Adjustable distraction cage with linked locking mechanisms
A spinal implant which is configured to be deployed between adjacent vertebral bodies. The implant has at least one extendable support element with a retracted configuration to facilitate deployment of the implant and an extended configuration so as to expand the implant and effectively distract the disc space, stabilize the motion segments and eliminate pathologic spine motion. The implant has a minimal dimension in its unexpanded state that is smaller than the dimensions of the neuroforamen through which it typically passes to be deployed within the intervertebral space. The implant is provided with a locking system having a plurality of linked locking elements that work in unison to lock the implant in an extended configuration. Bone engaging anchors also may be provided to ensure secure positioning.
1. A method for stabilizing a spine in a patient's body, comprising:
implanting an expandable fusion implant into an intervertebral space between a first vertebral body and a second vertebral body of the spine;
expanding the implant to an expanded configuration by:
moving a first portion of the implant in a lateral dimension such that the width of the implant is increased, and
actuating at least one extendable support element of the implant to drive a first vertebral engagement surface away from an opposing second vertebral engagement surface in a superior/inferior dimension such that the height of the implant is increased, the at least one expandable support element being a permanently integral component of the implant that remains implanted in the intervertebral space with the implant, wherein the step of actuating the at least one extendable support element of the implant occurs non-simultaneously with the step of moving the first portion of the implant in the lateral dimension; and
locking the implant in the expanded configuration so as to fix the positions and orientations of the first and second vertebral engagement surfaces relative to one another.
2. The method of claim 1 , wherein actuating the at least one extendable support element includes extending a piston outwardly from a cylinder of the implant.
3. The method of claim 1 , wherein actuating the at least one extendable support element includes extending a first extendable support element and a second extendable support element outwardly from a housing of the implant.
4. The method of claim 1 , further comprising locking the implant so as to restrain the width of the implant from decreasing.
5. The method of claim 1 , wherein moving the first portion of the implant in the lateral dimension includes extending a piston outwardly from a cylinder of the implant.
6. The method of claim 5 , wherein a housing of the implant includes a central member that provides the cylinder and receives the piston.
7. The method of claim 1 , wherein moving the first portion of the implant in the lateral dimension includes extending a lateral anchor outwardly from a housing of the implant so as to anchor the lateral anchor in laterally oriented tissue of the patient's body.
8. The method of claim 1 , further comprising extending at least one bone anchor outwardly from a housing of the implant, the at least one bone anchor having a sharp tip for firmly engaging at least one of the first and second vertebral bodies.
9. The method of claim 1 , wherein the step of actuating the at least one extendable support element to drive the first vertebral engagement surface away from the second vertebral engagement surface causes the first vertebral body to distract away from the second vertebral body.
10. The method of claim 1 , further comprising filling an interior cavity of the implant with bone graft material.
11. A device for stabilizing a spine of a patient's body, comprising:
an expandable fusion implant adapted to be implanted into an intervertebral space between a first vertebral body and a second vertebral body of the spine, the implant including a first vertebral engagement surface adapted to engage the first vertebral body and an opposing second vertebral engagement surface adapted to engage the second vertebral body, and the implant being expandable to an expanded configuration by increasing the width of the implant and increasing the height of the implant;
wherein a first portion of the implant is movable in a lateral dimension such that the width of the implant is increased;
wherein the implant includes at least one extendable support element actuatable to drive the first vertebral engagement surface away from the second vertebral engagement surface in a superior/inferior dimension such that the height of the implant is increased, the at least one extendable support element being a permanently integral component of the implant that remains implanted in the intervertebral space with the implant, wherein the at least one extendable support element is actuatable to drive the first vertebral engagement surface away from the second vertebral engagement surface non-simultaneously from movement of the first portion in the lateral dimension, and;
wherein the implant is lockable in the expanded configuration so as to fix the positions and orientations of the first and second vertebral engagement surfaces relative to one another.
12. The device of claim 11 , wherein the at least one extendable support element includes a piston adapted to extend outwardly from a cylinder of the implant in the superior/inferior dimension.
13. The device of claim 11 , wherein the at least one extendable support element includes a first extendable support element and a second extendable support element, both the first and second extendable support elements being adapted to extend outwardly from a housing of the implant.
14. The device of claim 11 , further comprising a locking mechanism adapted to lock the first portion of the implant so as to restrain the width of the implant from decreasing.
15. The device of claim 11 , wherein the first portion of the implant includes a piston adapted to extend outwardly from a cylinder of the implant in the lateral dimension.
16. The device of claim 15 , wherein a housing of the implant includes a central member that provides the cylinder and receives the piston.
17. The device of claim 16 , wherein the central member divides an interior cavity of the housing into two cavities.
18. The device of claim 11 , wherein the first portion of the implant includes a lateral anchor extendable outwardly from a housing of the implant in the lateral dimension so as to anchor the lateral anchor in laterally oriented tissue of the patient's body.
19. The device of claim 11 , further comprising at least one bone anchor extendable outwardly from a housing of the implant in the superior/inferior dimension, the at least one bone anchor having a sharp tip for firmly engaging at least one of the first and second vertebral bodies.
20. The device of claim 19 , wherein the at least one bone anchor is formed as a spike.