US20070270824A1 - Interspinous process brace - Google Patents

Interspinous process brace Download PDF

Info

Publication number
US20070270824A1
US20070270824A1 US11413616 US41361606A US2007270824A1 US 20070270824 A1 US20070270824 A1 US 20070270824A1 US 11413616 US11413616 US 11413616 US 41361606 A US41361606 A US 41361606A US 2007270824 A1 US2007270824 A1 US 2007270824A1
Authority
US
Grant status
Application
Patent type
Prior art keywords
inferior
superior
spinous process
brace
process
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US11413616
Inventor
Roy Lim
Thomas Carls
Aurelien Bruneau
Eric Lange
Kent Anderson
Hai Trieu
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Warsaw Orthopedic Inc
Original Assignee
Warsaw Orthopedic Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7062Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
    • A61B17/7065Devices with changeable shape, e.g. collapsible or having retractable arms to aid implantation; Tools therefor

Abstract

An interspinous process brace is disclosed and can include a superior component and an inferior component. The superior component can include a superior spinous process bracket that can engage a superior spinous process. The inferior component can include an inferior spinous process bracket that can engage an inferior spinous process. Further, the interspinous process brace can be moved between a bent configuration and a straight configuration. In the bent configuration, an overall height of the interspinous process brace can be minimized to facilitate installation between the superior spinous process and the inferior spinous process.

