US20090030523A1 - Veretebra Stabilizing Assembly - Google Patents

Veretebra Stabilizing Assembly Download PDF

Info

Publication number
US20090030523A1
US20090030523A1 US12/248,320 US24832008A US2009030523A1 US 20090030523 A1 US20090030523 A1 US 20090030523A1 US 24832008 A US24832008 A US 24832008A US 2009030523 A1 US2009030523 A1 US 2009030523A1
Authority
US
United States
Prior art keywords
implant
lugs
configuration
portion
upper
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
US12/248,320
Inventor
Jean Taylor
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.)
Kyphon SARL
Original Assignee
Kyphon SARL
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
Priority to FR0110604A priority Critical patent/FR2828398B1/en
Priority to FRFR0110604 priority
Priority to PCT/FR2002/002834 priority patent/WO2003015646A2/en
Priority to FRPCT/FR02/02834 priority
Priority to US10/486,046 priority patent/US7445637B2/en
Application filed by Kyphon SARL filed Critical Kyphon SARL
Priority to US12/248,320 priority patent/US20090030523A1/en
Publication of US20090030523A1 publication Critical patent/US20090030523A1/en
Assigned to KYPHON SARL reassignment KYPHON SARL ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: TAYLOR M.D., JEAN
Application status is Abandoned legal-status Critical

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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/442Intervertebral or spinal discs, e.g. resilient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4611Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/441Joints for the spine, e.g. vertebrae, spinal discs made of inflatable pockets or chambers filled with fluid, e.g. with hydrogel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/3011Cross-sections or two-dimensional shapes
    • A61F2002/30112Rounded shapes, e.g. with rounded corners
    • A61F2002/30131Rounded shapes, e.g. with rounded corners horseshoe- or crescent- or C-shaped or U-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/3011Cross-sections or two-dimensional shapes
    • A61F2002/30112Rounded shapes, e.g. with rounded corners
    • A61F2002/30133Rounded shapes, e.g. with rounded corners kidney-shaped or bean-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/3011Cross-sections or two-dimensional shapes
    • A61F2002/30159Concave polygonal shapes
    • A61F2002/30166H-shaped or I-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/3011Cross-sections or two-dimensional shapes
    • A61F2002/30182Other shapes
    • A61F2002/30197Omega-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30563Special structural features of bone or joint prostheses not otherwise provided for having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4625Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
    • A61F2002/4627Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4635Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor using minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004Rounded shapes, e.g. with rounded corners
    • A61F2230/0013Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004Rounded shapes, e.g. with rounded corners
    • A61F2230/0015Kidney-shaped, e.g. bean-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028Shapes in the form of latin or greek characters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028Shapes in the form of latin or greek characters
    • A61F2230/0045Omega-shaped

Abstract

An implant assembly for implantation between upper and lower spinous processes includes an interspinous implant and a removable clip. The implant may have an interspinous portion having upper and lower surfaces for engagement with the respective upper and lower spinous process, and a thickness therebetween sufficient to restore anatomical tension to the supra-spinous posterior ligament. Upper and lower pairs of lugs extend from the interspinous portion for interfacing with the respective spinous processes. One or more of the lugs of each pair is movable between an insertion configuration and a retention configuration substantially perpendicular to the retention configuration. The removable clip engages the relevant lugs to selectively retain the same in the insertion configuration.

