Expansible intersomatic cage
Various embodiments comprise an expansible intervertebral implant intended to be implanted in a space between two adjacent vertebrae to at least partly supplant an intervertebral disc, said implant being able to expand along three substantially mutually orthogonal axes so as to comply with the lordosis of the patient while still having increased stability and reliability.
1. An expansible intervertebral implant comprising:
a body elongated along an axis extending between a proximal end and a distal end of the body, the body including a plurality of superposed subportions coupled to the proximal end by a joint;
a first arm pivotally mounted with respect to the longitudinal body at the joint, the first arm pivotable between a folded position and a deployed position such that in the folded position, the first arm is substantially parallel to the axis and extends along the body, and
in the deployed position, the first arm is disposed at an angle to the axis with a portion of the first arm extending away from the body; and
an actuator operable to move the first arm from the folded position to the deployed position.
2. The expansible intervertebral implant according to claim 1 , in which the first arm is positioned at the distal end of the body.
3. The expansible intervertebral implant according to claim 2 further comprising a second arm, with the first arm and the second arm disposed on opposite sides of the body.
4. The expansible intervertebral implant according to claim 3 further comprising a third arm and a fourth arm, with the third arm and the fourth arm disposed on opposite sides of the body, with the first arm and the third arm disposed on the same side of the body, and with the second arm and the fourth arm disposed on the same side of the body.
5. The expansible intervertebral implant according to one of claim 1 further comprising a lock configured and operable to block the arm in the deployed position.
6. The expansible intervertebral implant according to claim 1 in which the actuator comprises a wedge slidable in a direction substantially parallel to the axis.
7. The expansible intervertebral implant according to claim 1 in which each of the subportions comprises a pivoting arm.
8. The expansible intervertebral implant according to claim 7 comprising an expander configured to expand the body in a direction substantially orthogonal to the axis and place the intervertebral implant in an expanded configuration.
9. The expansible intervertebral implant according to claim 8 in which the expander is operable to move distal ends of the two subportions apart.
10. The expansible intervertebral implant according to claim 9 in which the expander comprises at least a portion of the actuator.
11. The expansible intervertebral implant according to claim 9 in which the expander comprises a connecting rod lockable in a deployed position when the intervertebral implant is in an expanded configuration.
12. The expansible intervertebral implant according to claim 11 in which the body comprises an aperture at its proximal end configured to form a passage for a tool for operating the actuator.
13. The expansible intervertebral implant according to claim 12 in which the passage accommodates a tool for operating the expander.
14. The expansible intervertebral implant according to claim 13 in which the passage is configured for insertion of an anchor into the intervertebral implant.