Expandable implant
An expandable implant is disclosed in which the implant includes top and bottom plates having angled inner surfaces that interact with expansion members. The expansion members may be situated on an actuator, and may include at least one vertical projection. In some instances, rotation of the actuator in opposing directions about a longitudinal axis may cause the expansion members to move toward or away from one another, thereby resulting in separation of the top and bottom plates. During such expansion of the implant, the at least one vertical projection of the expansion members may be guided at least partially within a recess formed in the first or second plate. Pins may also be included with the expansion members that ride along respective slots in the plates during expansion. An insertion instrument for implanting the aforementioned implant, and methods of using the same, are also disclosed.
1. An expandable intervertebral implant comprising:
top and bottom plates each having inner and outer surfaces and a ramp surface, at least one of the top and bottom plates having an opening extending through the inner and outer surfaces;
a rotatable actuator positioned between the inner surfaces of the top and bottom plates; and
first and second expansion members engageable with the actuator and positioned between the inner surfaces of the top and bottom plates, at least one of the first and second expansion members having an engagement surface configured to engage a respective one of the ramp surfaces and a vertical projection extending beyond the engagement surface,
wherein rotation of the actuator in opposing directions causes the first and second expansion members to move toward and away from each other along a longitudinal axis of the actuator such that the at least one vertical projection of the first and second expansion members translates within the opening relative to the actuator, the movement of the first and second expansion members causing the top and bottom plates to move toward and away from each other within a vertical plane extending along the longitudinal axis of the actuator.
2. The implant of claim 1 , wherein a perimeter of the at least one opening is fully enclosed within the top plate or the bottom plate.
3. The implant of claim 1 , wherein the actuator includes an engagement nut at a proximal end thereof.
4. The implant of claim 3 , wherein the engagement nut is adapted to be engaged by an insertion instrument.
5. The implant of claim 1 , wherein the at least one opening of the top and bottom plates is disposed adjacent the respective ramp surface of the top and bottom plate.
6. The implant of claim 1 , wherein the actuator includes first and second threaded portions, the first and second threaded portions having oppositely facing threads configured to engage threads of the first and second expansion members, such that when the actuator is rotated, the first and second expansion members move along the longitudinal axis of the actuator in opposite directions.
7. The implant of claim 1 , wherein the first and second expansion members each have a lateral projection receivable within a corresponding lateral slot on each of the top and bottom plates.
8. The implant of claim 7 , wherein the lateral slots are disposed adjacent respective ramp surfaces of the top and bottom plates.
9. The implant of claim 1 , wherein the first and second expansion members translate along a longitudinal axis of the implant.
10. The implant of claim 1 , wherein the implant is moveable between a first condition and an operative condition, wherein, in the first condition, the first and second expansion members are positioned relatively close to each other along the longitudinal axis of the actuator and the top and bottom plates are positioned relatively close together along the vertical axis, and wherein, in the operative condition, the first and second expansion members are positioned relatively farther away from each other along the longitudinal axis and the top and bottom plates are positioned relatively farther away from each other along the vertical axis than in the first condition.
11. A method of implanting an expandable intervertebral implant comprising:
implanting an expandable intervertebral implant having top and bottom plates within a spinal column;
rotating an actuator positioned between inner surfaces of the top and bottom plates so that a first expansion member engages the actuator and moves in a first direction and a second expansion member engages the actuator and moves in a second direction opposite the first direction, such that engagement surfaces of the expansion member engages ramp surfaces of the top and bottom plates thereby causing the top and bottom plates to move away from each other; and
translating a vertical projection of at least one of the first and second expansion members within an opening extending through inner and outer surfaces of at least one of the top plate and the bottom plate while the first expansion member moves in the first direction and the second expansion member moves in the second direction, the vertical projection extending beyond the engagement surface of the expansion member.
12. The method of claim 11 , wherein during the rotating step, the engagement surfaces the first and second expansion members are angled surfaces that engage the ramp surfaces of the inner surfaces of the top and bottom plates.
13. The method of claim 11 , wherein the first and second expansion members translate alongside a longitudinal axis of the actuator.
14. The method of claim 13 , wherein the longitudinal axis of the actuator extends alongside a longitudinal axis of the implant.
15. The method of claim 11 , wherein the first and second expansion members each have a pair of vertical projections extending beyond engagement surfaces.
16. The method of claim 11 , further comprising translating lateral projections within slots of the implant.
17. The method of claim 11 , further comprising engaging a tool to the actuator, wherein the step of rotating the actuator comprises rotating the actuator with the tool.
18. The method of claim 11 , wherein the step of implanting includes engaging the top and bottom plates of the implant with first and second adjacent vertebral bodies of the spinal column, and further comprising the step of moving the first and second adjacent vertebral bodies away from each other while the first expansion member moves in the first direction and the second expansion member moves in the second direction.
19. The method of claim 11 , wherein the at least one opening has a perimeter fully enclosed within the top plate or the bottom plate.
20. The method of claim 11 , wherein during the rotating step, the top and bottom plates move away from each other within a vertical plane extending along a longitudinal axis of the actuator.