Description

  • This application is a continuation of prior U.S. patent application Ser. No. 10/486,046, filed 2 Jul. 2004, which claims the benefit of PCT/FR02/02834, filed 8 Aug. 2002, which claims benefit of French application FR 01.10604, filed 8 Aug. 2001. The above referenced applications are incorporated herein by reference.
  • BACKGROUND OF THE INVENTION
  • The present invention relates to an assembly for stabilizing vertebrae, in particular lumbar vertebrae. This assembly can be defined as a relief prosthesis having a dual effect, as will be appreciated below.
  • It is known that the mobility of two adjacent vertebrae, in particular in the lumbar region, is dependent on the intervertebral disc at the anterior side and pairs of articular surfaces at the posterior side.
  • The arrangement of the disc and articular surfaces ensures auto-limitation of movements both in the plane perpendicular to the vertebral column, during torsion, and in a sagittal plane, during flexions and extensions of the vertebral column.
  • The shape, the structure and the height of the disc confer on it additional functions of maintaining lordosis, absorbing shocks and distributing stresses. At the rear, the articular surfaces guide the movements and act as hinges.
  • The ageing process of the subject leads to disturbances in this anterior/posterior equilibrium involving the discs and the surfaces. Generally, the degeneration of the discs precedes that of the surfaces. Collapse and instability of the discs leads to a partial transfer of the stresses to the posterior columns which are formed by the surfaces, which brings about a loss in the surface congruence and a slackening of the ligaments. This results in deterioration of the articular surfaces, which leads to various pathologies having implications of a mechanical and neurological nature.
  • In order to treat these pathologies, an anterior arthrodesis has been proposed, by insertion of a graft between the plates of the two vertebrae in question. This graft is usually contained in a rigid cage, known as a “fusion cage”.
  • However, this technique does not prevent rotational instability which can compromise, in the medium term, the anticipated antalgic result, and it has now been established that the anterior arthrodesis must be complemented by a posterior arthrodesis.
  • An intervention of this type has limits and disadvantages. It is aimed at severe pathologies which are at an advanced stage and is not without risks, given that the patients are often treated at a relatively late stage in the pathological development. Intervention can further have consequences which are detrimental to adjacent articulations in the medium-term and long-term.
  • For these reasons, techniques known as “non-fusion” techniques have been developed and relate to the early and palliative treatment of degenerative disc/surface phenomena.
  • With regard to the disc space, there have been developed various shock-absorbent implants, which are intended to replace the nucleus pulposus, in the form of pairs of pads or elliptical or spiral elements.
  • These implants are introduced either via an anterior access point, which has the disadvantage of damaging the anterior common vertebral ligament, or via a posterior access point, which has the disadvantage of leading to the sacrifice of a large amount of bone, owing to the space requirement of the implants.
  • Techniques involving percutaneous injection of a colloid which can be polymerised in situ have also been proposed, as have techniques using solid, disc-like prostheses in the form of two metal plates which enclose a shock-absorbent material and which rest on each of the vertebral plates which are adjacent to the disc.
  • These techniques are not completely satisfactory as regards the treatment of disc degeneration combined with wear of the surfaces and/or ligament distension.
  • Devices intended to limit the articular play of the surfaces have also been proposed. A device of this type comprises in particular a continuous woven ligament which is positioned between the spinous processes or along the articular surfaces by means of pedicle screws, and/or a shock-absorbent dividing element which is positioned at the lamina/spinous process junction so as to alleviate the surface play while at the same time stretching the posterior capsule/ligament elements.
  • It has been found that these techniques are also not completely satisfactory with regard to the above-mentioned treatment.
  • The object of the present invention is to overcome this fundamental disadvantage by providing an assembly for stabilizing two adjacent vertebrae which sustain both disc degeneration with ligament distension, as well as possibly wear of the surfaces, this assembly further having to be relatively simple to implant and, in addition, relatively non-invasive.
  • SUMMARY OF THE INVENTION
  • In one embodiment, the present invention provides an implant assembly for implantation between upper and lower spinous processes that advantageously restores the anatomical tension to a supra-spinous posterior ligament extending between the spinous processes. The implant assembly comprises an interspinous implant and a removable clip. The interspinous implant comprises an interspinous portion having an upper surface for engagement with the upper spinous process and a lower surface for engagement with the lower spinous process. The interspinous portion has a thickness between the upper surface and the lower surface sufficient to restore anatomical tension to the supra-spinous posterior ligament. The implant also comprises an upper pair of lugs extending from the interspinous portion for interfacing with the upper spinous process and a lower pair of lugs extending from the interspinous portion in a direction substantially opposite from the upper pair of lugs, the lower pair of lugs for interfacing with the lower spinous process. At least one of the upper pair of lugs and at least one of the lower pair of lugs is movable between an insertion configuration and an retention configuration. The insertion configuration is substantially perpendicular to the retention configuration. The removable clip is for engagement with the relevant lugs to selectively retain the same in the insertion configuration. The implant may comprise a flexible, resilient material to allow motion between the spinous processes and to allow the at least one of the upper and lower lugs to resiliently return to the retention configuration from the implantation configuration. The implant may comprise a casing substantially surrounding the flexible, resilient material, which may advantageously be a woven casing. The relevant lugs are advantageously resiliently biased toward their retention configuration.
  • In another embodiment, the invention provides an implant assembly for implantation between first and second adjacent spinous processes. The assembly comprises an interspinous implant and a clip. The interspinous implant comprises a central body having first and second lateral portions. First and second arms extend from the first lateral portion and third and fourth arms flexibly extend from the second lateral portion. The third arm is moveable relative to the central body between a first position and a second position, and the fourth arm is moveable relative to the central body between a first position and a second position. The third and fourth arms include respective base portions proximate the central body and end portions distal therefrom; wherein the end portions of the third and fourth arms are closer together when the third and fourth arms are in their first positions than in their second positions. The first arm, central body, and third arm form a first saddle for receiving the first spinous process with the third arm in the second position. Likewise, the second arm, central body, and fourth arm form a second saddle for receiving the second spinous process with the fourth arm in the second position. The clip is a retaining clip removably coupled to the implant so as to selectively retain the third and fourth arms in their first positions. The third and fourth arms are advantageously biased toward their second positions. With reference to an axis of the central body, the third and fourth arms, in their first positions, fit within the vertical cross-sectional area of the central body projected onto a plane normal to the axis; but extend outside the vertical cross-sectional area of the central body when in their second positions.
  • Other features and aspects of the inventions(s) are disclosed below. These features and aspects may be used alone or in combination, as is desired.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • FIG. 1 is a side view of two pathological vertebrae which are to be treated by this assembly.
  • FIG. 2 is a perspective view of a posterior implant, which this assembly comprises, according to one embodiment.
  • FIG. 3 is a perspective view of an inter-corporeal implant, which this assembly can comprise, according to one embodiment.
  • FIGS. 4 and 5 are top views of this inter-corporeal implant, during the introduction thereof between the vertebral bodies, by means of an instrument provided to this end, and after being positioned between these vertebral bodies, respectively.
  • FIG. 6 is a side view of the two vertebrae after the two implants have been positioned.
  • FIG. 7 is a view similar to FIG. 5 of an inter-corporeal implant according to another embodiment.
  • FIG. 8 is a sectioned view of an inter-corporeal implant according to yet another embodiment.
  • FIG. 9 is a view of a posterior implant, which this assembly comprises, according to another embodiment, and of two vertebrae, on which this implant is to be positioned.
  • DESCRIPTION OF THE PREFERRED EMBODIMENTS
  • In some embodiments, the assembly comprises a posterior implant and at least one inter-corporeal implant. The shock-absorbent posterior implant is formed to be positioned, via the lateral route, at the lamina/spinous process junction of the two adjacent vertebrae being treated, without resection of the supra-spinous posterior ligament. This posterior implant advantageously has a height such that, when it is positioned, it allows the supra-spinous posterior ligament to be reset at anatomical tension. The shock-absorbent inter-corporeal implant is formed to be inserted between the adjacent vertebral plates of the two vertebrae being treated via the same posterior/lateral route as that used during a dissectomy. This implant advantageously has a height such that, when it is positioned, it allows the anatomical height of the intervertebral disc to be restored and the anterior common ligament to be reset at anatomical tension. In this manner, the assembly not only allows the anatomical spacing of the vertebrae, both between the surfaces and between the vertebral plates, to be re-established, but also allows the anterior common ligament and the supra-spinous posterior ligament to be reset at anatomical tension while preserving the same. The effect of this tensioning is to restore the anatomical ligament “balance” which exists between these ligaments, while at the same time giving back to the disc and the surfaces the anatomical functions thereof such as absorbing shocks with regard to the disc and acting as hinges and of posterior balancing with regard to the surfaces.
  • The posterior implant is positioned directly behind the surfaces at the site of the inter-spinous ligament complex, and can be stressed in terms of both compression and extension. The inter-corporeal implant is itself positioned, preferably as far forwards as possible, along the circumference of the vertebral plates. In this manner, it is positioned where the stresses are at a maximum. The maximum spacing thereof from the posterior implant allows the anterior/posterior ligament balance to be optimally re-established.
  • Therefore, the posterior implant and the inter-corporeal implant have the function of absorbing the stresses, in terms of both compression and extension, which are generated during flexion movements of the vertebral column forwards and backwards. When the vertebral column flexes forwards, the supra-spinous posterior ligament, which is reset at functional tension by the posterior implant, ensures the anatomical function thereof of limiting the movement, which function is optimized and reinforced owing to the relief and the control brought about by the posterior implant, owing to the progressive extension which limits it. At the same time, the inter-corporeal implant provides relief to the defective disc by absorbing the stresses applied in terms of pressure by the superior vertebral body to the lower vertebral body and attenuates the so-called “creep” phenomenon, that is to say, the depression of the disc under the application of pressure. This inter-corporeal implant jointly provides limiting relief which limits the effect of extension which is undergone by the posterior flexible structures. When the vertebral column flexes backwards, the anterior vertebral ligament, which is reset at functional tension by the inter-corporeal implant, ensures the anatomical function thereof of progressively limiting the movement, which function is assisted and reinforced by the extended shock-absorbent implant. At the same time, the posterior implant is compressed and optimizes the play of the surfaces in terms of the function thereof as hinges and of posterior balancing.
  • The action of each implant is consequently advantageously combined with the action of the other implant. Extension of one of the implants is met with compression of the other implant, owing to an interdependent auto-limiting effect.
  • The use of a single access route further allows the intervention to be greatly simplified and the assembly according to the invention to be made extremely non-invasive.
  • Securing means are advantageously provided in order to ensure the continuity of the posterior implant in position, relative to the spinous processes. These securing means can comprise a suitable form of the posterior implant, defining opposed recesses for receiving the spinous processes and conferring on the posterior implant a “diabolo” or “H”-like shape, and/or means for fixing the posterior implant to the spinous processes, such as two independent cords or rigid anchoring pieces, which do not limit the deformability of the implant.
  • The posterior implant can be constituted as a single piece or can be in two parts which can be assembled and which are each brought via one side of the inter-spinous space and are assembled together in this space. When the posterior implant is of a “diabolo” or “H”-like shape and when it is in a single piece, the assembly can comprise a piece which keeps this implant in a deformed state, in which two lateral lugs, which the implant comprises, are brought closer towards each other, in order to allow lateral insertion of the implant between the spinous processes of the vertebrae being treated.
  • The inter-corporeal implant may be formed so as to extend in the anterior lateral zones of the vertebral plates in order to reinforce the lateral stability of the vertebrae and to allow relief of the peripheral annulus fibrosus. It can then have, in particular, a curved shape, in the form of a portion of a ring.
  • The assembly according to the invention may also comprise an inter-corporeal implant which is provided to replace and/or assist the nucleus. This implant can then be of a general “bean” or “omega”-like shape, with a central portion which is extended by two lateral lobes protruding at the posterior side. It can also be in the form of a sphere.
  • The inter-corporeal implant(s) may have a triangular or trapezoidal cross-section and is intended to be implanted with the largest lateral side thereof directed towards the anterior side. This implant, formed in this manner, corresponds to the anatomical inclination of the disc.
  • The inter-corporeal implant(s) can comprise means for ensuring the securing thereof between the vertebral plates. In particular, these means comprise a form of the inter-corporeal implant, which form is adapted to the shape of the vertebral plates and which can secure this inter-corporeal implant between these plates. When the inter-corporeal implant is in the form of a sphere, it can comprise an equatorial lip which reduces the risk of displacement thereof.
  • The posterior implant can comprise a core of shock-absorbent material, such as a silicone, a polyurethane, a hydrophilic polymer, a polycarbonate, or a piece of shape-memory metal, and a casing which surrounds the core. This casing allows the core or the piece to be advantageously protected from friction. The casing can be formed from woven fibers. The inter-corporeal implant can have an identical structure.
  • The positioning of this inter-corporeal implant can be carried out, in particular, by means of an introduction guide tube which is provided with a piston, the implant being engaged, with compression, in the introduction tube and being able to be expelled therefrom by means of the piston.
  • The introduction tube temporarily compresses the implant. This reduction in volume, that is to say, in the space requirement of the implant, makes only surgical access similar to that of a dissectomy necessary, avoiding any destabilizing sacrifice of bone. The tube is introduced into the disc space via the transligamentary posterior/lateral route (LVCP). A semi-rigid guide directs and controls the correct positioning of the inter-corporeal implant before being withdrawn by being passed back through the introduction guide tube.
  • With reference to the non-limiting illustrated embodiments, FIG. 1 shows two vertebrae 2, 3, the intervertebral disc 4 of which has collapsed. This collapse leads to a distension of the supra-spinous posterior ligament 5 and the anterior common ligament 6, excessive stresses on the surfaces 8 in terms of pressure, which can produce lesions thereto, and a risk of contact of the vertebral bodies 7, 9 against each other at the anterior side. In order to treat this pathology, an assembly of two implants 10, 11 acting jointly may be used. For example, a posterior implant 10, which can be seen in FIG. 2, and an inter-corporeal implant 11, which can be seen in FIG. 3, may be used.
  • The posterior implant 10 is formed by a core of silicone which is surrounded by a woven casing, in particular of polyester fibers, which ensures the protection of this core. It has an inter-spinous portion 15 and two pairs of lateral lugs 16 which protrude longitudinally at one side and the other of this portion 15.
  • The portion 15 has a thickness slightly greater than the anatomical inter-spinous space when the vertebrae 2, 3 are in lordosis, so that the portion 15 is slightly compressed by the spinous processes 17 when the implant 10 is positioned at the lamina/spinous process junction. The implant 10 thereby allows, in this position, the supra-spinous posterior ligament 5 to be reset at anatomical tension.
  • The portion 15 is perforated by two transverse channels 20 which are intended to receive, as shown in FIG. 6, two independent cords 21. These cords 21 serve to connect the implant 10 securely to the processes 17. Each cord 21 can be constituted by a braid, one end of which is crimped to the end of a curved insertion needle and the other end of which comprises a ring which is to be crimped to the cord 21 after the cord has been secured tightly to the corresponding process 17.
  • The lugs 16 have substantial heights relative to the total height of the implant 10 in the order of, for the upper and lower lugs, 33% and 40% of the total height, respectively. The internal faces of two lugs 16 of the same pair of lugs are inclined so as to converge towards each other in the direction towards the base of the recess which they together delimit. The lugs 16 further have a relatively large mean thickness relative to the mean width of the implant 10 in the order of, for the upper and lower lugs, 27% and 30% of this mean width, respectively. These lugs 16 allow the securing of the implant 10 between the processes 17 to be ensured in spite of the relative movements of the vertebrae 2,3, in particular the pivoting movements about the axis of the vertebral column.
  • The inter-corporeal implant 11 is also formed by a core of silicone which is surrounded by a woven casing, in particular of polyester fibers, ensuring the protection of this core. It has a curved shape, in the form of a portion of a ring, and is sized so as to extend, after positioning, along a wide anterior portion of the peripheral edges of the vertebral bodies 7, 9. It has a height such that it allows, when it is positioned, the anatomical height of the disc 4 to be restored and the anterior common ligament 6 to be reset at anatomical tension.
  • In practice, an ablation of the inter-spinous ligament complex is carried out via the lateral access route, then the vertebrae 2, 3 are separated and the posterior implant 10 is positioned between the spinous processes 17, directly behind the surfaces 8, that is to say, at the lamina/spinous process junction. The flexibility of the lugs 16 does not inhibit this insertion. The two lugs 16 which are located at the side at which the implant 10 is inserted can be secured in a position turned towards each other in order to facilitate the insertion of the implant 10. Each cord 21 is then engaged through the ring which it comprises and is secured tightly around the corresponding process 17 by sliding through this ring. The ring is then crimped to the cord 21 in order to keep the cord in a position for securing the process 17. The implant 10, being secured in this manner, can be stressed in terms of both compression and extension.
  • The implant 11 is itself inserted between the vertebral plates of the two vertebrae 2, 3 via the same posterior/lateral access route as that used during a dissectomy. As shown by FIG. 4, the positioning of this implant 11 is carried out by means of an instrument 25 which comprises an introduction tube 26 which is provided with a piston 27 and a piston rod 28. The implant 11 is engaged, with compression, in this introduction tube and is expelled therefrom at the moment when it is positioned, by means of the piston 27.
  • The implants 10 and 11 jointly allow the anatomical spacing of the vertebrae 2, 3 to be re-established both between the surfaces 8 and between the vertebral plates, but also allow the anterior common ligament 6 and the supra-spinous posterior ligament 5 to be conserved, with these ligaments being placed at anatomical tension.
  • When the vertebral column flexes forwards, the supra-spinous posterior ligament 5 can then once more ensure the anatomical function thereof of limiting the movement. The implant 10 allows, owing to its ability to be extended, the action of this ligament to be assisted and controlled. Simultaneously, the implant 11 restores the shock-absorbent function of the disc 4 and takes up the stresses applied in terms of pressure by the superior vertebral body 7 on the inferior vertebral body 9, with relief being provided for the peripheral annulus fibrosus. In this manner, it provides progressive absorption of shocks for this superior vertebral body 7, with any risk of contact between the vertebral bodies 7,9 being prevented.
  • When the vertebral column flexes backwards, the anterior vertebral ligament 6 can again ensure the anatomical function thereof of progressively limiting the movement. Simultaneously, the implant 10 is compressed and then assists the surfaces 8 in the function thereof as hinges and of posterior balancing.
  • FIGS. 7 and 8 show that the inter-corporeal implant 11 can also, instead of or in addition to an inter-corporeal implant 11 as illustrated in FIGS. 1 to 6, be provided to replace and/or assist the nucleus. As shown in FIG. 7, it can then have a general “bean” or “omega”-like shape, with a central portion which is extended by two lateral lobes protruding at the posterior side or, as shown in FIG. 8, be in the form of a sphere which is provided with an equatorial lip which reduces the risk of displacement thereof. In the second case, the implant 11 comprises the sphere 11 a and a ring 11 b which forms the lip, the opening of this ring 11 b having a diameter less than that of the sphere 11 a and the sphere 11 a being engaged with deformation through this opening, then being fixed to the ring 11 b.
  • FIG. 9 shows that the posterior implant 10 can have an “H”-like shape and comprise a clip 30 which secures two lateral lugs 10 a of this-implant in a deformed state, in which the lugs 10 a are brought closer towards each other. The clip 30 thereby allows easier lateral insertion of the implant 10 between the spinous processes 17 of the vertebrae 2, 3 being treated, until the non-deformed lugs are brought against the processes 17, and the clip 30 is then withdrawn in order to deploy the lugs 10 a and, in this manner, secure the implant in position.
  • While the invention has been illustrated and described in detail in the drawings and foregoing description, the same is to be considered as illustrative and not restrictive in character, it being understood that only some embodiments have been shown and described and that all changes and modifications that come within the meaning and equivalency range of the appended claims are intended to be embraced therein.

