Expandable spinal interbody spacer and method of use
An expandable spinal implant configured for positioning within a space between adjacent vertebral bodies includes an upper body, a lower body, a ratchet mechanism, and a plurality of bone screws. The upper body and lower body are pivotably affixed at a first end and are capable of movement relative to each other. The ratchet mechanism is slidably disposed on one of the upper and lower body and is capable of engaging the opposite one of the upper and lower body thereby permitting movement of the upper and lower body relative to each other in a first direction, but not in a second direction. An insertion instrument capable of being attached to the expandable spinal instrument and a method of performing spinal surgery is also disclosed.
1. A method of performing surgery, comprising:
positioning an upper body and a lower body of a spinal implant in a first, approximated position relative to each other, the upper body and lower body pivotably coupled at a first end and capable of movement relative to each other, wherein each of the upper body and the lower body is dimensioned to be installed between first and second vertebral bodies, the outer surfaces of each of the upper body and the lower body are adapted to engage a corresponding end plate of the first and second vertebral bodies;
preparing an intervertebral space between the first and second vertebral bodies to receive the spinal implant;
inserting the spinal implant into the prepared intervertebral space;
articulating the upper body and lower body relative to each other to effectuate a desired lordosis of a spine of the patient;
inserting a plurality of bone screws that are capable of being attached to bone through a plurality of screw holes defined through the outer surface and an adjacent side surface of the upper body and through the outer surface and an adjacent side surface of the lower body, wherein the screw holes are oriented towards a respective adjacent one of the first and second vertebral bodies at an oblique angle; and
locking a ratchet mechanism slidably disposed on one of the upper and lower bodies, to lock the position of the upper body and lower body relative to each other, the ratchet mechanism capable of engaging the opposite one of the upper and lower bodies thereby permitting movement of the upper and lower bodies relative to each other in a first direction, but not in a second direction.
2. The method of claim 1 , wherein inserting the spinal implant includes first securing the spinal implant to an insertion device.
3. The method of claim 1 , wherein locking the ratchet mechanism includes rotating a ratchet screw disposed within an annular groove defined within the upper body in a first direction, wherein the ratchet screw includes a head and a threaded shank extending therefrom, the ratchet screw being threadably engaged within a threaded through-bore defined through the ratchet mechanism, wherein rotating the ratchet screw effectuates movement of the ratchet mechanism in a first direction thereby causing the ratchet mechanism to engage the lower body and lock the position of the lower body relative to the upper body.
4. The method of claim 1 , wherein positioning the upper body and lower body in a first, approximated, position includes engaging a first plurality of teeth defined on a surface of the ratchet mechanism with a second plurality of teeth defined on an opposing surface of the lower body, thereby permitting articulation of the upper body relative to the lower body in a first direction, but not in a second direction.
5. The method of claim 4 , wherein locking the ratchet mechanism further includes further rotating the ratchet screw the first direction, thereby causing the first and second pluralities of teeth to further engage, thereby locking the position of the upper body and the lower body relative to each other.
6. The method of claim 1 , further including packing a lumen defined in each of the upper body and lower body with bone in-growth material.
7. The method of claim 1 , further including packing a lumen defined in each of the upper body and lower body with drugs.
8. The method of claim 1 , wherein positioning the upper body and lower body includes positioning the upper body and lower body in a desired articulated position relative to each other.