Description

    FIELD OF THE DISCLOSURE
  • The present disclosure relates generally to orthopedics and orthopedic surgery. More specifically, the present disclosure relates to devices used to support adjacent spinous processes.
  • BACKGROUND
  • In human anatomy, the spine is a generally flexible column that can take tensile and compressive loads. The spine also allows bending motion and provides a place of attachment for keels, muscles and ligaments. Generally, the spine is divided into three sections: the cervical spine, the thoracic spine and the lumbar spine. The sections of the spine are made up of individual bones called vertebrae. Also, the vertebrae are separated by intervertebral discs, which are situated between adjacent vertebrae.
  • The intervertebral discs function as shock absorbers and as joints. Further, the intervertebral discs can absorb the compressive and tensile loads to which the spinal column may be subjected. At the same time, the intervertebral discs can allow adjacent vertebral bodies to move relative to each other a limited amount, particularly during bending, or flexure, of the spine. Thus, the intervertebral discs are under constant muscular and/or gravitational pressure and generally, the intervertebral discs are the first parts of the lumbar spine to show signs of deterioration.
  • Facet joint degeneration is also common because the facet joints are in almost constant motion with the spine. In fact, facet joint degeneration and disc degeneration frequently occur together. Generally, although one may be the primary problem while the other is a secondary problem resulting from the altered mechanics of the spine, by the time surgical options are considered, both facet joint degeneration and disc degeneration typically have occurred. For example, the altered mechanics of the facet joints and/or intervertebral disc may cause spinal stenosis, degenerative spondylolisthesis, and degenerative scoliosis.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • FIG. 1 is a lateral view of a portion of a vertebral column;
  • FIG. 2 is a lateral view of a pair of adjacent vertrebrae;
  • FIG. 3 is a top plan view of a vertebra;
  • FIG. 4 is a rear plan view of a first interspinous process spacer with a locking sleeve unlocked;
  • FIG. 5 is a rear plan view of the first interspinous process spacer with the locking sleeve locked;
  • FIG. 6 is a side plan view of the first interspinous process spacer in a bent configuration;
  • FIG. 7 is a side plan view of the first interspinous process spacer in a straight configuration with a locking sleeve unlocked;
  • FIG. 8 is a side plan view of the first interspinous process spacer in a straight configuration with the locking sleeve locked;
  • FIG. 9 is a rear plan view of a second interspinous process spacer;
  • FIG. 10 is a side plan view of the second interspinous process spacer in a bent configuration;
  • FIG. 11 is a side plan view of the second interspinous process spacer in a straight configuration;
  • FIG. 12 is a rear plan view of a third interspinous process spacer;
  • FIG. 13 is a plan view of a posterior locking plate configured to engage the third interspinous process spacer;
  • FIG. 14 is a rear plan view of the third interspinous process spacer with the posterior locking plate engaged therewith;
  • FIG. 15 is a side plan view of the third interspinous process spacer in a bent configuration;
  • FIG. 16 is a side plan view of the third interspinous process spacer in a straight configuration with a posterior locking plate and an anterior locking plate disengaged there from;
  • FIG. 17 is a side plan view of the third interspinous process spacer in the straight configuration with the posterior locking plate and the anterior locking plate engaged therewith; and
  • FIG. 18 is a rear plan view of a fourth interspinous process spacer;
  • FIG. 19 is a side plan view of the fourth interspinous process spacer in a bent configuration;
  • FIG. 20 is a side plan view of the fourth interspinous process spacer in a straight configuration; and
  • FIG. 21 is a flow chart illustrating a method of treating a spine.
  • DETAILED DESCRIPTION OF THE DRAWINGS
  • An interspinous process brace is disclosed and can include a superior component and an inferior component. The superior component can include a superior spinous process bracket that can engage a superior spinous process. The inferior component can include an inferior spinous process bracket that can engage an inferior spinous process. Further, the interspinous process brace can be moved between a bent configuration and a straight configuration. In the bent configuration, an overall height of the interspinous process brace can be minimized to facilitate installation between the superior spinous process and the inferior spinous process.
  • In another embodiment, an interspinous process brace is disclosed and can include a superior spinous process bracket and an inferior spinous process bracket. The superior spinous process bracket can engage a superior spinous process and the inferior spinous process bracket can engage an inferior spinous process. The interspinous process brace can also include a central component that can connect the superior spinous process bracket and the inferior spinous process bracket. Additionally, the central component can be configured to allow the interspinous process brace to move between a bent configuration and a straight configuration. In the bent configuration an overall height of the interspinous process brace can be minimized to facilitate installation between the superior spinous process and the inferior spinous process.
  • In still another embodiment, a method of treating a spine is disclosed and can include moving an interspinous process brace to a bent configuration and installing the interspinous process brace between a superior spinous process and an inferior spinous process. Further, the method can include returning the interspinous process brace to a straight configuration between the superior spinous process and the inferior spinous process.
  • In yet another embodiment, a method of treating a spine is disclosed and can include distracting a superior spinous process and an inferior spinous process, moving an interspinous process brace to a bent configuration, and installing the interspinous process brace between the superior spinous process and the inferior spinous process. Also, the method can include returning the interspinous process brace to a straight configuration between the superior spinous process and the inferior spinous process.
  • In still yet another embodiment, a kit is disclosed and can include at least two interspinous process braces. Each interspinous process brace can include a superior component and an inferior component. The superior component of each interspinous process brace can include a superior spinous process bracket that can engage a superior spinous process. Also, the inferior component of each interspinous process brace can include an inferior spinous process bracket that can engage an inferior spinous process. Moreover, the interspinous process brace can be moved between a bent configuration and a straight configuration. In the bent configuration, an overall height of the interspinous process brace can be minimized to facilitate installation between the superior spinous process and the inferior spinous process.
  • In another embodiment, a kit is disclosed and can include an interspinous process brace. The interspinous process brace can include a superior component and an inferior component. The superior component can include a superior spinous process bracket that can engage a superior spinous process. The inferior component can include an inferior spinous process bracket that can engage an inferior spinous process. Further, the interspinous process brace is movable between a bent configuration and a straight configuration. In the bent configuration, an overall height of the interspinous process brace can be minimized to facilitate installation between the superior spinous process and the inferior spinous process. The kit can also include a locking pin that can be configured to engage the interspinous process brace.
  • In still another embodiment, a method of treating a spine is disclosed and can include moving an interspinous process brace to a bent configuration and installing the interspinous process brace between a superior spinous process and an inferior spinous process. Further, the method can include returning the interspinous process brace to a straight configuration in order to distract the superior spinous process and the inferior spinous process.
  • Description of Relevant Anatomy
  • Referring initially to FIG. 1, a portion of a vertebral column, designated 100, is shown. As depicted, the vertebral column 100 includes a lumbar region 102, a sacral region 104, and a coccygeal region 106. As is known in the art, the vertebral column 100 also includes a cervical region and a thoracic region. For clarity and ease of discussion, the cervical region and the thoracic region are not illustrated.
  • As shown in FIG. 1, the lumbar region 102 includes a first lumbar vertebra 108, a second lumbar vertebra 110, a third lumbar vertebra 112, a fourth lumbar vertebra 114, and a fifth lumbar vertebra 116. The sacral region 104 includes a sacrum 118. Further, the coccygeal region 106 includes a coccyx 120.
  • As depicted in FIG. 1, a first intervertebral lumbar disc 122 is disposed between the first lumbar vertebra 108 and the second lumbar vertebra 110. A second intervertebral lumbar disc 124 is disposed between the second lumbar vertebra 110 and the third lumbar vertebra 112. A third intervertebral lumbar disc 126 is disposed between the third lumbar vertebra 112 and the fourth lumbar vertebra 114. Further, a fourth intervertebral lumbar disc 128 is disposed between the fourth lumbar vertebra 114 and the fifth lumbar vertebra 116. Additionally, a fifth intervertebral lumbar disc 130 is disposed between the fifth lumbar vertebra 116 and the sacrum 118.
  • In a particular embodiment, if one of the intervertebral lumbar discs 122, 124, 126, 128, 130 is diseased, degenerated, damaged, or otherwise in need of repair, treatment of that intervertebral lumbar disc 122, 124, 126, 128, 130 can be effected in accordance with one or more of the embodiments described herein.
  • FIG. 2 depicts a detailed lateral view of two adjacent vertebrae, e.g., two of the lumbar vertebra 108, 110, 112, 114, 116 shown in FIG. 1. FIG. 2 illustrates a superior vertebra 200 and an inferior vertebra 202. As shown, each vertebra 200, 202 includes a vertebral body 204, a superior articular process 206, a transverse process 208, a spinous process 210 and an inferior articular process 212. FIG. 2 further depicts an intervertebral disc 216 between the superior vertebra 200 and the inferior vertebra 202.
  • Referring to FIG. 3, a vertebra, e.g., the inferior vertebra 202 (FIG. 2), is illustrated. As shown, the vertebral body 204 of the inferior vertebra 202 includes a cortical rim 302 composed of cortical bone. Also, the vertebral body 204 includes cancellous bone 304 within the cortical rim 302. The cortical rim 302 is often referred to as the apophyseal rim or apophyseal ring. Further, the cancellous bone 304 is softer than the cortical bone of the cortical rim 302.
  • As illustrated in FIG. 3, the inferior vertebra 202 further includes a first pedicle 306, a second pedicle 308, a first lamina 310, and a second lamina 312. Further, a vertebral foramen 314 is established within the inferior vertebra 202. A spinal cord 316 passes through the vertebral foramen 314. Moreover, a first nerve root 318 and a second nerve root 320 extend from the spinal cord 316.
  • It is well known in the art that the vertebrae that make up the vertebral column have slightly different appearances as they range from the cervical region to the lumbar region of the vertebral column. However, all of the vertebrae, except the first and second cervical vertebrae, have the same basic structures, e.g., those structures described above in conjunction with FIG. 2 and FIG. 3. The first and second cervical vertebrae are structurally different than the rest of the vertebrae in order to support a skull.
  • Description of a First Embodiment of an Interspinous Process Brace
  • Referring to FIG. 4 through FIG. 8, a first interspinous process brace is shown and is generally designated 400. As shown in FIG. 4 and FIG. 5, the interspinous process brace 400 can include an inferior component 402 and a superior component 404. Further, the inferior component 402 can be coupled, or otherwise connected, to the superior component 404 via a central component 406. In a particular embodiment, the components 402, 404, 406 can be made from one or more biocompatible materials. For example, the materials can be metal containing materials, polymer materials, or composite materials that include metals, polymers, or combinations of metals and polymers.
  • In a particular embodiment, the metal containing materials can be metals. Further, the metal containing materials can be ceramics. Also, the metals can be pure metals or metal alloys. The pure metals can include titanium. Moreover, the metal alloys can include stainless steel, a cobalt-chrome-molybdenum alloy, e.g., ASTM F-999 or ASTM F-75, a titanium alloy, or a combination thereof.
  • The polymer materials can include polyurethane materials, polyolefin materials, polyaryletherketone (PAEK) materials, silicone materials, hydrogel materials, or a combination thereof. Further, the polyolefin materials can include polypropylene, polyethylene, halogenated polyolefin, flouropolyolefin, or a combination thereof. The polyaryletherketon (PAEK) materials can include polyetherketone (PEK), polyetheretherketone (PEEK), polyetherketoneketone (PEKK), polyetherketoneetherketoneketone (PEKEKK), or a combination thereof. The hydrogels can include polyacrylamide, poly-N-isopropylacrylamine, polyvinyl methylether, polyvinyl alcohol, polyethyl hydroxyethyl cellulose, poly (2-ethyl) oxazoline, polyethyleneoxide, polyethylglycol, polyethylene glycol, polyacrylic acid, polyacrylonitrile, polyvinylacrylate, polyvinylpyrrolidone, or a combination thereof. Alternatively, the components 402, 404, 406 can be made from any other substantially rigid biocompatible materials.
  • In a particular embodiment, the components 402, 404, 406 can be made from the same biocompatible material. Further, the components 402, 404, 406 can be monolithic. Alternatively, the components 402, 404, 406 can be made from different biocompatible materials. For example, the inferior component 402 and the superior component 404 can be made from a first biocompatible material and the central component 406 can be made from a second biocompatible material. Also, the first biocompatible material can have a Young's modulus that is substantially greater than a Young's modulus of the second biocompatible material. Accordingly, as described in greater detail below, an elasticity of the central component 406 can allow the inferior component 402 to be bent, or folded, relative to the superior component 404.
  • In a particular embodiment, the components 402, 404, 406 can be made from the same biocompatible material. However, in a certain embodiment, the inferior component 402 and the superior component 404 can be cross-linked, but not the central component 406. As such, the Young's modulus of the inferior component 402 and the superior component 404 can be greater than the central component 404.
  • As illustrated in FIG. 4 and FIG. 5, the inferior component 402 can include an inferior support post 410. An inferior lateral arm 412 can extend from the inferior support post 410. Further, an inferior spinous process bracket 414 can extend from the inferior lateral arm 412.
  • In a particular embodiment, a lateral cross-section of the inferior support post 410 can indicate that the inferior support post 410 can be generally box-shaped. Alternatively, the inferior support post 410 can be generally cylindrical, generally prismatic, generally polyhedral, or a combination thereof.
  • As indicated in FIG. 4 and FIG. 5, the inferior spinous process bracket 414 can be generally U shaped. Alternatively, the inferior spinous process bracket 414 can be generally V shaped. Further, the inferior spinous process bracket 414 can include an inferior spinous process engagement structure 422 that extends from the inferior spinous process bracket 414. In a particular embodiment, the inferior spinous process engagement structure 422 can be one or more spikes, one or more teeth, a combination thereof, or some other structure configured to engage a spinous process.
  • The inferior component 402 can also include a first inferior tether hole 430 and a second inferior tether hole 432. An inferior tether 434 can span the inferior component 402, e.g., between the first inferior tether hole 430 and the second inferior tether hole 432. Further, the inferior tether 434 can be looped at least partially around a spinous process and can substantially maintain the spinous process in contact with the inferior spinous process bracket 414. The tether can comprise a biocompatible elastomeric material that flexes during installation and provides a resistance fit against the inferior process. Further, the tether can comprise a substantially non-resorbable suture or the like.
  • As illustrated in FIG. 4 and FIG. 5, the superior component 404 can include a superior support post 450. A superior lateral arm 452 can extend from the superior support post 450. Further, a superior spinous process bracket 454 can extend from the superior lateral arm 452.
  • In a particular embodiment, the superior support post 450 can be sized and shaped similar to the inferior support post 410. A lateral cross-section of the superior support post 450 can indicate that the superior support post 450 can be generally box-shaped. Alternatively, the superior support post 450 can be generally cylindrical, generally prismatic, generally polyhedral, or a combination thereof.
  • As indicated in FIG. 4 and FIG. 5, the superior spinous process bracket 454 can be generally U shaped. Alternatively, the superior spinous process bracket 454 can be generally V shaped. Further, the superior spinous process bracket 454 can include a superior spinous process engagement structure 462 that extends from the superior spinous process bracket 454. In a particular embodiment, the superior spinous process engagement structure 462 can be one or more spikes, one or more teeth, a combination thereof, or some other structure configured to engage a spinous process.
  • The superior component 404 can also include a first superior tether hole 470 and a second superior tether hole 472. A superior tether 474 can span the superior component 404, e.g., between the first superior tether hole 470 and the second superior tether hole 472. Further, the superior tether 474 can be looped at least partially around a spinous process and can substantially maintain the spinous process in contact with the superior spinous process bracket 454. The tether can comprise a biocompatible elastomeric material that flexes during installation and provides a resistance fit against the inferior process. Further, the tether can comprise a substantially non-resorbable suture or the like.
  • FIG. 4 through FIG. 8 further indicate that the interspinous process brace 400 can include a locking sleeve 480 that can be slidably disposed around the inferior component 402, the superior component 404, the central component 406, or a combination thereof. The locking sleeve 480 can include a pair of inferior locking holes 482 and a pair of superior locking holes 484. Also, the inferior component 402 can include a locking hole 486 and the superior component 404 can include a locking hole 488.
  • In a particular embodiment, the locking sleeve 480 can be moved along the interspinous process brace 400 until the inferior locking holes 482 on the locking sleeve 480 are aligned with the locking hole 486 in the inferior component 402 and the superior locking holes 484 on the locking sleeve 480 are aligned with the locking hole 488 in the superior component 404. Thereafter, as shown in FIG. 5, an inferior locking pin 490 can be installed through the inferior locking holes 482 on the locking sleeve 480 and the locking hole 486 in the inferior component 402. Also, a superior locking pin 492 can be installed through the superior locking holes 484 on the locking sleeve 480 and the locking hole 488 in the superior component 404.
  • FIG. 6 illustrates the locking sleeve 480 in an unlocked position and the interspinous process brace 400 in a bent configuration. FIG. 7 illustrates the locking sleeve 480 in an unlocked position and the interspinous process brace 400 in a straight configuration. Further, FIG. 8 illustrates the interspinous process brace 400 in the straight configuration and the locking sleeve 480 in a locked position. Accordingly, the interspinous process brace 400 can be moved between the straight configuration and the bent configuration to facilitate installation between adjacent spinous processes.
  • More particularly, the interspinous process brace 400 can be bent, or otherwise folded, as shown in FIG. 6, in order to reduce an overall height of the interspinous process brace 400. Thereafter, the interspinous process brace 400 can be place between adjacent spinous processes and allowed to return to the straight configuration, shown in FIG. 7. Further, after the interspinous process brace 400 is allowed to return to the straight configuration, the locking sleeve 480 can be moved to the locked position, shown in FIG. 8, to prevent the interspinous process brace 400 from returning to the bent configuration.
  • In a particular embodiment, when the interspinous process brace 400 is properly installed between a superior vertebra and an inferior vertebra, shown in FIG. 4, the inferior spinous process bracket 414 can engage and support an inferior spinous process 500. Further, the superior spinous process bracket 454 can engage and support a superior spinous process 502. More specifically, the inferior spinous process engagement structure 422 can extend slightly into and engage the inferior spinous process 500. Also, the superior spinous process engagement structure 462 can extend slightly into and engage the superior spinous process 502. Accordingly, the spinous process engagement structures 422, 462 and the tethers 434, 474 can substantially prevent the interspinous process brace 400 from migrating with respect to the spinous processes 500, 502.
  • Also, in a particular embodiment, a distractor can be used to increase a distance 510 between the superior spinous process 502 and the inferior spinous process 500 and the interspinous process brace 400 can be installed to support the superior spinous process 502 and the inferior spinous process 500. After the interspinous process brace 400 is installed, the distractor can be removed and the interspinous process brace 400 can support the superior spinous process 502 and the inferior spinous process 500 to substantially prevent the distance 510 between the superior spinous process 502 and the inferior spinous process 500 from returning to a pre-distraction value. Further, the interspinous process brace 400, when locked, as described herein, the interspinous process brace 400 can dynamically resist compressive loads, tensile loads, or a combination thereof. It may be desirable to allow the interspinous process brace 400 to bend or flex after it is installed. Therefore, the locking sleeve 480 may be omitted from the interspinous process brace 400.
  • Description of a Second Embodiment of an Interspinous Process Brace
  • Referring to FIG. 9 through FIG. 11, a second interspinous process brace is shown and is generally designated 900. As shown, the interspinous process brace 900 includes an inferior component 902 and a superior component 904. Further, the inferior component 902 can be coupled, or otherwise connected, to the superior component 904 via a first central component 906 and a second central component 908. In a particular embodiment, the components 902, 904, 906, 908 can be made from one or more biocompatible materials. For example, the materials can be metal containing materials, polymer materials, or composite materials that include metals, polymers, or combinations of metals and polymers.
  • In a particular embodiment, the metal containing materials can be metals. Further, the metal containing materials can be ceramics. Also, the metals can be pure metals or metal alloys. The pure metals can include titanium. Moreover, the metal alloys can include stainless steel, a cobalt-chrome-molybdenum alloy, e.g., ASTM F-999 or ASTM F-75, a titanium alloy, or a combination thereof.
  • The polymer materials can include polyurethane materials, polyolefin materials, polyaryletherketone (PAEK) materials, silicone materials, hydrogel materials, or a combination thereof. Further, the polyolefin materials can include polypropylene, polyethylene, halogenated polyolefin, flouropolyolefin, or a combination thereof. The polyaryletherketon (PAEK) materials can include polyetherketone (PEK), polyetheretherketone (PEEK), polyetherketoneketone (PEKK), polyetherketoneetherketoneketone (PEKEKK), or a combination thereof. The hydrogels can include polyacrylamide, poly-N-isopropylacrylamine, polyvinyl methylether, polyvinyl alcohol, polyethyl hydroxyethyl cellulose, poly (2-ethyl) oxazoline, polyethyleneoxide, polyethylglycol, polyethylene glycol, polyacrylic acid, polyacrylonitrile, polyvinylacrylate, polyvinylpyrrolidone, or a combination thereof. Alternatively, the components 902, 904 can be made from any other substantially rigid biocompatible materials.
  • In a particular embodiment, the components 902, 904, 906, 908 can be made from the same biocompatible material. Further, the components 902, 904, 906, 908 can be monolithic. Alternatively, the components 902, 904, 906, 908 can be made from different biocompatible materials. For example, the inferior component 902 and the superior component 904 can be made from a first biocompatible material and the central components 906, 908 can be made from a second biocompatible material. Also, the first biocompatible material can have a Young's modulus that is substantially greater than a Young's modulus of the second biocompatible material. Accordingly, as described in greater detail below, an elasticity of the central components 906, 908 can allow the inferior component 902 to be bent, or folded, relative to the superior component 904.
  • As illustrated in FIG. 9 and FIG. 10, the inferior component 902 can include a first inferior support post 910 and a second inferior support post 912. A first inferior lateral arm 914 can extend from the first inferior support post 910 and a second inferior lateral arm 916 can extend from the second inferior support post 912. Further, an inferior spinous process bracket 918 can extend between the first inferior lateral arm 914 and the second inferior lateral arm 916.
  • In a particular embodiment, a lateral cross-section of the inferior support posts 910, 912 can indicate that the inferior support posts 910, 912 can be generally box-shaped. Alternatively, the inferior support posts 910, 912 can be generally cylindrical, generally prismatic, generally polyhedral, or a combination thereof.
  • As indicated in FIG. 9 and FIG. 10, the inferior spinous process bracket 918 can be generally U shaped. Alternatively, the inferior spinous process bracket 918 can be generally V shaped. Further, the inferior spinous process bracket 918 can include an inferior spinous process engagement structure 940 that extends from the inferior spinous process bracket 918. In a particular embodiment, the inferior spinous process engagement structure 940 can be one or more spikes, one or more teeth, a combination thereof, or some other structure configured to engage a spinous process.
  • The inferior component 902 can also include an inferior tether 942 that can be wrapped around the inferior component 902, e.g., around the inferior spinous process bracket 918. In particular embodiment, the inferior tether 942 can be looped at least partially around a spinous process and can substantially maintain the spinous process in contact with the inferior spinous process bracket 918. The tether can comprise a biocompatible elastomeric material that flexes during installation and provides a resistance fit against the inferior process. Further, the tether can comprise a substantially non-resorbable suture or the like.
  • As illustrated in FIG. 9 and FIG. 10, the superior component 904 can include a first superior support post 950 and a second superior support post 952. A first superior lateral arm 954 can extend from the first superior support post 950 and a second superior lateral arm 956 can extend from the second superior support post 952. Further, a superior spinous process bracket 958 can extend between the first superior lateral arm 954 and the second superior lateral arm 956.
