Vertebral joint implants and delivery tools
A spinal joint distraction system for treating a facet joint including articular surfaces having a contour is disclosed and may include a delivery device including a generally tubular structure adapted to engage a facet joint, an implant adapted to be delivered through the delivery device and into the facet joint, the implant comprising two members arranged in opposed position, and an implant distractor comprising a generally elongate member adapted to advance between the two members of the implant causing separation of the members and distraction of the facet joint, wherein the implant is adapted to conform to the shape of the implant distractor and/or the articular surfaces of the facet upon being delivered to the facet joint. Several embodiments of a system, several embodiments of an implant, and several methods are disclosed including a method for interbody fusion.
1. A method for implanting an intra-facet implant into a cervical facet joint comprising an inferior articulating surface of an upper facet and a superior articulating surface of a lower facet, the method comprising:
using a posterior approach, positioning a distal portion of a guide tool at said facet joint, said guide tool comprising an internal lumen;
with a proximal portion of said implant releasably coupled to a distal portion of a delivery tool, delivering said implant through said internal lumen of said guide tool into said cervical facet joint, between said inferior articulating surface of said upper facet and said superior articulating surface of said lower facet,
wherein said implant further comprises an external thread extending along said implant from said proximal portion to said distal portion, wherein said external thread comprises a plurality of interruptions in the thread, along a length of the implant; and
detaching said implant from said delivery tool, wherein when the implant has been advanced into the cervical facet joint and then detached from said delivery tool, at least a first portion of said external thread engages with the inferior articulating surface of the upper facet and a second portion of said external thread engages with the superior articulating surface of the lower facet.
2. The method of claim 1 , wherein said delivering said implant into said facet joint increases a foraminal area between said upper and lower facet.
3. The method of claim 1 , wherein said proximal portion of said implant comprises a recess for engaging with said distal portion of said delivery tool.
4. The method of claim 2 , wherein said implant comprises stainless steel, titanium or nitinol.
5. The method of claim 4 , wherein said threading said implant comprises engaging the external thread with said inferior and superior articulating surfaces.
6. The method of claim 1 , wherein said proximal portion of said implant comprises a first diameter, and a distal portion of said implant comprises a second diameter that is smaller than said first diameter of said proximal portion.
7. The method of claim 1 , wherein said delivering said implant into said facet joint comprises threading said implant further anteriorly into said facet joint.
8. The method of claim 1 , further comprising injecting bone paste or other anchoring material into the facet joint, around the facet joint and/or over the implant.
9. The method of claim 1 , further comprising roughening or decorticating bone in or around the facet joint before delivering the implant into said facet joint.
10. The method of claim 1 , wherein the method is performed minimally invasively.