197 results about "Thoracic vertebrae" patented technology

Surgical implants are configured for placement posteriorly to a spinal canal between vertebral bodies to distract the spine and enlarge the spinal canal. In the preferred embodiments the device permits spinal flexion while limiting spinal extension, thereby providing an effective treatment for treating spinal stenosis without the need for laminectomy. The invention may be used in the cervical, thoracic, or lumbar spine. Numerous embodiments are disclosed, including elongated, length-adjustable components coupled to adjacent vertebral bodies using pedicle screws. The preferred embodiments, however, teach a device configured for placement between adjacent vertebral bodies and adapted to fuse to the lamina, facet, spinous process or other posterior elements of a single vertebra. Various mechanisms, including shape, porosity, tethers, and bone-growth promoting substances may be used to enhance fusion. The tether may be a wire, cable, suture, or other single or multi-filament member. Preferably, the device forms a pseudo-joint in conjunction with the non-fused vertebra. Alternatively, the device could be fused to the caudal vertebra or both the cranial and caudal vertebrae.

The invention relates to an artificial intervertebral disc for placement between adjacent vertebrae. The artificial intervertebral disc is preferably designed to restore disc height and lordosis, allow for a natural range of motion, absorb shock and provide resistance to motion and axial compression. Furthermore, the intervertebral disc may be used in the cervical, the thoracic, or the lumber regions of the spine. The artificial intervertebral disc may include either singularly or in combination: an interior at least partially filled with a fluid; a valve for injecting fluid into the interior of the disk; a central region having a stiffness that is preferably greater than the stiffness of the outer regions thus enabling the disc to pivot about the central region. The central pivot may be formed by a center opening, a central chamber, an inner core or a central cable.

Spinal stabilization devices and their methods of insertion and use to treat degenerated lumbar, thoracic or cervical spinal discs in minimally invasive, outpatient procedures are described. In one embodiment, the spinal stabilization device is an expandable cage made of a coil or perforated cylindrical tube with a bulbous or bullet-shaped distal end and a flat or rounded proximal end. In a preferred embodiment, the spinal stabilization device is mechanically expanded to a larger diameter or is made of a superelastic nickel-titanium alloy which is thermally programmed to expand to a relatively larger diameter when a pre-determined transition temperature below body temperature is reached. To treat a degenerated disc, a guide wire is inserted into the disc and an endoscope is inserted through a posterolateral puncture in the back and advanced up to the facet of the spine. Mechanical tools or laser energy, under endoscopic visualization, are used to remove or vaporize a portion of the facet bone, creating an opening into the foraminal space in the spine for insertion of an endoscope, which enables the disc, vertebra and nerves to be seen. The passageway is expanded, mechanical tools or laser of RF energy are used to make a tunnel into the disc, and a delivery cannula is inserted up to the opening of the tunnel. An insertion tool is used to insert one or more spinal stabilization devices into the tunnel in the disc, preserving the mobility of the spine, while maintaining the proper space between the vertebra. Laser or radio frequency (RF) energy is used to coagulate bleeding, vaporize or remove debris and shrink the annulus of the disc to close, at least partially, the tunnel made in the disc.

The invention broadly facilitates reconstruction of the Annulus Fibrosus (AF) or the AF and the Nucleus Pulposus (NP). Such Reconstruction prevents recurrent herniation following Microlumbar Discectomy (MLD) other procedures. The invention may also be used in the treatment of herniated discs, annular tears of the disc, or disc degeneration, while enabling surgeons to preserve the contained NP. The methods and apparatus may be used to treat discs throughout the spine including the cervical, thoracic, and lumbar spines of humans and animals. In the preferred embodiment, a spinal repair system according to the invention comprises a first end portion adapted for placement within an intervertebral body, a second end portion adapted for placement within an adjacent intervertebral body, and a bridge portion connecting the first and second end portions, the bridge portion being adapted to span a portion of an intervertebral disc space and prevent excessive outward bulging.

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.

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.

The present invention describes an expandable vertebral implant and the method of use. The longitudinally expandable vertebral implant includes telescoping sections adapted for incremental expansion and ease of securement at any desired increment in situ, and constructed and arranged to engage opposing vertebrae. The corpectomy device is a distractible vertebral body replacement for the thoracic and lumbar spine. The device is cylindrical shaped having an inner and outer sleeve made adjustable by use of locking pads formed integral with the outer sleeve for use in engaging parallel circumferential locking grooves formed along the outer side surface of the inner sleeve.