  • In a particular embodiment, the first superior support post 950 can be sized and shaped to match the first inferior support post 910. Also, the second superior support post 952 can be sized and shaped to match the second inferior support post 912. A lateral cross-section of the superior support posts 950, 952 can indicate that the superior support posts 950, 952 can be solid and generally box-shaped. Alternatively, the superior support posts 950, 952 can be generally cylindrical, generally prismatic, generally polyhedral, or a combination thereof.
  • As indicated in FIG. 9 and FIG. 10, the superior spinous process bracket 958 can be generally U shaped. Alternatively, the superior spinous process bracket 958 can be generally V shaped. Further, the superior spinous process bracket 958 can include a superior spinous process engagement structure 980 that extends from the superior spinous process bracket 958. In a particular embodiment, the superior spinous process engagement structure 980 can be one or more spikes, one or more teeth, a combination thereof, or some other structure configured to engage a spinous process.
  • The superior component 904 can also include a superior tether 982 that can be wrapped around the superior component 904, e.g., around the superior spinous process bracket 958. In particular embodiment, the superior tether 982 can be looped at least partially around a spinous process and can substantially maintain the spinous process in contact with the superior spinous process bracket 958. The tether can comprise a biocompatible elastomeric material that flexes during installation and provides a resistance fit against the inferior process. Further, the tether can comprise a substantially non-resorbable suture or the like.
  • FIG. 10 illustrates the interspinous process brace 900 in a bent configuration. FIG. 11 illustrates the interspinous process brace 900 in a straight configuration. Accordingly, the interspinous process brace 900 can be moved between the straight configuration and the bent configuration to facilitate installation between adjacent spinous processes.
  • More particularly, the interspinous process brace 900 can be bent, or otherwise folded, as shown in FIG. 10, in order to reduce an overall height of the interspinous process brace 900. Thereafter, the interspinous process brace 900 can be place between adjacent spinous processes and allowed to return to the straight configuration, shown in FIG. 11.
  • In a particular embodiment, when the interspinous process brace 900 is properly installed between a superior vertebra and an inferior vertebra, as shown in FIG. 9, the inferior spinous process bracket 918 can engage and support an inferior spinous process 1000. Further, the superior spinous process bracket 958 can engage and support a superior spinous process 1002. More specifically, the inferior spinous process engagement structure 940 can extend slightly into and engage the inferior spinous process 1000. Also, the superior spinous process engagement structure 980 can extend slightly into and engage the superior spinous process 1002. Accordingly, the spinous process engagement structures 940, 980 and the tethers 942, 982 can substantially prevent the interspinous process brace 900 from migrating with respect to the spinous processes 1000, 1002.
  • In a particular embodiment, a distractor can be used to increase the distance 1010 between the superior spinous process 1002 and the inferior spinous process 1000 and the interspinous process brace 900 can be installed to support the superior spinous process 1002 and the inferior spinous process 1000. After the interspinous process brace 900 is installed, the distractor can be removed and the interspinous process brace 900 can support the superior spinous process 1002 and the inferior spinous process 1000 to substantially prevent the distance 1010 between the superior spinous process 1002 and the inferior spinous process 1000 from returning to a pre-distraction value.
  • Further, the interspinous process brace 900 can include one or more locking sleeves (not shown) similar to the locking sleeve described in conjunction with the first interspinous process brace, described above, in order to lock the interspinous process brace 900 and prevent the interspinous process brace 900 from returning to the bent configuration. When locked, the interspinous process brace 900 can dynamically resist compressive loads, tensile loads, or a combination thereof.
  • Description of a Third Embodiment of an Interspinous Process Brace
  • Referring to FIG. 12 through FIG. 17, a third interspinous process brace is shown and is generally designated 1200. As shown, the interspinous process brace 1200 can include an inferior spinous process bracket 1202 and a superior spinous process bracket 1204. The inferior spinous process bracket 1202 can be coupled to the inferior spinous process bracket 1204 by a central component 1206. In a particular embodiment, the brackets 1202, 1204 and the central component 1206 can be made from one or more biocompatible materials. For example, the materials can be metal containing materials, polymer materials, or composite materials that include metals, polymers, or combinations of metals and polymers.
  • In a particular embodiment, the metal containing materials can be metals. Further, the metal containing materials can be ceramics. Also, the metals can be pure metals or metal alloys. The pure metals can include titanium. Moreover, the metal alloys can include stainless steel, a cobalt-chrome-molybdenum alloy, e.g., ASTM F-999 or ASTM F-75, a titanium alloy, or a combination thereof.
  • The polymer materials can include polyurethane materials, polyolefin materials, polyaryletherketone (PAEK) materials, silicone materials, hydrogel materials, or a combination thereof. Further, the polyolefin materials can include polypropylene, polyethylene, halogenated polyolefin, flouropolyolefin, or a combination thereof. The polyaryletherketon (PAEK) materials can include polyetherketone (PEK), polyetheretherketone (PEEK), polyetherketoneketone (PEKK), polyetherketoneetherketoneketone (PEKEKK), or a combination thereof. The hydrogels can include polyacrylamide, poly-N-isopropylacrylamine, polyvinyl methylether, polyvinyl alcohol, polyethyl hydroxyethyl cellulose, poly (2-ethyl) oxazoline, polyethyleneoxide, polyethylglycol, polyethylene glycol, polyacrylic acid, polyacrylonitrile, polyvinylacrylate, polyvinylpyrrolidone, or a combination thereof. Alternatively, the brackets 1202, 1204 can be made from any other substantially rigid biocompatible materials.
  • In a particular embodiment, the brackets 1202, 1204 and the central component 1206 can be made from the same biocompatible material. Further, the brackets 1202, 1204 and the central component 1206 can be monolithic. Alternatively, the brackets 1202, 1204 and the central component 1206 can be made from different biocompatible materials. For example, the inferior spinous process bracket 1202 and the superior spinous process bracket 1204 can be made from a first biocompatible material and the central component 1206 can be made from a second biocompatible material. Also, the first biocompatible material can have a Young's modulus that is substantially greater than a Young's modulus of the second biocompatible material. Accordingly, as described in greater detail below, an elasticity of the central component 1206 can allow the inferior spinous process bracket 1202 to be bent, or folded, relative to the superior spinous process bracket 1204.
  • As indicated in FIG. 12 and FIG. 13, the inferior spinous process bracket 1202 can be generally V shaped and can include a first inferior support arm 1210 and a second inferior support arm 1212. Alternatively, the inferior spinous process bracket 1202 can be generally U shaped. Further, the inferior spinous process bracket 1202 can include an inferior spinous process engagement structure 1214 that extends from the inferior spinous process bracket 1202. In a particular embodiment, the inferior spinous process engagement structure 1214 can be one or more spikes, one or more teeth, a combination thereof, or some other structure configured to engage a spinous process.
  • The inferior spinous process bracket 1202 can also include a first inferior tether hole 1220 and a second inferior tether hole 1222. An inferior tether 1224 can span the inferior spinous process bracket 1202, e.g., between the first inferior tether hole 1220 and the second inferior tether hole 1222. Further, the inferior tether 1224 can be looped at least partially around a spinous process and can substantially maintain the spinous process in contact with the inferior spinous process bracket 1202. The tether can comprise a biocompatible elastomeric material that flexes during installation and provides a resistance fit against the inferior process. Further, the tether can comprise a substantially non-resorbable suture or the like.
  • Further, the superior spinous process bracket 1204 can be generally V shaped and can include a first superior support arm 1230 and a second superior support arm 1232. Alternatively, the superior spinous process bracket 1204 can be generally U shaped. The superior spinous process bracket 1204 can also include a superior spinous process engagement structure 1234 that extends from the superior spinous process bracket 1204. In a particular embodiment, the superior spinous process engagement structure 1234 can be one or more spikes, one or more teeth, a combination thereof, or some other structure configured to engage a spinous process.
  • The superior spinous process bracket 1204 can also include a first superior tether hole 1240 and a second superior tether hole 1242. A superior tether 1244 can span the superior spinous process bracket 1204, e.g., between the first superior tether hole 1240 and the second superior tether hole 1242. Further, the superior tether 1244 can be looped at least partially around a spinous process and can substantially maintain the spinous process in contact with the superior spinous process bracket 1204. The tether can comprise a biocompatible elastomeric material that flexes during installation and provides a resistance fit against the inferior process. Further, the tether can comprise a substantially non-resorbable suture or the like.
  • As illustrated in FIG. 12, the central component 1206 can be formed with an inferior locking hole 1280 and a superior locking hole 1282. The locking holes 1280, 1282 can be configured to receive respective locking pins, described below.
  • FIG. 13 illustrates a posterior locking plate 1300 that can include an inferior locking hole 1302 and a superior locking hole 1304. Also, FIG. 13 illustrates an anterior locking plate 1350 that can include an inferior locking hole 1352 and a superior locking hole 1354. In a particular embodiment, as shown in FIG. 16 and FIG. 17, the locking plates 1300, 1350 can be placed around the central component 1206 between the brackets 1202, 1204 such that the central component 806 is sandwiched between the locking plates 1300, 1350. FIG. 14 illustrates the posterior locking plate 1300 installed between the inferior spinous process bracket 1202 and the superior spinous process bracket 1204.
  • Further, as shown in FIG. 14 and FIG. 17, an inferior locking pin 1400 can be installed through the inferior locking hole 1302 in the posterior locking plate 1300 and the inferior locking hole 1280 in the central component 806. In a particular embodiment, the inferior locking pin 1400 can threadably engage the inferior locking hole 1352 formed in the anterior locking plate 1350. Also, a superior locking pin 1402 can be installed through the superior locking hole 1304 in the posterior locking plate 1300 and the superior locking hole 1282 in the central component 1206. The superior locking pin 1402 can threadably engage the superior locking hole 1354 formed in the anterior locking plate 1350.
  • FIG. 15 illustrates the interspinous process brace 1200 in a bent configuration with the locking plates 1300, 1350 disengaged therefrom. FIG. 16 illustrates the interspinous process brace 1200 in a straight configuration with the locking plates 1300, 1350 disengaged therefrom. Further, FIG. 17 illustrates the interspinous process brace 1200 in the straight configuration and the locking plates 1300, 1350 engaged therewith. Accordingly, the interspinous process brace 1200 can be moved between the straight configuration and the bent configuration to facilitate installation between adjacent spinous processes.
  • More particularly, the interspinous process brace 1200 can be bent, or otherwise folded, as shown in FIG. 15, in order to reduce an overall height of the interspinous process brace 1200. Thereafter, the interspinous process brace 1200 can be place between an inferior spinous process 1500 and a superior spinous process 1502 and allowed to return to the straight configuration, shown in FIG. 14 and FIG. 16. Further, after the interspinous process brace 1200 is allowed to return to the straight configuration, the locking plates 1300, 1350 can be installed, as described herein, to prevent the interspinous process brace 1200 from returning to the bent configuration.
  • In a particular embodiment, a distractor can be used to increase a distance 15 10 between the superior spinous process 1502 and the inferior spinous process 1500 and the interspinous process brace 1200 can be installed to support the superior spinous process 1502 and the inferior spinous process 1500. After the interspinous process brace 1200 is installed, the distractor can be removed and the interspinous process brace 1200 can support the superior spinous process 1502 and the inferior spinous process 1500 to substantially prevent the distance 1510 between the superior spinous process 1502 and the inferior spinous process 1500 from returning to a pre-distraction value. Further, the interspinous process brace 1200, when locked, can dynamically resist compressive loads, tensile loads, or a combination thereof.
  • Description of a Fourth Embodiment of an Interspinous Process Brace
  • Referring to FIG. 18 through FIG. 20, a first interspinous process brace is shown and is generally designated 1800. As shown in FIG. 18, the interspinous process brace 1800 can include an inferior component 1802 and a superior component 1804. Further, the inferior component 1802 can be coupled, or otherwise connected, to the superior component 1804 via a central hinge 1806. A locking pin 1808 can be disposed within the central hinge 1806 in order to lock the central hinge 1806. In an alternative embodiment, in lieu of a hinge, a ball-and-socket joint (not shown) can couple the inferior component 1802 and the superior component 1804. Further, a locking sleeve, similar to the locking sleeve described above, can be used to lock the central hinge 1806 instead of the locking pin 1808.
  • In a particular embodiment, the components 1802, 1804 can be made from one or more biocompatible materials. For example, the materials can be metal containing materials, polymer materials, or composite materials that include metals, polymers, or combinations of metals and polymers.
  • In a particular embodiment, the metal containing materials can be metals. Further, the metal containing materials can be ceramics. Also, the metals can be pure metals or metal alloys. The pure metals can include titanium. Moreover, the metal alloys can include stainless steel, a cobalt-chrome-molybdenum alloy, e.g., ASTM F-999 or ASTM F-75, a titanium alloy, or a combination thereof.
  • The polymer materials can include polyurethane materials, polyolefin materials, polyaryletherketone (PAEK) materials, silicone materials, hydrogel materials, or a combination thereof. Further, the polyolefin materials can include polypropylene, polyethylene, halogenated polyolefin, flouropolyolefin, or a combination thereof. The polyaryletherketon (PAEK) materials can include polyetherketone (PEK), polyetheretherketone (PEEK), polyetherketoneketone (PEKK), polyetherketoneetherketoneketone (PEKEKK), or a combination thereof. The hydrogels can include polyacrylamide, poly-N-isopropylacrylamine, polyvinyl methylether, polyvinyl alcohol, polyethyl hydroxyethyl cellulose, poly (2-ethyl) oxazoline, polyethyleneoxide, polyethylglycol, polyethylene glycol, polyacrylic acid, polyacrylonitrile, polyvinylacrylate, polyvinylpyrrolidone, or a combination thereof. Alternatively, the components 1802, 1804 can be made from any other substantially rigid biocompatible materials.
  • As illustrated in FIG. 18 and FIG. 19, the inferior component 1802 can include an inferior support post 1810. An inferior lateral arm 1812 can extend from the inferior support post 1810. Further, an inferior spinous process bracket 1814 can extend from the inferior lateral arm 1812.
  • In a particular embodiment, a lateral cross-section of the inferior support post 1810 can indicate that the inferior support post 1810 can be generally box-shaped. Alternatively, the inferior support post 1810 can be generally cylindrical, generally prismatic, generally polyhedral, or a combination thereof.
  • As indicated in FIG. 18 and FIG. 19, the inferior spinous process bracket 1814 can be generally U shaped. Alternatively, the inferior spinous process bracket 1814 can be generally V shaped. Further, the inferior spinous process bracket 1814 can include an inferior spinous process engagement structure 1822 that extends from the inferior spinous process bracket 1814. In a particular embodiment, the inferior spinous process engagement structure 1822 can be one or more spikes, one or more teeth, a combination thereof, or some other structure configured to engage a spinous process.
  • The inferior component 1802 can also include a first inferior tether hole 1830 and a second inferior tether hole 1832. An inferior tether 1834 can span the inferior component 1802, e.g., between the first inferior tether hole 1830 and the second inferior tether hole 1832. Further, the inferior tether 1834 can be looped at least partially around a spinous process and can substantially maintain the spinous process in contact with the inferior spinous process bracket 1814. The tether can comprise a biocompatible elastomeric material that flexes during installation and provides a resistance fit against the inferior process. Further, the tether can comprise a substantially non-resorbable suture or the like.
  • As illustrated in FIG. 18 and FIG. 19, the superior component 1804 can include a superior support post 1850. A superior lateral arm 1852 can extend from the superior support post 1850. Further, a superior spinous process bracket 1854 can extend from the superior lateral arm 1852.
  • In a particular embodiment, the superior support post 1850 can be sized and shaped similar to the inferior support post 1810. A lateral cross-section of the superior support post 1850 can indicate that the superior support post 1850 can be generally box-shaped. Alternatively, the superior support post 1850 can be generally cylindrical, generally prismatic, generally polyhedral, or a combination thereof.
  • As indicated in FIG. 18 and FIG. 19, the superior spinous process bracket 1854 can be generally U shaped. Alternatively, the superior spinous process bracket 1854 can be generally V shaped. Further, the superior spinous process bracket 1854 can include a superior spinous process engagement structure 1862 that extends from the superior spinous process bracket 1854. In a particular embodiment, the superior spinous process engagement structure 1862 can be one or more spikes, one or more teeth, a combination thereof, or some other structure configured to engage a spinous process.
  • The superior component 1804 can also include a first superior tether hole 1870 and a second superior tether hole 1872. A superior tether 1874 can span the superior component 1804, e.g., between the first superior tether hole 1870 and the second superior tether hole 1872. Further, the superior tether 1874 can be looped at least partially around a spinous process and can substantially maintain the spinous process in contact with the superior spinous process bracket 1854. The tether can comprise a biocompatible elastomeric material that flexes during installation and provides a resistance fit against the inferior process. Further, the tether can comprise a substantially non-resorbable suture or the like.
  • FIG. 19 illustrates the interspinous process brace 1800 in a bent configuration. FIG. 20 illustrates the interspinous process brace 1800 in a straight configuration. Accordingly, the interspinous process brace 1800 can be moved between the straight configuration and the bent configuration to facilitate installation between adjacent spinous processes.
  • More particularly, the locking pin 1808 can be removed and the interspinous process brace 1800 can be bent, or otherwise folded, as shown in FIG. 19, in order to reduce an overall height of the interspinous process brace 1800. Thereafter, the interspinous process brace 1800 can be place between adjacent spinous processes and returned to the straight configuration, shown in FIG. 19. Further, after the interspinous process brace 1800 is returned to the straight configuration, the locking pin 1808 can be installed within the central hinge 1806, to prevent the interspinous process brace 1800 from returning to the bent configuration.
  • In a particular embodiment, when the interspinous process brace 1800 is properly installed between a superior vertebra and an inferior vertebra, shown in FIG. 18, the inferior spinous process bracket 1814 can engage and support an inferior spinous process 1900. Further, the superior spinous process bracket 1854 can engage and support a superior spinous process 1902. More specifically, the inferior spinous process engagement structure 1822 can extend slightly into and engage the inferior spinous process 1900. Also, the superior spinous process engagement structure 1862 can extend slightly into and engage the superior spinous process 1902. Accordingly, the spinous process engagement structures 1822, 1862 and the tethers 1834, 1874 can substantially prevent the interspinous process brace 1800 from migrating with respect to the spinous processes 1900, 1902.
  • Also, in a particular embodiment, a distractor can be used to increase a distance 1910 between the superior spinous process 1902 and the inferior spinous process 1900 and the interspinous process brace 1800 can be installed to support the superior spinous process 1902 and the inferior spinous process 1900. After the interspinous process brace 1800 is installed, the distractor can be removed and the interspinous process brace 1800 can support the superior spinous process 1902 and the inferior spinous process 1900 to substantially prevent the distance 1910 between the superior spinous process 1902 and the inferior spinous process 1900 from returning to a pre-distraction value.
  • Description of a Method of Treating a Spine
  • Referring to FIG. 21, a method of treating a spine is shown and commences at block 2100. At block 2100, a patient can be secured on an operating table. Depending on the surgical approach to be used, the patient can be secured in a prone position for a posterior approach, a supine position for an anterior approach, a lateral decubitus position for a lateral approach, or another position well known in the art. At block 2102, the spine can be exposed in order to expose adjacent spinous processes. Further, at block 2104, a surgical retractor system can be installed to keep a surgical field open.
  • Moving to block 2106, a superior vertebra and inferior vertebra can be distracted. In a particular embodiment, the superior vertebra and inferior vertebra can be distracted using a distractor. At block 2108, a distance between the adjacent spinous processes can be measured. Thereafter, at block 2110 it is determined whether the distraction is correct, e.g., has the superior vertebra and inferior vertebral been distracted such that a distance between the adjacent spinous processes has reached a value that a surgeon has deemed therapeutic. For example, the superior vertebra and inferior vertebra can be distracted in order to reduce or obviate impingement on a nerve root.
  • If the distraction is not correct, the method can return to block 2106 and the superior vertebra and inferior vertebra can be further distracted. Conversely, if the distraction is correct, the method can move to block 2112 and an interspinous process brace can be moved to a bent configuration. The interspinous process brace can be an interspinous process brace in accordance with one or more embodiments described herein. At block 2114, the interspinous process brace can be installed between the adjacent spinous processes. Further, at block 2116, the interspinous process brace can be allowed to return to the straight configuration.
  • Moving to decision step 2118, it can be determined whether to lock the interspinous process brace. In a particular embodiment, this determination can be based on any degradation of the particular vertebral joint that is being repair, any degradation of the surrounding facet joints, any degradation of the adjacent processes, or a combination thereof. If it is determined to lock the interspinous process brace, the method can move to block 2120 and the interspinous process brace can be locked. For example, one or more locking sleeves on the interspinous process brace can be moved to a locked position to prevent the interspinous process brace from bending. Alternatively, one or more locking plates can be installed in the interspinous process brace to prevent the interspinous process brace from bending. From block 2120, the method proceeds to block 2122.
  • It is noted that multiple braces can be supplied in kit form for field use with each brace corresponding to a different distraction distance, such that the proper post distraction positioning of the processes can be maintained. Alternatively or in addition, the kit can contain locking pins and/or discrete, separable locking plates if the brace configuration receives such plates.
  • Returning to decision step 2118, if it is determined not to lock the interspinous process brace, the method can move directly to block 2122 and the surgical area can be irrigated. At block 2124, a distractor can be removed. Also, at block 2126, the retractor system can be removed. Further, at block 2128, the surgical wound can be closed. The surgical wound can be closed by simply allowing the patient's skin to close due to the elasticity of the skin. Alternatively, the surgical wound can be closed using sutures, surgical staples, or any other suitable surgical technique well known in the art. At block 2130, postoperative care can be initiated. The method can end at state 2132.
  • In another embodiment, an interspinous process brace according to one or more of the embodiments described herein can be used to distract a superior spinous process and an inferior spinous process. For example, the interspinous process brace can be bent and placed between a superior spinous process and inferior spinous process. Thereafter, the interspinous process brace can be straightened. As the interspinous process brace is straightened, it can distract the superior spinous process and the inferior spinous process. After the spinous processes are distracted, the interspinous process brace can remain in place.
  • Alternatively, the interspinous process brace can be used to distract the spinous processes and an implant can be installed between a superior vertebra and an inferior vertebra. After the implant is installed between the superior vertebra and the inferior vertebra, the interspinous process brace can be returned to the bent configuration and removed. In a particular embodiment, the implant can be a one-piece intervertebral prosthetic disc, a two-piece intervertebral prosthetic disc, a three-piece intervertebral prosthetic disc, a solid nucleus implant, an inflatable nucleus implant, an expandable nucleus implant, a fusion cage, or some other similar device.
  • CONCLUSION
  • With the configuration of structure described above, the interspinous process brace provides a device that can be used to treat a spine and substantially alleviate or minimize one or more symptoms associated with disc degeneration, facet joint degeneration, or a combination thereof. For example, the interspinous process brace can installed between adjacent spinous processes in order to support the spinous processes and maintain them at or near a predetermined distance there between.
  • The above-disclosed subject matter is to be considered illustrative, and not restrictive, and the appended claims are intended to cover all such modifications, enhancements, and other embodiments that fall within the true spirit and scope of the present invention. Thus, to the maximum extent allowed by law, the scope of the present invention is to be determined by the broadest permissible interpretation of the following claims and their equivalents, and shall not be restricted or limited by the foregoing detailed description.

