Weakened anulus repair
Methods of reinforcing anulus fibrosis tissue within an intervertebral disc include the implantation of a repair device comprising one or more support members. The device may be anchored to the surrounding tissue. The device may be compressible and delivered in a minimally invasive manner.
1. A method of repairing a weakened segment of an anulus fibrosus of an intervertebral disc comprising the steps of:
identifying a weakened segment in an anulus fibrosus, wherein the weakened segment comprises a hole;
wherein the hole is bordered by an outermost layer of the anulus and an innermost layer of the anulus;
providing a disc repair device comprising a first support member, a connection member, and a second support member,
wherein said first support member has at least one dimension larger than the hole,
wherein said second support member comprises a plate or rod,
wherein said connection member comprises a suture, and
wherein said connection member connects the first support member and the second support member;
inserting at least a portion of said disc repair device into the weakened segment;
positioning the disc repair device so that at least a portion of the first support member is beyond the innermost layer of the anulus;
positioning the disc repair device so that at least a portion of the second support member contacts the weakened segment of the annulus; and
anchoring the second support member to a vertebral body.
2. The method of claim 1 , wherein the first support member is positioned against two opposing vertebral endplates or overlying cartilage.
3. The method of claim 1 , wherein the first support member augments a nucleus pulposus of the disc to avoid or reverse disc height loss.
4. The method of claim 1 , wherein the second support member comprises a bone or tissue anchor.
5. The method of claim 1 , wherein the first support member, the connection member, and the second support member are a single integral unit.
6. The method of claim 1 , wherein at least a portion of the disc repair device facilitates tissue ingrowth.
7. The method of claim 1 , wherein the first support member is configured to reduce the extrusion of disc material through the hole.
8. The method of claim 1 , wherein the hole comprises a pre-existing tear.
9. The method of claim 1 , wherein the hole comprises a surgically-formed puncture.
10. The method of claim 1 , wherein inserting at least a portion of said disc repair device into the weakened segment comprises inserting at least a portion of said disc repair device through the hole.
11. A method of repairing a weakened segment of an anulus fibrosus of an intervertebral disc comprising the steps of:
identifying a weakened segment in an anulus fibrosus, wherein the weakened segment comprises a herniated segment;
wherein the herniated segment is bordered by an outermost layer of the anulus and an innermost layer of the anulus;
providing a disc repair device comprising a first support member, a connection member, and a second support member,
wherein said second support member comprises a plate-shaped anchor,
wherein said connection member connects the first support member and the second support member;
inserting the disc repair device through a portion of the weakened segment so that at least a portion of the first support member is beyond the innermost layer of the anulus;
positioning the disc repair device so that at least a portion of the second support member contacts the weakened segment of the annulus: and
securing the second support member to a vertebral body.
12. The method of claim 11 , wherein the first support member is positioned against two opposing vertebral endplates or overlying cartilage.
13. The method of claim 11 , wherein the plate-shaped anchor is a bone anchor.
14. The method of claim 11 , wherein the first support member, the connection member, and the second support member are a single integral unit.
15. The method of claim 11 , wherein at least a portion of the disc repair device facilitates tissue ingrowth.
16. The method of claim 11 , wherein the connection member is a member selected from the group consisting of: a rigid rod, suture, wire, pin, woven tube, and web of material.
17. A method of repairing a weakened segment of an anulus fibrosus of an intervertebral disc comprising the steps of:
identifying a weakened segment in an anulus fibrosus, wherein the weakened segment comprises a hole;
wherein the hole is bordered by an outermost layer of the anulus and an innermost layer of the anulus;
providing a disc repair device comprising a first support member, a connection member, and a second support member,
wherein said first support member has at least one dimension larger than the hole,
wherein said second support member comprises a plate or rod,
wherein said connection member comprises a suture, and
wherein said connection member connects the first support member and the second support member;
inserting at least a portion of said disc repair device into the weakened segment;
positioning the disc repair device so that at least a portion of the first support member is beyond the innermost layer of the anulus;
positioning the disc repair device so that at least a portion of the second support member contacts the weakened segment of the annulus; and
anchoring the first support member to a vertebral body.
18. The method of claim 17 , wherein the hole comprises a pre-existing tear.
19. The method of claim 17 , wherein the hole comprises a surgically-formed puncture.
20. A method of repairing a weakened segment of an anulus fibrosus of an intervertebral disc comprising the steps of:
identifying a weakened segment in an anulus fibrosus, wherein the weakened segment comprises a herniated segment;
wherein the herniated segment is bordered by an outermost layer of the anulus and an innermost layer of the anulus;
providing a disc repair device comprising a first support member, a connection member, and a second support member,
wherein said second support member comprises a plate-shaped anchor,
wherein said connection member connects the first support member and the second support member;
inserting the disc repair device through a portion of the weakened segment so that at least a portion of the first support member is beyond the innermost layer of the anulus;
positioning the disc repair device so that at least a portion of the second support member contacts the weakened segment of the annulus; and
securing the first support member to a vertebral body.