Claims (17)

1. An implant assembly for implantation between upper and lower spinous processes, the spinous processes having a supra-spinous posterior ligament extending therebetween; the implant assembly comprising:
an interspinous implant comprising:
an interspinous portion having an upper surface for engagement with the upper spinous process and a lower surface for engagement with the lower spinous process; the interspinous portion having a thickness between the upper surface and the lower surface sufficient to restore anatomical tension to the supra-spinous posterior ligament;
an upper pair of lugs extending from the interspinous portion for interfacing with the upper spinous process;
a lower pair of lugs extending from the interspinous portion in a direction substantially opposite from the upper pair of lugs, the lower pair of lugs for interfacing with the lower spinous process;
wherein at least one of the upper pair of lugs and at least one of the lower pair of lugs is movable between an insertion configuration and an retention configuration; wherein the insertion configuration for the at least one of the upper and lower lugs is substantially perpendicular to the retention configuration;
a removable clip for engagement with the at least one of the upper pair of lugs and at least one of the lower pair of lugs to selectively retain the same in the insertion configuration.
2. The implant assembly of claim 1 wherein the interspinous implant comprises a flexible, resilient material to allow motion between the spinous processes and to allow the at least one of the upper and lower lugs to resiliently return to the retention configuration from the implantation configuration.
3. The implant assembly of claim 2 wherein the implant comprises a casing substantially surrounding the flexible, resilient material.
4. The implant assembly of claim 3 wherein the casing is a woven casing.
5. The implant assembly of claim 1 wherein the at least one of the upper pair of lugs and at least one of the lower pair of lugs are resiliently biased toward their retention configuration.
6. An interspinous implant for implantation between adjacent spinous processes, the implant comprising:
a central spacer portion having first and second generally opposite lateral sides and a longitudinal axis extending therebetween;
a first flange connected to said spacer portion and disposed transverse thereto on the first lateral side thereof;
a second flange connected to said spacer portion and disposed on the second lateral side thereof; the second flange having a proximal portion nearer the spacer portion and a distal portion farther from the spacer portion;
a third flange connected to said spacer portion and disposed on the second lateral side thereof; the third flange having a proximal portion nearer the spacer portion and a distal portion farther from the spacer portion;
the second and third flanges changeable from a first configuration to a second configuration; wherein, in the first configuration:
the distal portions are disposed relatively farther apart and;
the first and second flanges and the spacer section form a first saddle for receiving a spinous process;
the first and third flanges and the spacer section form a second saddle for receiving a spinous process;
wherein, in the second configuration, the distal portions are disposed relatively closer together;
a retainer selectively engageable with the distal portions to retain the second and third flanges in the second configuration.
7. The implant of claim 6 wherein the second and third flanges are biased toward their first configuration.
8. The implant of claim 6 wherein the first saddle is adapted to receive one of the adjacent spinous processes when the implant is disposed between the adjacent spinous processes with the longitudinal axis of the spacer extending through a sagittal plane defined by the adjacent spinous processes.
9. The implant of claim 6 wherein the first flange comprises a first section and a second section; the first section corresponding to the first saddle and the second section corresponding to the second saddle.
10. The implant of claim 6 wherein said first, second, and third flanges, and the spacer portion, are flexible.
11. The implant of claim 6 wherein the retainer comprises a clip.
12. The implant of claim 6 wherein the spacer portion has a cross-section perpendicular to the longitudinal axis; wherein the second and third flanges, in the second configuration, fit within that cross-section when viewed along the longitudinal axis.
13. The implant assembly of claim 6 wherein the second and third flanges are deflectable between their first and second configurations.
14. The implant assembly of claim 6 wherein said second and third flanges, in their second configurations, are spaced from each other.
15. An interspinous implant comprising:
a central spacer portion having first and second generally opposite lateral sides and a longitudinal axis extending therebetween;
a first flange connected to said spacer portion and disposed transverse thereto on the first lateral side thereof;
a second flange connected to said spacer portion and disposed on the second lateral side thereof;
the second flange comprising a first section and a second section; said first and second sections movable relative to the spacer portion between second more transverse positions and first more parallel positions relative to the spacer portion's longitudinal axis;
a retainer selectively engageable with the first and second sections to retain the first and second sections in the first position;
wherein, in the second positions, the first and second sections of the second flange form first and second saddles, respectively, with the spacer section and the first flange; the saddles adapted to receive respective adjacent spinous processes when the implant is disposed between the adjacent spinous processes with the longitudinal axis of the spacer extending through a sagittal plane defined by the adjacent spinous processes;
wherein the first and second sections of the second flange have a combined height perpendicular to the longitudinal axis in the first positions that is less than in the second positions.
16. The implant of claim 15 wherein the first position is generally parallel to the longitudinal axis.
17. The implant of claim 15 wherein the retainer comprises a C-shaped clip.
US12/248,320 2001-08-08 2008-10-09 Veretebra Stabilizing Assembly Abandoned US20090030523A1 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
FR0110604A FR2828398B1 (en) 2001-08-08 2001-08-08 vertebrae stabilization assembly
FRFR0110604 2001-08-08
PCT/FR2002/002834 WO2003015646A2 (en) 2001-08-08 2002-08-08 Vertebra stabilizing assembly
FRPCT/FR02/02834 2002-08-08
US10/486,046 US7445637B2 (en) 2001-08-08 2002-08-08 Vertebra stabilizing assembly
US12/248,320 US20090030523A1 (en) 2001-08-08 2008-10-09 Veretebra Stabilizing Assembly