Claims (29)

  1. 1. An interspinous process brace, comprising:
    a superior component comprising a superior spinous process bracket configured to engage a superior spinous process; and
    an inferior component comprising an inferior spinous process bracket configured to engage an inferior spinous process, wherein the interspinous process brace is movable between a bent configuration and a straight configuration, wherein in the bent configuration an overall height of the interspinous process brace is minimized to facilitate installation between the superior spinous process and the inferior spinous process.
  2. 2. The interspinous process brace of claim 1, further comprising a central component connecting the superior component and the inferior component, wherein the central component is configured to allow the interspinous process brace to move between the bent configuration and the straight configuration.
  3. 3. The interspinous process brace of claim 2, wherein a Young's modulus of the inferior component and a Young's modulus of the superior component are greater than a Young's modulus of the central component.
  4. 4. The interspinous process brace of claim 2, wherein the superior component and the inferior component are made from a first biocompatible material and the central component is made from a second biocompatible material.
  5. 5. The interspinous process brace of claim 4, wherein a Young's modulus of the first biocompatible material is greater than a Young's modulus of the second biocompatible material.
  6. 6. The interspinous process brace of claim 2, wherein the superior component, the inferior component, the central component, or a combination thereof are made from a biocompatible material.
  7. 7. The interspinous process brace of claim 6, wherein the superior component and the inferior component are cross-linked.
  8. 8. The interspinous process brace of claim 7, wherein a Young's modulus of the inferior component and a Young's modulus of the superior component are greater than a Young's modulus of the central component.
  9. 9. The interspinous process brace of claim 1, further comprising an inferior spinous process engagement structure extending from the inferior spinous process bracket.
  10. 10. The interspinous process brace of claim 9, further comprising a superior spinous process engagement structure extending from the superior spinous process bracket.
  11. 11. The interspinous process brace of claim 1, further comprising an inferior tether configured to at least partially loop around the inferior spinous process and bind the inferior spinous process to the inferior spinous process bracket.
  12. 12. The interspinous process brace of claim 11, further comprising a superior tether configured to at least partially loop around the superior spinous process and bind the superior spinous process to the superior spinous process bracket.
  13. 13. The interspinous process brace of claim 1, further comprising a locking sleeve, wherein the locking sleeve is movable between an unlocked position wherein the interspinous process brace is movable to the bent configuration and a locked position wherein the interspinous process brace is not movable to the bent configuration.
  14. 14. The interspinous process brace of claim 13, further comprising a locking pin configured to engage the locking sleeve and keep the locking sleeve in the locked position.
  15. 15. The interspinous process brace of claim 1, further comprising a central hinge connecting the superior component and the inferior component, wherein the central hinge is configured to allow the interspinous process brace to move between the bent configuration and the straight configuration.
  16. 16. The interspinous process brace of claim 15, further comprising a locking pin configured to engage the central hinge and prevent the interspinous process brace from moving to the bent configuration.
  17. 17. An interspinous process brace, comprising:
    a superior spinous process bracket configured to engage a superior spinous process;
    an inferior spinous process bracket configured to engage an inferior spinous process; and
    a central component connecting the superior spinous process bracket and the inferior spinous process bracket, wherein the central component is configured to allow the interspinous process brace to move between a bent configuration and a straight configuration, wherein in the bent configuration an overall height of the interspinous process brace is minimized to facilitate installation between the superior spinous process and the inferior spinous process.
  18. 18. The interspinous process brace of claim 17, further comprising a posterior locking plate, wherein the posterior locking plate is configured to prevent the interspinous process brace from moving to the bent configuration.
  19. 19. The interspinous process brace of claim 18, wherein the posterior locking plate is configured to be installed between the superior spinous process bracket and the inferior spinous process bracket adjacent to the central component.
  20. 20. The interspinous process brace of claim 19, further comprising an anterior locking plate, wherein the anterior locking plate is configured to prevent the interspinous process brace from moving to the bent configuration.
  21. 21. The interspinous process brace of claim 20, wherein the anterior locking plate is configured to be installed between the superior spinous process bracket and the inferior spinous process bracket adjacent to the central component.
  22. 22. (canceled)
  23. 23. A method of treating a spine, comprising:
    moving an interspinous process brace to a bent configuration;
    installing the interspinous process brace between a superior spinous process and an inferior spinous process; and
    returning the interspinous process brace to a straight configuration between the superior spinous process and the inferior spinous process.
  24. 24.-30. (canceled)
  25. 31. A method of treating a spine, comprising:
    distracting a superior spinous process and an inferior spinous process;
    moving an interspinous process brace to a bent configuration;
    installing the interspinous process brace between the superior spinous process and the inferior spinous process; and
    returning the interspinous process brace to a straight configuration between the superior spinous process and the inferior spinous process.
  26. 32. A kit, comprising:
    at least two interspinous process braces, each interspinous process brace comprising:
    a superior component comprising a superior spinous process bracket configured to engage a superior spinous process; and
    an inferior component comprising an inferior spinous process bracket configured to engage an inferior spinous process, wherein the interspinous process brace is movable between a bent configuration and a straight configuration, wherein in the bent configuration an overall height of the interspinous process brace is minimized to facilitate installation between the superior spinous process and the inferior spinous process.
  27. 33. A kit, comprising:
    an interspinous process brace, comprising:
    a superior component comprising a superior spinous process bracket configured to engage a superior spinous process; and
    an inferior component comprising an inferior spinous process bracket configured to engage an inferior spinous process, wherein the interspinous process brace is movable between a bent configuration and a straight configuration, wherein in the bent configuration an overall height of the interspinous process brace is minimized to facilitate installation between the superior spinous process and the inferior spinous process; and
    a locking pin configured to engage the interspinous process brace.
  28. 34. A method of treating a spine, comprising:
    moving an interspinous process brace to a bent configuration;
    installing the interspinous process brace between a superior spinous process and an inferior spinous process; and
    returning the interspinous process brace to a straight configuration in order to distract the superior spinous process and the inferior spinous process.
  29. 35.-38. (canceled)
US11413616 2006-04-28 2006-04-28 Interspinous process brace Abandoned US20070270824A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US11413616 US20070270824A1 (en) 2006-04-28 2006-04-28 Interspinous process brace

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US11413616 US20070270824A1 (en) 2006-04-28 2006-04-28 Interspinous process brace
PCT/US2007/064590 WO2007127550A3 (en) 2006-04-28 2007-03-22 Interspinous process brace
JP2009507868A JP2009535108A (en) 2006-04-28 2007-03-22 Interspinous brace
EP20070759073 EP2020935A2 (en) 2006-04-28 2007-03-22 Interspinous process brace
US13114191 US8425561B2 (en) 2006-04-28 2011-05-24 Interspinous process brace

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US13114191 Division US8425561B2 (en) 2006-04-28 2011-05-24 Interspinous process brace

Publications (1)

Publication Number Publication Date
US20070270824A1 true true US20070270824A1 (en) 2007-11-22

Family

ID=38656286

Family Applications (2)

Application Number Title Priority Date Filing Date
US11413616 Abandoned US20070270824A1 (en) 2006-04-28 2006-04-28 Interspinous process brace
US13114191 Active US8425561B2 (en) 2006-04-28 2011-05-24 Interspinous process brace

Family Applications After (1)

Application Number Title Priority Date Filing Date
US13114191 Active US8425561B2 (en) 2006-04-28 2011-05-24 Interspinous process brace

Country Status (4)

Country Link
US (2) US20070270824A1 (en)
EP (1) EP2020935A2 (en)
JP (1) JP2009535108A (en)
WO (1) WO2007127550A3 (en)

