Spinal motion preservation devices and methods of use
View Patent ↗Orthopedic implants are adapted to replace the function of a natural disc of the spine. In an embodiment, the implant can be placed across the disc space through a trans-pedicular corridor using a substantially posterior surgical approach. In another embodiment, an implant can be placed across the disc space at a different level through a substantially lateral or anterior approach.
1. A method for implantation of an orthopedic device assembly onto a first vertebral bone and a second adjacent vertebral bone, and into an intervening inter-vertebral disc space, said method comprising:
identifying a first pedicle of said first vertebral bone;
advancing a first anchor member of said assembly at least partially through said first pedicle and into a body of said first vertebral bone, said anchor member being separated from contact with said second vertebral bone;
advancing a second member of said assembly at least partially through said first pedicle and into said body of said first vertebral bone;
advancing a bone forming material through said first pedicle and into a cavity of said second member subsequent to said act of advancing said second member into said first vertebral bone, said bone forming material configured to form a bony fusion with at least a portion of said first vertebral bone;
passing a distal segment of said second member into said intervening disc space, at least a portion of said distal segment being positioned to abut a surface of said second vertebral bone; and
coupling a proximal segment of said second member to said anchor member.
2. The method of claim 1 , wherein at least a portion of said anchor member configured to be advanced through said first pedicle and into said body of said first vertebral bone is threaded.
3. The method of claim 1 , wherein said coupling of said proximal segment of said second member to said anchor member comprises a rigid coupling thereof.
4. The method of claim 1 , wherein at least a portion of said second member comprises a curvilinear segment.
5. The method of claim 1 , further comprising:
movably coupling a housing member to a proximal aspect of said anchor member; and
receiving an interconnecting member within said housing member.
6. The method of claim 5 , further comprising transitioning a locking feature of said housing member to a locked state configured to substantially immobilize said interconnecting member with respect to said housing member.
7. The method of claim 5 , further comprising coupling said interconnecting member to a second anchor attached to said second vertebral bone.
8. A method for stabilization of a spinal segment comprising a first vertebral bone, a second adjacent vertebral bone, and an intervening inter-vertebral disc space, said method comprising:
identifying a first pedicle of said first vertebral bone;
advancing a first member of said assembly at least partially through said first pedicle and into a body of said first vertebral bone, said anchor member, once implanted within said first vertebral bone, being separated from contact with said second vertebral bone;
advancing a second member of said assembly at least partially through said first pedicle and into said first vertebral bone, said second member comprising a substantially curvilinear feature;
passing a distal segment of said curvilinear feature of said second member into said intervening disc space, said distal segment being positioned to abut a bony surface of said second vertebral bone; and
coupling a proximal segment of said curvilinear feature of said second member to said anchor member.
9. The method of claim 8 , further comprising advancing a bone forming material through said first pedicle and into said first vertebral bone, said bone forming material configured to form a bony fusion with at least a segment of said first vertebral bone.
10. The method of claim 8 , further comprising inserting a rod member into at least a portion of a housing associated with said first member, said rod member being configured to articulate with respect thereto via at least one articulation member.
11. The method of claim 10 , wherein one or more dynamic features of said rod member permit movement along one or more portions of said rod member relative to one or more other portions thereof.
12. The method of claim 11 , wherein said movement comprises at least one of: linear movement, curvilinear movement, pivoting, and rotating.
13. A method for implantation of an orthopedic device onto a living subject, said method comprising:
advancing an anchor member of said device at least partially through a first pedicle of a first vertebral bone and into a body of said first vertebral bone, said anchor member being separated from contact with a second vertebral bone adjacent to said first vertebral bone;
advancing a second member of said device at least partially through said first pedicle and into said body of said first vertebral bone, a distal segment of said second member entering an intervening disc space between said first and second vertebral bones and abutting a surface of said second vertebral bone;
advancing a bone forming material through said first pedicle and into a cavity of said second member, said bone forming material configured to form a bony fusion with at least a portion of said first vertebral bone; and
coupling a proximal segment of said second member to said anchor member.
14. The method of claim 13 , wherein a portion of said anchor member which is configured to be advanced through said first pedicle and into said body of said first vertebral bone is threaded.
15. The method of claim 13 , wherein said act of coupling said proximal segment of said second member to said anchor member comprises a rigid coupling thereof.
16. The method of claim 13 , wherein at least a portion of said second member comprises a curvilinear segment.
17. The method of claim 13 , further comprising:
movably coupling a housing member to a proximal aspect of said anchor member; and
receiving an interconnecting member within said housing member.
18. The method of claim 17 , further comprising substantially immobilizing said interconnecting member with respect to said housing member via a locking feature of said housing member.
19. The method of claim 17 , further comprising coupling said interconnecting member to a second anchor, said second anchor being attached to said second vertebral bone and separated from contact with said first vertebral bone.
20. The method of claim 17 , wherein said interconnecting member comprises a rod member, said rod member being configured to articulate with respect to said anchor member via at least one articulation member.
21. The method of claim 20 , wherein one or more dynamic features of said rod member permit movement along one or more portions of said rod member relative to one or more other portions thereof.
22. The method of claim 21 , wherein said movement comprises at least one of: linear movement, curvilinear movement, pivoting, and rotating.