Method of treating spinal disk
A method of treating a spinal disk according to the present invention can include inserting an alloplastic bulking agent into the spinal disk to treat the defect. The alloplastic bulking agent has a plurality of microparticles and a suspending agent comprising hyaluronic acid. The bulking agent results in at least one of sealing the defect, increasing a pressure of the disk, increasing a height of the disk, improving stability of the disk and improving structural integrity of the disk.
1. A method of treating a spinal disk comprising delivering an agent to the spinal disk through a syringe having a needle, wherein the agent comprises a plurality of microparticles suspended in a solution comprising hyaluronic acid having a viscosity between 50,000 and 200,000 centipoise without agents in the material that cause the material to harden in place after injection through the annulus.
2. The method of claim 1 , wherein the microparticles comprise PMMA.
3. The method of claim 2 , wherein the PMMA microparticles comprise cross-linked PMMA having a glass transition temperature of at least 120 degrees C.
4. The method of claim 2 , wherein the PMMA microparticles comprise linear PMMA.
5. The method of claim 1 , wherein the concentration of hyaluronic acid in the solution is between 1.0% and 3.0% (w/w).
6. The method of claim 1 , wherein the average molecular weight of hyaluronic acid in the agent is greater than 1.6 M Da.
7. The method of claim 2 , wherein the concentration of PMMA in the agent is between 25% and 50% (w/w).
8. The method of claim 7 , wherein the concentration of PMMA in the agent is between 38% and 48% (w/w).
9. The method of claim 1 , additionally comprising identifying a defect in the spinal disk.
10. The method of claim 1 , further comprising at least one of sealing the defect, increasing a pressure of the disk, increasing a height of the disk, improving stability of the disk and improving structural integrity of the disk.
11. The method of claim 1 , wherein the agent is configured to be at least partially replaced with host tissue.
12. The method of claim 1 , wherein the agent comprises at least one of water, saline, a tenside, radiopaque dye, and a chromophobe.
13. The method of claim 1 , wherein said microparticles are substantially spherical with diameters in the range of about 15 to about 200 microns.
14. The method of claim 1 , wherein said microparticles comprise one or more of poly methacrylate, polymethylmethacrylate (PMMA), a cured polymer, a fully polymerized polymer, and glass.
15. The method of claim 1 , wherein the defect comprises at least one of displaced inner disk spinal material, a spinal annular defect, an internal disk derangement.
16. The method of claim 1 , wherein delivering the agent comprises delivering about 0.5 to 1.5 cubic centimeters of the agent.
17. The method of claim 1 , wherein delivering the agent comprises using a terminally sterilized syringe.
18. The method of claim 1 , wherein delivering the agent comprises delivering the agent to a nucleus pulposus of the disk.
19. The method of claim 1 , wherein delivering the agent occurs during at least one of a discography, laminotomy, laminectomy, hemilaminotomy, and hemilaminectomy, and open procedure.