Entries |
Document | Title | Date |
20080200953 | Facet Joint Prostheses - Cephalad and caudal vertebral facet joint prostheses and methods of use are provided. A pair of fixation elements are adapted to be secured within a vertebra in an orientation that best assures a secure and durable attachment to cortical and/or cancellous bone. Artificial facet joint surfaces are mounted on the fixation elements, either directly or with the aid of a support. The artificial facet joint structure may be carried by an arm. The artificial facet joint structure is adapted for articulation with a complementary natural or artificial facet joint structure. Bilateral prostheses may by coupled by a brace to further secure and stabilize the prostheses. Artificial facet joints can be used in combination with artificial intervertebral discs to treat a spinal pathology. | 08-21-2008 |
20080234735 | SPINAL IMPLANT FOR FACET JOINT - An apparatus ( | 09-25-2008 |
20080249568 | Crossbar Spinal Prosthesis Having a Modular Design and Systems for Treating Spinal Pathologies - An adaptable spinal facet joint prosthesis, including a pedicle fixation element; a laminar fixation element; and a facet joint bearing surface having a location adaptable with respect at least one of the pedicle fixation element and the laminar fixation element. The invention also includes a method of implanting an adaptable spinal facet joint prosthesis including the steps of determining a desired position for a facet joint bearing surface; and attaching a prosthesis comprising a facet joint bearing surface to a pedicle portion of a vertebra and a lamina portion of a vertebra to place the facet joint bearing surface in the desired position. The invention also provides a facet joint prosthesis implant tool including a tool guide adapted to guide a vertebra cutting tool; and first and second fixation hole alignment elements extending from the saw guide. The invention also provides systems for treating spinal pathologies that include intervertebral discs in combination with spinal and facet joint prostheses. | 10-09-2008 |
20080255618 | ARTICULATING FACET FUSION SCREW - A spinal implant is provided having an elongate member with a longitudinal axis and threads extending over at least a portion of the outer surface thereof. The implant includes a stabilization feature associated with the elongate member that is selectively configurable between a delivery configuration and a deployed configuration in which the stabilization feature is oriented at an angle with respect to the longitudinal axis of the elongate member. Also, at least a portion of the implant can include a fusion-promoting bioactive material. In another aspect, the invention includes methods for providing stabilization within a facet joint by delivery of an articulating intra-facet screw. | 10-16-2008 |
20080262545 | Artificial Facet Joint and Method - An artificial facet joint includes a spinal implant rod and a connector. The connector includes a screw and a rod connecting member having structure for engagement of the rod. The rod connecting member is pivotally engaged to the screw. The rod may also be held slideably within the connector enabling the rod to be moved relative to the connector. | 10-23-2008 |
20080275505 | Prostheses, Tools and Methods for Replacement of Natural Facet Joints With Artificial Facet Joint Surfaces - Cephalad and caudal vertebral facet joint prostheses and methods of use are provided. The cephalad prostheses are adapted and configured to be attached to a lamina portion of a vertebra without blocking a pedicle portion of the cephalad vertebra. | 11-06-2008 |
20080287996 | Method and device for treating scoliosis - This invention relates to a spinal facet cap for treating scoliosis, the facet cap comprising a shim portion for inserting into a facet joint of a spine, and an alignment portion for maintaining alignment of the shim portion within the facet joint. The invention also provides a method for treating scoliosis, comprising implanting at least one spinal facet cap into at least one facet joint of a subject in need thereof. | 11-20-2008 |
20080319484 | SYSTEM AND METHOD FOR FACET JOINT REPLACEMENT - A system for replacing at least a portion of a natural facet joint includes a fixation member implantable in a vertebra, an inferior facet articular surface and an inferior strut which may be formed separately from the inferior articular surface. The inferior strut has a first end securable to the fixation member and a second end which may comprise a sphere with a hemispherical surface. An attachment mechanism may include a capture feature shaped to receive the second end of the inferior strut, and the mechanism may provide an adjustable configuration, allowing polyaxial adjustment between the inferior articular surface and the second end. A locking member may be actuated to exert force on the second end to provide a locked configuration. The system may further include a superior facet joint implant with a superior articular surface shaped to articulate with the inferior articular surface. | 12-25-2008 |
20080319485 | SYSTEM AND METHOD FOR IMPLANT ANCHORAGE WITH ANTI-ROTATION FEATURES - A system includes an implant with an articulation surface, a fixation member which may be anchored in a bone, and a base portion which may receive the fixation member. The base member may comprise a bone-engaging portion and an attachment portion. The base member may receive the fixation member such that a threaded portion of the fixation member and the bone-engaging portion of the base member may be seated in the bone. The implant may be attached to the attachment portion of the base member. The base member may be configured in a variety of shapes and may include fins, teeth, pegs or other anti-rotation features, and may include a bone ingrowth surface. The attachment portion may be tapered and attachable to the implant through a taper-lock. | 12-25-2008 |
20090005818 | DYNAMIC FACET REPLACEMENT SYSTEM - A system for a dynamic facet replacement includes first and second inferior facets, first and second pars and first and second superior facets. The first and second inferior facets are configured to replace left and right natural inferior facets and each facet comprises an articulating surface. The first and second superior facets are configured to replace left and right natural superior facets and each facet comprises an articulating surface. Each of the first and second pars includes first and second articulating surfaces and is configured to articulately connect the first and second articulating surfaces with the first articulating surfaces of the inferior and superior facets, respectively. | 01-01-2009 |
20090012566 | SYSTEM AND METHOD FOR FACET JOINT REPLACEMENT - A system for replacing at least a portion of a natural facet joint includes a fixation member implantable in a vertebra, an inferior facet articular surface and an inferior strut which may be formed separately from the inferior articular surface. The inferior strut has a first end securable to the fixation member and a second end which may comprise a sphere with a hemispherical surface. An attachment mechanism may include a capture feature shaped to receive the second end of the inferior strut, and the mechanism may provide an adjustable configuration, allowing polyaxial adjustment between the inferior articular surface and the second end. A locking member may be actuated to exert force on the second end to provide a locked configuration. The system may further include a superior facet joint implant with a superior articular surface shaped to articulate with the inferior articular surface. | 01-08-2009 |
20090024166 | FACET DEVICE AND METHOD - A spine prosthesis is provided and in particular, related to the facet joint of a spine. A spinal implant comprises a facet prosthesis including an insert to be positioned within a joint capsule between facets of a zygapophyseal joint. The insert may comprise a member having two opposing facet interfacing portions. A facet prosthesis exerts a distraction force between facets of a facet joint and may comprise a curable material to be injected into the facet joint. A facet prosthesis may also comprise a pair of magnets, each magnet coupled to a facet and oriented with like poles facing each other to provide a distracting force away from each other. A spine implant may also include an insert to be positioned within the joint capsule, a securing member comprising an elongate portion extending through part of a facet, and an anchor to anchor the securing member to the facet. | 01-22-2009 |
20090024167 | SPINAL FACET IMPLANTS WITH MATING ARTICULATING BEARING SURFACE AND METHODS OF USE - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 01-22-2009 |
20090024168 | LINKED BILATERAL SPINAL FACET IMPLANTS AND METHODS OF USE - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 01-22-2009 |
20090030459 | SPINAL FACET IMPLANT WITH SPHERICAL IMPLANT APPOSITION SURFACE AND BONE BED AND METHODS OF USE - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 01-29-2009 |
20090030460 | LINKED BILATERAL SPINAL FACET IMPLANTS AND METHODS OF USE - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 01-29-2009 |
20090030461 | Spinal Facet Joint Implant - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 01-29-2009 |
20090036926 | METHOD FOR STABILIZING A FACET JOINT - The present invention relates to methods and spinal implant devices for stabilizing a facet joint. In one embodiment, the method includes forming a hole through a facet joint and respective overlapping superior and inferior articular processes of adjacent vertebra which, respectively, include superior articular process and inferior articular process openings. A spinal implant device, such as elongated member, is inserted lengthwise into the hole. The first end portion of the elongated member defines a closed end and the second end portion defines an open end permitting entry into an interior of the member. The interior of the elongated member is filled with a desired material to expand the first and second end portions of the member beyond respective superior articular process and inferior articular process openings of the hole to greater than a desired size of the superior articular process and inferior articular process openings to stabilize the facet joint. | 02-05-2009 |
