distraction method
A device and method for a minimally invasive surgical implantation to reduce radicular symptoms by inserting an expandable cervical distraction implant in the facet joint and distracting the adjacent cervical vertebrae to increase the foraminal dimension. The implant, when positioned in the cervical facet joint, expands to via delivery of an inflation medium to increase the space between the vertebrae, thereby increasing the foraminal area or dimension, and reducing pressure on the nerves and blood vessels of the cervical spine.
1. A method of implanting an implant in a facet joint comprising an inferior articulating surface of an upper vertebra and a superior articulating surface of a lower vertebra, the method comprising:
minimally invasively accessing the cervical facet joint with a guide tool by inserting a distal end of the guide tool into the facet joint;
minimally invasively routing an implant into the facet joint by routing the implant and a delivery tool along the guide tool, the implant operably coupled to a distal end of the delivery tool, the implant comprising a first wall and a second wall, each of the first and second walls having at least a first portion and a second portion, respectively, wherein the respective first portions of the walls are parallel to one another and the respective second portions of the walls are tapered towards either a proximal end or a distal end of the implant; and
advancing the implant with the delivery tool into the facet joint, thereby causing at least one wall to act against the inferior articulating surface and at least one other wall to act against the superior articulating surface.
2. The method of claim 1 , further comprising selecting the implant from a number of predetermined sizes to accommodate patient anatomy.
3. The method of claim 1 , wherein the guide tool comprises a guidewire.
4. The method of claim 1 , wherein the delivery tool comprises a catheter.
5. The method of claim 1 , wherein the facet joint is covered by an articular capsule and accessing the facet joint further comprises puncturing the articular capsule with an introducer needle to create an access hole in the facet capsule.
6. The method of claim 1 , wherein a distal end of the implant has a smaller profile than a proximal end of the implant.
7. The method of claim 1 , wherein an exterior surface of at least one of one or more walls is configured to inhibit motion of the at least one of the one or more walls relative to the respective inferior articulating surface or the superior articulating surface.
8. The method of claim 1 , further comprising performing at least one step with a patient under conscious sedation and obtaining intra-operative symptom feedback from the patient.
9. The method of claim 1 , wherein the implant is sized to accommodate a geometry of anatomy of a patient.
10. The method of claim 1 , wherein the facet joint is adjacent a nerve root canal between the upper vertebra and the lower vertebra, the nerve root canal comprising a stenosed intervertebral foraminal height.
11. The method of claim 10 , wherein a distance between the superior articulating surface and the inferior articulating surface is narrowed at least in part because of the stenosed intervertebral foraminal height.
12. The method of claim 11 , wherein causing the one or more walls to act against the inferior articulating surface and the at least one other wall to act against the superior articulating surface increases the distance between the superior articulating surface and the inferior articulating surface, thereby increasing the stenosed intervertebral foraminal height.