Hybrid intervertebral spinal fusion implant
An implant made of at least two different materials. The implant may include materials with varying radiolucency and mechanical properties. Such a hybrid implant may offer controlled radiographic visibility and optimized structural properties for implant placement, including placement for use in spinal arthrodesis.
1. An intervertebral implant for promoting fusion between adjacent vertebral bodies comprising:
a first body made at least in part of a first material, the first body comprising:
an inferior laterally extending member having a first anterior aspect and a first posterior aspect separated at least in part by a central void and joined together at least by respective end members,
a pair of vertical supports coupled to and extending superiorly away from the inferior laterally extending member and the central void being defined between the pair of vertical supports, and
a superior laterally extending member having a second anterior aspect and a second posterior aspect separated at least in part by the central void and joined together by respective second side members, wherein the superior laterally extending member is coupled to the pair of vertical supports;
a first horizontal support extending from the first anterior aspect to the first posterior aspect of the inferior laterally extending member, a second horizontal support extending from the first anterior aspect to the first posterior aspect of the inferior laterally extending member, a third horizontal support extending from the second anterior aspect to the second posterior aspect of the superior laterally extending member, a fourth horizontal support extending from the second anterior aspect to the second posterior aspect of the superior laterally extending member, wherein the first and third horizontal supports are aligned with a first vertical support of the pair of vertical supports and the second and fourth horizontal supports are aligned with a second vertical support of the pair of vertical supports, wherein the pair of vertical supports define an anterior access opening and a posterior access opening to the central void, the first and second horizontal supports define an inferior access opening to the central void, and the third and fourth horizontal supports define an superior access opening to the central void; and
a second body made at least in part of a second material that is substantially radiolucent, the second body configured to fit in the central void at least partially between the inferior laterally extending member and the superior laterally extending member and at least partially between the pair of supports, wherein the pair of supports are aligned with one another so that one of the supports is obscured by the other of the supports when viewed radiographically from at least one of anterior, posterior, and lateral sides, to indicate a rotational position of the implant about a vertical axis.
2. The intervertebral implant of claim 1 wherein the first material is a biocompatible metal.
3. The intervertebral implant of claim 1 wherein the first material is titanium.
4. The intervertebral implant of claim 1 wherein the first material is radiographically detectable.
5. The intervertebral implant of claim 1 wherein the first material is radio-opaque.
6. The intervertebral implant of claim 1 wherein the inferior laterally extending member is a plate configured at least in part to contact an inferior vertebral body.
7. The intervertebral implant of claim 1 wherein the inferior laterally extending member includes one or more of protrusions, ratchets, spikes, roughened surfaces, and knurling directed toward an inferior vertebral body.
8. The intervertebral implant of claim 1 wherein the pair of supports each comprises a column that provides structural support between the inferior laterally extending member and the superior laterally extending member.
9. The intervertebral implant of claim 1 wherein the superior laterally extending member is a plate configured at least in part to contact a superior vertebral body.
10. The intervertebral implant of claim 1 wherein the superior laterally extending member includes one or more of protrusions, ratchets, spikes, roughened surfaces, and knurling directed toward a superior vertebral body.
11. The intervertebral implant of claim 1 wherein the second material is a biocompatible polymer.
12. The intervertebral implant of claim 1 wherein the second material is PEEK.
13. The intervertebral implant of claim 1 wherein the second material is radiographically detectable.
14. The intervertebral implant of claim 1 wherein the second material is radiolucent.
15. The intervertebral implant of claim 1 wherein the second material is less radiographically detectable than the first material.
16. The intervertebral implant of claim 1 further comprising a bone growth promoting substance between the inferior laterally extending member and the superior laterally extending member.