20090036927 | Method and apparatus for spinal facet fusion - A spinal facet fusion implant comprising:
| 02-05-2009 |
20090076551 | METHODS AND SURGICAL KITS FOR MINIMALLY-INVASIVE FACET JOINT FUSION - Disclosed herein are methods and surgical kits that can be used to fuse facet joints via a minimally invasive procedure (including an arthroscopic or percutaneous procedure). An exemplary method includes creating an incision; locating a facet joint with a distal end of a pin; sliding a substantially hollow drill guide over said pin wherein said drill guide comprises a proximal end, a distal end; removing said pin from within said drill guide; inserting a drill bit into said drill guide; drilling a hole into a bone of said facet joint; removing said drill bit; inserting a facet joint bone plug into said hole using a bone plug inserter having a raised portion at or near is proximal end, wherein said raised portion prevents over-insertion of said bone plug; and removing said drill guide. | 03-19-2009 |
20090125064 | POSTERIOR-MEDIAL FACET SUPPORT ASSEMBLY - A facet support assembly including at least one rod including an upper portion rigidly fixed to a spinal fastener, and a lower portion configured to support an inferior articular process, wherein when the spinal fastener is secured to a pedicle of a lumbar vertebra, the lower portion of the at least one rod abuts against and supports the inferior articular process of the same lumbar vertebra. | 05-14-2009 |
20090131986 | METHOD AND APPARATUS FOR SPINAL FACET JOINT FUSION USING IRREGULARLY SHAPED CORTICAL BONE IMPLANTS - A method and apparatus for spinal fusion at the facet joint using an irregularly shaped implant where the orientation of the implant can be preselected before implantation. | 05-21-2009 |
20090157119 | ORTHOPEDIC FIXATION MECHANISM - A fixation mechanism and method of fixation, such as the fixation of a facet resurfacing implant to an articular facet of a spinal vertebra. The fixation mechanism includes a securing mechanism having a socket configured to receive a knob of a biologic implant. The fixation mechanism further includes a locking mechanism for limiting expansion of the socket following engagement with the knob of the implant. | 06-18-2009 |
20090171393 | Tissue Distraction Device - An apparatus and method is provided for distracting, in a given direction, and supporting opposed endplates of a vertebral body. A plurality of wafers are consecutively inserted within the vertebral body between the two endplates to create a column of wafers. The column of wafers is oriented between the endplates so as to expand in the given direction as the wafers are consecutively added to the column. The method further includes the step of introducing bone filler in contact with the expanded structure. | 07-02-2009 |
20090171394 | Devices And Methods For The Treatment Of Facet Joint Disease - An orthopedic implant is adapted to be implanted within a vertebral facet joint and adapted to maintain motion between adjacent vertebral bodies. An embodiment of the implant includes first segment that rigidly attaches to a facet joint surface of a first vertebra, wherein the first segment contains a cavity that houses a bone forming material which forms a bony fusion with the first vertebra. The implant also includes a second segment having an abutment surface with a facet joint surface of a second vertebra, wherein the second segment does not rigidly attach to the second vertebra. | 07-02-2009 |
20090182377 | IMPLANT DEVICE USED IN MINIMALLY INVASIVE FACET JOINT HEMI-ARTHROPLASTY - A metallic inverted L-shaped implant is used to resurface the superior facet of the inferior vertebrae limited to the facet joints located on the spine, Occiput-C1 through L5-S1. The metallic implant is highly polished on its exterior and textured on its interior surface. It is mechanically crimped in place without the use of cement or pedicle screws. Permanent fixation occurs when bone in-grows onto a rough, porous surface on the inside of the implant. The implant employed in a hemi-arthroplasty method resurfaces half of the facet joint to provide for smooth, pain free joint articulation in deteriorated or diseased spinal facet joints without the need for major surgery or rehabilitation at considerably less risk to the patient. | 07-16-2009 |
20090216274 | EXPANDABLE INTERSPINOUS PROCESS SPACER WITH LATERAL SUPPORT AND METHOD FOR IMPLANTATION - An interspinous process spacer and method of implanting same is provided for maintaining separation between adjacent spinous processes of adjacent vertebrae. The spacer has two lateral portions and a medial portion therebetween, the medial portion adapted to reside between the adjacent superior and inferior spinous processes in the deployed configuration to maintain separation therebetween. The lateral portions each comprise a superior lateral portion and an inferior lateral portion adapted to reside on the lateral side of the respective superior and inferior spinous process in the deployed configuration to maintain positioning of the interspinous process spacer between the two adjacent vertebrae. The lateral portions each comprise an expandable lateral member that is expandable from an insertion configuration to the deployed configuration, and at least one of the lateral portions includes within it a lateral support member configured to be deformable for the insertion configuration and expanded in the deployed configuration. The method includes introducing the spacer through a tubular delivery device to the region between the spinous processes and positioning therein, followed by retraction of the delivery device and expansion of the expandable lateral members and lateral support members. | 08-27-2009 |
20090216275 | FACET JOINT PROSTHESIS - A prosthetic implant for replacing a facet joint of a spinal motion segment includes a generally conical superior component adapted to be implanted at a surgically prepared site on a lower articular process of a cephalad vertebra of a spinal motion segment, and a cup-shaped inferior component adapted to be implanted at a surgically prepared site on a superior articular process of a caudad vertebra of the spinal motion segment. | 08-27-2009 |
20090264928 | IMPLANT AND METHOD FOR FACET IMMOBILIZATION - Devices and methods are provided for immobilizing facet joints of the vertebral column. Embodiments of the invention provide an implant that is inserted in a facet joint from which cartilage has been removed, and which retains the approximate original spacing of the facets in the joint. A retaining arrangement, such as an adhesive, a threaded fastener, or a screw is then used to secure the implant in the joint. | 10-22-2009 |
20090287250 | METHOD AND APPARATUS FOR REPLACING THE FUNCTION OF FACET JOINTS - A system and method is provided for replacing the functions of a facet joint between a superior vertebra and an inferior vertebra without necessarily requiring an anatomical implant. The method includes: providing one or more flexible posterior devices to replace main functions of the facet joint; and adapting a first one of the one or more posterior devices for a first attachment to a first pedicle, and a second attachment to a second pedicle. | 11-19-2009 |
20090312798 | TRANSFACET FIXATION ASSEMBLY AND RELATED SURGICAL METHODS - The present invention provides a transfacet fixation assembly, including: an engaging bolt; and a receiving bolt selectively coupled to and engaged with the engaging bolt at an angle of between about 30 degrees and about 120 degrees; wherein each of the engaging bolt and the receiving bolt is configured to be disposed through a hole or bore formed through one of a plurality of bony structures making up a portion of a facet joint of a spine. Optionally, the engaging bolt includes a spherical distal end for engaging a locking sleeve disposed at a distal end of the receiving bolt. | 12-17-2009 |
20100057129 | MULTIPLE FACET JOINT REPLACEMENT - A prosthesis for the replacement of multiple diseased or traumatized spinal facets comprises a portion that replaces at least a bony portion of the facets to be replaced and where the prosthesis attaches to the vertebra in a manner that does not require attachment to, or abutment against, the lamina. Multiple configurations of the prosthesis provide for replacement of the two inferior facets, the two superior facets, a superior and inferior facet, or all four facets. A method of installing the prosthesis is provided that is comprised of the steps of resecting at least a portion of the facets that carry the diseased or traumatized spinal facets and attaching the prosthesis in a manner that does not require attachment or abutment against the lamina. | 03-04-2010 |