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US12/248,320 US20090030523A1 (en) 2001-08-08 2008-10-09 Veretebra Stabilizing Assembly

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US10/486,046 Continuation US7445637B2 (en) 2001-08-08 2002-08-08 Vertebra stabilizing assembly

Publications (1)

Publication Number Publication Date
US20090030523A1 true US20090030523A1 (en) 2009-01-29

Family

ID=8866385

Family Applications (2)

Application Number Title Priority Date Filing Date
US10/486,046 Active 2024-12-13 US7445637B2 (en) 2001-08-08 2002-08-08 Vertebra stabilizing assembly
US12/248,320 Abandoned US20090030523A1 (en) 2001-08-08 2008-10-09 Veretebra Stabilizing Assembly

Family Applications Before (1)

Application Number Title Priority Date Filing Date
US10/486,046 Active 2024-12-13 US7445637B2 (en) 2001-08-08 2002-08-08 Vertebra stabilizing assembly

Country Status (9)

Country Link
US (2) US7445637B2 (en)
EP (1) EP1414358B1 (en)
JP (1) JP4303589B2 (en)
KR (1) KR100747676B1 (en)
CN (1) CN100393286C (en)
AU (1) AU2002337262B2 (en)
CA (1) CA2457019A1 (en)
FR (1) FR2828398B1 (en)
WO (1) WO2003015646A2 (en)

