91 results about "Anterior approach" patented technology

An intervertebral implant (300) for insertion into an intervertebral disc space between adjacent vertebral bodies or between two bone portions. The implant includes a spacer portion (310), a plate portion (330) operatively coupled to the spacer portion and one or more blades (350) for securing the implant to the adjacent vertebral bodies. The blades preferably include superior and inferior cylindrical pins (360) for engaging the adjacent vertebral bodies. The implant may be configured to be inserted via a direct lateral transposals approach. Alternatively, the implant may be configured for insertion via an anterior approach.

A method and instrumentation particularly adapted for disc space preparation from an anterior approach to the spine. In one aspect, an expandable template is provided having guides to guide a cutting device for bilateral formation of openings in the disc space. In another aspect, an improved guide member is provided for guiding a cutting tool. Still further, the invention provides an improved double barrel guide sleeve with a central distraction extension and lateral non-distracting extensions. Optionally, the guide sleeve includes windows and covers to selectively cover the windows. An improved reamer with an internal chamber and optional modular coupling is also provided. A depth stop is provided to selectively engage a tool shaft and a guide sleeve to control tool penetration into the disc space. A method of using the disclosed instruments is also provided.

Apparatus and methods are used to expand and/or connect disc replacement devices in situ, allowing such devices to be inserted through smaller openings including posterior as well as an anterior approaches to the spine. Other embodiments reside in nucleus replacements that do not expand within the disc space, providing improved longevity compared to existing NRs. Embodiments of the invention may be used in the cervical, thoracic, or lumbar spine. The invention may also be used in other joints such as, the knee, prosthetic knees, prosthetic hips, or other joints in the body.

The present invention involves a system and methods for nerve testing during anterior surgery, including but not limited to anterior total disc replacement surgery, nucleus replacement, and interbody fusion.

A fixation device to immobilize a spinal motion segment and promote posterior fusion, used as stand-alone instrumentation or as an adjunct to an anterior approach. The device functions as a multi-level fusion system including modular single-level implementations. At a single-level the implant includes a pair of plates spanning two adjacent vertebrae with embedding teeth on the medially oriented surfaces directed into the spinous processes or laminae. The complementary plates at a single-level are connected via a cross-post with a hemi-spherical base and cylindrical shaft passed through the interspinous process gap and ratcheted into an expandable collar. The expandable collar's spherical profile contained within the opposing plate allows for the ratcheting mechanism to be correctly engaged creating a uni-directional lock securing the implant to the spine when a medially directed force is applied to both complementary plates using a specially designed compression tool. The freedom of rotational motion of both the cross-post and collar enables the complementary plates to be connected at a range of angles in the axial and coronal planes accommodating varying morphologies of the posterior elements in the cervical, thoracic and lumbar spine. To achieve multi-level fusion the single-level implementation can be connected in series using an interlocking mechanism fixed by a set-screw.

A method for intra-operative surgical treatment of spondylolisthesis by an anterior minimally invasive approach of the lumbar spine includes inserting an interbody spacer between two vertebrae, attaching an anatomically designed reduction plate to at least one of the two vertebrae, and attaching the interbody spacer to the reduction plate by a fastening means through a central borehole of the reduction plate and the interbody spacer. The interbody spacer may be attached to the anteriorly positioned vertebra by at least bone screw. The upper and lower parts may be attached to the upper and lower vertebra by at least one bone screw to stabilize the displaced vertebral segment of the spine.

A bone prosthesis for implantation at a joint is adapted to closely replicate the normal loading of the femur and is suitable for implantation using a single incision anterior approach, a form of minimally invasive surgery (MIS). The bone prosthesis comprises a stem adapted for orientation with a medial trabecular stream of the femur.

A retractor-based access system for performing minimally invasive spine surgery via an anterior approach. The anterior access system and related methods of the present invention involve a plurality of retractor blades under the control of a single retractor handle apparatus.

The present invention provides a cage device for performing spinal fusion, including: a housing defining one or more ports that is selectively disposed in an intervertebral space between adjacent vertebrae; one or more extensible retention structures that are selectively advanced out of the housing through the one or more ports and into one or more endplates of the adjacent vertebrae; and one or more actuation mechanisms for selectively advancing the one or more extensible retention structures out of the housing through the one or more ports and into the one or more endplates of the adjacent vertebrae. In one exemplary embodiment, the one or more actuation mechanisms consist of at least one worm gear/mandrel pair. The one or more extensible retention structures are selectively advanced out of the housing through the one or more ports and into the one or more endplates of the adjacent vertebrae with a rotational motion. Preferably, the one or more extensible retention structures are configured such that they may contain a bone graft. In one exemplary embodiment, the housing is selectively disposed in the intervertebral space between the adjacent vertebrae using an anterior approach.

