Devices, systems and methods for using and monitoring spinal implants

1. An implantable medical device comprising:

a first spinal cage having a first flattened vertical side and at least one first sensor associated with the first flattened vertical side; and

a second spinal cage having a second flattened vertical side and at least one second sensor associated with the second flattened vertical side,

wherein the first flattened vertical side and the second flattened vertical side are configured to allow side-by-side placement of the first spinal cage and the second spinal cage in an intervertebral space of a spine, with the at least one first sensor and the at least one second sensor placed in a matched arrangement relative to each other to detect movement between the first spinal cage and the second spinal cage.

2. The implantable medical device of claim 1 , wherein at least one of the first spinal cage and the second spinal cage is hollow to allow the incorporation of bone graft material.

3. The implantable medical device of claim 1 , wherein at least one of the first spinal cage and the second spinal cage is hollow and cylindrical devices composed of titanium, titanium alloys, stainless steel, or polymers.

4. The implantable medical device of claim 1 , wherein at least one of the first spinal cage and the second spinal cage is composed of titanium, titanium alloy, stainless steel, or polymer.

5. The implantable medical device of claim 1 , wherein the at least one first sensor and the at least one second sensor placed in a matched arrangement are contact sensors.

6. The implantable medical device of claim 5 , wherein one or both of the first spinal cage and the second spinal cage include at least one of a strain gauge sensor, a pressure sensor, a fluid pressure sensor, a position sensor, a shock sensor, a rotation sensor, a vibration sensor, a tilt sensor, a tissue chemistry sensor, a tissue metabolic sensor, a mechanical stress sensor, and a temperature sensor.

7. The implantable medical device of claim 1 , wherein the at least one first sensor and the at least one second sensor placed in a matched arrangement are accelerometers.

8. The implantable medical device of claim 7 , wherein one or both of the first spinal cage and the second spinal cage include at least one of a strain gauge sensor, a pressure sensor, a fluid pressure sensor, a position sensor, a shock sensor, a rotation sensor, a vibration sensor, a tilt sensor, a tissue chemistry sensor, a tissue metabolic sensor, a mechanical stress sensor, and a temperature sensor.

9. The implantable medical device of claim 1 , wherein the at least one first sensor includes a first contact sensor and a first accelerometer, and the at least one second sensor comprises a second contact sensor placed in a matched arrangement with the first contact sensor and a second accelerometer placed in a matched arrangement with the first accelerometer.

10. The implantable medical device of claim 9 , wherein one or both of the first spinal cage and the second spinal cage include at least one of a strain gauge sensor, a pressure sensor, a fluid pressure sensor, a position sensor, a shock sensor, a rotation sensor, a vibration sensor, a tilt sensor, a tissue chemistry sensor, a tissue metabolic sensor, a mechanical stress sensor, and a temperature sensor.

11. The implantable medical device of claim 1 , wherein the at least one of the first sensor is placed on the first flattened vertical side of the first spinal cage and the at least one second sensor is placed on the second flattened vertical side of the second spinal cage.

12. The implantable medical device of claim 11 , wherein the first flattened vertical side of the first spinal cage comprises a perforated wall, and the second flattened vertical side of the second spinal cage comprises a perforated wall.

13. The implantable medical device of claim 1 , further comprising:

a first electronic processor coupled to the at least one first sensor and to a first memory chip, and programmed to collect first data from the at least one first sensor based on a schedule; and

a second electronic processor coupled to the at least one second sensor and to a second memory chip and programmed to collect second data from the at least one second sensor based on a schedule, where the first data and the second data enable a detection of movement between the first spinal cage and the second spinal cage.

14. The implantable medical device of claim 13 , wherein the first electronic processor and the first memory chip are inside the first spinal cage, and the second electronic processor and the second memory chip are inside the second spinal cage.