Spinal implant system and method
A spinal implant comprises a first member, a second member and an actuator defining a transverse pivot axis, A first link is connected to the first member and the actuator adjacent the pivot axis. The first link includes an inner surface defining a cavity. A second link is connected to the second member and the actuator adjacent the pivot axis. The actuator is rotatable for translating the pivot axis such that the second link is movable within the cavity to move the members between a contracted configuration and an expanded configuration. Systems and methods of use are disclosed.
1. A spinal implant comprising:
a housing defining a bore;
a first member connected to the housing and comprising a first vertebral engaging surface and first and second slots;
a first pin extending through the slots;
a second member connected to the housing and comprising a second vertebral engaging surface opposite the first vertebral engaging surface;
an actuator extending along a longitudinal axis between opposite first and second ends, the first end being positioned in the bore;
a cap coupled to the second end;
a linkage coupled to the first member, the linkage comprising spaced apart first and second arms; and
a second pin extending through the cap and the arms,
wherein the first pin is configured to translate within the slots to increase a distance between the first vertebral engaging surface and the second vertebral engaging surface and the actuator is rotatable relative to the housing to translate the second pin along the longitudinal axis to further increase the distance between the first vertebral engaging surface and the second vertebral engaging surface.
2. The spinal implant recited in claim 1 , wherein:
the first pin is configured to translate within the slots to expand the first member from the second member in a first zone of expansion; and
wherein the actuator is rotatable relative to the housing to translate the second pin along the longitudinal axis to expand the first member from the second member in a second zone of expansion.
3. The spinal implant recited in claim 2 , wherein:
the first zone of expansion includes a first amount of spacing apart of the first vertebral engaging surface relative to the second vertebral engaging surface such that the implant has a first height; and
the second zone of expansion includes a second amount of spacing apart of the first vertebral engaging surface relative to the second vertebral engaging surface in addition to the first zone of expansion such that the implant has a second height that is greater than the first height.
4. The spinal implant recited in claim 2 , wherein:
the first zone of expansion includes a first amount of spacing apart of the first vertebral engaging surface relative to the second vertebral engaging surface such that the implant has a first height; and
the second zone of expansion includes a second amount of spacing apart of the first vertebral engaging surface relative to the second vertebral engaging surface separate from the first zone of expansion such that the implant has a second height that is greater than the first height.
5. The spinal implant recited in claim 2 , wherein:
the slots each include a ramp configuration; and
the first pin engages end points of the slots such that the first pin rotates relative to the slots as the first member can expand from the second member in the second zone of expansion.
6. The spinal implant recited in claim 1 , wherein the second member is monolithically formed with the housing.
7. The spinal implant recited in claim 1 , wherein the second vertebral engaging surface extends parallel to the longitudinal axis before and after expansion of the implant.
8. The spinal implant recited in claim 1 , wherein the linkage is disposed in a cavity of the first member defined by an inner surface of the first member that is opposite the first vertebral engaging surface.
9. The spinal implant recited in claim 1 , wherein the actuator is a screw.
10. A spinal implant comprising:
a housing defining a bore;
a first member connected to the housing and comprising a first vertebral engaging surface and first and second slots, the second slot being coaxial with the first slot;
a first pin extending through the slots;
a second member connected to the housing and comprising a second vertebral engaging surface opposite the first vertebral engaging surface;
an actuator extending along a longitudinal axis between opposite first and second ends, the first end being positioned in the bore;
a cap coupled to the second end;
a linkage coupled to the first member, the linkage comprising spaced apart first and second arms, the cap being positioned between the arms; and
a second pin extending through the cap and the arms,
wherein the first pin is configured to translate within the slots to increase an angle between the first vertebral engaging surface and the second vertebral engaging surface to a first angle and the actuator is rotatable relative to the housing to translate the second pin along the longitudinal axis to further increase the angle between the first vertebral engaging surface and the second vertebral engaging surface to a second angle.
11. The spinal implant recited in claim 10 , wherein:
the first pin is configured to translate within the slots to expand the first member from the second member in a first zone of expansion; and
wherein the actuator is rotatable relative to the housing to translate the second pin along the longitudinal axis to expand the first member from the second member in a second zone of expansion.
12. The spinal implant recited in claim 11 , wherein:
the first zone of expansion includes a first amount of spacing apart of the first vertebral engaging surface relative to the second vertebral engaging surface such that the implant has a first height; and
the second zone of expansion includes a second amount of spacing apart of the first vertebral engaging surface relative to the second vertebral engaging surface in addition to the first zone of expansion such that the implant has a second height that is greater than the first height.
13. The spinal implant recited in claim 11 , wherein:
the first zone of expansion includes a first amount of spacing apart of the first vertebral engaging surface relative to the second vertebral engaging surface such that the implant has a first height; and
the second zone of expansion includes a second amount of spacing apart of the first vertebral engaging surface relative to the second vertebral engaging surface separate from the first zone of expansion such that the implant has a second height that is greater than the first height.
14. The spinal implant recited in claim 11 , wherein:
the slots each include a ramp configuration; and
the first pin engages end points of the slots such that the first pin rotates relative to the slots as the first member can expand from the second member in the second zone of expansion.
15. The spinal implant recited in claim 10 , wherein the second member is monolithically formed with the housing.
16. The spinal implant recited in claim 10 , wherein the second vertebral engaging surface extends parallel to the longitudinal axis before and after expansion of the implant.
17. The spinal implant recited in claim 10 , wherein the linkage is disposed in a cavity of the first member defined by an inner surface of the first member that is opposite the first vertebral engaging surface.
18. The spinal implant recited in claim 10 , wherein the actuator is a screw.
19. The spinal implant recited in claim 10 , wherein the slots each have an oblong configuration.
20. A spinal implant comprising:
a housing defining a bore;
a first member connected to the housing and comprising a first vertebral engaging surface and first and second slots, the second slot being coaxial with the first slot;
a first pin extending through the slots;
a second member connected to the housing and comprising a second vertebral engaging surface opposite the first vertebral engaging surface;
an actuator extending along a longitudinal axis between opposite first and second ends, the first end being positioned in the bore;
a cap coupled to the second end;
a linkage coupled to the first member, the linkage comprising spaced apart first and second arms, the cap being positioned between the arms; and
a second pin extending through the cap and the arms,
wherein the first member has a maximum length along the longitudinal axis equal to a maximum length of the second member along the longitudinal axis,
wherein the first pin is configured to translate within the slots to expand the first member from the second member in a first zone of expansion,
wherein the actuator is rotatable relative to the housing to translate the second pin along the longitudinal axis to expand the first member from the second member in a second zone of expansion, and
wherein the actuator is configured to translate the second pin along the longitudinal axis a distance along the longitudinal axis greater than maximum lengths of the slots along the longitudinal axis.