Cited By (93)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070043361A1 (en) * 2005-02-17 2007-02-22 Malandain Hugues F Percutaneous spinal implants and methods
US20080051892A1 (en) * 2005-02-17 2008-02-28 Malandain Hugues F Percutaneous spinal implants and methods
US20080281360A1 (en) * 2007-05-10 2008-11-13 Shannon Marlece Vittur Spinous process implants and methods
US20080294200A1 (en) * 2007-05-25 2008-11-27 Andrew Kohm Spinous process implants and methods of using the same
WO2009091922A2 (en) 2008-01-15 2009-07-23 Vertiflex, Inc. Interspinous spacer
US7837711B2 (en) 2006-01-27 2010-11-23 Warsaw Orthopedic, Inc. Artificial spinous process for the sacrum and methods of use
US7862591B2 (en) 2005-11-10 2011-01-04 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
US7879104B2 (en) 2006-11-15 2011-02-01 Warsaw Orthopedic, Inc. Spinal implant system
US7901432B2 (en) 1997-01-02 2011-03-08 Kyphon Sarl Method for lateral implantation of spinous process spacer
US7909853B2 (en) 2004-09-23 2011-03-22 Kyphon Sarl Interspinous process implant including a binder and method of implantation
US20110087286A1 (en) * 2009-10-09 2011-04-14 LfC Sp. z o.o. Unloading d-dynamic intervertebral device
US7927354B2 (en) 2005-02-17 2011-04-19 Kyphon Sarl Percutaneous spinal implants and methods
US7931674B2 (en) 2005-03-21 2011-04-26 Kyphon Sarl Interspinous process implant having deployable wing and method of implantation
US7955392B2 (en) 2006-12-14 2011-06-07 Warsaw Orthopedic, Inc. Interspinous process devices and methods
US7959652B2 (en) 2005-04-18 2011-06-14 Kyphon Sarl Interspinous process implant having deployable wings and method of implantation
US7988709B2 (en) 2005-02-17 2011-08-02 Kyphon Sarl Percutaneous spinal implants and methods
US7998174B2 (en) 2005-02-17 2011-08-16 Kyphon Sarl Percutaneous spinal implants and methods
US8007537B2 (en) 2002-10-29 2011-08-30 Kyphon Sarl Interspinous process implants and methods of use
US8007521B2 (en) * 2005-02-17 2011-08-30 Kyphon Sarl Percutaneous spinal implants and methods
US8012207B2 (en) 2004-10-20 2011-09-06 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8029567B2 (en) 2005-02-17 2011-10-04 Kyphon Sarl Percutaneous spinal implants and methods
US8034080B2 (en) 2005-02-17 2011-10-11 Kyphon Sarl Percutaneous spinal implants and methods
US8034079B2 (en) 2005-04-12 2011-10-11 Warsaw Orthopedic, Inc. Implants and methods for posterior dynamic stabilization of a spinal motion segment
US8038698B2 (en) 2005-02-17 2011-10-18 Kphon Sarl Percutaneous spinal implants and methods
US8043378B2 (en) 2006-09-07 2011-10-25 Warsaw Orthopedic, Inc. Intercostal spacer device and method for use in correcting a spinal deformity
US8048118B2 (en) 2006-04-28 2011-11-01 Warsaw Orthopedic, Inc. Adjustable interspinous process brace
US8048119B2 (en) 2006-07-20 2011-11-01 Warsaw Orthopedic, Inc. Apparatus for insertion between anatomical structures and a procedure utilizing same
US8048117B2 (en) 2003-05-22 2011-11-01 Kyphon Sarl Interspinous process implant and method of implantation
US8057513B2 (en) 2005-02-17 2011-11-15 Kyphon Sarl Percutaneous spinal implants and methods
US8066742B2 (en) 2005-03-31 2011-11-29 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
US8070778B2 (en) 2003-05-22 2011-12-06 Kyphon Sarl Interspinous process implant with slide-in distraction piece and method of implantation
US8083795B2 (en) 2006-01-18 2011-12-27 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of manufacturing same
US8097018B2 (en) 2005-02-17 2012-01-17 Kyphon Sarl Percutaneous spinal implants and methods
US8096994B2 (en) 2005-02-17 2012-01-17 Kyphon Sarl Percutaneous spinal implants and methods
US8096995B2 (en) 2005-02-17 2012-01-17 Kyphon Sarl Percutaneous spinal implants and methods
US8100943B2 (en) 2005-02-17 2012-01-24 Kyphon Sarl Percutaneous spinal implants and methods
US8105357B2 (en) 2006-04-28 2012-01-31 Warsaw Orthopedic, Inc. Interspinous process brace
US8105358B2 (en) 2008-02-04 2012-01-31 Kyphon Sarl Medical implants and methods
US8114135B2 (en) 2009-01-16 2012-02-14 Kyphon Sarl Adjustable surgical cables and methods for treating spinal stenosis
US8114132B2 (en) 2010-01-13 2012-02-14 Kyphon Sarl Dynamic interspinous process device
US8114131B2 (en) 2008-11-05 2012-02-14 Kyphon Sarl Extension limiting devices and methods of use for the spine
US8114136B2 (en) 2008-03-18 2012-02-14 Warsaw Orthopedic, Inc. Implants and methods for inter-spinous process dynamic stabilization of a spinal motion segment
US8118839B2 (en) 2006-11-08 2012-02-21 Kyphon Sarl Interspinous implant
US8118844B2 (en) 2006-04-24 2012-02-21 Warsaw Orthopedic, Inc. Expandable device for insertion between anatomical structures and a procedure utilizing same
US8123807B2 (en) 2004-10-20 2012-02-28 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8123782B2 (en) 2004-10-20 2012-02-28 Vertiflex, Inc. Interspinous spacer
US8128663B2 (en) 1997-01-02 2012-03-06 Kyphon Sarl Spine distraction implant
US8128662B2 (en) 2004-10-20 2012-03-06 Vertiflex, Inc. Minimally invasive tooling for delivery of interspinous spacer
US8147526B2 (en) 2010-02-26 2012-04-03 Kyphon Sarl Interspinous process spacer diagnostic parallel balloon catheter and methods of use
US8147548B2 (en) 2005-03-21 2012-04-03 Kyphon Sarl Interspinous process implant having a thread-shaped wing and method of implantation
US8152837B2 (en) 2004-10-20 2012-04-10 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US8157841B2 (en) 2005-02-17 2012-04-17 Kyphon Sarl Percutaneous spinal implants and methods
US8157842B2 (en) 2009-06-12 2012-04-17 Kyphon Sarl Interspinous implant and methods of use
US8167944B2 (en) 2004-10-20 2012-05-01 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US8221465B2 (en) 2006-04-28 2012-07-17 Warsaw Orthopedic, Inc. Multi-chamber expandable interspinous process spacer
US8226653B2 (en) 2005-04-29 2012-07-24 Warsaw Orthopedic, Inc. Spinous process stabilization devices and methods
US8252031B2 (en) 2006-04-28 2012-08-28 Warsaw Orthopedic, Inc. Molding device for an expandable interspinous process implant
US8262698B2 (en) 2006-03-16 2012-09-11 Warsaw Orthopedic, Inc. Expandable device for insertion between anatomical structures and a procedure utilizing same
US8273108B2 (en) 2004-10-20 2012-09-25 Vertiflex, Inc. Interspinous spacer
US8277488B2 (en) 2004-10-20 2012-10-02 Vertiflex, Inc. Interspinous spacer
US8292922B2 (en) 2004-10-20 2012-10-23 Vertiflex, Inc. Interspinous spacer
US8317864B2 (en) 2004-10-20 2012-11-27 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US8317831B2 (en) 2010-01-13 2012-11-27 Kyphon Sarl Interspinous process spacer diagnostic balloon catheter and methods of use
US8343190B1 (en) 2008-03-26 2013-01-01 Nuvasive, Inc. Systems and methods for spinous process fixation
US8349013B2 (en) 1997-01-02 2013-01-08 Kyphon Sarl Spine distraction implant
US8372117B2 (en) 2009-06-05 2013-02-12 Kyphon Sarl Multi-level interspinous implants and methods of use
US8409282B2 (en) 2004-10-20 2013-04-02 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8425559B2 (en) 2004-10-20 2013-04-23 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8562650B2 (en) 2011-03-01 2013-10-22 Warsaw Orthopedic, Inc. Percutaneous spinous process fusion plate assembly and method
US8591548B2 (en) 2011-03-31 2013-11-26 Warsaw Orthopedic, Inc. Spinous process fusion plate assembly
US8591549B2 (en) 2011-04-08 2013-11-26 Warsaw Orthopedic, Inc. Variable durometer lumbar-sacral implant
US8613747B2 (en) 2004-10-20 2013-12-24 Vertiflex, Inc. Spacer insertion instrument
US8628574B2 (en) 2004-10-20 2014-01-14 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8641762B2 (en) 2006-10-24 2014-02-04 Warsaw Orthopedic, Inc. Systems and methods for in situ assembly of an interspinous process distraction implant
US8679161B2 (en) 2005-02-17 2014-03-25 Warsaw Orthopedic, Inc. Percutaneous spinal implants and methods
US8740948B2 (en) 2009-12-15 2014-06-03 Vertiflex, Inc. Spinal spacer for cervical and other vertebra, and associated systems and methods
US8801757B2 (en) 2007-02-26 2014-08-12 Nuvasive, Inc. Spinal stabilization systems and methods of use
US8814908B2 (en) 2010-07-26 2014-08-26 Warsaw Orthopedic, Inc. Injectable flexible interspinous process device system
US8845726B2 (en) 2006-10-18 2014-09-30 Vertiflex, Inc. Dilator
US8882805B1 (en) 2011-08-02 2014-11-11 Lawrence Maccree Spinal fixation system
US8888816B2 (en) 2003-05-22 2014-11-18 Warsaw Orthopedic, Inc. Distractible interspinous process implant and method of implantation
US8945183B2 (en) 2004-10-20 2015-02-03 Vertiflex, Inc. Interspinous process spacer instrument system with deployment indicator
US20150105825A1 (en) * 2011-02-02 2015-04-16 Colorado State University Research Foundation Interspinous spacer devices for dynamic stabilization of degraded spinal segments
US9023084B2 (en) 2004-10-20 2015-05-05 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for stabilizing the motion or adjusting the position of the spine
US9119680B2 (en) 2004-10-20 2015-09-01 Vertiflex, Inc. Interspinous spacer
US9161783B2 (en) 2004-10-20 2015-10-20 Vertiflex, Inc. Interspinous spacer
US9247968B2 (en) 2007-01-11 2016-02-02 Lanx, Inc. Spinous process implants and associated methods
USD757943S1 (en) 2011-07-14 2016-05-31 Nuvasive, Inc. Spinous process plate
US9393055B2 (en) 2004-10-20 2016-07-19 Vertiflex, Inc. Spacer insertion instrument
US9675303B2 (en) 2013-03-15 2017-06-13 Vertiflex, Inc. Visualization systems, instruments and methods of using the same in spinal decompression procedures
US9743960B2 (en) 2007-01-11 2017-08-29 Zimmer Biomet Spine, Inc. Interspinous implants and methods
US9770271B2 (en) 2005-10-25 2017-09-26 Zimmer Biomet Spine, Inc. Spinal implants and methods
US9861400B2 (en) 2007-01-11 2018-01-09 Zimmer Biomet Spine, Inc. Spinous process implants and associated methods

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8029541B2 (en) * 2006-10-19 2011-10-04 Simpirica Spine, Inc. Methods and systems for laterally stabilized constraint of spinous processes
FR2915367B1 (en) * 2007-04-24 2010-09-17 David Attia intervertebral implant surgery improves structured to favor certain movements intervetebraux
US8202299B2 (en) 2008-03-19 2012-06-19 Collabcom II, LLC Interspinous implant, tools and methods of implanting
DE102008022326A1 (en) * 2008-04-30 2009-11-12 Würfel, Corinna, Dr. med. vet. spinal implant
WO2010075451A1 (en) * 2008-12-22 2010-07-01 Synthes Usa, Llc Expandable interspinous process spacer
US8246656B2 (en) * 2010-02-25 2012-08-21 Depuy Spine, Inc. Crossover spinous process implant
US9149306B2 (en) 2011-06-21 2015-10-06 Seaspine, Inc. Spinous process device
EP2814410A4 (en) * 2012-02-17 2015-12-16 Univ Toledo Hybrid multifunctional posterior interspinous fusion device
US9668773B2 (en) * 2013-03-14 2017-06-06 Globus Medical, Inc. Spinal implant for use in thoracic insufficiency syndrome
DE102015104784A1 (en) 2015-03-27 2016-09-29 Gert Stephanus Becker Device for supporting a spinal column or for spreading two adjacent ribs