A spinal and soft tissue mobilizer of modular construction for physical therapy has an elongate generally spool-shaped roller with a reduced diameter mid portion and larger diameter teardrop-shaped outer end portions rollers that apply pressure to the thoracic vertebrae, rib cage and muscles of the back without directly contacting the vertebrae. The mid portion may have lateral rollers with laterally spaced larger diameter portions that straddle the vertebrae of the spine and apply pressure to the muscles surrounding the straddled vertebrae without directly contacting the vertebrae. Interchangeable spacers of various lengths may be installed between the lateral rollers and/or between the lateral rollers and the teardrop-shaped outer end portions to provide proper lateral spacing for a particular individual. An individual may use the device without assistance, by placing the device on the floor underneath his/her back and moving back and forth over the device, or an operator may grip the handles and roll the device up and down along the back and spinal area of an individual laying face down on a flat surface. The device may also be mounted horizontally in doorway whereby the user can move his or her back up and down while at the same time applying a reasonably constant force against the device.

The invention relates to a spinal orthotic device configured from one or more elements of a modular system, comprising the following elements:

• • a lower abdominal corset (40, 120),
  • an upper abdominal corset (17, 130) that can be attached cranially to the lower abdominal corset (40, 120),
  • a corset supporting element (41) that can be secured posteriorly in the lower abdominal corset (40, 120) and is arranged along the lumbar spine, supporting the spine while restricting sagittal mobility,
  • a thoracic spinal corset (10, 200) that can be attached cranially to the lower abdominal corset (40, 120),
  • at least one curved supporting clasp (47) that can be inserted posteriorly optionally into a bandage of a lower abdominal corset (40, 120) and an upper abdominal corset (17, 130) or into an bandage of a lower abdominal corset (40, 120) and a thoracic spinal corset (10, 200), said curved supporting clasp being attached to a corset supporting element (41) for correction of lordosis and for restriction of sagittal and frontal mobility in the area of the lumbar spine,
  • at least one supporting element (23, 160) which can optionally be secured cranially in the thoracic spinal corset (10, 200) and caudally to the corset supporting element (41, 150) and extends laterally along the spine to align and relieve the spine in the sagittal plane,
  • and an abdominal truss pad (190) that can be attached ventrally to a lower abdominal corset (40, 120) for correction of lordosis of the lumbar spine and increasing the intra-abdominal pressure.

A traction device comprises a frame, a first bladder portion, a second bladder portion, a spacer, and a pump. The first bladder expands in an outward direction a distance greater than in a transverse direction. The second bladder expands in an angular direction. The second bladder is positioned generally below and to the side of the first bladder. Upon expanding in the outward direction, the first bladder bears against the back of the user's neck. Upon expanding in the transverse direction, the first bladder applies an angular traction to the cervical spine. Upon expanding in the angular direction, the second bladder bears angularly against the back of the user's upper thoracic region.

A spinal implant device having an anatomical shape designed to mimic and restore normal human spinal anatomy. The devices comes in a range of sizes and are structured to specifically accommodate the structure of at least one of the cervical, thoracic and lumbar regions of the spine. Once affixed to the vertebrae, the devices may be used to effectively fuse two or more vertebrae, or to stabilize the vertebrae and protect the posterior portions of the spinal cord. Adjustments for sagittal plane contouring may also be effected through cable tensioning via spinous process fixation.

Segmental spinous process implant systems and methods of use are provided for coupling to one or more spinal processes of a cervical, thoracic, and/or lumbar spine. Embodiments of the segmental spinous process implant system include a support member coupled to one or more offset connector. The support member extends adjacent to vertebrae of a cervical, thoracic, and/or lumbar spine. The offset connector extends from the support member between adjacent spinous processes of the spine and supports a pair of spinous process connectors that secure the implant to a spinous process of a vertebra of the spine.

Disc spacers (DS) are assembled within a disc space, allowing them to be inserted through smaller openings in the Annulus Fibrosus (AF). The large size of the assembled DS decreases the pressure on the vertebral endplates. Embodiments of the invention may be used in the cervical, thoracic, or lumbar spine. The DS may be inserted through an anterior, lateral, or posterior approach to the spine using annulus preserving techniques. The devices are preferably made of biocompatible materials such as titanium, chrome cobalt, and ceramic. Alternative materials, including materials with shape memory properties, such as Nitinol, may be used to form one or more components of the device.

An improve spinal surgical implant used primarily in the posterior aspect of the spinal column for spinal reconstruction; revision surgery; deformity correction; and/or tumor surgery and/or trauma surgery of the cervical, thoracic and/or and lumbo-sacral spine.