A retractor system and associated method are provided to manage soft tissue around a spinal surgical field. The system includes a hollow retractor with proximal and a distal apertures and an internal circumferential surface connecting the apertures, the surface and the apertures defining an operating volume and the area of the distal aperture defining an operating field. The system may further include other elements such as a handling tool to facilitate placement and removal of the retractor, a bone cutting tool, a trajectory control sleeve to guide the bone cutting tool, and/or an implantable bone plate upon which to position the retractor. A method for spinal surgery, particular from an anterior approach, includes positioning the retractor at a surgical site, and performing a medical procedure through the operating volume provided by the retractor.

Methods and instrumentation particularly adapted for disc space preparation for insertion of implants from an anterior approach to the spine are provided. The instruments include a guide sleeve defining a channel having overlapping cylindrical working channel portions and lateral non-distracting extensions extending from reduced thickness wall portions. The guide sleeve has an overall reduced width configuration. A pair of distractors are provided. A first distractor includes a shaft and distal tip, each having convex walls. A second distractor includes a shaft and distal tip including a recessed area at least along the tip. The first distractor is at least partially received within the recessed area of the second distractor when the first and second distractors are in side-by-side relation and a reduced overall width of the distractors is obtained. Preferably, the first and second distractors are used with the guide sleeve. Methods using the disclosed instruments are also provided.

In various exemplary embodiments, the present invention provides a set of less invasive cervical spine instruments that are used to achieve cervical disc decompression, bone preparation, and the alignment of one or more matched sized bone grafts prior to cervical plate placement. This set of less invasive cervical spine instruments, and the related surgical method, result in reduced surgical time, the preparation of a precise machined bone surface while simultaneously maintaining the cervical disc decompression height of the intervertebral endplates, the selection of one or more prefabricated bone dowel grafts sized to match the machined bone surface and maximizing the surface contact required for cervical spine fusion, the placement of the one or more prefabricated bone dowel grafts (e.g. side by side) that can be of different diameters in order to fully exploit the intervertebral space available, and the alignment of the cervical plate using a cervical spine instrument that is matched to align with the one or more prefabricated bone dowel grafts beneath the cervical plate.

A bone plate for use in anterior cervical spinal fixation has interlocking components to prevent dislodgement of the plate due to anatomical forces. The plate is formed in the shape of a block letter C and the exposed surface is smooth to prevent trauma to internal body tissue. The plate spans the intervertebral space with each end attached to an adjacent vertebrae by bone screws threadably engaged with the bone. The distal ends of the bone screws The plate has a screw lock in each end for preventing the locking screws from backing out.

An osteosynthetic plate assembly and a method of installing the osteosynthetic plate assembly is disclosed. The osteosynthetic plate assembly comprises a dynamic extension plate having a first end portion for connection to a first vertebrae, a second end portion for connection to a second vertebrae, and a dynamic flexible portion extending between the first and second end portions. The dynamic extension plate is configured for coupling with a cervical fusion plate. A method of installing the dynamic extension plate to adjacent vertebrae comprises the steps of engaging a connector of the dynamic extension plate with a coupling of a cervical fusion plate, and mounting the dynamic extension plate to the adjacent vertebrae.

Provided herein are devices, systems, apparatus and methods for accessing the cervical spine via an anterior approach and implanting a spinal fixation member between two vertebrae of the cervical spine in the disc or intervertebral joint space, such as in an ACDF procedure. The delivery device includes a distal end that can be anchored to the spinal fixation member. Once anchored to the spinal fixation member, the delivery device is operable to both advance and attach the spinal fixation member within a cervical disc joint space.

Adapter plane (1′) for surgical table, comprising a main portion (2′) and a secondary portion (3′) which define—at the top part—a surface (4′) for supporting the patient, said secondary portion (3′) being arranged for supporting at least one pelvis portion of the patient, said adapter plane (1′) being rigidly couplable above said surgical table with the main portion (2′) overlapping the surgical table and the secondary portion (3′) projecting with respect to the surgical table, at least the secondary portion (3′) of said adapter plane (1′) being made of radiotransparent material.