Citations (98)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6179874B2 (en) *
US2077804A (en) * 1936-05-19 1937-04-20 Morrison Gordon Monroe Device for treating fractures of the neck of the femur
US3426364A (en) * 1966-08-25 1969-02-11 Colorado State Univ Research F Prosthetic appliance for replacing one or more natural vertebrae
US3648691A (en) * 1970-02-24 1972-03-14 Univ Colorado State Res Found Method of applying vertebral appliance
US4003376A (en) * 1975-08-25 1977-01-18 Bio-Dynamics, Inc. Apparatus for straightening the spinal column
US4011602A (en) * 1975-10-06 1977-03-15 Battelle Memorial Institute Porous expandable device for attachment to bone tissue
US4078559A (en) * 1975-05-30 1978-03-14 Erkki Einari Nissinen Straightening and supporting device for the spinal column in the surgical treatment of scoliotic diseases
US4257409A (en) * 1978-04-14 1981-03-24 Kazimierz Bacal Device for treatment of spinal curvature
US4570618A (en) * 1983-11-23 1986-02-18 Henry Ford Hospital Intervertebral body wire stabilization
US4573454A (en) * 1984-05-17 1986-03-04 Hoffman Gregory A Spinal fixation apparatus
US4636217A (en) * 1985-04-23 1987-01-13 Regents Of The University Of Minnesota Anterior spinal implant
US4643178A (en) * 1984-04-23 1987-02-17 Fabco Medical Products, Inc. Surgical wire and method for the use thereof
US4646998A (en) * 1981-11-20 1987-03-03 Clairson International Corporation Wall-mounted shelf support clip
US4657550A (en) * 1984-12-21 1987-04-14 Daher Youssef H Buttressing device usable in a vertebral prosthesis
US4822226A (en) * 1983-08-08 1989-04-18 Kennedy Arvest G Wing nut retainer and extractor
US4892545A (en) * 1988-07-14 1990-01-09 Ohio Medical Instrument Company, Inc. Vertebral lock
US4913144A (en) * 1988-08-03 1990-04-03 D.A.O. S.R.L. Adjustable staple
US5011484A (en) * 1987-11-16 1991-04-30 Breard Francis H Surgical implant for restricting the relative movement of vertebrae
US5092866A (en) * 1989-02-03 1992-03-03 Breard Francis H Flexible inter-vertebral stabilizer as well as process and apparatus for determining or verifying its tension before installation on the spinal column
US5098433A (en) * 1989-04-12 1992-03-24 Yosef Freedland Winged compression bolt orthopedic fastener
US5201734A (en) * 1988-12-21 1993-04-13 Zimmer, Inc. Spinal locking sleeve assembly
US5290312A (en) * 1991-09-03 1994-03-01 Alphatec Artificial vertebral body
US5306310A (en) * 1991-08-27 1994-04-26 Man Ceramics Gmbh Vertebral prosthesis
US5306275A (en) * 1992-12-31 1994-04-26 Bryan Donald W Lumbar spine fixation apparatus and method
US5390683A (en) * 1991-02-22 1995-02-21 Pisharodi; Madhavan Spinal implantation methods utilizing a middle expandable implant
US5395370A (en) * 1991-10-18 1995-03-07 Pina Vertriebs Ag Vertebral compression clamp for surgical repair to damage to the spine
US5401269A (en) * 1992-03-13 1995-03-28 Waldemar Link Gmbh & Co. Intervertebral disc endoprosthesis
US5403316A (en) * 1993-12-02 1995-04-04 Danek Medical, Inc. Triangular construct for spinal fixation
US5496318A (en) * 1993-01-08 1996-03-05 Advanced Spine Fixation Systems, Inc. Interspinous segmental spine fixation device
US5609635A (en) * 1988-06-28 1997-03-11 Michelson; Gary K. Lordotic interbody spinal fusion implants
US5609634A (en) * 1992-07-07 1997-03-11 Voydeville; Gilles Intervertebral prosthesis making possible rotatory stabilization and flexion/extension stabilization
US5707390A (en) * 1990-03-02 1998-01-13 General Surgical Innovations, Inc. Arthroscopic retractors
US5716416A (en) * 1996-09-10 1998-02-10 Lin; Chih-I Artificial intervertebral disk and method for implanting the same
US5723013A (en) * 1995-02-06 1998-03-03 Jbs S.A. Spacer implant for substituting missing vertebrae
US5725341A (en) * 1997-01-08 1998-03-10 Hofmeister; Oskar Self fusing fastener
US5725582A (en) * 1992-08-19 1998-03-10 Surgicraft Limited Surgical implants
US5860977A (en) * 1997-01-02 1999-01-19 Saint Francis Medical Technologies, Llc Spine distraction implant and method
US5888196A (en) * 1990-03-02 1999-03-30 General Surgical Innovations, Inc. Mechanically expandable arthroscopic retractors
US6019792A (en) * 1998-04-23 2000-02-01 Cauthen Research Group, Inc. Articulating spinal implant
US6022376A (en) * 1997-06-06 2000-02-08 Raymedica, Inc. Percutaneous prosthetic spinal disc nucleus and method of manufacture
US6048342A (en) * 1997-01-02 2000-04-11 St. Francis Medical Technologies, Inc. Spine distraction implant
US6179874B1 (en) * 1998-04-23 2001-01-30 Cauthen Research Group, Inc. Articulating spinal implant
US6190413B1 (en) * 1998-04-16 2001-02-20 Ulrich Gmbh & Co. Kg Vertebral implant
US6190414B1 (en) * 1996-10-31 2001-02-20 Surgical Dynamics Inc. Apparatus for fusion of adjacent bone structures
US6214050B1 (en) * 1999-05-11 2001-04-10 Donald R. Huene Expandable implant for inter-bone stabilization and adapted to extrude osteogenic material, and a method of stabilizing bones while extruding osteogenic material
US6336930B1 (en) * 2000-03-07 2002-01-08 Zimmer, Inc. Polymer filled bone plate
US6348053B1 (en) * 1996-11-12 2002-02-19 Triage Medical, Inc. Bone fixation device
US6352537B1 (en) * 1998-09-17 2002-03-05 Electro-Biology, Inc. Method and apparatus for spinal fixation
US6364883B1 (en) * 2001-02-23 2002-04-02 Albert N. Santilli Spinous process clamp for spinal fusion and method of operation
US6371987B1 (en) * 1998-04-23 2002-04-16 Medinorm Ag Medizintechnische Produkte Device for connecting vertebrae of the vertebral column
US6375682B1 (en) * 2001-08-06 2002-04-23 Lewis W. Fleischmann Collapsible, rotatable and expandable spinal hydraulic prosthetic device
US6520991B2 (en) * 1999-05-11 2003-02-18 Donald R. Huene Expandable implant for inter-vertebral stabilization, and a method of stabilizing vertebrae
US20030040746A1 (en) * 2001-07-20 2003-02-27 Mitchell Margaret E. Spinal stabilization system and method
US20030065330A1 (en) * 1998-10-20 2003-04-03 St. Francis Medical Technologies, Inc. Deflectable spacer for use as an interspinous process implant and method
US6554833B2 (en) * 1998-10-26 2003-04-29 Expanding Orthopedics, Inc. Expandable orthopedic device
US6685742B1 (en) * 2002-11-12 2004-02-03 Roger P. Jackson Articulated anterior expandable spinal fusion cage system
US6695842B2 (en) * 1997-10-27 2004-02-24 St. Francis Medical Technologies, Inc. Interspinous process distraction system and method with positionable wing and method
US6709435B2 (en) * 2002-03-20 2004-03-23 A-Spine Holding Group Corp. Three-hooked device for fixing spinal column
US20040055607A1 (en) * 2002-05-10 2004-03-25 Boehm Frank H. Method for laminectomy
US6723126B1 (en) * 2002-11-01 2004-04-20 Sdgi Holdings, Inc. Laterally expandable cage
US20050010293A1 (en) * 2003-05-22 2005-01-13 Zucherman James F. Distractible interspinous process implant and method of implantation
US6852128B2 (en) * 2001-02-28 2005-02-08 Sdgi Holdings, Inc. Flexible spine stabilization systems
US20050033432A1 (en) * 2003-08-05 2005-02-10 Charles Gordon Artificial spinal unit assemblies
US20050033439A1 (en) * 2003-08-05 2005-02-10 Charles Gordon Artificial functional spinal unit assemblies
US20050033431A1 (en) * 2003-08-05 2005-02-10 Charles Gordon Artificial functional spinal unit assemblies
US20050033437A1 (en) * 2002-05-23 2005-02-10 Pioneer Laboratories, Inc. Artificial disc device
US20050038432A1 (en) * 2003-04-25 2005-02-17 Shaolian Samuel M. Articulating spinal fixation rod and system
US20050049708A1 (en) * 2000-04-04 2005-03-03 Atkinson Robert E. Devices and methods for the treatment of spinal disorders
US6863688B2 (en) * 2001-02-15 2005-03-08 Spinecore, Inc. Intervertebral spacer device utilizing a spirally slotted belleville washer having radially spaced concentric grooves
US20050085814A1 (en) * 2003-10-21 2005-04-21 Sherman Michael C. Dynamizable orthopedic implants and their use in treating bone defects
US6981975B2 (en) * 2002-02-02 2006-01-03 Sdgi Holdings, Inc. Method for inserting a spinal fusion implant having deployable bone engaging projections
US20060004455A1 (en) * 2004-06-09 2006-01-05 Alain Leonard Methods and apparatuses for bone restoration
US20060004367A1 (en) * 2004-06-17 2006-01-05 Alamin Todd F Facet joint fusion devices and methods
US20060004447A1 (en) * 2004-06-30 2006-01-05 Depuy Spine, Inc. Adjustable posterior spinal column positioner
US20060015181A1 (en) * 2004-07-19 2006-01-19 Biomet Merck France (50% Interest) Interspinous vertebral implant
US20060036259A1 (en) * 2004-08-03 2006-02-16 Carl Allen L Spine treatment devices and methods
US20060036323A1 (en) * 2004-08-03 2006-02-16 Carl Alan L Facet device and method
US20060036246A1 (en) * 2004-08-03 2006-02-16 Carl Allen L Device and method for correcting a spinal deformity
US7011685B2 (en) * 2003-11-07 2006-03-14 Impliant Ltd. Spinal prostheses
US20060058790A1 (en) * 2004-08-03 2006-03-16 Carl Allen L Spinous process reinforcement device and method
US20060064165A1 (en) * 2004-09-23 2006-03-23 St. Francis Medical Technologies, Inc. Interspinous process implant including a binder and method of implantation
US20060084983A1 (en) * 2004-10-20 2006-04-20 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US20060084985A1 (en) * 2004-10-20 2006-04-20 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US20060085070A1 (en) * 2004-10-20 2006-04-20 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US20060085074A1 (en) * 2004-10-18 2006-04-20 Kamshad Raiszadeh Medical device systems for the spine
US20060084987A1 (en) * 2004-10-20 2006-04-20 Kim Daniel H Systems and methods for posterior dynamic stabilization of the spine
US20060085069A1 (en) * 2004-10-20 2006-04-20 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US20060084988A1 (en) * 2004-10-20 2006-04-20 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US20060089719A1 (en) * 2004-10-21 2006-04-27 Trieu Hai H In situ formation of intervertebral disc implants
US20060089654A1 (en) * 2004-10-25 2006-04-27 Lins Robert E Interspinous distraction devices and associated methods of insertion
US7163558B2 (en) * 2001-11-30 2007-01-16 Abbott Spine Intervertebral implant with elastically deformable wedge
US20070032790A1 (en) * 2005-08-05 2007-02-08 Felix Aschmann Apparatus for treating spinal stenosis
US20070043362A1 (en) * 2005-02-17 2007-02-22 Malandain Hugues F Percutaneous spinal implants and methods
US7201751B2 (en) * 1997-01-02 2007-04-10 St. Francis Medical Technologies, Inc. Supplemental spine fixation device
US20070088436A1 (en) * 2005-09-29 2007-04-19 Matthew Parsons Methods and devices for stenting or tamping a fractured vertebral body
US20080021457A1 (en) * 2006-07-05 2008-01-24 Warsaw Orthopedic Inc. Zygapophysial joint repair system
US7335203B2 (en) * 2003-02-12 2008-02-26 Kyphon Inc. System and method for immobilizing adjacent spinous processes
US20080058934A1 (en) * 2005-02-17 2008-03-06 Malandain Hugues F Percutaneous spinal implants and methods

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2681525A1 (en) * 1991-09-19 1993-03-26 Medical Op Device for flexible or semi-rigid stabilisation of the spine, in particular of the human spine, by a posterior route
FR2722087A1 (en) * 1994-07-08 1996-01-12 Cahlik Marc Andre Surgical implant for limiting relative movement of vertebrae
JPH08196538A (en) * 1994-09-26 1996-08-06 Ethicon Inc Tirsue attaching device for surgery having elastomer member and method of applying mesh for surgery on tissue
US6068630A (en) * 1997-01-02 2000-05-30 St. Francis Medical Technologies, Inc. Spine distraction implant
FR2775183B1 (en) * 1998-02-20 2000-08-04 Jean Taylor Inter-thorny Prothese
FR2811540B1 (en) * 2000-07-12 2003-04-25 Spine Next Sa Intervertebral implant damping
EP1448110A1 (en) * 2001-11-09 2004-08-25 Vese, Silvana Plate for osteosynthesis having variable flexibility
US7585316B2 (en) * 2004-05-21 2009-09-08 Warsaw Orthopedic, Inc. Interspinous spacer
US7789898B2 (en) * 2005-04-15 2010-09-07 Warsaw Orthopedic, Inc. Transverse process/laminar spacer

