Cervical distraction/implant delivery device
Systems for distracting a facet joint and positioning a permanent implant in the joint are disclosed. The implants serve to retain a distracted position of the facet joint which is achieved with positioning of the leading end of a distraction tool in the facet joint and then distracting or enlarging the joint a desired amount. The permanent implant could be part of the distraction mechanism which can be separated from the delivery tool once the joint has been distracted or an auxiliary implant may be positioned before the distraction mechanism is removed from the distracted joint. The permanent implants can be solid, mechanical devices that may have fixation means thereon to hold them in place or injected fluids such as hydrogels or fluids confined within balloons.
1. A method for distracting a facet joint formed by two adjacent vertebrae of a spine of patient, the method comprising:
advancing a facet distraction implant through a cannula into the patient and toward the facet joint in a posterior-to-anterior direction, relative to the patient, wherein the cannula is coupled to a handle;
delivering the facet distraction implant through the cannula into the facet joint, wherein the facet distraction implant comprises a top surface, a bottom surface, and a plurality of fixation features disposed along the top and bottom surfaces; and
actuating, via the handle, an actuation device into the distraction implant, wherein delivering the distraction implant into the facet joint distracts the facet joint.
2. The method of claim 1 , wherein the method is performed minimally invasively.
3. The method of claim 1 , wherein the method is performed percutaneously.
4. The method of claim 1 , wherein the top and bottom surfaces are planar.
5. The method of claim 1 , wherein the plurality of fixation features comprise a tapered keel.
6. The method of claim 1 , wherein the plurality of fixation features comprises teeth.
7. The method of claim 1 , wherein the actuation device is a wedge-like member.
8. The method of claim 1 , wherein at least one of the top surface or the bottom surface includes one or more openings.
9. The method of claim 1 , wherein the actuation device comprises an elongate threaded member, wherein the threaded member is adapted to engage the one or more openings, and wherein inserting the actuation device into the facet distraction implant comprises advancing the threaded member between the top and bottom surfaces.
10. The method of claim 9 , wherein the elongate threaded member is a screw.
11. The method of claim 9 , wherein inserting the actuation device further comprises threading the threaded member through the one or more openings such that a portion of the threaded member protrudes through the one or more openings.
12. The method of claim 11 , wherein the threaded member protrudes through the one or more openings sufficiently to prevent the facet distraction implant from backing out of the facet joint.
13. The method of claim 1 , wherein at least one of the top surface or the bottom surface is generally planar and configured to bend around the actuation device when the actuation device is inserted into the facet distraction implant.
14. The method of claim 1 , wherein the facet distraction implant is wedge-shaped.
15. The method of claim 1 , wherein at least one of the top surface or the bottom surface of the facet distraction implant is generally planar and includes a malleable material that facilitates the at least one of the surfaces conforming to the facet joint upon implantation.
16. The method of claim 1 , wherein the top surface and the bottom surface are connected at one end.