17. An intervertebral implant for promoting fusion between two adjacent vertebral bodies comprising:
first and second opposing radio-opaque plates, the first plate having a lower surface configured for engaging a first endplates of the adjacent vertebral bodies and the second plate having an upper surface configured for engaging a second endplate of the adjacent vertebral bodies, the first and second plates each including an anterior aspect and a posterior aspect separated by a first opening, a first support structure extending vertically between the anterior aspects of the first and second plates adjacent a first lateral side of the first and second plates, a second support structure extending vertically between the anterior aspects of the first and second plates adjacent a second lateral side of the first and second plates, a third support structure extending vertically between the posterior aspects of the first and second plates adjacent the first lateral side of the first and second plates, a fourth support structure extending vertically between the posterior aspects of the first and second plates adjacent the second lateral side of the first and second plates, the first and second plates and the first and third support structures being constructed to form a first space therebetween, the first and second plates and the second and fourth support structures being constructed to form a second space therebetween, the anterior and posterior aspects of each respective plate being connected together at each opposing end of the first and second plates and defining a cavity between the ends of the first and second plates and respective surfaces of the first, second, third, and fourth support structures;
first and second radiolucent blocks placed in the respective cavities between the first and second plates at opposite ones of the first and second lateral sides of the first and second plates;
wherein an interior void is formed in the first and second spaces between the first and second plates and the first, second, third and fourth support structures, the first and second spaces being partially enclosed on at least two sides by the first and second radiolucent blocks and the interior void opening through the first and second plates between the first and second support structures to form a front opening and a rear opening into the interior void, and the interior void opening through the anterior and posterior aspects of the first and second plates between the first and second radiolucent blocks to form a lower opening and an upper opening into the interior void.
18. The intervertebral implant of claim 17 wherein the first and second radio-opaque plates are at least in part made from titanium.
19. The intervertebral implant of claim 17 wherein the first and second radiolucent blocks are at least in part made from PEEK.
20. The intervertebral implant of claim 17 wherein at least one of the first and second radiolucent blocks includes a hole through the radiolucent block, wherein the holes are in alignment with each cavity in the first and second plates.
21. The intervertebral implant of claim 20 further comprising a bone growth promoting substance in one or both of the holes through the radiolucent blocks.
22. The intervertebral implant of claim 17 wherein the interior void extends between the adjacent vertebral bodies when the implant is implanted.
23. The intervertebral implant of claim 17 further comprising a bone growth promoting substance in the interior void.
24. An intervertebral implant with a lateral dimension, an anterior to posterior dimension, and an inferior to superior vertical dimension, the implant for placement between adjacent vertebral bodies comprising:
an inferior laterally extending member having a first central opening defined by a first anterior aspect and a first posterior aspect oriented around a first outer perimeter of the inferior laterally extending member, a first end opening defined by a first horizontal support structure extending from the first anterior aspect to the first posterior aspect and a first rounded end of the inferior laterally extending member, a second end opening defined by a second horizontal support structure extending from the first anterior aspect to the first posterior aspect and a second opposite rounded end of the interior laterally extending member;
a superior laterally extending member having a second central opening defined by a second anterior aspect and a second posterior aspect oriented around a second outer perimeter of the superior laterally extending member, a third end opening defined by a third horizontal support structure extending from the second anterior aspect to the second posterior aspect and a third rounded end of the superior laterally extending member, a fourth end opening defined by a fourth horizontal support structure extending from the second anterior aspect to the second posterior aspect and a fourth opposite rounded end of the superior laterally extending member;
a substantially radiolucent body configured to fit at least partially between the inferior laterally extending member and the superior laterally extending member; and
two or more vertical supports coupled to and extending between the inferior laterally extending member and the superior laterally extending member in alignment with the first, second, third, and fourth horizontal support structures respectively, the two or more vertical supports including a central cavity extending therebetween and the substantially radiolucent body is configured to fit at least partially between the two or more supports, wherein the two or more vertical supports define a front opening and a rear opening in alignment with the first and second central openings in the inferior and superior laterally extending members;
wherein a relative alignment among the two or more supports, as viewed radiographically from at least one of anterior, posterior, and lateral sides, indicates a rotational position of the implant about a vertical axis.