Methods for treating an annulus defect of an intervertebral disc
A system for treating an annular defect of an intervertebral disc is provided. The system comprises a cannula for accessing a nucleus pulposus of the intervertebral disc, an expandable spacing device, and a material delivery instrument. The expandable spacing device has a first deflated position and a second inflated position. The spacing device is sized to pass through the cannula when in the first deflated position and the spacing device has a predetermined shape in the second inflated position. The material delivery instrument is adapted to inflate the spacing device from the first deflated position to the second inflated position by injecting a biocompatible material into the spacing device. In another aspect, a method of treating at least one annular defect of an intervertebral disc is provided.
1. A method for treating at least one defect in an annulus of an intervertebral disc, the method comprising:
providing an inflatable spacing device having a first deflated position and a second inflated position, wherein the spacing device is structured to have a predetermined shape in the second inflated position;
creating a first opening in the at least one defect in the annulus to access the intervertebral disc;
inserting the spacing device while in the deflated position through the first opening and into the nucleus pulposus of the intervertebral disc adjacent the at least one defect of the annulus in a manner such that the spacing device substantially spans the at least one defect in the annulus after being expanded to the second inflated position, wherein the spacing device substantially conforms to a portion of the annulus adjacent the defect after being expanded to the second inflated position; and has an integral projection that is expanded into the first opening when the spacing device is expanded to the second inflated position; and
injecting a pressurized flowable biomaterial into the spacing device to inflate the spacing device from the first deflated position to the second inflated position, the inflated spacing device displacing a portion of the nucleus pulposus to create a space adjacent the defect while the spacing device expands, wherein the spacing device in the second inflated position isolates the nucleus pulposus from the annular defect, the pressurized flowable biomaterial being curable in situ;
wherein no portion of the nucleus pulposus is removed during or subsequent to the step of creating an opening to access the intervertebral disc.
2. The method of claim 1 wherein the spacing device has a substantially convex surface and an opposing substantially concave surface in the second inflated position.
3. The method of claim 2 wherein the concave surface is positioned closer to the at least one annular defect than the convex surface.
4. The method of claim 1 wherein the spacing device has a substantially convex surface and an opposing substantially planar surface in the second inflated position.
5. The method of claim 4 wherein the planar surface is positioned adjacent the at least one annular defect.
6. The method of claim 1 further comprising:
providing a second spacing device having a first deflated position and a second inflated position, wherein the second spacing device has a predetermined shape in the second inflated position;
inserting the second spacing device while in the deflated position through the first opening and into the nucleus pulposus of the intervertebral disc; and
injecting a pressurized flowable biomaterial into the second spacing device to expand the second spacing device from the first deflated position to the second inflated position.
7. The method of claim 1 further comprising:
providing a second spacing device having a first deflated position and a second inflated position, wherein the second spacing device has a predetermined shape in the second inflated position;
creating a second opening to access the intervertebral disc;
inserting the second spacing device while in the deflated position through the first opening and into the nucleus pulposus of the intervertebral disc adjacent a second of the at least one defect in the annulus; and
injecting a pressurized flowable biomaterial into the second spacing device to expand the second spacing device from the first deflated position to the second inflated position;
wherein the second spacing device substantially spans the second of the at least one defect in the annulus after being expanded to the second inflated position.
8. The method of claim 1 further comprising wrapping the spacing device in the first deflated position around an implantation instrument during the step of inserting.
9. The method of claim 1 further comprising placing the spacing device in the first deflated position into an implantation instrument during the step of inserting.