Cervical distraction method
A device and method for a minimally invasive surgical implantation to reduce radicular symptoms by inserting an expandable cervical distraction implant in the facet joint and distracting the adjacent cervical vertebrae to increase the foraminal dimension. The implant, when positioned in the cervical facet joint, expands to via delivery of an inflation medium to increase the space between the vertebrae, thereby increasing the foraminal area or dimension, and reducing pressure on the nerves and blood vessels of the cervical spine.
1. A system for implanting an implant in a cervical facet joint comprising an inferior articulating surface of an upper vertebra and a superior articulating surface of a lower vertebra, the system comprising:
a guide tool;
a delivery tool; and
a cervical facet joint implant removably coupled to a distal tip of the delivery tool, the implant comprising one or more walls and a proximal end, the proximal end of the implant coupled to the distal tip of the delivery tool,
wherein: when the implant is advanced into the cervical facet joint and then detached from the delivery tool, at least one wall of the implant engages with the inferior articulating surface and at least one other wall engages with the superior articulating surface to distract the cervical facet joint.
2. The system of claim 1 , wherein the guide tool comprises a guidewire.
3. The system of claim 1 , wherein the delivery tool comprises a catheter.
4. The system of claim 1 , wherein the cervical facet joint is covered by an articular capsule and the system further comprises an introducer needle, the introducer needle configured to create an access hole in the articular capsule such that the guide tool and/or delivery tool can access the cervical facet joint.
5. The system of claim 1 , wherein a distal end of the implant has a smaller profile than the proximal end of the implant.
6. The system of claim 1 , wherein an exterior surface of at least one of the one or more walls of the implant is configured to inhibit motion of the at least one of the one or more walls relative to the respective inferior articulating surface or the superior articulating surface.
7. The system of claim 1 , wherein the implant is selected from a number of predetermined sized implants, such selection made to accommodate patient anatomy.
8. The system of claim 1 , wherein the system is a minimally invasive system.
9. A system for distraction of a cervical facet joint, the cervical facet joint comprising an inferior articulating surface of a first vertebra and a superior articulating surface of a second vertebra, the system comprising:
a delivery tool having a distal tip; and
a cervical facet joint implant detachably coupled to the distal tip of the delivery tool, the implant comprising one or more walls and a proximal end, the proximal end of the implant coupled to the distal tip of the delivery tool,
wherein: when the implant is advanced into the facet joint and then detached from the delivery tool, at least one wall of the implant engages with the inferior articulating surface and at least one other wall engages with the superior articulating surface to distract the cervical facet joint.
10. The system of claim 9 , further comprising a guide tool.
11. The system of claim 10 , wherein the guide tool comprises a guidewire.
12. The system of claim 9 , wherein the delivery tool comprises a catheter.
13. The system of claim 9 , wherein the cervical facet joint is covered by an articular capsule and the system further comprises an introducer needle, the introducer needle configured to create an access hole in the articular capsule such that the guide tool and/or delivery tool can access the cervical facet joint.
14. The system of claim 9 , wherein a distal end of the implant has a smaller profile than the proximal end of the implant.
15. The system of claim 9 , wherein an exterior surface of at least one of the one or more walls of the implant is configured to inhibit motion of the at least one of the one or more walls relative to the respective inferior articulating surface or the superior articulating surface.