Method of lateral facet approach, decompression and fusion using screws and staples as well as arthroplasty
A method of performing vertebral facet fusion by lateral approach and related devices. The lateral approach to facet fusion involves identifying the lateral mass and then introducing any of the fixation methods known or described herein laterally at one or more facets through the use of a hollow cannula. A surgical bone staple have a perforated bridge is used across the lateral facet joint where fixation is required. Where fusion is desired, a bone screw have lateral perforations of the shank is inserted through the bridge perforation at the joint to promote fusion. The staple and screw may be used in conjunction with one another or individually. The facet joint may be distracted prior to fixation to increase the foraminal space and decompress the neural structures to relieve pain. The method involves less surgical time, reduced blood loss and discomfort for the patient as compared to the posterior approach.
1. A kit for decompression and fixation of a vertebral facet joint by dermal incision from a lateral approach, comprising:
a drill bit for preparing a hole in said facet joint, the drill bit having a first diameter;
a tapered pin having a second diameter greater than said first diameter for decompression of said facet joint by insertion into said hole, said pin having a length sufficient to extend outside of said dermal incision when inserted in said facet joint;
a surgical staple comprising:
a first leg and a second leg, each having a length and a first and second end;
a bridge joining the first end of the first leg with the first end of the second kg, said bridge having an aperture situated between said legs for insertion over said pin and, after removal of said pin, for insertion of a bone screw;
a sharp point situated at the second end of each leg; and
a plurality of serrations along at least a portion of the length of said legs; and
a hone screw comprising:
a cylindrical shank having a first end and a second end, said shank having a diameter equal to said second diameter,
a head affixed to said first end of said cylindrical shank and adapted to be engaged by a fastener-driving tool,
the shank further comprising an externally-threaded portion for engagement with said facet joint, and
at least one lateral perforation through said shank whereby bone growth may engage and secure the screw within the facet joint.
2. The kit of claim 1 wherein a tip extends from said second end of said shank, wherein the tip is in the form of a point.
3. The kit of claim 1 wherein said shank is hollow, said at least one lateral perforation allowing bone growth into and through said shank.
4. The kit of claim 1 wherein said sharp point is a beveled point.
5. The kit of claim 1 wherein said serrations are annular with respect to each leg.
6. The kit of claim 1 wherein said serrations are outwardly oriented.
7. The kit of claim 1 wherein said bridge is a plate.