Cervical distraction/implant delivery device
Systems for distracting a facet joint and positioning a permanent implant in the joint are disclosed. The implants serve to retain a distracted position of the facet joint which is achieved with positioning of the leading end of a distraction tool in the facet joint and then distracting or enlarging the joint a desired amount. The permanent implant could be part of the distraction mechanism which can be separated from the delivery tool once the joint has been distracted or an auxiliary implant may be positioned before the distraction mechanism is removed from the distracted joint. The permanent implants can be solid, mechanical devices that may have fixation means thereon to hold them in place or injected fluids such as hydrogels or fluids confined within balloons.
1. A method for distracting a facet joint formed by two adjacent vertebrae of a spine of a patient, the method comprising:
delivering a facet distraction implant via a delivery device through a cannula into the facet joint in a posterior-to-anterior direction, relative to the patient, wherein the facet distraction implant comprises a top surface and a bottom surface, and a proximal end face, and one or more fixation features disposed along the top and bottom surfaces; and
actuating a pusher device to further deliver the facet distraction implant, and wherein the delivery device comprises a distal tip portion configured to engage at least a portion of the proximal end face of the implant and the pusher device disengages the facet distraction implant from the distal tip portion and wherein delivering the facet distraction implant into the facet joint distracts the facet joint.
2. The method of claim 1 , wherein at least one of the top surface or the bottom surface includes one or more openings.
3. The method of claim 1 , further comprising
an actuation device comprising a threaded member;
the facet distraction implant includes a threaded member engagement opening;
the threaded member is adapted to engage the threaded member engagement opening; and
actuating the actuation device into the facet distraction implant comprises advancing the threaded member into the threaded member engagement opening.
4. The method of claim 3 , wherein the threaded member is a screw.
5. The method of claim 3 , wherein:
at least one of the top surface or the bottom surface includes one or more openings; and
actuating the actuation device further comprises threading the threaded member through the one or more openings such that a portion of the threaded member protrudes through the one or more openings.
6. The method of claim 5 , wherein the threaded member protrudes through the one or more openings sufficiently to prevent the facet distraction implant from backing out of the facet joint.
7. The method of claim 1 , wherein the top surface and the bottom surface are connected at one or both ends.
8. The method of claim 1 , wherein actuating the actuation device into the facet distraction implant distracts the implant and when delivered into the facet joint, distracting the implant with the actuation device further distracts the joint.
9. The method of claim 1 , wherein the one or more fixation features comprise teeth.
10. The method of claim 1 , wherein the method is performed minimally invasively.
11. The method of claim 1 , wherein the method is performed percutaneously.
12. The method of claim 1 , wherein the facet joint is a cervical facet joint.