Lockable spinal implant
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 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 vertebra and a second vertebra of the spine, the implant including a first vertebral engagement surface adapted to engage the first vertebra and an opposing second vertebral engagement surface adapted to engage the second vertebra, the implant being expandable by moving 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;
wherein, during expansion of the implant, a member of the implant advances in a first direction along a ratcheting surface that is elongated along a lateral dimension of the implant, the lateral dimension being oriented orthogonally to the superior/inferior dimension, the ratcheting surface permitting movement of the member along the lateral dimension in the first direction while resisting movement of the member along the lateral dimension in a second direction opposite to the first direction.
2. The device of claim 1 , wherein the member restrains the first and second vertebral engagement surfaces from moving back towards one another.
3. The device of claim 1 , wherein the first vertebral engagement surface is positioned on a first body of the implant, the second vertebral engagement surface is positioned on a second body of the implant, and the ratcheting surface is provided on the second body.
4. The device of claim 3 , wherein the ratcheting surface is defined by an array of pointed teeth.
5. The device of claim 3 , wherein the member is a pawl slidably engaged along the ratcheting surface.
6. The device of claim 5 , wherein the pawl is pivotably coupled to the first body.
7. The device of claim 1 , wherein the expansion of the implant induces the advancement of the member in the first direction along the ratcheting surface.
8. The device of claim 1 , wherein the implant is expandable by operation of at least one extendable support element of the implant, the at least one extendable support element being driven by fluid pressure.
9. The device of claim 8 , wherein the at least one extendable support element includes a piston slidably disposed within a cylinder.
10. The device of claim 1 , wherein the implant is expandable by operation of a first extendable support element and a second extendable support element spaced apart from one another in the lateral dimension of the implant.
11. The device of claim 10 , wherein the implant includes an interior cavity positioned between the first and second extendable support elements, the implant including at least one opening extending through an outer surface of the implant to the interior cavity so that graft material received within the interior cavity can communicate with the intervertebral space.
12. The device of claim 1 , wherein, during the expansion of the implant, a second member advances along a second ratcheting surface that is elongated along the lateral dimension.
13. The device of claim 12 , wherein, during the expansion of the implant, the second member advances in the second direction opposite to the first direction.
14. The device of claim 1 , wherein the first and second directions extend along the lateral dimension parallel to a longitudinal axis of the implant.
15. The device of claim 14 , further comprising a second ratcheting surface that is elongated along the lateral dimension, wherein the ratcheting surface is positioned on a first lateral side of the implant and the second ratcheting surface is positioned on a second lateral side of the implant, the second lateral side being opposite to the first lateral side across the longitudinal axis of the implant.
16. The device of claim 1 , wherein the implant is configured such that an angle defined between the first vertebral engagement surface and the second vertebral engagement surface varies during the expansion of the implant.
17. 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 vertebra and a second vertebra of the spine, the implant including a first body adapted to engage the first vertebra and an opposing second body adapted to engage the second vertebra, the implant being expandable by moving the first body away from the second body in a superior/inferior dimension such that the height of the implant is increased;
wherein, during expansion of the implant, a member of the implant advances along a set of ratcheting teeth arranged in an elongated array in which the ratcheting teeth are spaced apart from one another along a lateral dimension that is oriented orthogonally to the superior/inferior dimension, the member restraining the first and second bodies from moving back towards one another.
18. The device of claim 17 , wherein, during the expansion of the implant, a second member advances along a second set of ratcheting teeth arranged in a second elongated array in which the ratcheting teeth of the second set are spaced apart from one another along the lateral dimension.
19. The device of claim 17 , wherein the elongated array of ratcheting teeth are spaced apart from one another in the lateral dimension along a direction parallel to a longitudinal axis of the implant.
20. The device of claim 19 , further comprising a second set of ratcheting teeth arranged in a second elongated array extending in which the ratcheting teeth of the second set are spaced apart from one another along the lateral dimension, wherein the elongated array of ratcheting teeth is positioned on a first lateral side of the implant and the second elongated array of ratcheting teeth is positioned on a second lateral side of the implant, the second lateral side being opposite to the first lateral side across the longitudinal axis of the implant.