Nuclear implant
A process for nucleotomy of an intervertebral disk to create a nuclear space and a method for replacing a nucleus pulposus of an intervertebral disk after a nucleotomy are provided. The methods position a nuclear implant between two overlying and underlying vertebrae of a spine segment in the form of one or more continuous wire arranged as a stack of helices inside the nuclear space.
1. A method for replacing a nucleus pulposus of an intervertebral disk with an implant after a nucleotomy, the nucleotomy providing a nuclear space in the intervertebral disk between a vertebral endplate of an upper vertebra and a vertebral endplate of a lower vertebra, and a boring channel extending through either of the vertebral endplates, the boring channel having a distal end with an opening located adjacent to a vertical axis of the vertebra, the method comprising:
inserting the implant comprising a continuous wire through the boring channel and into the nuclear space,
wherein, a distal portion of the inserted wire abuts against the vertebral endplate of the vertebra opposite to the boring channel,
the wire coils inside the nuclear space to form a stacked outer coil spanning the nuclear space between the endplates, the outer coil having a winding axis that is parallel to the vertical axis of the vertebra, the outer coil being wound in a direction about the winding axis,
an outer surface of the outer coil is concentrically located adjacent to a peripheral inner wall of the nuclear space, and
the outer coil is in contact with both vertebral endplates; and
further inserting the wire through the boring channel and into the nuclear space, so that the wire continues to coil inside the nuclear space to form a stacked first inner coil inside the outer coil the first inner coil being wound in a direction along the winding axis that is opposite from the direction in which the outer coil is wound,
wherein, an outer surface of the first inner coil is concentrically located adjacent to an inner surface of the outer coil,
the first inner coil is in contact with both vertebral endplates, and
the first inner coil defines a central space inside the implant.
2. The method according to claim 1 , further comprising inserting a filling material into the central space.
3. The method according to claim 1 , further comprising inserting a second wire through the boring channel and into the central space.
4. The method according to claim 1 , wherein the wire has an outside diameter of 0.4 to 0.8 millimeter.
5. The method according to claim 1 , wherein the wire comprises an active ingredient that promotes development of fibrotic tissue inside the nuclear space.
6. The method according to claim 1 , wherein the wire is bio-resorbable.
7. The method according to claim 1 , wherein the wire is radio-opaque.
8. The method according to claim 1 , further comprising
further inserting the wire through the boring channel so that the wire coils inside the nuclear space to form one or more additional inner coil arranged inside the first inner coil,
wherein an outer surface of each additional inner coil is concentrically located adjacent to an inner surface of a preceding inner coil, and
each additional inner coil is wound along the winding axis in a direction that is opposite from the direction in which a preceding inner coil is wound.
9. The method according to claim 1 , further comprising inserting a second continuous wire through the boring channel and into the nuclear space,
wherein a distal portion of the inserted second wire abuts against the vertebral endplate of the vertebra opposite to the boring channel,
the second wire coils inside the nuclear space to form one or more additional stacked coils inside the first inner coil,
an outer surface of each additional coil is concentrically located adjacent to an inner surface of a preceding coil, and
the one or more additional stacked coils defines the central space inside the implant.
10. The method according to claim 9 , further comprising inserting a filling material into the central space.
11. The method according to claim 9 , wherein the continuous wire and the second continuous wire have different diameters.
12. The method according to claim 1 , wherein the implant comprises a plurality of concentric rings, wherein the outer coil comprises a gap between each concentric ring.
13. The method according to claim 1 , wherein the implant comprises a plurality of concentric rings, wherein the inner coil comprises a gap between each concentric ring.