A thoraco-lumbar spine support/brace for correcting lateral spinal alignment. The brace comprises a frame member defined by two elongate bracing rods extending vertically in generally parallel relation to one another on opposed sides of the body of the wearer that extend generally from the wearer's shoulders to pelvis. Extending across the uppermost ends of the bracing rods is a posterior traction belt. At least two anterior traction slings are provided that extend across an intermediate portion of the bracing rods. A pelvic arch is further provided that extends across the bottom-most ends of the opposed bracing rod members. The posterior traction belt, anterior traction slings and pelvic arch may all be selectively positioned to impart a desired physiological orientation of the waerer's spine, and can be utilized to treat a given condition such as abnormal thoracic kyphosis, pelvic inclination and lumbar lordosis.

An encircling device for promoting arthrodesis of a cervical, thoracic and/or lumbar facet joint. The fusion can occur through the device as well as around and/or through the facet joint. The top cap may include a container where bone promoting substances are placed. A top cap may be placed within, around or over the top of the encircling device and affixed thereto using a variety of different fixation devices. In addition, the encircling device and/or top cap may be secured using a fastener or anchor such as a screw or other member to a interspinous process spacer, pedicle, pars interarticularis, spinous process, sacral ala, lamina, facet articular process, transverse process or other spinal bony anatomy.

The present invention provides devices for neck support and correction, for example, pillows, headrests, or cushions, designed to be placed under the head and neck of a person lying in a supine or side-lying position. Such devices are useful for maintaining or improving cervical and/or thoracic spinal curvature and/or alignment and for reducing pain associated with ailments of the neck or cervical vertebrae. Also provided are methods of improving cervical spinal alignment and for treating or ameliorating ailments of the neck or cervical vertebrae.

An adjustable sacral and spinal support assembly is provided that can be used in a variety of seat types. The support assembly includes both a sacral support section and in some situations, one or more complementary spinal support sections located in other areas of the seats. The sacral support section is adapted to support the sacrum of a seated user. A method is also provided for delivering primary support to a user's sacrum and sacral-pelvic anatomy, and in select situations, secondary support to one or more of the remaining regions of the spine and/or adjacent anatomy. The support assembly is designed to produce proper spinal positioning of seated individuals to reduce fatigue, increase comfort, structural balance, stability, and posture control for a seated user. The system also adjusts and controls the load distribution from the sacral anatomy to the spine and other anatomical structures adjacent a user's sacrum, for example, the pelvis, lumbar, thoracic and cervical regions, and includes both automatic and manual adjustment systems.

An apparatus for use in peripheral nerve field stimulation (PNFS) whereby a plurality of curved introducer needles, of varying curvatures, are provided to permit the physician to best locate the region of oligodendrocytes that contain the A Beta fibers by matching the lumbar lordosis. A wing device is also provided that is attachable to the hub of the curved needle introducer which gives the physician better ability to maneuver the needle during insertion as well as permitting tenting of the skin. The invention benefits a large number of painful disorders arising from pathology in the cervical, thoracic, and lumbar spine. In addition, this invention can also help a large number of other conditions including but not limited to failed back surgery syndrome/post-laminectomy pain, occipital/suboccipital headaches, scar pain, post herpetic neuralgia pain, mononeuritis multiplex, and pain following joint surgery (e.g., knee, hip, shoulder).

A posterior spinal prosthesis is configured to cover exposed portions of a spinal column especially, but not necessarily, as a result of a medical spinal procedure and particularly, to provide posterior coverage of an exposed spinal cord, soft tissue, Foramen and/or adipose tissue, associated with one or more vertebrae as a result of the removal the spinous processes and/or the spinous process and laminar hoods from the one or more vertebrae of the spine as a result of a spinal decompression procedure or other reason. A plate forming the prosthesis is connectable to spine rod constructs implanted on lateral sides of the vertebrae and projects in the posterior direction relative to the connection. The plate is generally curved in the superior/inferior direction to provide either a lordotic or kyphotic curvature depending on the portion of the spine to which the prosthesis is utilized. As such, the posterior spinal prosthesis may be used on any portion of the spine such as the cervical vertebrae, the thoracic vertebrae and/or the lumbar vertebrae. The present posterior spinal prosthesis also provides posterior stabilization of the associated vertebrae as well as aiding in preventing post operative soft tissue cavitation at the decompression site.

Systems and methods for tissue ablation. Systems include needles with deployable filaments capable of producing asymmetrical offset lesions at target volumes, which may include a target nerve. Ablation of at least a portion of the target nerve may inhibit the ability of the nerve to transmit signals, such as pain signals, to the central nervous system. The offset lesion may facilitate procedures by directing energy towards the target nerve and away from collateral structures. Example anatomical structures include lumbar, thoracic, and cervical medial branch nerves and rami and the sacroiliac joint.