Methods, systems, and apparatuses for spinal fusion
An intrafacet implant includes a body having a shank, one or more threads extending around the shank, a plurality of windows positioned along the shank, and one or more passages extending through the shank. Each passage extends between two windows.
1 . An intrafacet implant comprising:
a body extending from a proximal end to a distal end, the body comprising a solid, non-canulated shank comprising a central longitudinal axis extending from the proximal end to the distal end;
one or more threads extending around the shank, at least one of the one or more threads completing a full rotation around the proximal end of the shank;
a plurality of windows positioned along the shank, each of the plurality of windows comprising a first dimension extending in a direction parallel with the central longitudinal axis of the body, wherein the first dimension is greater than a distance between two adjacent threads of the one or more threads; and
one or more passages extending through the central longitudinal axis of the shank, each passage extending between two windows of the plurality of windows, wherein the one or more passages comprise a first passage and a second passage, wherein the first passage is circumferentially offset from the second passage about the central longitudinal axis of the body so that at least one of the plurality of windows is positioned to align with a superior vertebral body of a facet joint and at least one of the plurality of windows is positioned to align with an inferior vertebral body of the facet joint when the intrafacet implant is implanted within the facet joint;
wherein the body comprises a closed proximal portion positioned proximally above the one or more passages and a closed distal portion positioned distally below the one or more passages.
2 . The intrafacet implant of claim 1 , wherein each of the one or more passages comprise a central axis extending through its length, wherein the central axis lies on a plane perpendicular to the central longitudinal axis of the body.
3 . The intrafacet implant of claim 1 , wherein each of the one or more passages comprise a central axis extending through its length, wherein the central axis is oriented at an angle relative to a horizontal plane that is perpendicular to the central longitudinal axis of the body.
4 . The intrafacet implant of claim 1 , wherein the first passage is axially offset from the second passage along a longitudinal length of the body.
5 . The intrafacet implant of claim 1 , wherein the first passage extends between a first window and a second window, wherein the first window is axially offset from the second window along a longitudinal length of the body.
6 . The intrafacet implant of claim 1 , wherein the plurality of windows are angularly offset about the longitudinal axis of the body.
7 . The intrafacet implant of claim 1 , wherein the one or more passages are configured to receive bone graft material.
8 . The intrafacet implant of claim 1 , further comprising one or more notches positioned along the shank.
9 . A method for performing a spinal fusion procedure, comprising:
making an incision;
advancing an intrafacet implant to a facet joint through the incision, the intrafacet implant comprising:
a body extending from a proximal end to a distal end, the body comprising a solid, non-canulated shank comprising a central longitudinal axis extending from the proximal end to the distal end;
one or more threads extending around the shank, at least one of the one or more threads completing a full rotation around the proximal end of the shank;
a plurality of windows positioned along the shank, each of the plurality of windows comprising a first dimension extending in a direction parallel with the central longitudinal axis of the body, wherein the first dimension is greater than a distance between two adjacent threads of the one or more threads;
one or more passages extending through the central longitudinal axis of the shank, each passage extending between two windows of the plurality of windows, wherein the one or more passages comprise a first passage and a second passage, wherein the first passage is circumferentially offset from the second passage about the longitudinal axis of the body so that at least one of the plurality of windows is positioned to align with a superior vertebral body of a facet joint and at least one of the plurality of windows is positioned to align with an inferior vertebral body of the facet joint when the intrafacet implant is implanted within the facet joint;
wherein the body comprises a closed proximal portion positioned proximally above the one or more passages and a closed distal portion positioned distally below the one or more passages; and
implanting the implant within the facet joint.
10 . The method of claim 9 , wherein each of the one or more passages comprise a central axis extending through its length, wherein the central axis is oriented at an angle relative to a horizontal plane that is perpendicular to the central longitudinal axis of the body.
11 . The method of claim 9 , wherein the first passage extends between a first window and a second window, wherein the first window is axially offset from the second window along a longitudinal length of the body.
12 . The method of claim 9 , wherein implanting the intrafacet implant within the facet joint comprises countersinking the intrafacet implant within the facet joint.
13 . The method of claim 9 , further comprising:
prior to advancing the intrafacet implant to the facet joint, advancing a drill bit to the facet joint and forming a pilot hole for the intrafacet implant, the pilot hole having a first depth; and
prior to advancing the intrafacet implant to the facet joint, delivering bone graft material to the pilot hole;
wherein implanting the intrafacet implant within the facet joint comprises implanting the intrafacet implant so that the distal end of the body of the intrafacet implant is at a second depth less than the first depth.
14 . The method of claim 13 , wherein the drill bit comprises a distal section of the drill bit configured to form a distal section of the pilot hole and a proximal section of the drill bit configured to form a proximal section of the pilot hole such that a cross-sectional area of the proximal section of the pilot hole is larger than a cross-sectional area of the distal section of the pilot hole.
15 . The method of claim 14 , wherein the proximal section of the drill bit comprises a plurality of saw teeth or a tapered blade, and the distal section of the drill bit comprises a flute drill bit section or twist drill bit section.
16 . The method of claim 9 , wherein each of the one or more passages comprise a central axis extending through its length, wherein the central axis lies on a plane perpendicular to the longitudinal axis of the body, wherein the longitudinal axis of the body extends between the proximal end and the distal end.
17 . The method of claim 9 , wherein the first passage is axially offset from the second passage along a longitudinal length of the body.
18 . The method of claim 9 , wherein the plurality of windows are angularly offset about the longitudinal axis of the body.
19 . The method of claim 9 , wherein the one or more passages are configured to receive bone graft material.
20 . The method of claim 9 , wherein the intrafacet implant further comprises one or more notches positioned along the shank.