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090306716A1 (en) * 2006-12-08 2009-12-10 Aesculap Ag Implant and implant system
US20100168857A1 (en) * 2008-05-30 2010-07-01 Edwin Burton Hatch Flexibly compliant ceramic prosthetic meniscus for the replacement of damaged cartilage in orthopedic surgical repair or reconstruction of hip, knee, ankle, shoulder, elbow. wrist and other anatomical joints
US8425560B2 (en) 2011-03-09 2013-04-23 Farzad Massoudi Spinal implant device with fixation plates and lag screws and method of implanting
US20130184826A1 (en) * 2011-12-22 2013-07-18 Basix Spine Llc Bioabsorbable enclosures
US8496689B2 (en) 2011-02-23 2013-07-30 Farzad Massoudi Spinal implant device with fusion cage and fixation plates and method of implanting
US9247968B2 (en) 2007-01-11 2016-02-02 Lanx, Inc. Spinous process implants and associated methods
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 (219)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080215058A1 (en) 1997-01-02 2008-09-04 Zucherman James F Spine distraction implant and method
US20080071378A1 (en) * 1997-01-02 2008-03-20 Zucherman James F Spine distraction implant and method
US8128661B2 (en) 1997-01-02 2012-03-06 Kyphon Sarl Interspinous process distraction system and method with positionable wing and method
US7201751B2 (en) 1997-01-02 2007-04-10 St. Francis Medical Technologies, Inc. Supplemental spine fixation device
US6068630A (en) 1997-01-02 2000-05-30 St. Francis Medical Technologies, Inc. Spine distraction implant
US20080086212A1 (en) 1997-01-02 2008-04-10 St. Francis Medical Technologies, Inc. Spine distraction implant
US20050080486A1 (en) 2000-11-29 2005-04-14 Fallin T. Wade Facet joint replacement
US6579319B2 (en) 2000-11-29 2003-06-17 Medicinelodge, Inc. Facet joint replacement
US6419703B1 (en) 2001-03-01 2002-07-16 T. Wade Fallin Prosthesis for the replacement of a posterior element of a vertebra
US7090698B2 (en) 2001-03-02 2006-08-15 Facet Solutions Method and apparatus for spine joint replacement
FR2824261B1 (en) 2001-05-04 2004-05-28 Ldr Medical intervertebral disc prosthesis and method and implementation tools
US6793678B2 (en) 2002-06-27 2004-09-21 Depuy Acromed, Inc. Prosthetic intervertebral motion disc having dampening
FR2844179B1 (en) 2002-09-10 2004-12-03 Jean Taylor support assembly posterior vertebral
US20080021468A1 (en) 2002-10-29 2008-01-24 Zucherman James F Interspinous process implants and methods of use
US7306628B2 (en) 2002-10-29 2007-12-11 St. Francis Medical Technologies Interspinous process apparatus and method with a selectably expandable spacer
US7833246B2 (en) 2002-10-29 2010-11-16 Kyphon SÀRL Interspinous process and sacrum implant and method
FR2850009B1 (en) * 2003-01-20 2005-12-23 Spine Next Sa processing the complete degeneration of an intervertebral disc
US7335203B2 (en) 2003-02-12 2008-02-26 Kyphon Inc. System and method for immobilizing adjacent spinous processes
US8070778B2 (en) 2003-05-22 2011-12-06 Kyphon Sarl Interspinous process implant with slide-in distraction piece and method of implantation
US7549999B2 (en) 2003-05-22 2009-06-23 Kyphon Sarl Interspinous process distraction implant and method of implantation
US8048117B2 (en) 2003-05-22 2011-11-01 Kyphon Sarl Interspinous process implant and method of implantation
US8419770B2 (en) 2003-12-10 2013-04-16 Gmedelaware 2 Llc Spinal facet implants with mating articulating bearing surface and methods of use
US7588578B2 (en) 2004-06-02 2009-09-15 Facet Solutions, Inc Surgical measurement systems and methods
US8562649B2 (en) 2004-02-17 2013-10-22 Gmedelaware 2 Llc System and method for multiple level facet joint arthroplasty and fusion
US7553320B2 (en) * 2003-12-10 2009-06-30 Warsaw Orthopedic, Inc. Method and apparatus for replacing the function of facet joints
FR2865629B1 (en) 2004-02-04 2007-01-26 Ldr Medical Prothese of intervertebral disc
US8523904B2 (en) 2004-03-09 2013-09-03 The Board Of Trustees Of The Leland Stanford Junior University Methods and systems for constraint of spinous processes with attachment
US7458981B2 (en) 2004-03-09 2008-12-02 The Board Of Trustees Of The Leland Stanford Junior University Spinal implant and method for restricting spinal flexion
KR100701573B1 (en) 2004-05-17 2007-03-30 (주)우리들척추건강 Spine Insert
US7585316B2 (en) * 2004-05-21 2009-09-08 Warsaw Orthopedic, Inc. Interspinous spacer
FR2870719B1 (en) * 2004-05-27 2007-09-21 Spine Next Sa Spinal Arthroplasty System
US7909853B2 (en) 2004-09-23 2011-03-22 Kyphon Sarl Interspinous process implant including a binder and method of implantation
US8012209B2 (en) 2004-09-23 2011-09-06 Kyphon Sarl Interspinous process implant including a binder, binder aligner and method of implantation
EP2219538A4 (en) 2004-12-06 2012-12-26 Vertiflex Inc Spacer insertion instrument
US8123782B2 (en) 2004-10-20 2012-02-28 Vertiflex, Inc. Interspinous spacer
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
US8613747B2 (en) 2004-10-20 2013-12-24 Vertiflex, Inc. Spacer insertion instrument
US8128662B2 (en) 2004-10-20 2012-03-06 Vertiflex, Inc. Minimally invasive tooling for delivery of 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
US8123807B2 (en) 2004-10-20 2012-02-28 Vertiflex, Inc. 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
US8012207B2 (en) 2004-10-20 2011-09-06 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8273108B2 (en) 2004-10-20 2012-09-25 Vertiflex, Inc. Interspinous spacer
US8425559B2 (en) 2004-10-20 2013-04-23 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8409282B2 (en) 2004-10-20 2013-04-02 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US9119680B2 (en) 2004-10-20 2015-09-01 Vertiflex, Inc. Interspinous spacer
US8277488B2 (en) 2004-10-20 2012-10-02 Vertiflex, Inc. Interspinous spacer
US8945183B2 (en) 2004-10-20 2015-02-03 Vertiflex, Inc. Interspinous process spacer instrument system with deployment indicator
US9161783B2 (en) 2004-10-20 2015-10-20 Vertiflex, Inc. Interspinous spacer
US8043335B2 (en) 2005-02-17 2011-10-25 Kyphon Sarl Percutaneous spinal implants and methods
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
US8845726B2 (en) 2006-10-18 2014-09-30 Vertiflex, Inc. Dilator
US7927354B2 (en) 2005-02-17 2011-04-19 Kyphon Sarl Percutaneous spinal implants and methods
US7763074B2 (en) 2004-10-20 2010-07-27 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
FR2879436B1 (en) 2004-12-22 2007-03-09 Ldr Medical Prothese of intervertebral disc
US8092459B2 (en) 2005-02-17 2012-01-10 Kyphon Sarl Percutaneous spinal implants and methods
US8034080B2 (en) 2005-02-17 2011-10-11 Kyphon Sarl Percutaneous spinal implants and methods
US8096994B2 (en) 2005-02-17 2012-01-17 Kyphon Sarl Percutaneous spinal implants and methods
US8007521B2 (en) 2005-02-17 2011-08-30 Kyphon Sarl Percutaneous spinal implants and methods
US8096995B2 (en) 2005-02-17 2012-01-17 Kyphon Sarl Percutaneous spinal implants and methods
US7998208B2 (en) 2005-02-17 2011-08-16 Kyphon Sarl Percutaneous spinal implants and methods
US8029567B2 (en) 2005-02-17 2011-10-04 Kyphon Sarl Percutaneous spinal implants and methods
US8057513B2 (en) 2005-02-17 2011-11-15 Kyphon Sarl Percutaneous spinal implants and methods
US7993342B2 (en) 2005-02-17 2011-08-09 Kyphon Sarl Percutaneous spinal implants and methods
US20070276493A1 (en) 2005-02-17 2007-11-29 Malandain Hugues F Percutaneous spinal implants and methods
US7998174B2 (en) 2005-02-17 2011-08-16 Kyphon Sarl Percutaneous spinal implants and methods
US8038698B2 (en) 2005-02-17 2011-10-18 Kphon Sarl Percutaneous spinal implants and methods
US8157841B2 (en) 2005-02-17 2012-04-17 Kyphon Sarl Percutaneous spinal implants and methods
US8097018B2 (en) 2005-02-17 2012-01-17 Kyphon Sarl Percutaneous spinal implants and methods
US7988709B2 (en) 2005-02-17 2011-08-02 Kyphon Sarl Percutaneous spinal implants and methods
US8100943B2 (en) 2005-02-17 2012-01-24 Kyphon Sarl Percutaneous spinal implants and methods
US20070276373A1 (en) * 2005-02-17 2007-11-29 Malandain Hugues F Percutaneous Spinal Implants and Methods
US7993373B2 (en) 2005-02-22 2011-08-09 Hoy Robert W Polyaxial orthopedic fastening apparatus
US7604654B2 (en) 2005-02-22 2009-10-20 Stryker Spine Apparatus and method for dynamic vertebral stabilization
US8333789B2 (en) 2007-01-10 2012-12-18 Gmedelaware 2 Llc Facet joint replacement
US7722647B1 (en) 2005-03-14 2010-05-25 Facet Solutions, Inc. Apparatus and method for posterior vertebral stabilization
US8147548B2 (en) 2005-03-21 2012-04-03 Kyphon Sarl Interspinous process implant having a thread-shaped wing and method of implantation
US7749252B2 (en) * 2005-03-21 2010-07-06 Kyphon Sarl Interspinous process implant having deployable wing and method of implantation
US8764801B2 (en) 2005-03-28 2014-07-01 Gmedelaware 2 Llc Facet joint implant crosslinking apparatus and method
US7758581B2 (en) 2005-03-28 2010-07-20 Facet Solutions, Inc. Polyaxial reaming apparatus and method
US20060241757A1 (en) * 2005-03-31 2006-10-26 Sdgi Holdings, Inc. Intervertebral prosthetic device for spinal stabilization and method of manufacturing same
US8066742B2 (en) 2005-03-31 2011-11-29 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
EP1871253B1 (en) 2005-04-08 2015-09-16 Paradigm Spine, LLC Interspinous vertebral and lumbosacral stabilization devices
US7862590B2 (en) 2005-04-08 2011-01-04 Warsaw Orthopedic, Inc. Interspinous process spacer
US7780709B2 (en) 2005-04-12 2010-08-24 Warsaw Orthopedic, Inc. Implants and methods for inter-transverse process dynamic stabilization of a spinal motion segment
US8034079B2 (en) * 2005-04-12 2011-10-11 Warsaw Orthopedic, Inc. Implants and methods for posterior dynamic stabilization of a spinal motion segment
US20060235386A1 (en) * 2005-04-14 2006-10-19 Sdgi Holdings, Inc. Magnetic manipulation of a cable in blind approach
US7789898B2 (en) 2005-04-15 2010-09-07 Warsaw Orthopedic, Inc. Transverse process/laminar spacer
US7959652B2 (en) 2005-04-18 2011-06-14 Kyphon Sarl Interspinous process implant having deployable wings and method of implantation
US7727233B2 (en) 2005-04-29 2010-06-01 Warsaw Orthopedic, Inc. Spinous process stabilization devices and methods
US20060247634A1 (en) * 2005-05-02 2006-11-02 Warner Kenneth D Spinous Process Spacer Implant and Technique
US7658752B2 (en) * 2005-06-10 2010-02-09 DePay Spine, Inc. Posterior dynamic stabilization x-device
US7686806B2 (en) * 2005-06-15 2010-03-30 Stryker Spine Anterior cervical plate
FR2887434B1 (en) 2005-06-28 2008-03-28 Jean Taylor Surgical treatment equipment two vertebrae
FR2889438B1 (en) * 2005-08-04 2008-06-06 Scient X Sa Intervertebral implant has double form
CN103169533B (en) 2005-09-27 2015-07-15 帕拉迪格脊骨有限责任公司 Interspinous vertebral stabilization device
US8267970B2 (en) 2005-10-25 2012-09-18 Depuy Spine, Inc. Laminar hook spring
US8357181B2 (en) 2005-10-27 2013-01-22 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
US8137385B2 (en) 2005-10-31 2012-03-20 Stryker Spine System and method for dynamic vertebral stabilization
US7862591B2 (en) 2005-11-10 2011-01-04 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
FR2893838B1 (en) 2005-11-30 2008-08-08 Ldr Medical Soc Par Actions Si intervertebral disk prosthesis and instrumentation for inserting the prosthesis between the vertebrae
KR100850323B1 (en) 2005-12-27 2008-08-18 이상호 Spine Insert
US7922745B2 (en) * 2006-01-09 2011-04-12 Zimmer Spine, Inc. Posterior dynamic stabilization of the spine
US20070168039A1 (en) * 2006-01-13 2007-07-19 Sdgi Holdings, Inc. Materials, devices and methods for treating multiple spinal regions including vertebral body and endplate regions
US20070173822A1 (en) * 2006-01-13 2007-07-26 Sdgi Holdings, Inc. Use of a posterior dynamic stabilization system with an intradiscal device
US20070173820A1 (en) * 2006-01-13 2007-07-26 Sdgi Holdings, Inc. Materials, devices, and methods for treating multiple spinal regions including the anterior region
US20070168038A1 (en) * 2006-01-13 2007-07-19 Sdgi Holdings, Inc. Materials, devices and methods for treating multiple spinal regions including the interbody region
US20070173821A1 (en) * 2006-01-13 2007-07-26 Sdgi Holdings, Inc. Materials, devices, and methods for treating multiple spinal regions including the posterior and spinous process regions
US8083795B2 (en) 2006-01-18 2011-12-27 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of manufacturing same
US20070173823A1 (en) 2006-01-18 2007-07-26 Sdgi Holdings, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
US20070233084A1 (en) * 2006-01-25 2007-10-04 Spinemedica Corporation Implantable spinous process prosthetic devices, including cuffs, and methods of fabricating same
US7691130B2 (en) 2006-01-27 2010-04-06 Warsaw Orthopedic, Inc. Spinal implants including a sensor and methods of use
US7682376B2 (en) 2006-01-27 2010-03-23 Warsaw Orthopedic, Inc. Interspinous devices and methods of use
US7837711B2 (en) 2006-01-27 2010-11-23 Warsaw Orthopedic, Inc. Artificial spinous process for the sacrum and methods of use
US7815663B2 (en) 2006-01-27 2010-10-19 Warsaw Orthopedic, Inc. Vertebral rods and methods of use
US7578849B2 (en) 2006-01-27 2009-08-25 Warsaw Orthopedic, Inc. Intervertebral implants and methods of use
US20070213822A1 (en) * 2006-02-14 2007-09-13 Sdgi Holdings, Inc. Treatment of the vertebral column
WO2007098423A2 (en) 2006-02-17 2007-08-30 Paradigm Spine, L.L.C. Method and system for performing interspinous space preparation for receiving an implant
US8262698B2 (en) * 2006-03-16 2012-09-11 Warsaw Orthopedic, Inc. Expandable device for insertion between anatomical structures and a procedure utilizing same
US7985246B2 (en) 2006-03-31 2011-07-26 Warsaw Orthopedic, Inc. Methods and instruments for delivering interspinous process spacers
KR100778542B1 (en) * 2006-04-04 2007-11-28 재단법인서울대학교산학협력재단 Laminal Spacer in Use for Laminoplasty of Cervical Spine
US20070270959A1 (en) * 2006-04-18 2007-11-22 Sdgi Holdings, Inc. Arthroplasty device
US8118844B2 (en) 2006-04-24 2012-02-21 Warsaw Orthopedic, Inc. Expandable device for insertion between anatomical structures and a procedure utilizing same
US7846185B2 (en) 2006-04-28 2010-12-07 Warsaw Orthopedic, Inc. Expandable interspinous process implant and method of installing same
US8048118B2 (en) 2006-04-28 2011-11-01 Warsaw Orthopedic, Inc. Adjustable interspinous process brace
US20070270823A1 (en) 2006-04-28 2007-11-22 Sdgi Holdings, Inc. Multi-chamber expandable interspinous process brace
US8348978B2 (en) 2006-04-28 2013-01-08 Warsaw Orthopedic, Inc. Interosteotic implant
DE102007018860A1 (en) * 2006-04-28 2007-10-31 Paradigm Spine, Llc Surgical instrument e.g. forceps, for implanting implantable interspinal device, has guide component connected with elongated sections in hinge area, such that component is held in fixed symmetrical position with respect to surface areas
US8105357B2 (en) 2006-04-28 2012-01-31 Warsaw Orthopedic, Inc. Interspinous process brace
US8252031B2 (en) 2006-04-28 2012-08-28 Warsaw Orthopedic, Inc. Molding device for an expandable interspinous process implant
US8062337B2 (en) 2006-05-04 2011-11-22 Warsaw Orthopedic, Inc. Expandable device for insertion between anatomical structures and a procedure utilizing same
WO2007134113A2 (en) * 2006-05-09 2007-11-22 Raymedica, Llc Systems and methods for stabilizing a functional spinal unit
US8002837B2 (en) 2006-05-19 2011-08-23 Pioneer Surgical Technology Spinal stabilization device and methods
US20070276496A1 (en) 2006-05-23 2007-11-29 Sdgi Holdings, Inc. Surgical spacer with shape control
US8147517B2 (en) 2006-05-23 2012-04-03 Warsaw Orthopedic, Inc. Systems and methods for adjusting properties of a spinal implant
KR100811210B1 (en) * 2006-06-12 2008-03-07 주식회사 바이오스마트 Spacer for use in a surgical operation for spinous process of spine
US8048119B2 (en) 2006-07-20 2011-11-01 Warsaw Orthopedic, Inc. Apparatus for insertion between anatomical structures and a procedure utilizing same
US20080058932A1 (en) * 2006-07-26 2008-03-06 Warsaw Orthopedic Inc. Rigidization-on-command orthopedic devices and methods
US20080086115A1 (en) 2006-09-07 2008-04-10 Warsaw Orthopedic, Inc. Intercostal spacer device and method for use in correcting a spinal deformity
US9017388B2 (en) * 2006-09-14 2015-04-28 Warsaw Orthopedic, Inc. Methods for correcting spinal deformities
US8187307B2 (en) 2006-10-19 2012-05-29 Simpirica Spine, Inc. Structures and methods for constraining spinal processes with single connector
US8162982B2 (en) 2006-10-19 2012-04-24 Simpirica Spine, Inc. Methods and systems for constraint of multiple spine segments
US8029541B2 (en) 2006-10-19 2011-10-04 Simpirica Spine, Inc. Methods and systems for laterally stabilized constraint of spinous processes
FR2907329B1 (en) * 2006-10-20 2009-02-27 Jean Taylor Interspinous spinal prosthesis
US8097019B2 (en) * 2006-10-24 2012-01-17 Kyphon Sarl Systems and methods for in situ assembly of an interspinous process distraction implant
FR2908035B1 (en) 2006-11-08 2009-05-01 Jean Taylor interspinous implant
US20080114357A1 (en) * 2006-11-15 2008-05-15 Warsaw Orthopedic, Inc. Inter-transverse process spacer device and method for use in correcting a spinal deformity
US7879104B2 (en) 2006-11-15 2011-02-01 Warsaw Orthopedic, Inc. Spinal implant system
AR064013A1 (en) 2006-11-30 2009-03-04 Paradigm Spine Llc Spinal stabilization system, interlaminar, interspinous
US7955392B2 (en) 2006-12-14 2011-06-07 Warsaw Orthopedic, Inc. Interspinous process devices and methods
US20080167685A1 (en) * 2007-01-05 2008-07-10 Warsaw Orthopedic, Inc. System and Method For Percutanously Curing An Implantable Device
JP2010515543A (en) 2007-01-10 2010-05-13 ファセット ソリューションズ インコーポレイテッド Taper lock fixed system
US8075596B2 (en) * 2007-01-12 2011-12-13 Warsaw Orthopedic, Inc. Spinal prosthesis systems
US8034081B2 (en) 2007-02-06 2011-10-11 CollabComl, LLC Interspinous dynamic stabilization implant and method of implanting
EP2117470B1 (en) 2007-02-06 2013-03-06 Pioneer Surgical Technology, Inc. Intervertebral implant devices
US8465546B2 (en) 2007-02-16 2013-06-18 Ldr Medical Intervertebral disc prosthesis insertion assemblies
WO2008106140A2 (en) 2007-02-26 2008-09-04 Abdou M Samy Spinal stabilization systems and methods of use
CA2684461C (en) 2007-04-16 2015-06-30 Vertiflex Inc. Interspinous spacer
US8142479B2 (en) 2007-05-01 2012-03-27 Spinal Simplicity Llc Interspinous process implants having deployable engagement arms
EP2142146A4 (en) 2007-05-01 2010-12-01 Spinal Simplicity Llc Interspinous implants and methods for implanting same
JP5226066B2 (en) 2007-05-01 2013-07-03 スパイナル シンプリシティ エルエルシーSpinal Simplicity LLC Interspinous implants and methods for embedding it
US8840646B2 (en) 2007-05-10 2014-09-23 Warsaw Orthopedic, Inc. Spinous process implants and methods
JP2010530780A (en) 2007-06-22 2010-09-16 シンピライカ スパイン, インコーポレイテッド Method and device for the controlled bending limit spinal segment
US20100036424A1 (en) 2007-06-22 2010-02-11 Simpirica Spine, Inc. Methods and systems for increasing the bending stiffness and constraining the spreading of a spinal segment
US8900307B2 (en) 2007-06-26 2014-12-02 DePuy Synthes Products, LLC Highly lordosed fusion cage
US8348976B2 (en) 2007-08-27 2013-01-08 Kyphon Sarl Spinous-process implants and methods of using the same
US20090093883A1 (en) * 2007-10-05 2009-04-09 Mauricio Rodolfo Carrasco Interspinous implant
US8343164B2 (en) * 2007-10-23 2013-01-01 K2M, Inc. Implant insertion tool
EP2074956B1 (en) 2007-12-28 2012-06-27 Biedermann Technologies GmbH & Co. KG Implant for stabilizing vertebrae or bones
CA2711955C (en) 2008-01-15 2016-05-17 Vertiflex, Inc. Interspinous spacer
US8105358B2 (en) 2008-02-04 2012-01-31 Kyphon Sarl Medical implants and methods
US8449554B2 (en) * 2008-03-07 2013-05-28 K2M, Inc. Intervertebral implant and instrument with removable section
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
AU2009231637A1 (en) 2008-04-05 2009-10-08 Synthes Gmbh Expandable intervertebral implant
US9398926B2 (en) * 2008-05-05 2016-07-26 Industrial Technology Research Institute Interspinous stabilization device
US8617215B2 (en) * 2008-05-14 2013-12-31 Warsaw Orthopedic, Inc. Connecting element and system for flexible spinal stabilization
EP2326267B1 (en) 2008-06-06 2018-04-25 Empirical Spine, Inc. Apparatus for locking an implantable band
US8187305B2 (en) 2008-06-06 2012-05-29 Simpirica Spine, Inc. Methods and apparatus for deploying spinous process constraints
EP2296567B1 (en) 2008-06-06 2014-03-12 Simpirica Spine, Inc. Apparatus for locking a band
EP2430995B1 (en) * 2008-08-08 2016-03-30 Alphatec Spine, Inc. Spinous process device
ES2523801T3 (en) 2008-09-03 2014-12-01 Simpirica Spine, Inc. Apparatus for coupling a prosthesis to a spinal segment
US8114131B2 (en) 2008-11-05 2012-02-14 Kyphon Sarl Extension limiting devices and methods of use for the spine
KR101013094B1 (en) * 2008-11-07 2011-02-14 신재혁 Device for supporting spinous process and method for fixation the same
US8114135B2 (en) 2009-01-16 2012-02-14 Kyphon Sarl Adjustable surgical cables and methods for treating spinal stenosis
EP2395931A4 (en) 2009-02-02 2013-10-30 Simpirica Spine Inc Sacral tether anchor and methods of use
WO2010104935A1 (en) * 2009-03-10 2010-09-16 Simpirica Spine, Inc. Surgical tether apparatus and methods of use
US8562653B2 (en) 2009-03-10 2013-10-22 Simpirica Spine, Inc. Surgical tether apparatus and methods of use
EP2405840A4 (en) 2009-03-10 2013-12-11 Simpirica Spine Inc Surgical tether apparatus and methods of use
US9861399B2 (en) 2009-03-13 2018-01-09 Spinal Simplicity, Llc Interspinous process implant having a body with a removable end portion
US8945184B2 (en) * 2009-03-13 2015-02-03 Spinal Simplicity Llc. Interspinous process implant and fusion cage spacer
WO2010114853A1 (en) 2009-03-30 2010-10-07 Simpirica Spine, Inc. Methods and apparatus for improving shear loading capacity of a spinal segment
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
WO2011006081A1 (en) 2009-07-09 2011-01-13 R Tree Innovations, Llc Flexible inter-body implant
US20110040332A1 (en) * 2009-08-11 2011-02-17 Interventional Spine, Inc. Spinous process spacer and implantation procedure
US8480748B2 (en) * 2010-10-07 2013-07-09 Nicholas Poulos Lordotic expandable interbody implant and method
US20110098817A1 (en) * 2009-10-28 2011-04-28 Warsaw Orthopedic, Inc. Sacro-iliac joint implant system and method
US8771317B2 (en) 2009-10-28 2014-07-08 Warsaw Orthopedic, Inc. Interspinous process implant and method of implantation
US8795335B1 (en) * 2009-11-06 2014-08-05 Samy Abdou Spinal fixation devices and methods of use
US8764806B2 (en) 2009-12-07 2014-07-01 Samy Abdou Devices and methods for minimally invasive spinal stabilization and instrumentation
US8740948B2 (en) 2009-12-15 2014-06-03 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
US8147526B2 (en) 2010-02-26 2012-04-03 Kyphon Sarl Interspinous process spacer diagnostic parallel balloon catheter and methods of use
DE202010017255U1 (en) 2010-03-15 2011-05-26 Karl Storz GmbH & Co. KG, 78532 An endoscopic instrument with a heater for the final window
US8979860B2 (en) 2010-06-24 2015-03-17 DePuy Synthes Products. LLC Enhanced cage insertion device
US8814908B2 (en) 2010-07-26 2014-08-26 Warsaw Orthopedic, Inc. Injectable flexible interspinous process device system
EP2624774A4 (en) 2010-10-06 2014-01-15 Simpirica Spine Inc Device and accessories for limiting flexion
US9358122B2 (en) 2011-01-07 2016-06-07 K2M, Inc. Interbody spacer
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
FR2977139B1 (en) 2011-06-30 2014-08-22 Ldr Medical interspinous implant and implantation instrument
WO2014018098A1 (en) 2012-07-26 2014-01-30 DePuy Synthes Products, LLC Expandable implant
US20140067069A1 (en) 2012-08-30 2014-03-06 Interventional Spine, Inc. Artificial disc
US9757164B2 (en) 2013-01-07 2017-09-12 Spinal Simplicity Llc Interspinous process implant having deployable anchor blades
US9522070B2 (en) 2013-03-07 2016-12-20 Interventional Spine, Inc. Intervertebral implant
US9675303B2 (en) 2013-03-15 2017-06-13 Vertiflex, Inc. Visualization systems, instruments and methods of using the same in spinal decompression procedures
US9913727B2 (en) 2015-07-02 2018-03-13 Medos International Sarl Expandable implant

