Implant for transforaminal interbody fusion
The invention relates to an implant for the transforaminal intracorporeal fusion of lumbar vertebral column segments. At least some sections of the surface areas that are in direct contact with the spinal column are provided with an anti-dislocation mechanism ( 1 ) while an attachment part ( 4 ) for a positioning instrument ( 10 ) is provided in or on the implant and holes ( 6 ) or hollow spaces are disposed in the implant for filling purposes. According to one embodiment of the invention, the attachment part is configured as a revolute joint. In a further embodiment, the implant member has the shape of a sickle, the curvature of which is oriented ventrally and the interior of which is oriented dorsally. The attachment part is located at one end of the sickle while the opposite end of the sickle has a beak-type, tapering shape ( 5 ). At least one filling hole is provided between the sickle walls.
1. An implant for the transforaminal interbody fusion of lumbar vertebral column segments, which comprises:
a main body, the main body including a top surface and a bottom surface situated opposite the top surface, surface areas of at least one of the top surface and the bottom surface which come into direct contact with the vertebral column segments being formed with a dislocation protection, the main body having a sickle shape and further including an inner side wall and a convex outer side wall situated opposite the inner side wall, and a first end portion and a second end portion situated opposite the first end portion, the first end portion having a beak-like tapering shape, the second end portion having a throughbore formed therein and oriented transversely in the main body in a direction between the top surface and the bottom surface, the main body having formed therein at least one filling hole situated between the inner side wall and the convex outer side wall; and
an engagement part, the engagement part being formed as a bolt and being rotatably or pivotally received by the transversely-oriented throughbore formed in the main body, the bolt having a longitudinal axis, the bolt having a side wall and an insertion opening formed therein extending perpendicularly to the longitudinal axis of the bolt, the second end portion of the main body having a access recess formed therein, the access recess being in communication with the insertion opening formed in the bolt to allow a portion of a positioning instrument for positioning the implant between vertebral column segments to pass therethrough and into the insertion opening of the bolt.
2. The implant as defined by claim 1 , wherein the implant is made of a bioelastic synthetic material.
3. The implant as defined by claim 2 , wherein the material of which the implant is made is polyetheretherketone (PEEK).
4. The implant as defined by claim 1 , wherein the implant includes X-ray markers situated on the main body thereof.
5. The implant as defined by claim 1 , wherein the dislocation protection formed on the surface areas which come into direct contact with the vertebral column segments includes structures which have the shape of one of a truncated pyramid and a truncated cone.
6. The implant as defined by claim 1 , wherein the bolt is made of an X-ray detectable material.
7. The implant as defined by claim 1 , wherein the bolt includes an inner thread situated within the insertion opening formed therein.
8. A positioning instrument for use with the implant defined by claim 7 , which comprises:
a sleeve;
a pin received by the sleeve, the pin having a threaded end which cooperatingly engages the inner thread of the bolt situated within the insertion opening of the bolt so that the implant may be releaseably secured to the pin, the pin being rotatable within the sleeve, the sleeve including a leading end having a stopping face situated thereon, the implant being releaseably securable to the pin and having its main body fixable in a selectable angular position with respect to the bolt by the stopping face engaging the main body through tensioning.