Expandable and adjustable lordosis interbody fusion system
An expandable housing for an interbody fusion system has movable tapered external helical threaded members that travel along tracking to operably engage against the top and bottom shell members, urging them apart to cause expansion in the height of the housing. In an embodiment, the tapered members are disposed in a dual arrangement such that independent engagement of the tapered members along lateral portions of the top and bottom shells cause an angular tilt to the exterior surface of the housing when the tapered members are moved to different degrees. This function permits adjustment in the angular relationship between adjacent vertebrae and assists the lordotic adjustment of the patient's spine. When the functions of the device are used in combination by the surgeon, the device provides an effective tool for in situ adjustment when performing lateral lumbar interbody fusion.
1. A spinal implant device for placement between vertebral bodies, the device comprising:
a housing;
at least one screw member in the housing, the at least one screw member having a through-opening; and
at least one drive shaft in the housing extending substantially from a first end to a second end of the housing, the at least one drive shaft passing through the through-opening in the at least one screw member; wherein
the housing comprises a first shell member and a second shell member, at least the first shell member having at least one riser member for receiving the at least one screw member,
the at least one drive shaft is operable to rotate the at least one screw member, whereby the at least one screw member rotates with and travels along the at least one drive shaft,
the at least one screw member is engageable with the at least one riser member, the at least one screw member having a tapered configuration, whereby rotation of the at least one screw member increases a diameter of the at least one screw member at a point of engagement with the at least one riser member, causing the first shell member and second shell member to move relative to each other to effect expansion of the housing.
2. The spinal implant device of claim 1 , whereby the housing can be contracted by reversing a direction of rotation of the at least one screw member from that for expansion, decreasing the diameter of the screw member at the point of engagement with the at least one riser member.
3. The spinal implant device of claim 1 , wherein the at least one riser member comprises a series of riser members of successively greater heights.
4. The spinal implant device of claim 3 , whereby the at least one screw member is engageable with at least two successive riser members of the series of riser members at a time.
5. The spinal implant device of claim 4 , whereby the series of riser members has gaps between individual riser members of the series of riser members, whereby the at least one screw member has a helical thread which can be received in the gaps.
6. The spinal implant device of claim 5 , whereby rotation of the at least one screw member causes the at least one screw member to travel along the series of riser members, whereby rotation of the at least one screw member increases the diameter of the at least one screw member at the point of engagement with the at least one riser member, causing at least the first shell member and the second shell member to move relative to each other to effect expansion of the housing.
7. The spinal implant device of claim 6 , whereby the housing can be contracted by reversing the direction of rotation of the at least one screw member from that for expansion, decreasing the diameter of the at least one screw member at the point of engagement with each successive riser member, and causing the at least one screw member to travel in reverse on the series of riser members of successively greater heights.
8. The spinal implant device of claim 7 , wherein the at least one riser member of the first shell member comprises the series of riser members of successively greater heights and a second series of riser members of successively greater heights, whereby the at least one screw member comprises a first screw member and a second screw member, whereby the series of riser members receives the first screw member and the second series of riser members receives the second screw member.
9. The spinal implant device of claim 8 , wherein each of the first and second screw members have a through opening configured to allow the at least one drive shaft to pass through and operably engage with the first and second screw members, whereby the first and second screw members are disposed such that a directional orientation of the helical thread of the first screw member is opposite to a directional orientation of the helical thread of the second screw member, whereby the first and second screw members move in opposite directions relative to each other upon rotation of the at least one drive shaft.
10. The spinal implant device of claim 8 , further comprising a thrust bearing member engageable with the first and second drive shafts to limit axial movement of the first and second drive shafts.
11. The spinal implant device of claim 10 , further comprising a locking member engageable with the first and second drive shafts to selectively prevent rotation of the first and second drive shafts.
12. The spinal implant device of claim 1 , further comprising a thrust bearing member engageable with the at least one drive shaft to prevent axial movement of the at least on drive shaft.
13. The spinal implant device of claim 12 , further comprising a locking member engageable with the at least one drive shaft to selectively prevent rotation of the at least one drive shaft.
14. A spinal implant device for placement between vertebral bodies, the device comprising:
a housing;
at least one screw member in the housing; and
at least one drive shaft; wherein
the housing comprises a first shell member and a second shell member, at least the first shell member having a plurality of riser members for receiving the at least one screw member,
the at least one drive shaft is operable to rotate the at least one screw member,
the at least one screw member is engageable with the plurality of riser members, the at least one screw member having a tapered configuration, whereby rotation of the at least one screw member increases a diameter of the at least one screw member at a point of engagement with the plurality of riser members, causing the first shell member and second shell member to move relative to each other to effect expansion of the housing,
wherein the second shell member having a plurality of riser members for receiving the at least one screw member, the plurality of riser members of the first shell member have gaps between riser members, the plurality of riser members of the second shell member have gaps between riser members, wherein the gaps of the first shell member each have a position corresponding to positions of riser members of the second shell member and vice versa, thereby permitting the plurality of riser members of the first shell member and the plurality of riser members of the second shell member to intermesh.