Citations (97)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2677369A (en) * 1952-03-26 1954-05-04 Fred L Knowles Apparatus for treatment of the spinal column
US3648691A (en) * 1970-02-24 1972-03-14 Univ Colorado State Res Found Method of applying vertebral appliance
US3867728A (en) * 1971-12-30 1975-02-25 Cutter Lab Prosthesis for spinal repair
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
US4573454A (en) * 1984-05-17 1986-03-04 Hoffman Gregory A Spinal fixation apparatus
US4604995A (en) * 1984-03-30 1986-08-12 Stephens David C Spinal stabilizer
US4643178A (en) * 1984-04-23 1987-02-17 Fabco Medical Products, Inc. Surgical wire and method for the use thereof
US4657550A (en) * 1984-12-21 1987-04-14 Daher Youssef H Buttressing device usable in a vertebral prosthesis
US4686970A (en) * 1983-12-15 1987-08-18 A. W. Showell (Surgicraft) Limited Devices for spinal fixation
US4827918A (en) * 1985-08-15 1989-05-09 Sven Olerud Fixing instrument for use in spinal surgery
US4863476A (en) * 1986-08-29 1989-09-05 Shepperd John A N Spinal implant
US4931055A (en) * 1986-05-30 1990-06-05 John Bumpus Distraction rods
US5011484A (en) * 1987-11-16 1991-04-30 Breard Francis H Surgical implant for restricting the relative movement of vertebrae
US5047055A (en) * 1990-12-21 1991-09-10 Pfizer Hospital Products Group, Inc. Hydrogel intervertebral disc nucleus
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
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
US5415661A (en) * 1993-03-24 1995-05-16 University Of Miami Implantable spinal assist device
US5437672A (en) * 1992-11-12 1995-08-01 Alleyne; Neville Spinal cord protection device
US5496318A (en) * 1993-01-08 1996-03-05 Advanced Spine Fixation Systems, Inc. Interspinous segmental spine fixation device
US5518498A (en) * 1992-10-09 1996-05-21 Angiomed Ag Stent set
US5554191A (en) * 1994-01-26 1996-09-10 Biomat Intersomatic vertebral cage
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
US5628756A (en) * 1993-01-06 1997-05-13 Smith & Nephew Richards Inc. Knotted cable attachment apparatus formed of braided polymeric fibers
US5645599A (en) * 1994-07-26 1997-07-08 Fixano Interspinal vertebral implant
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
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
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
US6068630A (en) * 1997-01-02 2000-05-30 St. Francis Medical Technologies, Inc. Spine distraction 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
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
US6375682B1 (en) * 2001-08-06 2002-04-23 Lewis W. Fleischmann Collapsible, rotatable and expandable spinal hydraulic prosthetic device
US6402750B1 (en) * 2000-04-04 2002-06-11 Spinlabs, Llc Devices and methods for the treatment of spinal disorders
US6419704B1 (en) * 1999-10-08 2002-07-16 Bret Ferree Artificial intervertebral disc replacement methods and apparatus
US6440169B1 (en) * 1998-02-10 2002-08-27 Dimso Interspinous stabilizer to be fixed to spinous processes of two vertebrae
US6520991B2 (en) * 1999-05-11 2003-02-18 Donald R. Huene Expandable implant for inter-vertebral stabilization, and a method of stabilizing vertebrae
US6554833B2 (en) * 1998-10-26 2003-04-29 Expanding Orthopedics, Inc. Expandable orthopedic device
US6582467B1 (en) * 2000-10-31 2003-06-24 Vertelink Corporation Expandable fusion cage
US6582433B2 (en) * 2001-04-09 2003-06-24 St. Francis Medical Technologies, Inc. Spine fixation device and method
US20030153915A1 (en) * 2002-02-08 2003-08-14 Showa Ika Kohgyo Co., Ltd. Vertebral body distance retainer
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
US6723126B1 (en) * 2002-11-01 2004-04-20 Sdgi Holdings, Inc. Laterally expandable cage
US6730126B2 (en) * 2000-11-13 2004-05-04 Frank H. Boehm, Jr. Device and method for lumbar interbody fusion
US6733534B2 (en) * 2002-01-29 2004-05-11 Sdgi Holdings, Inc. System and method for spine spacing
US6736818B2 (en) * 1999-11-11 2004-05-18 Synthes (U.S.A.) Radially expandable intramedullary nail
US20040097931A1 (en) * 2002-10-29 2004-05-20 Steve Mitchell Interspinous process and sacrum implant and method
US6758863B2 (en) * 2000-10-25 2004-07-06 Sdgi Holdings, Inc. Vertically expanding intervertebral body fusion device
US20040133204A1 (en) * 2001-01-27 2004-07-08 Davies John Bruce Clayfield Expandable bone nails
US6761720B1 (en) * 1999-10-15 2004-07-13 Spine Next Intervertebral implant
US20040167625A1 (en) * 1999-01-27 2004-08-26 Disc-O-Tech Orthopedic Technologies Inc. Spacer filler
US20050010293A1 (en) * 2003-05-22 2005-01-13 Zucherman James F. Distractible interspinous process implant and method of implantation
US6905512B2 (en) * 1998-12-14 2005-06-14 Phoenix Biomedical Corporation System for stabilizing the vertebral column including deployment instruments and variable expansion inserts therefore
US20050165398A1 (en) * 2004-01-26 2005-07-28 Reiley Mark A. Percutaneous spine distraction implant systems and methods
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
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
US7011685B2 (en) * 2003-11-07 2006-03-14 Impliant Ltd. Spinal prostheses
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
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
US20060084987A1 (en) * 2004-10-20 2006-04-20 Kim Daniel H 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
US20060089654A1 (en) * 2004-10-25 2006-04-27 Lins Robert E Interspinous distraction devices and associated methods of insertion
US20060089719A1 (en) * 2004-10-21 2006-04-27 Trieu Hai H In situ formation of intervertebral disc implants
US7041136B2 (en) * 2000-11-29 2006-05-09 Facet Solutions, Inc. Facet joint replacement
US20060106397A1 (en) * 2004-10-25 2006-05-18 Lins Robert E Interspinous distraction devices and associated methods of insertion
US20060106381A1 (en) * 2004-11-18 2006-05-18 Ferree Bret A Methods and apparatus for treating spinal stenosis
US7048736B2 (en) * 2002-05-17 2006-05-23 Sdgi Holdings, Inc. Device for fixation of spinous processes
US20060111728A1 (en) * 2004-10-05 2006-05-25 Abdou M S Devices and methods for inter-vertebral orthopedic device placement
US20060116690A1 (en) * 2004-02-12 2006-06-01 Pagano Paul J Surgical instrumentation and method for treatment of a spinal structure
US20060122620A1 (en) * 2004-10-20 2006-06-08 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for stabilizing the motion or adjusting the position of the spine
US20060136060A1 (en) * 2002-09-10 2006-06-22 Jean Taylor Posterior vertebral support assembly
US20060149278A1 (en) * 2004-11-24 2006-07-06 Abdou Amy M Devices and methods for inter-vertebral orthopedic device placement
US7081120B2 (en) * 1999-04-26 2006-07-25 Sdgi Holdings, Inc. Instrumentation and method for delivering an implant into a vertebral space
US7087083B2 (en) * 2001-03-13 2006-08-08 Abbott Spine Self locking fixable intervertebral implant
US20060184248A1 (en) * 2005-02-17 2006-08-17 Edidin Avram A Percutaneous spinal implants and methods
US20060184247A1 (en) * 2005-02-17 2006-08-17 Edidin Avram A Percutaneous spinal implants and methods
US20060195102A1 (en) * 2005-02-17 2006-08-31 Malandain Hugues F Apparatus and method for treatment of spinal conditions
US7163558B2 (en) * 2001-11-30 2007-01-16 Abbott Spine Intervertebral implant with elastically deformable wedge
US7201751B2 (en) * 1997-01-02 2007-04-10 St. Francis Medical Technologies, Inc. Supplemental spine fixation device
US7217293B2 (en) * 2003-11-21 2007-05-15 Warsaw Orthopedic, Inc. Expandable spinal implant
US7238204B2 (en) * 2000-07-12 2007-07-03 Abbott Spine Shock-absorbing intervertebral implant
US20070151116A1 (en) * 2005-07-12 2007-07-05 Malandain Hugues F Measurement instrument for percutaneous surgery

