Intervertebral spacer device having recessed notch pairs for manipulation using a surgical tool
View Patent ↗Instrumentation for implanting an artificial intervertebral disc includes static trials and a dynamic trial for determining the appropriate size of disc to be implanted, static trial holders for manipulating the static trials, inserter/impactors for inserting and removing the static trials and for inserting the artificial intervertebral discs, repositioners/extractors for repositioning and extracting the static trials or the artificial intervertebral discs, and a leveler for setting the proper position of the artificial intervertebral disc. Methods for using the same are also disclosed. Features for artificial intervertebral discs and intervertebral spacer devices useful for manipulation by the instrumentation are also disclosed.
1. A method of implanting or repositioning a spinal implant comprising:
providing a spinal implant with first and second baseplates each having a first surface adapted to contact bone, an opposing second surface, and a perimeter surface arranged between the first and second surfaces, wherein first and second recesses extend into at least the first baseplate and are arranged along a perimeter defined by the perimeter surface thereof;
providing an instrument with a handle and a distal portion having at least one extension member projecting therefrom;
selecting a surgical approach relative to a disc space for which the implant is to be implanted or repositioned;
determining which of the first and second recesses corresponds to the surgical approach, the other of the recesses corresponding to an unselected, different surgical approach;
engaging the at least one extension with the appropriate recess to orient the spinal implant at a first angular orientation relative to a longitudinal axis of the instrument;
subsequently moving the instrument with the implant attached thereto from a direction relative to the disc space in accordance with the surgical approach so as to implant the implant into the disc space or reposition the implant within the disc space so that the entirety of the implant is disposed within the disc space; and
engaging bone from within the disc space with a stabilizing feature extending from the first surface of one of the first and second baseplates and with a bone ingrowth material comprising the first surface of one of the first and second baseplates, wherein, upon engagement, the stabilizing feature extends through a surface of the bone, and wherein the stabilizing feature and bone ingrowth material provide the entirety of fixation between the implant and bone which occurs entirely from within the disc space.
2. A method according to claim 1 , wherein the second surface of the second baseplate includes a spherical articulating member, and the second surface of the first baseplate includes a pocket adapted to receive the spherical articulating member to allow articulation of the first and second baseplates relative to each other.
3. A method according to claim 1 , wherein the step of engaging the at least one projection with the appropriate recess includes engaging the at least one projection with the first recess, and the method further comprises implanting or repositioning the spinal implant along an anterior midline approach.
4. A method according to claim 3 , wherein engaging the at least one projection with the second recess would orient the implant at a second angled orientation relative to the longitudinal axis of the instrument, the second angled orientation corresponding to an antero-lateral approach.
5. A method according to claim 1 , wherein the instrument includes a plurality of extension members at its distal portion, and a third recess is associated with the perimeter surface of at least the first baseplate, the method further comprising:
determining which of the first and second or second and third recesses correspond to the selected surgical approach;
engaging the plurality of extension members with the appropriate recesses to orient the implant into the first angled orientation; and
subsequently moving the instrument with the implant attached to reposition the implant along the selected surgical approach.