Intersomatic cage
The invention relates to an intersomatic cage comprising a body ( 3 ) and a part ( 2 ) that is designed to dilate the intersomatic space between two vertebrae ( 8, 8 ′) by rotating the cage so that the cage ( 1 ) can be inserted into the space. The body ( 3 ) has a prism shape with a substantially planar upper surface ( 6 ) which can bear against the superior vertebral endplate ( 8 ) and a substantially planar lower surface ( 6 ′) which can bear against the inferior vertebral endplate ( 8 ′).
1. A method for inserting an intersomatic cage in an intersomatic space between two vertebrae, the intersomatic cage comprising a body of rectangular or trapezoidal cross-section that has an essentially flat superior surface capable of resting against a superior vertebra and an essentially flat inferior surface capable of resting against an inferior vertebra and at least one part that extends from said body and is configured for dilating the intersomatic space in response to rotation of the intersomatic cage after insertion of said at least one part in the intersomatic space between the superior vertebra and the inferior vertebra,
wherein the method comprises the successive steps of:
a) inserting said at least one part, but not said body from which said at least one part extends, in the intersomatic space between said superior and inferior vertebrae,
b) then rotating the intersomatic cage in a given direction of rotation by an angle up to 90°, such that the intersomatic space is dilated by said at least one part to a spacing which is superior to the distance between the essentially flat superior surface and the essentially flat inferior surface of the body of the intersomatic cage,
c) inserting the body of the intersomatic cage into the thus-dilated intersomatic space by pushing the body of the intersomatic cage into the thus-dilated intersomatic space, and
d) counter-rotating the intersomatic cage in a direction opposite to the direction of rotation in step b), or allowing the intersomatic cage to counter-rotate in a direction opposite to the direction of rotation in step b), until the essentially flat superior and inferior surfaces of the body of the intersomatic cage come to rest against the superior and inferior vertebra.
2. The method according to claim 1 , wherein in step b), the intersomatic cage is rotated by an angle less than 90° in said given direction of rotation.
3. The method according to claim 2 , wherein said at least one part is retractable into the body of the intersomatic cage or is fully removable from the body of the intersomatic cage and is retracted or removed after step d) of claim 1 .
4. The method according to claim 1 , wherein in step d) the intersomatic cage is allowed to counter-rotate in the direction opposite to the direction of rotation in step b) through compression of the intersomatic cage between the superior and inferior vertebrae, without applying an external rotational force to the intersomatic cage, until the essentially flat superior and inferior surfaces of the body of the intersomatic cage come to rest against the superior and inferior vertebrae.
5. The method according to claim 1 , wherein said at least one part is retractable into the body of the intersomatic cage or is fully removable from the body of the intersomatic cage and is retracted or removed after step d) of claim 1 .
6. The method according to claim 1 , wherein one said part, or a plane defined by two said parts, is arranged in an inclined plane relative to the essentially flat superior and inferior surfaces of the body of the intersomatic cage.
7. The method according to claim 6 , wherein the angle of said inclined plane is comprised between 40° and 60° relative to the essentially flat superior and inferior surfaces of the body of the intersomatic cage.
8. The method according to claim 1 , wherein the intersomatic cage is rotated in step b) by an angle between 40° and 60°.
9. The method according to claim 1 , wherein said at least one part of the intersomatic cage comprises a part having a distal end and a proximal end which is connected to a face of the body of the intersomatic cage, said part extending over a width from the proximal part connected to the body to the distal part, said part having a cross-section in a sectional plane facing to said face of the body which cross-section has a short dimension and a long dimension, the intersomatic cage comprising an inclined first plane defined by and extending along the entire long dimension of said part and extending through the middle of the short dimension along the entire length of the long dimension and extending across the width of said part, which inclined first plane is arranged at an angle that is inclined up to 90° relative to the essentially flat superior and inferior surfaces of the body of the intersomatic cage, said inclined first plane intersecting with a second plane in extension of said essentially flat superior surface of the body at a first end of the long dimension of the part, said inclined first plane furthermore intersecting with a third plane in extension of said essentially flat inferior surface of the body at a second end of the long dimension of said part.
10. The method according to claim 9 , wherein said inclined plane of the intersomatic cage is arranged at an angle that is inclined between 40° and 60° relative to the essentially flat superior and inferior surfaces of the body of the intersomatic cage.
11. The method according to claim 1 , wherein the body of rectangular or trapezoidal cross-section of the intersomatic cage has blunted edges.
12. The method according to claim 1 , wherein the intersomatic cage is rotated in step b) by an ancillary placement element.