Patent Citations (100)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6179874B2 (en) *
US2077804A (en) * 1936-05-19 1937-04-20 Morrison Gordon Monroe Device for treating fractures of the neck of the femur
US3426364A (en) * 1966-08-25 1969-02-11 Colorado State Univ Research F Prosthetic appliance for replacing one or more natural vertebrae
US3648691A (en) * 1970-02-24 1972-03-14 Univ Colorado State Res Found Method of applying vertebral appliance
US4078559A (en) * 1975-05-30 1978-03-14 Erkki Einari Nissinen Straightening and supporting device for the spinal column in the surgical treatment of scoliotic diseases
US4003376A (en) * 1975-08-25 1977-01-18 Bio-Dynamics, Inc. Apparatus for straightening the spinal column
US4011602A (en) * 1975-10-06 1977-03-15 Battelle Memorial Institute Porous expandable device for attachment to bone tissue
US4257409A (en) * 1978-04-14 1981-03-24 Kazimierz Bacal Device for treatment of spinal curvature
US4646998A (en) * 1981-11-20 1987-03-03 Clairson International Corporation Wall-mounted shelf support clip
US4822226A (en) * 1983-08-08 1989-04-18 Kennedy Arvest G Wing nut retainer and extractor
US4570618A (en) * 1983-11-23 1986-02-18 Henry Ford Hospital Intervertebral body wire stabilization
US4643178A (en) * 1984-04-23 1987-02-17 Fabco Medical Products, Inc. Surgical wire and method for the use thereof
US4573454A (en) * 1984-05-17 1986-03-04 Hoffman Gregory A Spinal fixation apparatus
US4657550A (en) * 1984-12-21 1987-04-14 Daher Youssef H Buttressing device usable in a vertebral prosthesis
US4636217A (en) * 1985-04-23 1987-01-13 Regents Of The University Of Minnesota Anterior spinal implant
US5011484A (en) * 1987-11-16 1991-04-30 Breard Francis H Surgical implant for restricting the relative movement of vertebrae
US5609635A (en) * 1988-06-28 1997-03-11 Michelson; Gary K. Lordotic interbody spinal fusion implants
US4892545A (en) * 1988-07-14 1990-01-09 Ohio Medical Instrument Company, Inc. Vertebral lock
US4913144A (en) * 1988-08-03 1990-04-03 D.A.O. S.R.L. Adjustable staple
US5201734A (en) * 1988-12-21 1993-04-13 Zimmer, Inc. Spinal locking sleeve assembly
US5092866A (en) * 1989-02-03 1992-03-03 Breard Francis H Flexible inter-vertebral stabilizer as well as process and apparatus for determining or verifying its tension before installation on the spinal column
US5098433A (en) * 1989-04-12 1992-03-24 Yosef Freedland Winged compression bolt orthopedic fastener
US5888196A (en) * 1990-03-02 1999-03-30 General Surgical Innovations, Inc. Mechanically expandable arthroscopic retractors
US5707390A (en) * 1990-03-02 1998-01-13 General Surgical Innovations, Inc. Arthroscopic retractors
US5390683A (en) * 1991-02-22 1995-02-21 Pisharodi; Madhavan Spinal implantation methods utilizing a middle expandable implant
US5306310A (en) * 1991-08-27 1994-04-26 Man Ceramics Gmbh Vertebral prosthesis
US5290312A (en) * 1991-09-03 1994-03-01 Alphatec Artificial vertebral body
US5395370A (en) * 1991-10-18 1995-03-07 Pina Vertriebs Ag Vertebral compression clamp for surgical repair to damage to the spine
US5401269A (en) * 1992-03-13 1995-03-28 Waldemar Link Gmbh & Co. Intervertebral disc endoprosthesis
US5609634A (en) * 1992-07-07 1997-03-11 Voydeville; Gilles Intervertebral prosthesis making possible rotatory stabilization and flexion/extension stabilization
US5725582A (en) * 1992-08-19 1998-03-10 Surgicraft Limited Surgical implants
US5306275A (en) * 1992-12-31 1994-04-26 Bryan Donald W Lumbar spine fixation apparatus and method
US5496318A (en) * 1993-01-08 1996-03-05 Advanced Spine Fixation Systems, Inc. Interspinous segmental spine fixation device
US5403316A (en) * 1993-12-02 1995-04-04 Danek Medical, Inc. Triangular construct for spinal fixation
US5723013A (en) * 1995-02-06 1998-03-03 Jbs S.A. Spacer implant for substituting missing vertebrae
US5716416A (en) * 1996-09-10 1998-02-10 Lin; Chih-I Artificial intervertebral disk and method for implanting the same
US6190414B1 (en) * 1996-10-31 2001-02-20 Surgical Dynamics Inc. Apparatus for fusion of adjacent bone structures
US6348053B1 (en) * 1996-11-12 2002-02-19 Triage Medical, Inc. Bone fixation device
US6048342A (en) * 1997-01-02 2000-04-11 St. Francis Medical Technologies, Inc. Spine distraction implant
US7201751B2 (en) * 1997-01-02 2007-04-10 St. Francis Medical Technologies, Inc. Supplemental spine fixation device
US5860977A (en) * 1997-01-02 1999-01-19 Saint Francis Medical Technologies, Llc Spine distraction implant and method
US5725341A (en) * 1997-01-08 1998-03-10 Hofmeister; Oskar Self fusing fastener
US6022376A (en) * 1997-06-06 2000-02-08 Raymedica, Inc. Percutaneous prosthetic spinal disc nucleus and method of manufacture
US6695842B2 (en) * 1997-10-27 2004-02-24 St. Francis Medical Technologies, Inc. Interspinous process distraction system and method with positionable wing and method
US6190413B1 (en) * 1998-04-16 2001-02-20 Ulrich Gmbh & Co. Kg Vertebral implant
US6019792A (en) * 1998-04-23 2000-02-01 Cauthen Research Group, Inc. Articulating spinal implant
US6179874B1 (en) * 1998-04-23 2001-01-30 Cauthen Research Group, Inc. Articulating spinal implant
US6371987B1 (en) * 1998-04-23 2002-04-16 Medinorm Ag Medizintechnische Produkte Device for connecting vertebrae of the vertebral column
US6352537B1 (en) * 1998-09-17 2002-03-05 Electro-Biology, Inc. Method and apparatus for spinal fixation
US20030065330A1 (en) * 1998-10-20 2003-04-03 St. Francis Medical Technologies, Inc. Deflectable spacer for use as an interspinous process implant and method
US6554833B2 (en) * 1998-10-26 2003-04-29 Expanding Orthopedics, Inc. Expandable orthopedic device
US6520991B2 (en) * 1999-05-11 2003-02-18 Donald R. Huene Expandable implant for inter-vertebral stabilization, and a method of stabilizing vertebrae
US6214050B1 (en) * 1999-05-11 2001-04-10 Donald R. Huene Expandable implant for inter-bone stabilization and adapted to extrude osteogenic material, and a method of stabilizing bones while extruding osteogenic material
US6336930B1 (en) * 2000-03-07 2002-01-08 Zimmer, Inc. Polymer filled bone plate
US20050049708A1 (en) * 2000-04-04 2005-03-03 Atkinson Robert E. Devices and methods for the treatment of spinal disorders
US6863688B2 (en) * 2001-02-15 2005-03-08 Spinecore, Inc. Intervertebral spacer device utilizing a spirally slotted belleville washer having radially spaced concentric grooves
US6364883B1 (en) * 2001-02-23 2002-04-02 Albert N. Santilli Spinous process clamp for spinal fusion and method of operation
US6852128B2 (en) * 2001-02-28 2005-02-08 Sdgi Holdings, Inc. Flexible spine stabilization systems
US20030040746A1 (en) * 2001-07-20 2003-02-27 Mitchell Margaret E. Spinal stabilization system and method
US6375682B1 (en) * 2001-08-06 2002-04-23 Lewis W. Fleischmann Collapsible, rotatable and expandable spinal hydraulic prosthetic device
US7163558B2 (en) * 2001-11-30 2007-01-16 Abbott Spine Intervertebral implant with elastically deformable wedge
US6981975B2 (en) * 2002-02-02 2006-01-03 Sdgi Holdings, Inc. Method for inserting a spinal fusion implant having deployable bone engaging projections
US6709435B2 (en) * 2002-03-20 2004-03-23 A-Spine Holding Group Corp. Three-hooked device for fixing spinal column
US20040055607A1 (en) * 2002-05-10 2004-03-25 Boehm Frank H. Method for laminectomy
US20050033437A1 (en) * 2002-05-23 2005-02-10 Pioneer Laboratories, Inc. Artificial disc device
US6723126B1 (en) * 2002-11-01 2004-04-20 Sdgi Holdings, Inc. Laterally expandable cage
US6685742B1 (en) * 2002-11-12 2004-02-03 Roger P. Jackson Articulated anterior expandable spinal fusion cage system
US7335203B2 (en) * 2003-02-12 2008-02-26 Kyphon Inc. System and method for immobilizing adjacent spinous processes
US20050038432A1 (en) * 2003-04-25 2005-02-17 Shaolian Samuel M. Articulating spinal fixation rod and system
US20050010293A1 (en) * 2003-05-22 2005-01-13 Zucherman James F. Distractible interspinous process implant and method of implantation
US20050033432A1 (en) * 2003-08-05 2005-02-10 Charles Gordon Artificial spinal unit assemblies
US20050033431A1 (en) * 2003-08-05 2005-02-10 Charles Gordon Artificial functional spinal unit assemblies
US20050033439A1 (en) * 2003-08-05 2005-02-10 Charles Gordon Artificial functional spinal unit assemblies
US20050085814A1 (en) * 2003-10-21 2005-04-21 Sherman Michael C. Dynamizable orthopedic implants and their use in treating bone defects
US7011685B2 (en) * 2003-11-07 2006-03-14 Impliant Ltd. Spinal prostheses
US20060004455A1 (en) * 2004-06-09 2006-01-05 Alain Leonard Methods and apparatuses for bone restoration
US20060004367A1 (en) * 2004-06-17 2006-01-05 Alamin Todd F Facet joint fusion devices and methods
US20060004447A1 (en) * 2004-06-30 2006-01-05 Depuy Spine, Inc. Adjustable posterior spinal column positioner
US20060015181A1 (en) * 2004-07-19 2006-01-19 Biomet Merck France (50% Interest) Interspinous vertebral implant
US20060036259A1 (en) * 2004-08-03 2006-02-16 Carl Allen L Spine treatment devices and methods
US20060036324A1 (en) * 2004-08-03 2006-02-16 Dan Sachs Adjustable spinal implant device and method
US20060058790A1 (en) * 2004-08-03 2006-03-16 Carl Allen L Spinous process reinforcement device and method
US20060036246A1 (en) * 2004-08-03 2006-02-16 Carl Allen L Device and method for correcting a spinal deformity
US20060036323A1 (en) * 2004-08-03 2006-02-16 Carl Alan L Facet device and method
US20060036256A1 (en) * 2004-08-03 2006-02-16 Carl Allen L Spine stabilization device and method
US20060064165A1 (en) * 2004-09-23 2006-03-23 St. Francis Medical Technologies, Inc. Interspinous process implant including a binder and method of implantation
US20060085074A1 (en) * 2004-10-18 2006-04-20 Kamshad Raiszadeh Medical device systems for the spine
US20060085070A1 (en) * 2004-10-20 2006-04-20 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US20060085069A1 (en) * 2004-10-20 2006-04-20 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US20060084988A1 (en) * 2004-10-20 2006-04-20 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US20060084985A1 (en) * 2004-10-20 2006-04-20 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US20060084983A1 (en) * 2004-10-20 2006-04-20 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US20060084987A1 (en) * 2004-10-20 2006-04-20 Kim Daniel H Systems and methods for posterior dynamic stabilization of the spine
US20060089719A1 (en) * 2004-10-21 2006-04-27 Trieu Hai H In situ formation of intervertebral disc implants
US20060089654A1 (en) * 2004-10-25 2006-04-27 Lins Robert E Interspinous distraction devices and associated methods of insertion
US20080058934A1 (en) * 2005-02-17 2008-03-06 Malandain Hugues F Percutaneous spinal implants and methods
US20070043362A1 (en) * 2005-02-17 2007-02-22 Malandain Hugues F Percutaneous spinal implants and methods
US20070032790A1 (en) * 2005-08-05 2007-02-08 Felix Aschmann Apparatus for treating spinal stenosis
US20070088436A1 (en) * 2005-09-29 2007-04-19 Matthew Parsons Methods and devices for stenting or tamping a fractured vertebral body
US20080021457A1 (en) * 2006-07-05 2008-01-24 Warsaw Orthopedic Inc. Zygapophysial joint repair system