20100082065 | Spinal Facet Fastener - A spinal implant in the form of a spinal facet fastener is configured to hold, restrict and/or limit flexion and/or extension of a spinal facet joint and/or immobilize movement thereof. The spinal facet fastener is formed with leg segments configured for reception in, on and/or about vertebral bone of a spinal facet joint and a connecting segment that holds the leg segments apart a spaced distance. The spinal facet fastener has surfaces that are configured to abut vertebral bone surfaces of a spinal facet joint to hold, restrict and/or limit flexion and/or extension of the spinal facet joint and/or immobilize movement thereof. In one form, the spinal facet fastener has members that are configured for reception in vertebral bone of the vertebral bone portions that form the spinal facet joint. In this form, the spinal facet fastener may include an anchoring element that is configured for reception between the vertebral bone portions that form the spinal facet joint. In one form, a first leg is configured to abut a surface of an inferior articular process of a first vertebra while a second leg is configured to abut a surface of a superior articular process of a second vertebra that is adjacent the first vertebra. The spinal facet fastener is formed of a biocompatible material such as PEEK (polyetheretherketone) but may be formed of other biocompatible materials such as a biocompatible metal (e.g. titanium or stainless steel). | 04-01-2010 |
20100087859 | FACET BUTTON ASSEMBLY AND RELATED SURGICAL METHODS - The present invention provides a facet button assembly, including: a superior button coupled to a first member; and an inferior button coupled to a second member; wherein the first member and the second member are disposed through a bore drilled through a superior facet and an inferior facet of a facet joint of a spine of a patient and secured one of together and to the inferior button and the superior button, respectively, thereby tensioning the superior button and the inferior button together and immobilizing the facet joint of the spine of the patient. Optionally, each of the superior button and the inferior button define a bore there through, each bore configured and sized to receive one of the first member and the second member there through. | 04-08-2010 |
20100114166 | EXTENSION LIMITING DEVICES AND METHODS OF USE FOR THE SPINE - Medical devices and related methods for the treatment of spinal conditions are described herein. In one embodiment, an apparatus includes a support member configured to be implanted at least partially in a space between adjacent spinous processes and an actuator coupled to the support member. The apparatus also includes an elongate retention member having a first end coupled to the actuator and a second end coupled to either the support member or the actuator. The actuator is configured to be rotated such that the first end moves from a first location at a first distance from the second end, to a second location at a second distance from the second end. At least a portion of the elongate retention member is disposed at a non-zero distance from an outer surface of the support member when the first end of the elongate retention member is at its second location. | 05-06-2010 |
20100121378 | FACET FUSION SYSTEM - A device including a side wall defining an inner space; a lock mechanism; a pivot post; and a securement post where the device is a facet joint fusion cage; and a facet joint distractor is capable of engaging the lock mechanism via a lock and key arrangement. A method of using such a device includes positioning the facet fusion cage in the facet joint of a patient in need of facet joint fusion; and moving the securement post to a locked position. | 05-13-2010 |
20100131008 | VISCO-ELASTIC FACET JOINT IMPLANT - A visco-elastic facet joint implant for insertion into a facet joint between an inferior facet formed on a superior vertebral body and a superior facet formed on an inferior vertebral body. The facet implant includes a visco-elastic implant element molded into an anatomically fitted shape to optimally fit between the facet joint and one or more bone fixation elements to secure the visco-elastic implant element to the superior and/or inferior vertebral bodies. In use, the visco-elastic facet joint implant includes a first end for engaging the superior vertebral body, a middle portion for passing through the facet joint and an optional second end for engaging the inferior vertebral body. | 05-27-2010 |
20100137910 | FACET DISTRACTION DEVICE, FACET JOINT IMPLANT, AND ASSOCIATED METHODS - In various exemplary embodiments, the present invention provides devices, implants, and methods for distracting and/or stabilizing a facet joint of the spine of a patient or other similar joint or bony structures, optionally including modifying the facet joint and implanting an implant in the facet joint so as to distract the foramen in order to reduce compression on nerve roots. | 06-03-2010 |
20100179594 | EXPANDABLE CAGE - An apparatus supports the spine between vertebrae and promotes spinal fusion. The apparatus generally includes a first supporting member, a second support member, and an expansion member. The first support member has a first longitudinal passage extending therethrough, a first supporting end configured to engage tissue, and a rack configured to engage a tool. The second supporting member contains a second longitudinal passage extending therethrough and a second supporting end configured to engage tissue. The second longitudinal passage is dimensioned to receive at least a portion of the first supporting member. The first and second supporting members are configured to move with respect to each other. The expansion member is removably positioned between the first and second supporting members and is adapted to maintain the first and second supporting members in a fixed relative position. | 07-15-2010 |
20100191286 | FACET COMPRESSION SYSTEM AND RELATED SURGICAL METHODS - The present invention provides a facet compression system, including: an articulating facet washer; one or more of a rigid, semi-rigid, and flexible cable coupled at its proximal end to the articulating facet washer; and one of a deployable and a deployed anchoring device coupled to a distal end of the cable; wherein the cable is selectively tensioned at the articulating facet washer, thereby compressing and immobilizing a facet joint of a spine of a patient. Optionally, the articulating facet washer is operable for pivoting in multiple planes relative to a structure disposed therethrough. Optionally, the articulating facet washer is operable for rotating relative to a structure disposed therethrough. Optionally, the deployable anchoring device includes an overwrapped compression cap. Optionally, the cable is selectively tensioned at the articulating facet washer via one or more of a zip tie ratchet mechanism, a crimping mechanism, and a screw mechanism. | 07-29-2010 |
20100222815 | ARTIFICIAL FACET JOINT AND METHOD - An artificial facet joint includes a spinal implant rod and a connector. The connector includes a screw and a rod connecting member having structure for engagement of the rod. The rod connecting member is pivotally engaged to the screw. | 09-02-2010 |
20100241164 | Facet joint implant - In a facet joint implant comprising two components adapted in the area of a facet-contacting surface for placement on the outer surface of a facet, and a fastener for joining the two components to each other through a channel in a facet or in two facets lying against each other, in order to facilitate insertion of the implant, it proposed that the fastener be configured as a flexible thread which tensions the two components towards each other such that the components are pressed against the outer surface of the facet against which they lie. | 09-23-2010 |
20100249839 | METHODS AND APPARATUS FOR IMPROVING SHEAR LOADING CAPACITY OF A SPINAL SEGMENT - A method for improving shear loading capacity of a spinal segment having a superior vertebra, an inferior vertebra or sacrum, and a facet joint, includes providing a constraint device having an upper portion, a lower portion and a compliance member coupled therebetween. The constraint device is coupled with the spinal segment such that the upper portion of the constraint device is coupled with the superior vertebra and the lower portion of the constraint device is coupled with the inferior vertebra or a sacrum. The constraint device provides a force resistant to flexion of the spinal segment. Also, length or tension in the constraint device is adjusted so as to increase engagement between an upper portion of the facet joint and a lower portion of the facet joint, thereby increasing capacity of the spinal segment to resist shear loading. | 09-30-2010 |
20110004247 | FACET INTERFERENCE SCREW - A facet interference screw ( | 01-06-2011 |
20110022089 | SYSTEMS AND METHODS FOR FACET JOINT TREATMENT - A system for treating a facet joint of a patient including superior and inferior resurfacing devices. The superior device includes a resurfacing body configured to conform to a shape of a superior facet articular face, and the inferior device includes a resurfacing body configured to conform to a shape of an inferior facet articular face. Each resurfacing body exhibits sufficient flexibility to transition from a relatively flat state to an inserted state in which the resurfacing body substantially matches any multi-planar concavities of the corresponding facet articular face in the presence of compressive forces. With this construction, the system is capable of establishing a new sliding interface within the facet joint, and can be inserted on a minimally-invasive basis. The resurfacing bodies can be formed of PEEK, and can include teeth that engage the corresponding facet articular face. | 01-27-2011 |
20110054530 | SURGICAL IMPLANT DEVICE FOR THE TRANSLATION AND FUSION OF A FACET JOINT OF THE SPINE - The present invention provides a surgical implant device and method for the translation/distraction and subsequent stabilization/fusion of a facet joint of a spine, including: a body that is selectively disposed at least partially between articulating surfaces of the facet joint; and one or more protruding structures disposed about the body, wherein, when the body is selectively rotated, the one or more protruding surfaces are configured to engage the articulating surfaces of the facet joint and move them with respect to one another. Optionally, the surgical implant device also includes a joint-spanning structure coupled to the body, wherein the joint-spanning structure is configured to substantially fill a space between the articulating surfaces of the facet joint and hold it in a moved configuration. | 03-03-2011 |