Family Cites Families (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB8718627D0 (en) * 1987-08-06 1987-09-09 Showell A W Sugicraft Ltd Spinal implants
DE3922203C1 (en) * 1989-07-06 1990-10-25 Martin Nolde A surgical instrument for implanting a prosthetic disc nucleus
US5192326A (en) 1990-12-21 1993-03-09 Pfizer Hospital Products Group, Inc. Hydrogel bead intervertebral disc nucleus
JP3350080B2 (en) * 1992-01-31 2002-11-25 京セラ株式会社 Artificial vertebral body spacer
EP0873718A3 (en) * 1995-04-28 1998-11-04 Gazzani, Romolo Igino Devices for osteosynthesis
FR2775183B1 (en) * 1998-02-20 2000-08-04 Jean Taylor Inter-thorny Prothese
WO2000053126A1 (en) * 1999-03-10 2000-09-14 Aesculap Ag & Co. Kg Implant for fixing an articulated joint
US6805697B1 (en) 1999-05-07 2004-10-19 University Of Virginia Patent Foundation Method and system for fusing a spinal region
CN2419949Y (en) 1999-06-18 2001-02-21 北京英维特医疗设备技术开发有限公司 Intervertebral fusion device
CN1199616C (en) 2000-01-14 2005-05-04 王超然 Spine fixating repositor
WO2004043271A1 (en) 2002-11-08 2004-05-27 Sdgi Holdings, Inc. Transpedicular intervertebral disk access methods and devices