15. The spinal implant device of claim 14 , whereby the at least one screw member is simultaneously engageable with at least two successive riser members of the plurality of riser members on the first shell member and at least two successive riser members of the plurality of riser members on the second shell member, whereby rotation of the at least one screw member causes the at least one screw member to travel simultaneously along the plurality of riser members on the first shell member and the plurality of riser members on the second shell member, where rotation of the at least one screw member increases the diameter of the at least one screw member at points of engagement with each successive riser member, causing the first shell member and the second shell member to move relative to each other to effect expansion of the housing.
16. A spinal implant device for placement between vertebral bodies, the device comprising:
a housing;
a plurality of screw members in the housing the plurality of screw members comprising at least one first screw member positioned along a first lateral area of the housing, and at least one second screw member positioned along a second lateral area of the housing, the at least one first and second screw members each having a through-opening;
a first drive shaft and a second drive shaft, the first and the second drive shafts extending substantially from a first end to a second end of the housing, the first drive shaft passing through the through-opening in the at least one first screw member, and the second drive shaft passing through the through-opening in the at least one second screw member; wherein
the housing comprises a first shell member and a second shell member, at least the first shell member having at least one first riser member for receiving the at least one first screw member, and having at least one second riser member for receiving the at least one second screw member,
the first drive shaft, positioned along the first lateral area of the housing, is operable to rotate the at least one first screw member whereby the at least one first screw member rotates with and travels along the first drive shaft, the second drive shaft, positioned along the second lateral area of the housing, is operable to rotate the at least one second screw member whereby the at least one second screw member rotates with and travels along the second drive shaft, the first drive shaft and second drive shaft being operable independently of each other,
the at least one first screw member is engageable with the at least one first riser member, the at least one second screw member is engageable with the at least one second riser member, the plurality of screw members each having tapered configurations, whereby rotation of a screw member of the plurality of screw members increases a diameter of that screw member at a point of engagement with a riser member of the at least one first riser member or a riser member of the at least one second riser member, causing the first shell member and second shell member to move relative to each other to effect expansion of the housing, whereby contraction of the housing can be effected from reversing a direction of rotation of that screw member from that for expansion, decreasing the diameter of that screw member at the point of engagement with the riser member, wherein a degree of expansion or contraction of the first lateral area of the housing is independently adjustable relative to a degree of expansion or contraction of the second lateral area of the housing when the at least one first screw member and the at least one second screw member are independently adjusted to different degrees of rotation.
17. The spinal implant device of claim 16 , wherein the at least one first riser member comprises a first series of riser members and the at least one second riser member comprises a second series of riser members, each series comprising riser members of successively greater heights, each series of riser members is for receiving one screw member of the plurality of screw members, whereby rotation of a screw member of the plurality of screw members causes that screw member to travel along a respective one of the series of riser members of successively greater heights.
18. The spinal implant device of claim 17 , whereby the at least one first screw member comprises a first pair of screw members and the at least one second screw member comprises a second pair of screw members.
19. The spinal implant device of claim 18 , wherein the first pair of screw members are disposed such that a directional orientation of the helical thread of a first screw member of the first pair is opposite to a directional orientation of a second screw member of the first pair, whereby the first and second screw members of the first pair move in opposite directions relative to each other along the first lateral area of the housing upon rotation of the first drive shaft engaging the first pair of screw members, wherein the second pair of screw members are disposed such that a directional orientation of the helical thread of a first screw member of the second pair is opposite to a directional orientation of the helical thread of a second screw member of the second pair, whereby the first and second screw members of the second pair move in an opposite direction relative to each other along the second lateral area of the housing upon rotation of the second drive shaft engaging the second pair of screw members.
20. The spinal implant device of claim 19 , wherein the first and second pairs of screw members are disposed such that when the first drive shaft is rotated in a first direction the first pair of screw members move distally from the central portion of the first lateral area of the housing, and when the second drive shaft is rotated in a second direction opposite to the first direction the second pair of screw members move distally from the central portion of the second lateral area of the housing.
21. The spinal implant device of claim 16 , wherein
the at least one first riser member of the first shell member comprises a plurality of first riser members, the at least one second riser member of the first shell member comprises a plurality of second riser members, and the second shell member comprises a plurality of first riser members and a plurality of second riser members,
the plurality of first riser members of the first shell member have gaps between riser members, the plurality of first riser members of the second shell member have gaps between riser members, wherein the gaps between the first riser members of the first shell member each have a position corresponding to positions of the first riser members of the second shell member and vice versa, thereby permitting the plurality of first riser members of the first shell member and the plurality of first riser members of the second shell member to intermesh, and
the plurality of second riser members of the first shell member have gaps between riser members, the plurality of second riser members of the second shell member have gaps between riser members, wherein the gaps between the second riser members of the first shell member each have a position corresponding to positions of the second riser members of the second shell member and vice versa, thereby permitting the plurality of second riser members of the first shell member and the plurality of second riser members of the second shell member to intermesh.