20110060366 | Facet Joint Implant and Related Methods - Implants and methods aimed at safely repairing and/or reconstructing the facet joint so as to provide the required flexibility and elasticity to support continued motion after the implant has been implanted in a facet joint. | 03-10-2011 |
20110077685 | SYSTEMS AND METHODS AND METHODS FOR MINIMALLY INVASIVE FACET FUSION - Apparatus and methods for facet fusion include an insertion tool and a guide tool coupled to one another. The insertion tool has a proximal end portion and an opposite distal end portion. The distal end portion of the insertion tool is configured to retain an interbody implant, such as, for example, an inter-facet implant configured for placement between a superior facet and inferior facet of a facet joint. The proximal end portion of the insertion tool includes a handle. The guide tool includes an elongated body with a passage extending between and opening at its distal and proximal ends. A linking member extends between and adjustably connects the guide tool to the insertion tool so that the passage of the guide tool is alignable with the interbody implant retained on the insertion tool while the insertion tool and guide tool are in substantially orthogonal relation to one another. | 03-31-2011 |
20110082503 | VERTEBRAL FACET JOINT PROSTHESIS AND METHOD OF FIXATION - Devices and methods for altering the spacing and motion at the facet joints of the vertebral column are provided. One embodiment of the invention comprises a prosthesis with surfaces configured to articulate with the facets of the facet joint. A retaining member for anchoring the prosthesis within the facet joint is optionally included. Methods for surgically and less invasively implanting the prosthesis and securing the prosthesis to the articular processes or surrounding soft tissue are also provided. | 04-07-2011 |
20110093012 | Prosthetic facet and facet joint replacement device - Spinal stabilization devices, systems, and methods are described. Foramenal spacers including a rigid member adapted to maintain the integrity of the foramenal space. Facet joint stabilizing members and prosthetic facet joints that augment or replace the native facet joint are also described. Lateral spinal stabilization systems that may be attached to the lateral surfaces of adjacent vertebral bodies are described. Also described are anterior spinal stabilization systems that are to be attached to the anterior surfaces of adjacent vertebral bodies. Several variations of dynamic spinal stabilization devices and systems are described. Each of the foregoing devices, systems, and methods may be used independently, in combination with the other devices, systems, and methods described herein, and/or in combination with prosthetic intervertebral discs. | 04-21-2011 |
20110230912 | CORTICAL, ANTI-MIGRATION, FACET DOWEL FOR FUSION OF FACET JOINTS IN THE SPINE AND DEVICES FOR SETTING THE SAME IN PLACE - A novel allograft is provided for insertion into a prepared site between adjacent spinal facets. The allograft or facet dowel is typically comprised of three portions, a partially spherical body defining a spherical segment, a nose portion, and a tail portion, all aligned along a longitudinal axis. In addition, a set of instruments is provided for the excavation of an allograft placement site between the two facets. The set of instruments includes a T-spade drill which will, in conjunction with a normal drill, excavate a site for the emplacement of the allograft. A novel method of using the instruments and the allograft is also provided. | 09-22-2011 |
20110230913 | FACET JOINT PROSTHESIS - A facet joint prosthesis comprises a pair of facet elements for engaging the superior and inferior articular processes of a facet joint. The facet elements are provided with one or more articulating surfaces for articulating movement there-between. The facet elements are also provided with a positive engagement means for preventing separation of the elements and/or to limit relative movement there-between within a pre-determined range. In one aspect, the invention provides a spacer for positioning between the facet elements and for distracting the facet joint. The spacer may also serve to form an artificial lateral mass between the superior and inferior articulating surfaces. The spacer may be provided with engagement means for positively engaging one or both of the facet elements. | 09-22-2011 |
20110288588 | SYSTEM AND METHOD FOR FACET FIXATION AND FUSION - A spinal fixation and fusion assembly includes a bone anchoring member, a cylindrical rod and a cap. The bone anchoring member comprises an elongated body that is made entirely of bone type material. The elongated body includes a main shaft, a conical shaped distal end, a flared out proximal end, and a through-opening extending along an axis from the proximal end to the distal end. The cylindrical rod is shaped and dimensioned to be received within the through-opening and is made entirely of metal. The cap is made entirely of metal and is attached to a proximal end of the cylindrical rod. | 11-24-2011 |
20110313456 | VERTEBRAL FACET JOINT PROSTHESIS AND METHOD OF FIXATION - Devices and methods for altering the spacing and motion at the facet joints of the vertebral column are provided. One embodiment of the invention comprises a prosthesis with surfaces configured to articulate with the facets of the facet joint. A retaining member for anchoring the prosthesis within the facet joint is optionally included. Methods for surgically and less invasively implanting the prosthesis and securing the prosthesis to the articular processes or surrounding soft tissue are also provided. | 12-22-2011 |
20110319935 | INTERARTICULATING SPINOUS AND TRANSVERSE PROCESS STAPLES FOR SPINAL FUSION - Thoracic/lumbar and cervical spinous process staples which staple/fuse adjacent spinous processes are disclosed. Thoracic/lumbar transverse process staples which staple/fuse adjacent transverse processes are also disclosed. Each embodiment has upper and lower claws connected by a ratchet spring mechanism, along with a multiplicity of bone fastener prongs attached to the upper and lower claws. Two sets of prongs on each staple claw are spaced by a distance approximately equal to the distance separating adjacent spinous or transverse processes so as to facilitate stapling/fusion of two adjacent processes. Also disclosed are staple prongs with multiple perforations which enable incorporation of bone fusion material thereby facilitating stapling/fusion of spinal elements. | 12-29-2011 |
20120010659 | FACET FUSION IMPLANT - Facet fusion implants with various body geometries are provided. The bodies of the facet fusion implants can be configured to minimize migration of the implants when the implants are inserted into facet joints. Surgical methods and accompanying surgical instrumentation for inserting the facet fusion implants into facet joints are provided. | 01-12-2012 |
20120035658 | Multiple Facet Joint Replacement - A prosthesis for the replacement of multiple diseased or traumatized spinal facets comprises a portion that replaces at least a bony portion of the facets to be replaced and where the prosthesis attaches to the vertebra in a manner that does not require attachment to, or abutment against, the lamina. Multiple configurations of the prosthesis provide for replacement of the two inferior facets, the two superior facets, a superior and inferior facet, or all four facets. A method of installing the prosthesis is provided that is comprised of the steps of resecting at least a portion of the facets that carry the diseased or traumatized spinal facets and attaching the prosthesis in a manner that does not require attachment or abutment against the lamina. | 02-09-2012 |
20120046695 | IMPLANT AND METHOD FOR FACET IMMOBILIZATION - Devices and methods are provided for immobilizing facet joints of the vertebral column. Embodiments of the invention provide an implant that is inserted in a facet joint from which cartilage has been removed, and which retains the approximate original spacing of the facets in the joint. A retaining arrangement, such as an adhesive, a threaded fastener, or a screw is then used to secure the implant in the joint. | 02-23-2012 |
20120109197 | FACET DEVICE AND METHOD - A spine prosthesis is provided and in particular, related to the facet joint of a spine. A spinal implant comprises a facet prosthesis including an insert to be positioned within a joint capsule between facets of a zygapophyseal joint. The insert may comprise a member having two opposing facet interfacing portions. A facet prosthesis exerts a distraction force between facets of a facet joint and may comprise a curable material to be injected into the facet joint. A facet prosthesis may also comprise a pair of magnets, each magnet coupled to a facet and oriented with like poles facing each other to provide a distracting force away from each other. A spine implant may also include an insert to be positioned within the joint capsule, a securing member comprising an elongate portion extending through part of a facet, and an anchor to anchor the securing member to the facet. | 05-03-2012 |
