Instruments for interspinous or interlaminar stabilization devices
Surgical instruments to properly implant interspinous/interlaminar stabilization devices, and instrumentation kits containing these instruments are provided. These surgical instruments may be configured to be disposable, or for single patient use, and therefore do not require resterilization for reuse, thus reducing risk of infection as a result of reuse and logistical costs associated with these resterilization procedures.
1. A method of stabilizing a spine, comprising:
providing an instrument system for insertion of an implantable device configured for placement within an interspinous space between two adjacent vertebrae at a vertebral level of the spine, the system comprising a handle component and at least one head component releasably attachable to the handle component, the at least one head component having dual functioning ends, a first end being configured for evaluation of the interspinous space, and a second, opposed end being configured to hold the implantable device for placement within the interspinous space, wherein the at least one head component may be attached at either of the dual functioning ends to the handle component;
evaluating the interspinous space using the first end of the at least one head component of the instrument system;
selecting an implantable device based on the evaluation of the interspinous space; and
inserting the selected implantable device into the interspinous space.
2. The method of claim 1 , wherein the instrument system comprises a set of head components of incrementally increasing size, and the step of evaluating the interspinous space comprises measuring a height of the interspinous space using one or more of the head components.
3. The method of claim 2 , wherein the implantable device is selected based on the measured height of the interspinous space.
4. The method of claim 2 , further providing a set of implantable devices of incrementally increasing size, and wherein the implantable devices are held on the second, opposed end of the set of head components.
5. The method of claim 1 , wherein the handle component comprises a grip and an elongate attachment stem.
6. The method of claim 5 , wherein the at least one head component comprises an opening at either dual functioning end to receive the elongate attachment stem.
7. The method of claim 1 , further including the step of attaching the at least one head component to the handle component at the second, opposed end prior to the step of evaluating the interspinous space.
8. The method of claim 1 , further including the step of attaching the at least one head component to the handle component at the first end prior to inserting the selected implantable device into the interspinous space.
9. The method of claim 1 , wherein the implantable device comprises a spacer body configured for placement between the two adjacent vertebrae, and a pair of lateral walls extending from the spacer body, wherein the pair of lateral walls are positioned on opposite sides of a spinous process of the two adjacent vertebrae.
10. The method of claim 9 , wherein the pair of lateral walls are spread apart prior to insertion of the implantable device into the interspinous space.
11. The method of claim 9 , wherein the pair of lateral walls are crimped together after insertion of the implantable device into the interspinous space.
12. The method of claim 9 , wherein the instrument system further includes a bending and crimping tool having dual functioning compression ends, a first end being configured for crimping together the lateral walls of the implantable device, and a second, opposed end being configured for spreading apart the lateral walls of the implantable device.
13. The method of claim 12 , wherein the pair of lateral walls are spread apart with uniform force using the first end of the bending and crimping tool prior to insertion into the interspinous space.
14. The method of claim 12 , wherein the pair of lateral walls are crimped together with uniform force using the second, opposed end of the bending and crimping tool after insertion into the interspinous space.
15. The method of claim 1 , further comprising evaluating an interspinous space at a second, different vertebral level of the spine using the first end of the at least one head component of the instrument system;
selecting a second implantable device based on the evaluation of the interspinous space at the second vertebral level; and
inserting the selected second implantable device into the interspinous space at the second vertebral level.
16. The method of claim 15 , wherein the step of evaluating the interspinous space at the second, different vertebral level comprises measuring a height of the interspinous space using one or more of the head components.
17. The method of claim 16 , wherein the second implantable device is selected based on the measured height of the interspinous space at the second, different level.
18. The method of claim 15 , wherein the second implantable device comprises a spacer body configured for placement between two adjacent vertebrae at the second vertebral level, and a pair of lateral walls extending from the spacer body, wherein the pair of lateral walls are positioned on opposite sides of a spinous process of the two adjacent vertebrae at the second level.
19. The method of claim 18 , wherein the pair of lateral walls are spread apart prior to insertion of the second implantable device into the interspinous space.
20. The method of claim 18 , wherein the pair of lateral walls are crimped together after insertion of the second implantable device into the interspinous space.