Expandable implant
An expandable implant is disclosed in which the implant includes top and bottom plates having angled inner surfaces that interact with expansion members. The expansion members may be situated on an actuator, and may include at least one vertical projection. In some instances, rotation of the actuator in opposing directions about a longitudinal axis may cause the expansion members to move toward or away from one another, thereby resulting in separation of the top and bottom plates. During such expansion of the implant, the at least one vertical projection of the expansion members may be guided at least partially within a recess formed in the first or second plate. Pins may also be included with the expansion members that ride along respective slots in the plates during expansion. An insertion instrument for implanting the aforementioned implant, and methods of using the same, are also disclosed.
1. An expandable intervertebral implant comprising:
top and bottom plates each having inner and outer surfaces, at least one of the top and bottom plates having at least one ramp surface and an opening extending through the inner and outer surfaces;
a rotatable actuator positioned between the inner surfaces of the top and bottom plates; and
at least one expansion member engageable with the actuator and positioned between the inner surfaces of the top and bottom plates, the at least one expansion member having an engagement surface configured to engage the at least one ramp surface and having a vertical projection extending beyond the engagement surface,
wherein rotation of the actuator in a first direction causes the at least one expansion member to translate along a longitudinal axis of the actuator such that the vertical projection translates within the opening, and translation of the at least one expansion member causes the engagement surface to engage the at least one ramp surface such that at least one of the top and bottom plates moves away from the other within a vertical plane extending along the longitudinal axis of the actuator.
2. The implant of claim 1 , wherein a perimeter of the at least one opening is fully enclosed within the top plate or the bottom plate.
3. The implant of claim 1 , wherein the at least one expansion member has a lateral projection receivable within a corresponding lateral slot on a respective one of the top and bottom plates.
4. The implant of claim 3 , wherein the lateral slot is disposed adjacent the at least one ramp surface.
5. The implant of claim 1 , wherein the at least one opening of the top and bottom plates is disposed adjacent the at least one ramp surface.
6. The implant of claim 1 , wherein the at least one expansion member includes first and second expansion members translatable along the longitudinal axis of the actuator.
7. The implant of claim 6 , wherein the at least one ramp surface includes a first ramp surface and a second ramp surface, wherein the engagement surface includes a first engagement surface on the first expansion member and a second engagement surface on the second expansion member, the first and second engagement surfaces configured to engage a respective one of the first and second ramp surfaces, and wherein the vertical projection includes a first vertical projection extending beyond the first engagement surface and a second vertical projection extending beyond the second engagement surface.
8. The implant of claim 6 , wherein both top and bottom plates have an opening such that each vertical projection translates within a respective opening.
9. The implant of claim 6 , wherein rotation of the actuator in the first direction causes the first and second expansion members to translate away from each other.
10. The implant of claim 9 , wherein rotation of the actuator in a second direction causes the first and second expansion members to translate toward each other.
11. The implant of claim 1 , wherein the actuator includes an engagement nut at a proximal end thereof.
12. The implant of claim 6 , wherein the implant is moveable between a first condition and an operative condition, wherein, in the first condition, the first and second expansion members are positioned relatively close to each other along the longitudinal axis of the actuator and the top and bottom plates are positioned relatively close together along the vertical axis, and wherein, in the operative condition, the first and second expansion members are positioned relatively farther away from each other along the longitudinal axis and the top and bottom plates are positioned relatively farther away from each other along the vertical axis than in the first condition.
13. An expandable intervertebral implant comprising:
top and bottom plates each having inner and outer surfaces, at least one of the top and bottom plates having at least one ramp surface and an opening extending through the inner and outer surfaces;
a rotatable actuator positioned between the inner surfaces of the top and bottom plates; and
first and second expansion members engageable with the actuator and positioned between the inner surfaces of the top and bottom plates, at least one of the first and second expansion members having an engagement surface configured to engage the at least one ramp surface and a vertical projection extending beyond the engagement surface,
wherein rotation of the actuator in a first direction causes the first and second expansion members to translate along a longitudinal axis of the actuator such that the at least one vertical projection of the first and second expansion members translates within the opening, and translation of expansion members causes the engagement surface to engage the at least one ramp surface to move at least one of the top and bottom plates away from the other within a vertical plane extending along the longitudinal axis of the actuator.
14. The implant of claim 13 , wherein rotation of the actuator in the first direction causes the first and second expansion members to translate away from each other.
15. The implant of claim 14 , wherein rotation of the actuator in a second direction causes the first and second expansion members to translate toward each other.
16. The implant of claim 13 , wherein the at least one ramp surface includes a first ramp surface and a second ramp surface, wherein the engagement surface includes a first engagement surface on the first expansion member and a second engagement surface on the second expansion member, the first and second engagement surfaces configured to engage a respective one of the first and second ramp surfaces, and wherein the vertical projection includes a first vertical projection extending beyond the first engagement surface and a second vertical projection extending beyond he second engagement surface.
17. A method of implanting an expandable intervertebral implant comprising:
implanting an expandable intervertebral implant having top and bottom plates within a spinal column;
rotating an actuator positioned between inner surfaces of the top and bottom plates so that at least one expansion member translates along a longitudinal axis of the actuator causing an engagement surface of the expansion member to engage a ramp surface of at least one of the top and bottom plates, thereby causing at least one of the top and bottom plates to move away from the other; and
translating a vertical projection of the at least one expansion member within an opening extending through inner and outer surfaces of at least one of the top plate and the bottom plate while the at least one expansion member translates along the longitudinal axis of the actuator, the vertical projection extending beyond the engagement surface of the expansion member.
18. The method of claim 17 , wherein during the rotating step, the at least one expansion member translating along the longitudinal axis of the actuator comprises first and second expansion members translating along the longitudinal axis of the actuator.
19. The method of claim 17 , wherein during the rotating step, both the top and bottom plates move away from each other.
20. The method of claim 18 , wherein during the rotating step, the first expansion member translates in a first direction and the second expansion member translates in a second, opposite direction.