20120116454 | SYSTEMS AND METHODS FOR FACET JOINT STABILIZATION - In one form, a method for stabilization of a facet joint of the spinal column includes forming a cavity between adjacent bones defining the facet joint and positioning an implant in the cavity between the adjacent bones. In one aspect of this form, the method also includes positioning a bone anchor across the facet joint and engaging the bone anchor with each of the adjacent bones to force the bones toward one another and clamp the implant therebetween. In a further aspect of this form, the implant is a cancellous bone dowel and becomes fractured into a plurality of fragments upon being clamped between the adjacent bones and/or otherwise interacting with the bone anchor. In another form, systems and devices for performing percutaneous facet joint stabilization and/or fusion are provided. However, different forms and applications are also envisioned. | 05-10-2012 |
20120165871 | DEVICES AND METHODS FOR FACILITATING CONTROLLED BONE GROWTH OR REPAIR - Bone implantable devices and methodologies permit careful application of biologically active substances and management of bone growth processes. The device includes a body defining a carrier receiving area for locating adjacent bone. Carrier material is located in the carrier receiving area. Substance is delivered onto carrier material through a port. A pathway delivers substance from the carrier receiving area to the bone surface. The body may be in the form of a spinal fusion cage, facet fusion screw, artificial joint, bone fixation plate, interbody graft, IM nail, hip stem, or other bone-to-bone appliances or bone-to-device appliances. In use, carrier is installed in the carrier receiving area of the device. The device is then implanted adjacent a bone. The substance is applied to the carrier for subsequent delivery to the bone. By doping carrier material after device implantation, inadvertent contact of the substance with non-target bone is more easily eliminated. | 06-28-2012 |
20120215259 | POSTERIOR CERVICAL FUSION SYSTEM AND TECHNIQUES - A posterior cervical fusion surgery assembly and method. The assembly includes a sled adapted to be positioned in a facet joint and two receivers slidably mounted on the sled. The receivers are adapted to support surgical instruments such as a drill, a tap, and a screw. The sled assists in orienting the instruments at a desired angle with respect to the spine. | 08-23-2012 |
20120221048 | METHODS AND APPARATUS FOR STABILIZING BONE - In some embodiments, a method comprises disposing a portion of a flexible fastening band into contact with a first bone portion and into contact with a second bone portion. The portion of the flexible fastening band having a substantially uniform shape configured to substantially compliment a shape of the first bone portion and a shape of the second bone portion. The method further includes inserting the portion of the flexible fastening band into a fastener and advancing the portion of the flexible fastening band through the fastener until the first bone portion and the and the second bone portion are stabilized. | 08-30-2012 |
20120221049 | VERTEBRAL FACET JOINT FUSION IMPLANT AND METHOD FOR FUSION - In some embodiments a method comprises disposing an implant into contact with a first bone portion and into contact with a second bone portion, the implant having (1) a first interface configured to receive a restraining member, and (2) a second interface. The method further comprises inserting a portion of the fastener member into the first interface. The method further comprises securing the fastener member such that the first bone portion and the second bone portion are fixed to each other, at least in part by a substance after the securing, at least a portion of the substance disposed through the second interface. | 08-30-2012 |
20120245637 | FACET STABILIZATION SCHEMES - The present invention relates to methods of stabilizing a facet joint, wherein the facet joint comprises an inferior articular facet of the superior level, a superior articular facet of the inferior level, and an interfacet space that is defined between the opposing faces of the inferior and superior articular facets. These methods of stabilization may be achieved through a variety of applications and devices. In addition, the stabilization may be provided with various degrees of compression sufficient to stabilize the facet joint. | 09-27-2012 |
20120259365 | FACET FUSION IMPLANT, INSTRUMENTATION, AND SURGICAL PROCEDURE - A facet fusion implant, including a body having stepped surface means for contacting a stepped surface of a facet joint and preventing the facet fusion implant from coming out of the facet joint. An external sleeve compacting instrument for inserting bone enhancing materials in an implant. A method of using an external sleeve compacting instrument. A method of preparing a facet fusion implant with bone enhancing materials. A method of creating a facet joint fusion by inserting the implant in a facet joint, contacting the stepped surface with a stepped surface of the facet joint, preventing motion of the implant within the facet joint, and creating a facet joint fusion. A method of preventing motion of an implant within a facet joint. A guide instrument and a reamer for inserting an implant in a facet joint. A method of inserting an implant into a facet joint. | 10-11-2012 |
20120271351 | METHOD AND APPARATUS FOR SPINAL FACET FUSION - A spinal facet fusion implant includes an elongated main body having a distal end, a proximal end and a longitudinal axis extending between the distal end and the proximal end. The main body has a cross-sectional profile characterized by a primary axis and a secondary axis. At least one stabilizer extends radially outwardly from the main body in the secondary axis. The main body has a length along the primary axis that is less than the combined width of the spinal facets making up a facet joint. The stabilizer has a width that is sized to make a press fit into the gap between the spinal facets making up a facet joint. | 10-25-2012 |
20120271352 | FACET JOINT IMPLANT - A facet joint implant includes a joint surface replacement implant and a fastening device for fixing the joint surface replacement implant in the joint gap of a facet joint of a human or animal spinal column. The fastening device includes at least two fastening elements that protrude from the joint surface replacement implant. The at least two fastening elements are each provided in the region of their free ends with at least one fixing element through hole. The facet joint implant includes a fixing element which is fed through at least two fixing element through holes of at least two fastening elements. The free ends of the fixing element are connectable to one another. | 10-25-2012 |
20120283776 | METHODS AND INSTRUMENTS FOR USE IN VERTEBRAL TREATMENT - A spinal implant extendable across a facet joint to aid in fixation of the facet joint includes an elongate connecting member, a bone allograft, and a locking member. The elongate connecting member is sized to extend across a facet joint and includes a distal bone anchor. The bone allograft is sized for placement in a bore formed through the facet joint and configured to be placed about the elongate connecting member. The locking member includes a longitudinal bore sized to receive the elongate connecting member, and the locking member has an unlocked condition permitting movement relative the elongate connecting member and a locked condition rigidly fixing the locking member in place on the elongate connecting member. The locking member is configured to cooperate with the distal bone anchor to compress the facet joint, and the locking member is configured to lock the spinal implant across the facet joint. | 11-08-2012 |
20130012994 | VERTEBRAL JOINT IMPLANTS AND DELIVERY TOOLS - A spinal joint distraction system for treating a facet joint including articular surfaces having a contour is disclosed and may include a delivery device including a generally tubular structure adapted to engage a facet joint, an implant adapted to be delivered through the delivery device and into the facet joint, the implant comprising two members arranged in opposed position, and an implant distractor comprising a generally elongate member adapted to advance between the two members of the implant causing separation of the members and distraction of the facet joint, wherein the implant is adapted to conform to the shape of the implant distractor and/or the articular surfaces of the facet upon being delivered to the facet joint. Several embodiments of a system, several embodiments of an implant, and several methods are disclosed including a method for interbody fusion. | 01-10-2013 |
20130023932 | System and Method for Facet Hoint Replacement - A facet joint replacement system includes an inferior implant with an inferior articular surface, a superior implant with a superior articular surface and may include a crosslink extending across a vertebral sagittal plane. The inferior implant may comprise an inferior strut, and a polyaxially adjustable, lockable mechanism which may couple the inferior articular surface with a first end of the inferior strut, and couple the inferior articular surface with the crosslink. A second end of the inferior strut may be secured to a polyaxially adjustable, lockable fixation assembly securable in a vertebra. The superior implant may be secured to a polyaxially adjustable lockable fixation assembly securable in a vertebra. The positions of the inferior articular surface and the first end of the inferior strut are independently translatable along a medial-lateral axis of the vertebra prior to lockout by the lockable mechanism. The crosslink may be placed into the lockable mechanism from a posterior approach. | 01-24-2013 |
