Spinal disc annulus reconstruction method and deformable spinal disc annulus stent
A spinal disc annulus repair stent for repair and reconstruction of the spinal disc wall (annulus) after surgical invasion or pathologic rupture, which may incorporate suture closure or other means of stent insertion and fixation, designed to reduce the failure rate of conventional surgical procedures on the spinal discs. In an illustrative embodiment, the design of the spinal disc annulus stent advantageously allows ingrowth of normal cells of healing in an enhanced fashion strengthening the normal reparative process.
1. A method of primarily treating an intervertebral disc annulus having an aperture in the wall of the annulus fibrosus, wherein the aperture provides a path for the migration of nucleus pulposus from the subannular space, the method comprising the steps of:
providing an expandable device having a first configuration dimensioned to pass through the aperture and a second expanded configuration having at least one dimension at least as large as the aperture and having at least one dimension larger than a corresponding dimension in said first configuration;
inserting the device through the aperture into the subannular space when the device is in the first configuration; and
causing or allowing the device to expand in the subannular space into the second expanded configuration, wherein said device has a portion that is provided primarily for treating said aperture and serving to bridge the aperture and preventing the migration of nucleus pulposus therethrough.
2. The method of claim 1 wherein the device is comprised of a shape memory material.
3. The method of claim 2 , wherein the shape memory material is nitinol.
4. The method of claim 1 , wherein the device is at least in part bioabsorbable.
5. The method of claim 1 , further comprising the step of treating the annulus tissue surrounding the aperture to reduce the relative motion thereof.
6. The method of claim 5 , further comprising the step of reapproximating the aperture.
7. The method of claim 6 , wherein the device further comprises at least one element for reapproximating the aperture.
8. The method of claim 1 , wherein the device further comprises at least one fixation element for attaching the device to the annulus.
9. The method of claim 1 , wherein the aperture is pathologic.
10. The method of claim 1 , wherein the aperture is formed at least in part by a surgical incision.
11. A method of intervertebral disc reconstruction for treating a disc having an aperture in the wall of the annulus fibrosis, wherein the method of claim 1 is performed following discectomy.