Expandable intervertebral implant and associated method of manufacturing the same
An expandable intervertebral implant ( 10 ) includes superior ( 20 ) and inferior ( 30 ) bone contacting members and at least one vertical wire netting ( 50 ) interconnecting the superior and inferior bone contacting members. The superior and inferior bone contacting members include at least two bone contacting components interconnected via one or more lateral wire nettings such that the implant is vertically and laterally expandable in situ from a first insertion configuration to a second expanded configuration. The vertical and lateral wire netting are preferably constructed of a plurality of individual link members. The present invention also preferably relates to an associated method of manufacturing the intervertebral implant such that the intervertebral implant can be manufactured as an integral component or part.
1. A method of implanting an intervertebral implant comprising the steps of:
inserting the intervertebral implant into an intervertebral space along a lateral surgical approach while the intervertebral implant is in a collapsed configuration having a first height, such that 1) a superior bone contacting member of the intervertebral implant faces a superior vertebral body and an inferior bone contacting member of the intervertebral implant faces an inferior vertebral body that cooperate to define the intervertebral space, and 2) the superior bone contacting member of the intervertebral implant abuts the inferior bone contacting member of the intervertebral implant so as to prevent movement of the superior and inferior bone contacting members toward each other;
causing an expansion member that is disposed between the superior bone contacting member and the inferior bone contacting member to expand the intervertebral implant in the intervertebral space to an expanded configuration having a second height greater than the first height, wherein at the second height the superior bone contacting member bears against the superior vertebral body, and the inferior bone contacting member bears against the inferior vertebral body, and
tilting at least one of the superior and inferior bone contacting members relative to the other of the superior and inferior bone contacting members along an anterior-posterior direction to achieve intervertebral lordotic distraction.
2. The method as recited in claim 1 , comprising performing the tilting step after the causing step.
3. The method as recited in claim 2 , further comprising the step of expanding a width of the intervertebral implant along a third direction perpendicular to the lateral surgical approach and a direction of expansion of the intervertebral implant to the expanded configuration.
4. The method as recited in claim 1 , wherein the implant has a length along the lateral surgical approach and a width along a third direction that is perpendicular to each of the lateral surgical approach and a direction of expansion of the intervertebral implant to the expanded configuration, and the length is greater than the width.
5. The method as recited in claim 1 , wherein the tilting step comprises conforming the superior and inferior bone contacting members to respective endplates of the superior and inferior vertebral bodies, respectively.
6. The method as recited in claim 1 , further comprising the step of engaging teeth of the superior and inferior bone contacting members with the superior and inferior vertebral bodies, respectively.
7. The method as recited in claim 1 , further comprising, prior to the step of inserting:
accessing the intervertebral space defined by the superior and inferior vertebral bodies that neighbor each other so as to define the intervertebral space; and
after the accessing step, removing at least a portion of a disc from the intervertebral space so as to produce the intervertebral space.
8. A method of implanting an intervertebral implant comprising the steps of:
accessing an intervertebral disc space defined by neighboring superior and inferior vertebral bodies;
removing disc material from the intervertebral disc space so as to produce an intervertebral space;
inserting the intervertebral implant into the intervertebral disc space along a lateral surgical approach while the intervertebral implant is in a collapsed configuration having a first height, such that a superior bone contacting member of the intervertebral implant faces the superior vertebral body and an inferior bone contacting member of the intervertebral implant faces the inferior vertebral body;
expanding the intervertebral implant in the intervertebral space to an expanded configuration having a second height greater than the first height, whereby the superior bone contacting member bears against the superior vertebral body, and the inferior bone contacting member bears against the inferior vertebral body, and
tilting at least one of the superior and inferior bone contacting members relative to the other of the superior and inferior bone contacting members along an anterior-posterior direction to achieve intervertebral lordotic distraction.
9. The method as recited in claim 8 , wherein the superior bone contacting member contacts the inferior bone contacting member during the inserting step.
10. The method as recited in claim 8 , further comprising performing the tilting step after the expanding step.
11. The method as recited in claim 10 , further comprising the step of expanding a width of the intervertebral implant along a third direction perpendicular to the lateral surgical approach and a direction of expansion of the intervertebral implant to the expanded configuration.
12. The method as recited in claim 8 , wherein the implant has a length along the lateral surgical approach and a width along a third direction that is perpendicular to each of the lateral surgical approach and a direction of expansion of the intervertebral implant to the expanded configuration, and the length is greater than the width.
13. The method as recited in claim 8 , wherein the tilting step comprises conforming the superior and inferior bone contacting members to respective endplates of the superior and inferior vertebral bodies, respectively.
14. The method as recited in claim 8 , further comprising the step of engaging teeth of the superior and inferior bone contacting members with the superior and inferior vertebral bodies, respectively.
15. The method as recited in claim 8 , wherein the removing step is performed prior to the inserting step.
16. The method as recited in claim 8 , wherein the expanding step comprises expanding an expansion member disposed between the superior and inferior bone contacting memebers, wherein the expansion member is separate from each of the superior and inferior bone contacting members.