20130030466 | Crossbar Spinal Prosthesis Having a Modular Design and Systems For Treating Spinal Pathologies - An adaptable spinal facet joint prosthesis, including a pedicle fixation element; a laminar fixation element; and a facet joint bearing surface having a location adaptable with respect at least one of the pedicle fixation element and the laminar fixation element. The invention also includes a method of implanting an adaptable spinal facet joint prosthesis including the steps of determining a desired position for a facet joint bearing surface; and attaching a prosthesis comprising a facet joint bearing surface to a pedicle portion of a vertebra and a lamina portion of a vertebra to place the facet joint bearing surface in the desired position. The invention also provides a facet joint prosthesis implant tool including a tool guide adapted to guide a vertebra cutting tool; and first and second fixation hole alignment elements extending from the saw guide. | 01-31-2013 |
20130123848 | FACET FIXATION SYSTEMS - Facet fixation implants include a cap member with a circular base portion and an eccentric raised portion. The raised portion includes first and second lobes and is smoothly contoured to provide an unobtrusive profile when implanted. Beveled teeth project from the implant to provide fixation and compression across the facet joint. The cap member includes an offset aperture which receives a fastener. Tools, guiding instruments and methods for implantation of the implants are disclosed. | 05-16-2013 |
20130226239 | Facet screw and method for spinal stabilization - A spinal facet bone screw and minimally invasive surgical method of implanting a facet screw to stabilize the spine are provided. The facet screw includes an elongated body portion having a head, a threaded portion and a distal threadless portion. A pair of flutes formed in the elongated body extends from the distal end across the threadless portion and into the distal end of the threaded portion. The flute creates a self-tapping cutting surface that includes a heel edge that is curved with respect to the outer surface. The method of implantation comprises making a minimally invasive incision on the side of the midline contralateral to the target facet joint and delivering the screw across the interspinous process using the adjacent spinous processes as guideposts. The facet screw system fixes juxtaposed facet articular processes to enhance spinal fusion and stability and the method provides for accurate, repeatable and easy implantation. | 08-29-2013 |
20130253583 | IMPLANT FOR PROVIDING INTER-VERTEBRAL SUPPORT AND FOR RELIEVING PINCHING OF THE SPINAL NERVES - An implant for assisting in providing a correct separation distance between overlapping superior and inferior articular processes, such as associated with succeeding lumbar vertebrae (L1-L5). The implant teaches a pocket defining body having an open rim profile of variable wall thickness, the implants being employed individually or in paired fashion between each laterally spaced pair of overlapping facet contact locations established between inwardly facing superior articular process facets associated with a first (lower) vertebra and opposing outwardly facing inferior articular process facets associated with a second (upper succeeding) vertebra. Use of the implant assists in providing correct lateral spacing between the superior and inferior processes, reducing or preventing pinching of the laterally extending nerve branches of the spinal nerve column. | 09-26-2013 |
20130317548 | DEVICES AND METHODS FOR FACILITATING CONTROLLED BONE GROWTH OR REPAIR - Bone implantable devices and methodologies permit careful application of biologically active substances and management of bone growth processes. The device includes a body defining a carrier receiving area for locating adjacent bone. Carrier material is located in the carrier receiving area. Substance is delivered onto carrier material through a port. A pathway delivers substance from the carrier receiving area to the bone surface. The body may be in the form of a spinal fusion cage, facet fusion screw, artificial joint, bone fixation plate, interbody graft, IM nail, hip stem, or other bone-to-bone appliances or bone-to-device appliances. In use, carrier is installed in the carrier receiving area of the device. The device is then implanted adjacent a bone. The substance is applied to the carrier for subsequent delivery to the bone. By doping carrier material after device implantation, inadvertent contact of the substance with non-target bone is more easily eliminated. | 11-28-2013 |
20140012318 | DEVICES AND METHOD FOR TREATMENT OF SPONDYLOTIC DISEASE - A device for treatment of spondylotic disease includes a distractor for distracting vertebral facets of first and second vertebrae located adjacent each other. The distractor includes a first abutment surface for interfacing with an inferior articular facet of the first vertebra. The distractor also includes a second abutment surface for interfacing with the superior articular facet of the second vertebra corresponding to the inferior articular facet of the first vertebra. The first and second abutment surfaces of the distractor engage with each other and are separated by a predetermined distance. | 01-09-2014 |
20140025113 | COMPOSITE SPINAL FACET IMPLANT WITH TEXTURED SURFACES - Implementations described and claimed herein provide a distal leading portion of a composite spinal implant for implantation in a spinal facet joint. In one implementation, the distal leading portion includes a distal leading end, a proximal trailing end, a first face, and a second face. The distal leading end has a distal surface generally opposite a proximal surface of the proximal trailing end. The first face has a first surface that is generally parallel with a second surface of the second face. The first and second faces extend between the distal leading end and the proximal trailing end, such that the first and second surfaces slope upwardly from the distal lead end to the proximal trailing end along a length of extending proximally. The first and second surfaces having one or more textured features adapted to provide friction with the spinal facet joint. | 01-23-2014 |
20140052182 | Linked Bilateral Spinal Facet Implants and Methods of Use - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 02-20-2014 |
20140058447 | Spinal Facet Implants with Mating Articulating Bearing Surface and Methods of Use - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 02-27-2014 |
20140058448 | Minimally Invasive Spine Restoration Systems, Devices, Methods and Kits - The invention discloses methods, devices, systems and kits for repairing, replacing and/or augmenting natural facet joint surfaces and/or facet capsules. An implantable facet joint device of one embodiment comprises a cephalad facet joint element and a caudal facet joint element. The cephalad facet joint element includes a member adapted to engage a first vertebra, and an artificial cephalad bearing member. The caudal facet joint element includes a connector adapted for fixation to a second vertebra at a fixation point and an artificial caudal bearing member adapted to engage the cephalad bearing member. The artificial caudal bearing member is adapted for a location lateral to the fixation point. In another embodiment, an implantable facet joint device comprises a cephalad crossbar adapted to extend mediolaterally relative to a spine of a patient, the crossbar having opposite first and second ends, a connector element adapted to connect the crossbar to a first vertebra, a first artificial cephalad bearing member adapted for connection to the first end of the crossbar and adapted to engage a first caudal facet joint element connected to a second vertebra, and a second artificial cephalad bearing member adapted for connection to the second end of the crossbar and adapted to engage a second caudal facet joint element connected to the second vertebra. | 02-27-2014 |
20140058449 | Linked Bilateral Spinal Facet Implants and Methods of Use - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 02-27-2014 |
20140066984 | PERCUTANEOUS FACET FIXATION SYSTEM - Percutaneous facet fixation implants. In some embodiments, the implant may comprise fasteners and/or fastener portions configured to be coupled on opposite sides of a facet joint such that a portion of one fastener is configured to be positioned adjacent to one of a superior articular process and an inferior articular process of a facet joint and a portion of another fastener is configured to be positioned adjacent to one of the other of an inferior articular process and a superior articular process of the facet joint so as to engage a surface of the respective articular process. In some embodiments, one or both of the fasteners may be configured to couple with an arm of a facet gun instrument. | 03-06-2014 |
20140074166 | SPINOUS PROCESS FIXATION DEVICE AND SYSTEMS - A minimally invasive spinous process fixation system includes dual rigid spinous clamps, each configured to articulate axially along a cylindrical shaft, and together configured to enclose and clamp around the adjacent or superior spinous process by means of opposing and swiveling spherical contact heads with spiked spinous contact faces. The spinous clamps are lockable when desired compression is achieved. A pedicle clamp has right and left clamp bodies for enveloping pre-existing pedicle rods. Each of the right and left clamp bodies includes upper and lower rigid metal plates supporting medial and lateral swivel cups. The upper and lower medial swivel cups engage and clamp about a connecting rod extending from the spinous clamp, and the upper and lower lateral swivel cups engage and clamp about one of the pedicle rods. A channel through the upper and lower metal plates accepts a locking screw to simultaneously tighten and fix the swivel cups in place about the connecting rod and the pedicle rod. A cross-connection between the right and left clamp bodies fixes the right and left clamp bodies together at a selected position. | 03-13-2014 |
