Bilaterally expanding intervertebral body fusion device
View Patent ↗An embodiment includes an expandable intervertebral body fusion device with two expansion wedges within a generally hollow main body. After implantation into the intervertebral disc space, the expansion wedges are simultaneously moved from the center of the device toward the ends, which flexes the arms of the cage and increases the size of the implant. This expansion stabilizes the device in the disc space and increases the disc height, thereby reducing foraminal compression of spinal nerves and creating a stable motion segment for eventual fusion. Other embodiments are described herein.
1. An intervertebral spacing implant system comprising:
a first seat having a first lateral end;
first branches coupled to the first lateral end of the first seat and extending in a first lateral direction away from the first seat, the first seat and the first branches forming a first cage defining a first internal volume, each first branch having a first inward side and a first outward side;
a first spacer configured to fit within the first cage and move in the first lateral direction upon the urging of a spacer-advancing instrument, the first spacer and the first cage configured such that one or more first branches will move from an unextended position to an extended position when the first spacer is moved upon the urging of the spacer-advancing instrument;
one or more first shoulders formed on the first inward side of one or more first branches, the one or more first shoulders configured to reversibly secure the first spacer;
wherein the first internal volume between the first lateral end of the first seat and the first spacer is unoccupied by any link member when the first spacer is secured by the one or more first shoulders;
a second seat having a second lateral end;
second branches coupled to the second lateral end of the second seat and extending in a second lateral direction away from the second seat, the second seat and the second branches forming a second cage defining a second internal volume, each second branch having a second inward side and a second outward side;
a second spacer configured to fit within the second cage and move upon the urging of at least one of the spacer-advancing instrument and an additional spacer-advancing instrument, the second spacer and the second cage configured such that one or more second branches will move from an unextended position to an extended position when the second spacer is moved upon the urging of the at least one of the spacer-advancing instrument and the additional spacer-advancing instrument;
one or more second shoulders formed on the second inward side of one or more second branches, the one or more second shoulders configured to reversibly secure the second spacer;
wherein the first seat, second seat, first branches, and second branches are all monolithic with each other.
2. The intervertebral spacing implant system of claim 1 wherein the spacer-advancing instrument is configured to simultaneously advance the first and second spacers.
3. The intervertebral spacing implant system of claim 1 wherein the spacer-advancing instrument is configured to asynchronously and simultaneously advance the first and second spacers.
4. The intervertebral spacing implant system of claim 1 , wherein the first and second cages collectively comprise a direct lateral interbody fusion (DLIF) cage.
5. The intervertebral spacing implant system of claim 1 , wherein the first inward side of each first branch and the second inward side of each second branch is smooth and is not threaded.
6. The intervertebral spacing implant system of claim 1 ,
wherein a long axis extends centrally within the first and second cages along the first and second lateral directions;
wherein one of the first branches deflects radially a first distance, orthogonal to the long axis, when the first spacer is secured by the one or more first shoulders;
wherein another of the first branches deflects radially a second distance, orthogonal to the long axis, when the first spacer is secured by the one or more first shoulders;
wherein the first distance is unequal to the second distance.
7. The intervertebral spacing implant system of claim 6 , wherein an additional one of the first branches is located between the one of the first branches and the another of the first branches.
8. The intervertebral spacing implant system of claim 1 ,
wherein the one or more first branches that move from an unextended position to an extended position further comprise the one or more first shoulders;
wherein the first spacer comprises a first connector to removably couple the first spacer to the spacer-advancing instrument;
wherein the first spacer is included within the first cage;
wherein the one or more second branches that move from an unextended position to an extended position comprise the one or more second shoulders;
wherein the second spacer is included within the second cage.
9. The intervertebral spacing implant system of claim 1 , wherein the first branches are configured to enable bilateral expansion of the implant and the second branches are configured to enable bilateral expansion of the implant.
10. The intervertebral spacing implant of claim 1 , wherein the first seat and the first branches form a unitary structure and the second seat and the second branches form a second unitary structure.
11. The intervertebral spacing implant system of claim 1 wherein the first seat, the first spacer, and two of the first branches define a first slot when one or more first branches are in an extended position.
12. The intervertebral spacing implant system of claim 1 ,
wherein the first branches comprise three or more branches and the second branches comprise three or more branches;
wherein first lateral ends of two or more first branches connect to one another and second lateral ends of two or more of the second branches connect to one another.
13. An intervertebral spacing implant system comprising:
a first seat having a first lateral end;
first branches coupled to the first lateral end of the first seat and extending in a first lateral direction away from the first seat, the first seat and the first branches forming a first cage defining a first internal volume, each first branch having a first inward side and a first outward side;
a first spacer configured to fit within the first cage and move in the first lateral direction upon the urging of a spacer-advancing instrument, the first spacer and first cage configured such that one or more first branches will move from an unextended position to an extended position when the first spacer is moved upon the urging of the spacer-advancing instrument;
wherein the first internal volume between the first lateral end of the first seat and the first spacer is unoccupied by any link member when the one or more first branches are in the extended position;
a second seat having a second lateral end;
second branches coupled to the second lateral end of the second seat and extending in a second lateral direction away from the second seat, the second seat and the second branches forming a second cage defining a second internal volume, each second branch having a second inward side and a second outward side;
a second spacer configured to fit within the second cage and move upon the urging of at least one of the spacer-advancing instrument and another spacer-advancing instrument, the second spacer and the second cage configured such that one or more second branches will move from an unextended position to an extended position when the second spacer is moved upon the urging of the at least one of the spacer-advancing instrument and the another spacer-advancing instrument;
wherein a long axis extends centrally within the first and second cages along the first and second lateral directions;
wherein one of the first branches deflects radially a first distance, orthogonal to the long axis, when the one or more first branches are in the extended position;
wherein another of the first branches deflects radially a second distance, orthogonal to the long axis, when the one or more first branches are in the extended position;
wherein the first distance is unequal to the second distance.
14. The intervertebral spacing implant system of claim 13 wherein the spacer-advancing instrument is configured to simultaneously advance the first and second spacers.
15. The intervertebral spacing implant system of claim 13 wherein the spacer-advancing instrument is configured to asynchronously and simultaneously advance the first and second spacers.
16. The intervertebral spacing implant system of claim 13 , wherein the first and second cages collectively comprise a direct lateral interbody fusion (DLIF) cage.
17. The intervertebral spacing implant system of claim 13 , wherein an additional one of the first branches is located between the one of the first branches and the another of the first branches.
18. The intervertebral spacing implant system of claim 13 ,
wherein the first spacer comprises a first connector to removably couple the first spacer to the spacer-advancing instrument;
wherein the first spacer is included within the first cage;
wherein the second spacer is included within the second cage.
19. The intervertebral spacing implant system of claim 13 wherein the first seat, the first spacer, and two of the first branches define a first slot when one or more first branches are in an extended position.
20. The intervertebral spacing implant of claim 13 , wherein the first seat and the first branches form a unitary structure and the second seat and the second branches form a second unitary structure.