Cited By (146)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7918877B2 (en) 1997-01-02 2011-04-05 Kyphon Sarl Lateral insertion method for spinous process spacer with deployable member
US8568455B2 (en) 1997-01-02 2013-10-29 Warsaw Orthopedic, Inc. Spine distraction implant and method
US8740943B2 (en) 1997-01-02 2014-06-03 Warsaw Orthopedic, Inc. Spine distraction implant and method
US8821548B2 (en) 1997-01-02 2014-09-02 Warsaw Orthopedic, Inc. Spine distraction implant and method
US8828017B2 (en) 1997-01-02 2014-09-09 Warsaw Orthopedic, Inc. Spine distraction implant and method
US8568460B2 (en) 1997-01-02 2013-10-29 Warsaw Orthopedic, Inc. Spine distraction implant and method
US8128663B2 (en) 1997-01-02 2012-03-06 Kyphon Sarl Spine distraction implant
US8617211B2 (en) 1997-01-02 2013-12-31 Warsaw Orthopedic, Inc. Spine distraction implant and method
US8568454B2 (en) 1997-01-02 2013-10-29 Warsaw Orthopedic, Inc. Spine distraction implant and method
US7901432B2 (en) 1997-01-02 2011-03-08 Kyphon Sarl Method for lateral implantation of spinous process spacer
US8349013B2 (en) 1997-01-02 2013-01-08 Kyphon Sarl Spine distraction implant
US7955356B2 (en) 1997-01-02 2011-06-07 Kyphon Sarl Laterally insertable interspinous process implant
US8157840B2 (en) 1997-01-02 2012-04-17 Kyphon Sarl Spine distraction implant and method
US8216277B2 (en) 1997-01-02 2012-07-10 Kyphon Sarl Spine distraction implant and method
US8454659B2 (en) 2002-10-29 2013-06-04 Kyphon Sarl Interspinous process implants and methods of use
US8221463B2 (en) 2002-10-29 2012-07-17 Kyphon Sarl Interspinous process implants and methods of use
US8007537B2 (en) 2002-10-29 2011-08-30 Kyphon Sarl Interspinous process implants and methods of use
US8048117B2 (en) 2003-05-22 2011-11-01 Kyphon Sarl Interspinous process implant and method of implantation
US8070778B2 (en) 2003-05-22 2011-12-06 Kyphon Sarl Interspinous process implant with slide-in distraction piece and method of implantation
US8888816B2 (en) 2003-05-22 2014-11-18 Warsaw Orthopedic, Inc. Distractible interspinous process implant and method of implantation
US7909853B2 (en) 2004-09-23 2011-03-22 Kyphon Sarl Interspinous process implant including a binder and method of implantation
US8128662B2 (en) 2004-10-20 2012-03-06 Vertiflex, Inc. Minimally invasive tooling for delivery of interspinous spacer
US8273108B2 (en) 2004-10-20 2012-09-25 Vertiflex, Inc. Interspinous spacer
US8277488B2 (en) 2004-10-20 2012-10-02 Vertiflex, Inc. Interspinous spacer
US8012207B2 (en) 2004-10-20 2011-09-06 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8292922B2 (en) 2004-10-20 2012-10-23 Vertiflex, Inc. Interspinous spacer
US9211146B2 (en) 2004-10-20 2015-12-15 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US8317864B2 (en) 2004-10-20 2012-11-27 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US9161783B2 (en) 2004-10-20 2015-10-20 Vertiflex, Inc. Interspinous spacer
US8167944B2 (en) 2004-10-20 2012-05-01 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US8613747B2 (en) 2004-10-20 2013-12-24 Vertiflex, Inc. Spacer insertion instrument
US9155572B2 (en) 2004-10-20 2015-10-13 Vertiflex, Inc. Minimally invasive tooling for delivery of interspinous spacer
US9155570B2 (en) 2004-10-20 2015-10-13 Vertiflex, Inc. Interspinous spacer
US9125692B2 (en) 2004-10-20 2015-09-08 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US9956011B2 (en) 2004-10-20 2018-05-01 Vertiflex, Inc. Interspinous spacer
US9445843B2 (en) 2004-10-20 2016-09-20 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US9119680B2 (en) 2004-10-20 2015-09-01 Vertiflex, Inc. Interspinous spacer
US9314279B2 (en) 2004-10-20 2016-04-19 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US9039742B2 (en) 2004-10-20 2015-05-26 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US8152837B2 (en) 2004-10-20 2012-04-10 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US9393055B2 (en) 2004-10-20 2016-07-19 Vertiflex, Inc. Spacer insertion instrument
US9283005B2 (en) 2004-10-20 2016-03-15 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8628574B2 (en) 2004-10-20 2014-01-14 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US9023084B2 (en) 2004-10-20 2015-05-05 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for stabilizing the motion or adjusting the position of the spine
US8945183B2 (en) 2004-10-20 2015-02-03 Vertiflex, Inc. Interspinous process spacer instrument system with deployment indicator
US8900271B2 (en) 2004-10-20 2014-12-02 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US9532812B2 (en) 2004-10-20 2017-01-03 Vertiflex, Inc. Interspinous spacer
US8864828B2 (en) 2004-10-20 2014-10-21 Vertiflex, Inc. Interspinous spacer
US9572603B2 (en) 2004-10-20 2017-02-21 Vertiflex, Inc. Interspinous spacer
US9861398B2 (en) 2004-10-20 2018-01-09 Vertiflex, Inc. Interspinous spacer
US9877749B2 (en) 2004-10-20 2018-01-30 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US8425559B2 (en) 2004-10-20 2013-04-23 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8123807B2 (en) 2004-10-20 2012-02-28 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8123782B2 (en) 2004-10-20 2012-02-28 Vertiflex, Inc. Interspinous spacer
US8409282B2 (en) 2004-10-20 2013-04-02 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8679161B2 (en) 2005-02-17 2014-03-25 Warsaw Orthopedic, Inc. Percutaneous spinal implants and methods
US8100943B2 (en) 2005-02-17 2012-01-24 Kyphon Sarl Percutaneous spinal implants and methods
US8147516B2 (en) 2005-02-17 2012-04-03 Kyphon Sarl Percutaneous spinal implants and methods
US8096994B2 (en) 2005-02-17 2012-01-17 Kyphon Sarl Percutaneous spinal implants and methods
US20080051892A1 (en) * 2005-02-17 2008-02-28 Malandain Hugues F Percutaneous spinal implants and methods
US8097018B2 (en) 2005-02-17 2012-01-17 Kyphon Sarl Percutaneous spinal implants and methods
US8157841B2 (en) 2005-02-17 2012-04-17 Kyphon Sarl Percutaneous spinal implants and methods
US8057513B2 (en) 2005-02-17 2011-11-15 Kyphon Sarl Percutaneous spinal implants and methods
US8043335B2 (en) 2005-02-17 2011-10-25 Kyphon Sarl Percutaneous spinal implants and methods
US8038698B2 (en) 2005-02-17 2011-10-18 Kphon Sarl Percutaneous spinal implants and methods
US8167890B2 (en) 2005-02-17 2012-05-01 Kyphon Sarl Percutaneous spinal implants and methods
US8034080B2 (en) 2005-02-17 2011-10-11 Kyphon Sarl Percutaneous spinal implants and methods
US7927354B2 (en) 2005-02-17 2011-04-19 Kyphon Sarl Percutaneous spinal implants and methods
US20070043361A1 (en) * 2005-02-17 2007-02-22 Malandain Hugues F Percutaneous spinal implants and methods
US8029567B2 (en) 2005-02-17 2011-10-04 Kyphon Sarl Percutaneous spinal implants and methods
US8029549B2 (en) 2005-02-17 2011-10-04 Kyphon Sarl Percutaneous spinal implants and methods
US8007521B2 (en) * 2005-02-17 2011-08-30 Kyphon Sarl Percutaneous spinal implants and methods
US8454693B2 (en) 2005-02-17 2013-06-04 Kyphon Sarl Percutaneous spinal implants and methods
US7998174B2 (en) 2005-02-17 2011-08-16 Kyphon Sarl Percutaneous spinal implants and methods
US7993342B2 (en) 2005-02-17 2011-08-09 Kyphon Sarl Percutaneous spinal implants and methods
US8221458B2 (en) 2005-02-17 2012-07-17 Kyphon Sarl Percutaneous spinal implants and methods
US7988709B2 (en) 2005-02-17 2011-08-02 Kyphon Sarl Percutaneous spinal implants and methods
US8096995B2 (en) 2005-02-17 2012-01-17 Kyphon Sarl Percutaneous spinal implants and methods
US7931674B2 (en) 2005-03-21 2011-04-26 Kyphon Sarl Interspinous process implant having deployable wing and method of implantation
US8591546B2 (en) 2005-03-21 2013-11-26 Warsaw Orthopedic, Inc. Interspinous process implant having a thread-shaped wing and method of implantation
US8147548B2 (en) 2005-03-21 2012-04-03 Kyphon Sarl Interspinous process implant having a thread-shaped wing and method of implantation
US8273107B2 (en) 2005-03-21 2012-09-25 Kyphon Sarl Interspinous process implant having a thread-shaped wing and method of implantation
US8066742B2 (en) 2005-03-31 2011-11-29 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
US8034079B2 (en) 2005-04-12 2011-10-11 Warsaw Orthopedic, Inc. Implants and methods for posterior dynamic stabilization of a spinal motion segment
US8109972B2 (en) 2005-04-18 2012-02-07 Kyphon Sarl Interspinous process implant having deployable wings and method of implantation
US8128702B2 (en) 2005-04-18 2012-03-06 Kyphon Sarl Interspinous process implant having deployable wings and method of implantation
US7959652B2 (en) 2005-04-18 2011-06-14 Kyphon Sarl Interspinous process implant having deployable wings and method of implantation
US8226653B2 (en) 2005-04-29 2012-07-24 Warsaw Orthopedic, Inc. Spinous process stabilization devices and methods
US9770271B2 (en) 2005-10-25 2017-09-26 Zimmer Biomet Spine, Inc. Spinal implants and methods
US7862591B2 (en) 2005-11-10 2011-01-04 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
US8083795B2 (en) 2006-01-18 2011-12-27 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of manufacturing same
US7837711B2 (en) 2006-01-27 2010-11-23 Warsaw Orthopedic, Inc. Artificial spinous process for the sacrum and methods of use
US8348977B2 (en) 2006-01-27 2013-01-08 Warsaw Orthopedic, Inc. Artificial spinous process for the sacrum and methods of use
US8262698B2 (en) 2006-03-16 2012-09-11 Warsaw Orthopedic, Inc. Expandable device for insertion between anatomical structures and a procedure utilizing same
US8118844B2 (en) 2006-04-24 2012-02-21 Warsaw Orthopedic, Inc. Expandable device for insertion between anatomical structures and a procedure utilizing same
US8221465B2 (en) 2006-04-28 2012-07-17 Warsaw Orthopedic, Inc. Multi-chamber expandable interspinous process spacer
US8252031B2 (en) 2006-04-28 2012-08-28 Warsaw Orthopedic, Inc. Molding device for an expandable interspinous process implant
US8105357B2 (en) 2006-04-28 2012-01-31 Warsaw Orthopedic, Inc. Interspinous process brace
US8048118B2 (en) 2006-04-28 2011-11-01 Warsaw Orthopedic, Inc. Adjustable interspinous process brace
US8048119B2 (en) 2006-07-20 2011-11-01 Warsaw Orthopedic, Inc. Apparatus for insertion between anatomical structures and a procedure utilizing same
US8043378B2 (en) 2006-09-07 2011-10-25 Warsaw Orthopedic, Inc. Intercostal spacer device and method for use in correcting a spinal deformity
US9566086B2 (en) 2006-10-18 2017-02-14 VeriFlex, Inc. Dilator
US8845726B2 (en) 2006-10-18 2014-09-30 Vertiflex, Inc. Dilator
US8641762B2 (en) 2006-10-24 2014-02-04 Warsaw Orthopedic, Inc. Systems and methods for in situ assembly of an interspinous process distraction implant
US8118839B2 (en) 2006-11-08 2012-02-21 Kyphon Sarl Interspinous implant
US7879104B2 (en) 2006-11-15 2011-02-01 Warsaw Orthopedic, Inc. Spinal implant system
US7955392B2 (en) 2006-12-14 2011-06-07 Warsaw Orthopedic, Inc. Interspinous process devices and methods
US9861400B2 (en) 2007-01-11 2018-01-09 Zimmer Biomet Spine, Inc. Spinous process implants and associated methods
US9743960B2 (en) 2007-01-11 2017-08-29 Zimmer Biomet Spine, Inc. Interspinous implants and methods
US9247968B2 (en) 2007-01-11 2016-02-02 Lanx, Inc. Spinous process implants and associated methods
US9724136B2 (en) 2007-01-11 2017-08-08 Zimmer Biomet Spine, Inc. Spinous process implants and associated methods
US9662150B1 (en) 2007-02-26 2017-05-30 Nuvasive, Inc. Spinal stabilization system and methods of use
US8801757B2 (en) 2007-02-26 2014-08-12 Nuvasive, Inc. Spinal stabilization systems and methods of use
US8840646B2 (en) 2007-05-10 2014-09-23 Warsaw Orthopedic, Inc. Spinous process implants and methods
US20080281360A1 (en) * 2007-05-10 2008-11-13 Shannon Marlece Vittur Spinous process implants and methods
US20080294200A1 (en) * 2007-05-25 2008-11-27 Andrew Kohm Spinous process implants and methods of using the same
EP2244670A2 (en) * 2008-01-15 2010-11-03 Vertiflex, Inc. Interspinous spacer
EP2244670A4 (en) * 2008-01-15 2011-03-16 Vertiflex Inc Interspinous spacer
WO2009091922A2 (en) 2008-01-15 2009-07-23 Vertiflex, Inc. Interspinous spacer
US8105358B2 (en) 2008-02-04 2012-01-31 Kyphon Sarl Medical implants and methods
US8317832B2 (en) 2008-03-18 2012-11-27 Warsaw Orthopedic, Inc. Implants and methods for inter-spinous process dynamic stabilization of spinal motion segment
US8114136B2 (en) 2008-03-18 2012-02-14 Warsaw Orthopedic, Inc. Implants and methods for inter-spinous process dynamic stabilization of a spinal motion segment
US8343190B1 (en) 2008-03-26 2013-01-01 Nuvasive, Inc. Systems and methods for spinous process fixation
US8114131B2 (en) 2008-11-05 2012-02-14 Kyphon Sarl Extension limiting devices and methods of use for the spine
US8114135B2 (en) 2009-01-16 2012-02-14 Kyphon Sarl Adjustable surgical cables and methods for treating spinal stenosis
US8372117B2 (en) 2009-06-05 2013-02-12 Kyphon Sarl Multi-level interspinous implants and methods of use
US8157842B2 (en) 2009-06-12 2012-04-17 Kyphon Sarl Interspinous implant and methods of use
US9017383B2 (en) * 2009-10-09 2015-04-28 LfC Sp. z o.o. Unloading D-dynamic intervertebral device
US20110087286A1 (en) * 2009-10-09 2011-04-14 LfC Sp. z o.o. Unloading d-dynamic intervertebral device
CN102573680A (en) * 2009-10-09 2012-07-11 Lfc斯博拉卡公司 Unloading-dynamic intervertebral device
US8740948B2 (en) 2009-12-15 2014-06-03 Vertiflex, Inc. Spinal spacer for cervical and other vertebra, and associated systems and methods
US9186186B2 (en) 2009-12-15 2015-11-17 Vertiflex, Inc. Spinal spacer for cervical and other vertebra, and associated systems and methods
US8317831B2 (en) 2010-01-13 2012-11-27 Kyphon Sarl Interspinous process spacer diagnostic balloon catheter and methods of use
US8114132B2 (en) 2010-01-13 2012-02-14 Kyphon Sarl Dynamic interspinous process device
US8840617B2 (en) 2010-02-26 2014-09-23 Warsaw Orthopedic, Inc. Interspinous process spacer diagnostic parallel balloon catheter and methods of use
US8147526B2 (en) 2010-02-26 2012-04-03 Kyphon Sarl Interspinous process spacer diagnostic parallel balloon catheter and methods of use
US8814908B2 (en) 2010-07-26 2014-08-26 Warsaw Orthopedic, Inc. Injectable flexible interspinous process device system
US9226779B2 (en) 2011-02-02 2016-01-05 Colorado State University Research Foundation Pedicle screw assembly and dynamic spinal stabilization devices incorporating the pedicle screw assembly
US20150105825A1 (en) * 2011-02-02 2015-04-16 Colorado State University Research Foundation Interspinous spacer devices for dynamic stabilization of degraded spinal segments
US9603633B2 (en) * 2011-02-02 2017-03-28 Colorado State University Research Foundation Interspinous spacer devices for dynamic stabilization of degraded spinal segments
US8562650B2 (en) 2011-03-01 2013-10-22 Warsaw Orthopedic, Inc. Percutaneous spinous process fusion plate assembly and method
US8591548B2 (en) 2011-03-31 2013-11-26 Warsaw Orthopedic, Inc. Spinous process fusion plate assembly
US8591549B2 (en) 2011-04-08 2013-11-26 Warsaw Orthopedic, Inc. Variable durometer lumbar-sacral implant
USD757943S1 (en) 2011-07-14 2016-05-31 Nuvasive, Inc. Spinous process plate
US8882805B1 (en) 2011-08-02 2014-11-11 Lawrence Maccree Spinal fixation system
US9675303B2 (en) 2013-03-15 2017-06-13 Vertiflex, Inc. Visualization systems, instruments and methods of using the same in spinal decompression procedures

Also Published As

Publication number Publication date Type
US20110238114A1 (en) 2011-09-29 application
US8425561B2 (en) 2013-04-23 grant
JP2009535108A (en) 2009-10-01 application
EP2020935A2 (en) 2009-02-11 application
WO2007127550A3 (en) 2008-01-17 application
WO2007127550A2 (en) 2007-11-08 application

Similar Documents

Publication Publication Date Title
US8123807B2 (en) Systems and methods for posterior dynamic stabilization of the spine
US7776090B2 (en) Inter-cervical facet implant and method
US7371238B2 (en) Method and device for treating scoliosis
US7763051B2 (en) Posterior dynamic stabilization systems and methods
US5607424A (en) Domed cage
US20090248079A1 (en) S-Shaped Interspinous Process Spacer Having Tight Access Offset Hooks
US8152837B2 (en) Systems and methods for posterior dynamic stabilization of the spine
US7766943B1 (en) Modular percutaneous spinal fusion system and method
US20080114456A1 (en) Spinal implant system
US20070016196A1 (en) Inter-cervical facet implant with implantation tool
US20100222816A1 (en) Expandable interspinous process spacer
US20070016195A1 (en) Inter-cervical facet implant with implantation tool
US20080177311A1 (en) Facet joint implant sizing tool
US20090318968A1 (en) Systems and methods for posterior dynamic stabilization
US20050090822A1 (en) Methods and apparatus for stabilizing the spine through an access device
US7658739B2 (en) Methods and apparatuses for stabilizing the spine through an access device
US20080033433A1 (en) Dynamic spinal stabilization device
US20100312345A1 (en) Intervertebral fusion implant
US20080300686A1 (en) Percutaneous interspinous process device and method
US20080234735A1 (en) Spinal implant for facet joint
US20060265068A1 (en) Intervertebral implant
US20070173832A1 (en) Systems and methods for posterior dynamic stabilization of the spine
US6461359B1 (en) Spine stabilization device
US20070276374A1 (en) Arthroplasty revision system and method
US8357181B2 (en) Intervertebral prosthetic device for spinal stabilization and method of implanting same

Legal Events

Date Code Title Description
AS Assignment

Owner name: WARSAW ORTHOPEDIC, INC., INDIANA

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:LIM, ROY;CARLS, THOMAS;BRUNEAU, AURELIEN;AND OTHERS;REEL/FRAME:018804/0460;SIGNING DATES FROM 20061018 TO 20070111