20140081330 | Crossbar Spinal Prosthesis Having A Modular Design and Related ImplantationMethods - Modular spinal prosthesis having one of both of adaptable and configurable components are provided. The modular spinal prosthesis described herein provide an artificial articular configuration to replace damaged, worn or otherwise removed spinal facet elements. The prosthesis can include a crossbar having first and second ends. A first caudal prosthesis can be attached to the first end of the crossbar, while a second caudal prosthesis can be attached to the second end of the crossbar. A first crossbar mount can be positioned on the crossbar near the first caudal prosthesis, while a second crossbar mount can be positioned on the crossbar near the second caudal prosthesis. A first cephalad prosthesis can extend from the first crossbar mount, while a second cephalad prosthesis can extend from the second crossbar mount. | 03-20-2014 |
20140100610 | System and Method for Facet Joint Replacement - A system for replacing at least a portion of a natural facet joint includes a fixation member implantable in a vertebra, an inferior facet articular surface and an inferior strut which may be formed separately from the inferior articular surface. The inferior strut has a first end securable to the fixation member and a second end which may comprise a sphere with a hemispherical surface. An attachment mechanism may include a capture feature shaped to receive the second end of the inferior strut, and the mechanism may provide an adjustable configuration, allowing polyaxial adjustment between the inferior articular surface and the second end. A locking member may be actuated to exert force on the second end to provide a locked configuration. The system may further include a superior facet joint implant with a superior articular surface shaped to articulate with the inferior articular surface. | 04-10-2014 |
20140135838 | METHODS AND APPARATUS FOR IMPROVING SHEAR LOADING CAPACITY OF A SPINAL SEGMENT - A method for improving shear loading capacity of a spinal segment having a superior vertebra, an inferior vertebra or sacrum, and a facet joint, includes providing a constraint device having an upper portion, a lower portion and a compliance member coupled therebetween. The constraint device is coupled with the spinal segment such that the upper portion of the constraint device is coupled with the superior vertebra and the lower portion of the constraint device is coupled with the inferior vertebra or a sacrum. The constraint device provides a force resistant to flexion of the spinal segment. Also, length or tension in the constraint device is adjusted so as to increase engagement between an upper portion of the facet joint and a lower portion of the facet joint, thereby increasing capacity of the spinal segment to resist shear loading. | 05-15-2014 |
20140180338 | System and Method for Bone Anchorage - A bone anchor assembly may include a fixation member securable to a bone, a coupling member, a compressible member and a locking member. The fixation member may be formed monolithically with the coupling member, and the coupling member may have a loop portion shaped to receive the compressible member. The compressible member may comprise a compressible sphere with a bore extending therethrough, the bore shaped to receive an elongated member. The locking member may be actuable through an aperture in the coupling member to urge compression of the compressible member to lock the elongated member in a fixed position. The compressible member may be polyaxially adjustable relative to the coupling member. | 06-26-2014 |
20140243896 | SYSTEMS AND METHODS FOR FACET JOINT TREATMENT - A method of treating a facet joint of a patient. The facet joint includes a superior articular face and an inferior articular face. An implant is secured to an implant insertion tool by mating a first engagement feature on the implant with a second engagement feature on the implant insertion tool. A distal end of a guide cannula is positioned proximate the facet joint. The guide cannula has an internal passage extending therethrough. The implant slides through the guide cannula passage until the implant passes through a distal end of the guide cannula passage and is at least partially between the superior articular face and the inferior articular face. A force of at least 1 Newton is exerted on the implant insertion tool to separate the first engagement feature and the second engagement feature. | 08-28-2014 |
20140249580 | Facet Joint Implant Crosslinking Apparatus and Method - A crosslink is provided for securing orthopedic implants, such as facet joint replacement implants, together. The crosslink has a pair of implant coupling components, a pair of rod coupling components, a rod, and a pair of fasteners. Each facet joint implant may include a semicylindrical interface received in a resilient member of the corresponding implant coupling component to permit relative cephalad/caudal adjustment between the crosslink and the implants. The resilient members grip the semicylindrical interface of the implant to enable at least temporary attachment of the implant coupling components to the implants independently of the rod. Clocking features on the semicylindrical interfaces and on the interfacing areas of the implant coupling components and rod coupling components may limit assembly of the crosslink to discrete relative orientations and prevent play after assembly. The fasteners secure the rod coupling components to the rod at the desired positions along the rod. | 09-04-2014 |
20140277140 | Facet Lamina Plate System - An apparatus for securing facet joints of a spine of a patient is provided. The apparatus may include a first connection device configured to be positioned directly through a first facet joint of the spine of the patient. Additionally, the apparatus may include a second connection device configured to be positioned directly through a second facet joint of the spine of the patient. Furthermore, the apparatus may include a plate configured to engage the first and second connection devices after the first and second connection devices are positioned through the first and second facet joints respectively. The plate may include a first slot configured to engage the first connection device and a second slot configured to engage the second connection device. The first slot may be perpendicular to the second slot, and the first slot may be perpendicular to a long axis of the spine of the patient. | 09-18-2014 |
20140277141 | PEDICLE-BASED CONSTRUCT FACET JOINT FIXATION DEVICE - A facet joint fixation device formed from a flexible wedge shaped implant constructed from a single piece of material. The device is defined by an insert end spaced apart from outer end by first and second side members. Each side support is cut by a series of recesses defining a living hinge therebetween. | 09-18-2014 |
20140288601 | FACET FIXATION WITH ANCHOR WIRE - A facet fixation device formed from an anchor screw and a collet or facet screw that is secured to adjacent pedicles. The anchor screw having an aperture for receipt of a first end of guide wire or polyaxial based facet screw. The collet includes a unidirectional attachment mechanism wherein a wire can be drawn to a desired position to fix the distance between the anchor screw and the collet. Excess wire can then be removed. | 09-25-2014 |
20140288602 | VERTEBRAL JOINT IMPLANTS AND DELIVERY TOOLS - A spinal joint distraction system for treating a facet joint including articular surfaces having a contour is disclosed and may include a delivery device including a generally tubular structure adapted to engage a facet joint, an implant adapted to be delivered through the delivery device and into the facet joint, the implant comprising two members arranged in opposed position, and an implant distractor comprising a generally elongate member adapted to advance between the two members of the implant causing separation of the members and distraction of the facet joint, wherein the implant is adapted to conform to the shape of the implant distractor and/or the articular surfaces of the facet upon being delivered to the facet joint. Several embodiments of a system, several embodiments of an implant, and several methods are disclosed including a method for interbody fusion. | 09-25-2014 |
20140296916 | VERTEBRAL JOINT IMPLANTS AND DELIVERY TOOLS - A spinal joint distraction system for treating a facet joint including articular surfaces having a contour is disclosed and may include a delivery device including a generally tubular structure adapted to engage a facet joint, an implant adapted to be delivered through the delivery device and into the facet joint, the implant comprising two members arranged in opposed position, and an implant distractor comprising a generally elongate member adapted to advance between the two members of the implant causing separation of the members and distraction of the facet joint, wherein the implant is adapted to conform to the shape of the implant distractor and/or the articular surfaces of the facet upon being delivered to the facet joint. Several embodiments of a system, several embodiments of an implant, and several methods are disclosed including a method for interbody fusion. | 10-02-2014 |
20140303671 | Angled Washer Polyaxial Connection for Dynamic Spine Prosthesis - A dynamic spine prosthesis (such as a facet joint prosthesis having an articulation surface configured to articulate with a corresponding facet joint element) that has a fixation element with an elongated bone entry portion defining a longitudinal axis and a dynamic spine prosthesis component connected to the fixation element at a connection location by an adjustable connection. The adjustable connection has first and second washers each rotatably supported by the fixation element and each having an angled contact surface in a plane not perpendicular to the longitudinal axis of the fixation element, with the connection location being between the bone entry portion and the first and second washers. | 10-09-2014 |
