Spinous process fixation system and methods thereof
An implantable device may be provided. The implantable device may comprise an upper assembly comprising a ramped base and a pair of opposing windows. The pair of opposing windows may extend upward from either lateral side of the ramped base. A gripping assembly may be disposed in each window. The implantable device may further comprise a lower assembly comprising a ramped base and a pair of opposing windows. The pair of opposing windows may extend down from either lateral side of the ramped base. A gripping assembly is disposed in each window. The implantable device may further comprise a ramped actuator assembly disposed between the upper assembly and the lower assembly. The ramped actuator may be configured to transition the implantable device from a collapsed form having a first height to an expanded form having a second height and wherein the second height is greater than the first height.
1. A surgical method comprising:
inserting an implantable device into an interspinous space, wherein the implantable device is in a collapsed form having a first height; and
expanding the implantable device in the interspinous space, wherein the implantable device is expanded to an expanded form having a second height,
wherein the implantable device comprises:
an upper assembly including a pair of upwardly facing extensions;
a lower assembly including a pair of downwardly facing extensions; and
an actuation assembly positioned between the upper assembly and the lower assembly for changing a distance of separation between the upper assembly and the lower assembly, wherein the actuation assembly comprises a first ramped actuator, a second ramped actuator and a central screw, wherein rotation of the central screw draws the first ramped actuator toward the second ramped actuator, thereby causing expansion of the implantable device.
2. The method of claim 1 , wherein the first ramped actuator is a front ramped actuator and the second ramped actuator is a rear ramped actuator.
3. The method of claim 2 , wherein the upper assembly comprises a first angled wedge and a second angled wedge, wherein the first angled wedge engages the front ramped actuator and the second angled wedge engages the rear ramped actuator.
4. The method of claim 3 , wherein the first angled wedge and the second angled wedge slope in opposite directions.
5. The method of claim 3 , wherein the first angled wedge comprises a first groove and the second angled wedge comprises a second groove.
6. The method of claim 3 , wherein a first dovetail connection is formed between the first angled wedge and the front ramped actuator and a second dovetail connection is formed between the second angled wedge and the rear ramped actuator.
7. The method of claim 1 , wherein at least one spike extends from the upper assembly into an upper spinous process member and at least one spike extends from the lower assembly into a lower spinous process member.
8. A surgical method comprising:
inserting an implantable device into an interspinous space, wherein the implantable device is in a collapsed form having a first height; and
expanding the implantable device in the interspinous space, wherein the implantable device is expanded to an expanded form having a second height,
wherein the implantable device comprises:
an upper assembly including a pair of upwardly facing extensions;
a lower assembly including a pair of downwardly facing extensions;
an actuation assembly positioned between the upper assembly and the lower assembly for changing a distance of separation between the upper assembly and the lower assembly, wherein the actuation assembly comprises a first ramped actuator, a second ramped actuator and a central screw, wherein rotation of the central screw draws the first ramped actuator toward the second ramped actuator, thereby causing expansion of the implantable device;
a first spike plate assembly inserted through at least one of the upwardly facing extensions; and
a second spike plate assembly inserted through at least one of the downwardly facing extensions.
9. The method of claim 8 , wherein the upper assembly comprises a first angled wedge and the lower assembly comprises a second angled wedge.
10. The method of claim 9 , wherein the first angled wedge comprises a first groove and the second angled wedge comprises a second groove.
11. The method of claim 10 , wherein each of the first angled wedge and the second angled wedge are configured to engage the first ramped actuator.
12. The method of claim 11 , wherein each of the first angled wedge and the second angled wedge form a dovetail connection with the first ramped actuator.
13. The method of claim 8 , wherein the upper assembly comprises a first window for receiving the first plate assembly therethrough and the lower assembly comprises a second window for receiving the second plate assembly therethrough.
14. The method of claim 13 , wherein the first window further receives a first telescoping subassembly therethrough and the second window further receives a second telescoping subassembly therethrough.
15. The method of claim 8 , wherein the first spike plate assembly is inserted through a first window in at least one of the upwardly facing extensions and the second spike plate assembly is inserted through a second window in at least one of the downwardly facing extensions.