20140324102 | System and Method for Multiple Level Facet Joint Arthroplasty and Fusion - Facet joint replacement implants may be designed for use on multiple adjacent vertebral levels. Each superior implant may have a substantially semispherical concave surface, and each inferior implant may have a cooperating semispherical convex surface that is deformable to enable it to be pressed into the superior implant concave surface to fix the relative orientations of the superior and inferior implants. Thus, the inferior implant may be attached to the same pedicle as the superior implant, but may also be oriented independently of the superior implant and then fixed in position. Similar mounting structures may be used to attach one or more fusion implants to a level adjacent to that of a facet joint replacement implant. | 10-30-2014 |
20150025575 | Apparatus and Method of Spinal Implant and Fusion - An apparatus and method of performing a minimally invasive posterior spine fusion. More specifically an apparatus with a handle and a forked head on the distal end of the handle is used to grasp implant material and introduce the material to an implant site. The shaft of the apparatus is shaped so as to allow the affixation of a drill guide and drill while simultaneously holding the implant material in the implant site. After removal of the boring tools and assembly of the fusing element, the apparatus can be selectively removed from the implant site. A method of achieving facet joint fusion with near simultaneous fixation is also disclosed. | 01-22-2015 |
20150088200 | SURGICAL IMPLANT DEVICE AND SURGICAL IMPLANT INSERTION ASSEMBLY FOR THE TRANSLATION AND FUSION OF A FACET JOINT OF THE SPINE - A surgical implant device configured to be implanted in a facet joint of a spine, comprising: a substantially cylindrical central body portion; and a pair of substantially prismatic side portions extending in radially opposite directions disposed on either side of the substantially cylindrical central body portion; wherein the substantially cylindrical central body portion is configured to be disposed in a central hole formed across the facet joint and crossing a plane of an articulating surface of each of a superior facet and an inferior facet thereof; wherein each of the substantially prismatic side portions is configured to be disposed in a side hole parallel to the central hole formed across the facet joint and crossing the plane of the articulating surface of each of the superior facet and the inferior facet thereof; and wherein each of the side holes partially overlap the central hole. | 03-26-2015 |
20150094766 | DEVICE AND METHOD FOR REINFORCEMENT OF A FACET - In some embodiments, a device for reinforcement of a facet joint is provided. The device comprises a lumen configured to receive a fastener member. In some embodiments, a second segment comprises a second lumen configured to receive a fastener member or fastener. In some embodiments, kits are provided with a fastener member and a facet reinforcement device. Methods are also provided for treating a spine. In some embodiments, the fastener member is placed through both articular processes of a facet joint and a facet reinforcement device. | 04-02-2015 |
20150094767 | METHOD OF PLACING AN IMPLANT BETWEEN BONE PORTIONS - Devices and methods for placing an implant between two bone portions are disclosed. In some embodiments, a method comprises disposing a portion of a flexible member through a first bone portion, through an aperture in a trial implant, and through a second bone portion. The trial implant can be withdrawn to enable an implant to be coupled to the flexible member. The method includes applying tension to the flexible member to urge the implant into the space between two bone portions. In some embodiments, the two bone portions are facets. | 04-02-2015 |
20150127052 | MINIMALLY INVASIVE SPINAL FACET COMPRESSION SCREW AND SYSTEM FOR BONE JOINT FUSION AND FIXATION - A system comprising a screw element having a generally cylindrical body having a bore or lumen therethrough and a plurality of fenestrations or windows through which biological material may be provided. The system comprises a tool for inserting the biological material into the screw element so that the biological material may extrude through the plurality of fenestrations or windows and through an aperture in the tip of the screw element thereby enabling providing a fusion mass across two adjacent facet bones or a facet joint wherein the screw itself provides both a fixation component and a screw component. | 05-07-2015 |
20150142056 | Flexible Facet Screw Apparatus - A novel facet screw that addresses the need to elevate facet related pain caused by the facet faces being near bone on bone and or misaligned by providing an improved facet screw apparatus, and methods for the delivering that screw, and securing the vertebral facets while allowing the center of the screw to become flexible, thereby allowing the facets to move more normal. The present invention comprises a proximal mesh engagement mechanism, an adhesion ring, a distal mesh engagement mechanism, a drive socket bonding core, a flexible mesh, a stabilizing plug and a flexible separation donut. A specially designed drill mechanism is used to pre-drill the holes in the facets for installing the present invention novel facet screw. A solid tightening wrench is utilized clinically to initially install the novel facet screw into two corresponding spinal facets. | 05-21-2015 |
20150342648 | LATERAL MASS FIXATION IMPLANT - The various embodiments described herein provide lateral mass and facet fixation implants, which may be inserted and applied via a posterior approach, using minimally invasive or less invasive techniques. The embodiments described below generally include an intrafacet implant (or “facet implant”) and a lateral mass fixation member attached to or attachable to the facet implant. The lateral mass fixation member can include one or more tabs extending from a middle portion and configured to secure the lateral mass fixation member to lateral masses of adjacent vertebrae. The tabs may be flexible, semi-rigid, or rigid, and may be collapsible to facilitate insertion of the device. Methods for delivering the lateral mass and facet fixation implants are also described. | 12-03-2015 |
20150374416 | METHOD AND APPARATUS FOR SPONDYLOLYSIS REPAIR - Disclosed are fixation devices for repairing spondylolysis. The fixation device can include a first anchor, a second anchor, and a bridge that couples the first and second anchors together. In use, the first anchor can be implanted on one side of a pars fracture, the second anchor can be implanted on the other side of the pars fracture, and the bridge can span across the pars fracture. In some embodiments, the fixation device can be compressible to promote healing of the fracture. | 12-31-2015 |
20160008039 | SYSTEM AND METHOD FOR STABILIZING A POSTERIOR FUSION OVER MOTION SEGMENTS | 01-14-2016 |
20160051294 | METHODS AND APPARATUS FOR STABILIZING BONE - In some embodiments, a method comprises disposing a portion of a flexible fastening band into contact with a first bone portion and into contact with a second bone portion. The portion of the flexible fastening band having a substantially uniform shape configured to substantially compliment a shape of the first bone portion and a shape of the second bone portion. The method further includes inserting the portion of the flexible fastening band into a fastener and advancing the portion of the flexible fastening band through the fastener until the first bone portion and the and the second bone portion are stabilized. | 02-25-2016 |
20160128739 | VERTEBRAL FACET JOINT FUSION IMPLANT AND METHOD FOR FUSION - In some embodiments a method comprises disposing an implant into contact with a first bone portion and into contact with a second bone portion, the implant having (1) a first interface configured to receive a restraining member, and (2) a second interface. The method further comprises inserting a portion of the fastener member into the first interface. The method further comprises securing the fastener member such that the first bone portion and the second bone portion are fixed to each other, at least in part by a substance after the securing, at least a portion of the substance disposed through the second interface. | 05-12-2016 |
20160183986 | SPINAL FIXATION DEVICES AND METHODS OF USE - Apparatus and methods for spinal the treatment of abnormal spinal stability and stenosis of the spinal canal. In one embodiment, the apparatus and methods provide treatment via decompression and/or fixation of the spinal canal. One or more implants are used to fixate the posterior column of a spinal segment compromised of the superior and inferior immediately adjacent vertebral bones. In one variant, these disclosed devices are used to fixate the posterior column of a spinal segment while another orthopedic implant is placed into the anterior column of the same spinal segment, thereby providing circumferential decompression. | 06-30-2016 |
20160374732 | FACET JOINT PROSTHESIS - A facet joint prosthesis comprising an inferior prosthetic portion and a superior prosthetic portion is disclosed. Inferior prosthetic portion includes a first anchor member and a first articulating member and superior prosthetic portion includes a second anchor member and a second articulating member. The first articulating member comprises a support portion and first articulating surface and the second articulating member comprises a second articulating surface, and first and second articulating surfaces are configured and dimensioned to contact or engage one another. A flexible element is positioned between the support portion and the first articulating surface. | 12-29-2016 |
20190142478 | METHOD OF PLACING AN IMPLANT BETWEEN BONE PORTIONS | 05-16-2019 |