Patent Citations (99)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2677369A (en) * 1952-03-26 1954-05-04 Fred L Knowles Apparatus for treatment of the spinal column
US3648691A (en) * 1970-02-24 1972-03-14 Univ Colorado State Res Found Method of applying vertebral appliance
US3867728A (en) * 1971-12-30 1975-02-25 Cutter Lab Prosthesis for spinal repair
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
US4686970A (en) * 1983-12-15 1987-08-18 A. W. Showell (Surgicraft) Limited Devices for spinal fixation
US4604995A (en) * 1984-03-30 1986-08-12 Stephens David C Spinal stabilizer
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
US4827918A (en) * 1985-08-15 1989-05-09 Sven Olerud Fixing instrument for use in spinal surgery
US4931055A (en) * 1986-05-30 1990-06-05 John Bumpus Distraction rods
US4863476A (en) * 1986-08-29 1989-09-05 Shepperd John A N 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
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
US5707390A (en) * 1990-03-02 1998-01-13 General Surgical Innovations, Inc. Arthroscopic retractors
US5047055A (en) * 1990-12-21 1991-09-10 Pfizer Hospital Products Group, Inc. Hydrogel intervertebral disc nucleus
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
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
US5518498A (en) * 1992-10-09 1996-05-21 Angiomed Ag Stent set
US5437672A (en) * 1992-11-12 1995-08-01 Alleyne; Neville Spinal cord protection device
US5306275A (en) * 1992-12-31 1994-04-26 Bryan Donald W Lumbar spine fixation apparatus and method
US5628756A (en) * 1993-01-06 1997-05-13 Smith & Nephew Richards Inc. Knotted cable attachment apparatus formed of braided polymeric fibers
US5496318A (en) * 1993-01-08 1996-03-05 Advanced Spine Fixation Systems, Inc. Interspinous segmental spine fixation device
US5415661A (en) * 1993-03-24 1995-05-16 University Of Miami Implantable spinal assist device
US5554191A (en) * 1994-01-26 1996-09-10 Biomat Intersomatic vertebral cage
US5645599A (en) * 1994-07-26 1997-07-08 Fixano Interspinal vertebral implant
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
US5860977A (en) * 1997-01-02 1999-01-19 Saint Francis Medical Technologies, Llc Spine distraction implant and method
US6048342A (en) * 1997-01-02 2000-04-11 St. Francis Medical Technologies, Inc. Spine distraction implant
US6068630A (en) * 1997-01-02 2000-05-30 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
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
US6440169B1 (en) * 1998-02-10 2002-08-27 Dimso Interspinous stabilizer to be fixed to spinous processes of two vertebrae
US6352537B1 (en) * 1998-09-17 2002-03-05 Electro-Biology, Inc. Method and apparatus for spinal fixation
US6554833B2 (en) * 1998-10-26 2003-04-29 Expanding Orthopedics, Inc. Expandable orthopedic device
US6905512B2 (en) * 1998-12-14 2005-06-14 Phoenix Biomedical Corporation System for stabilizing the vertebral column including deployment instruments and variable expansion inserts therefore
US7097648B1 (en) * 1999-01-27 2006-08-29 Disc-O-Tech Medical Technologies Ltd. Expandable element delivery system
US20040167625A1 (en) * 1999-01-27 2004-08-26 Disc-O-Tech Orthopedic Technologies Inc. Spacer filler
US7081120B2 (en) * 1999-04-26 2006-07-25 Sdgi Holdings, Inc. Instrumentation and method for delivering an implant into a vertebral space
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
US6419704B1 (en) * 1999-10-08 2002-07-16 Bret Ferree Artificial intervertebral disc replacement methods and apparatus
US6761720B1 (en) * 1999-10-15 2004-07-13 Spine Next Intervertebral implant
US6736818B2 (en) * 1999-11-11 2004-05-18 Synthes (U.S.A.) Radially expandable intramedullary nail
US20050049708A1 (en) * 2000-04-04 2005-03-03 Atkinson Robert E. Devices and methods for the treatment of spinal disorders
US6402750B1 (en) * 2000-04-04 2002-06-11 Spinlabs, Llc Devices and methods for the treatment of spinal disorders
US7238204B2 (en) * 2000-07-12 2007-07-03 Abbott Spine Shock-absorbing intervertebral implant
US6758863B2 (en) * 2000-10-25 2004-07-06 Sdgi Holdings, Inc. Vertically expanding intervertebral body fusion device
US6582467B1 (en) * 2000-10-31 2003-06-24 Vertelink Corporation Expandable fusion cage
US6730126B2 (en) * 2000-11-13 2004-05-04 Frank H. Boehm, Jr. Device and method for lumbar interbody fusion
US7041136B2 (en) * 2000-11-29 2006-05-09 Facet Solutions, Inc. Facet joint replacement
US20040133204A1 (en) * 2001-01-27 2004-07-08 Davies John Bruce Clayfield Expandable bone nails
US6364883B1 (en) * 2001-02-23 2002-04-02 Albert N. Santilli Spinous process clamp for spinal fusion and method of operation
US7087083B2 (en) * 2001-03-13 2006-08-08 Abbott Spine Self locking fixable intervertebral implant
US6582433B2 (en) * 2001-04-09 2003-06-24 St. Francis Medical Technologies, Inc. Spine fixation device 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
US6733534B2 (en) * 2002-01-29 2004-05-11 Sdgi Holdings, Inc. System and method for spine spacing
US6981975B2 (en) * 2002-02-02 2006-01-03 Sdgi Holdings, Inc. Method for inserting a spinal fusion implant having deployable bone engaging projections
US20030153915A1 (en) * 2002-02-08 2003-08-14 Showa Ika Kohgyo Co., Ltd. Vertebral body distance retainer
US6709435B2 (en) * 2002-03-20 2004-03-23 A-Spine Holding Group Corp. Three-hooked device for fixing spinal column
US7048736B2 (en) * 2002-05-17 2006-05-23 Sdgi Holdings, Inc. Device for fixation of spinous processes
US20060136060A1 (en) * 2002-09-10 2006-06-22 Jean Taylor Posterior vertebral support assembly
US20040097931A1 (en) * 2002-10-29 2004-05-20 Steve Mitchell Interspinous process and sacrum implant and method
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
US20050010293A1 (en) * 2003-05-22 2005-01-13 Zucherman James F. Distractible interspinous process implant and method of implantation
US7011685B2 (en) * 2003-11-07 2006-03-14 Impliant Ltd. Spinal prostheses
US7217293B2 (en) * 2003-11-21 2007-05-15 Warsaw Orthopedic, Inc. Expandable spinal implant
US20050165398A1 (en) * 2004-01-26 2005-07-28 Reiley Mark A. Percutaneous spine distraction implant systems and methods
US20060116690A1 (en) * 2004-02-12 2006-06-01 Pagano Paul J Surgical instrumentation and method for treatment of a spinal structure
US20060004455A1 (en) * 2004-06-09 2006-01-05 Alain Leonard Methods and apparatuses for bone restoration
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
US20060064165A1 (en) * 2004-09-23 2006-03-23 St. Francis Medical Technologies, Inc. Interspinous process implant including a binder and method of implantation
US20060111728A1 (en) * 2004-10-05 2006-05-25 Abdou M S Devices and methods for inter-vertebral orthopedic device placement
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
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
US20060084987A1 (en) * 2004-10-20 2006-04-20 Kim Daniel H Systems and methods for posterior dynamic stabilization of the spine
US20060122620A1 (en) * 2004-10-20 2006-06-08 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for stabilizing the motion or adjusting the position 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
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
US20060106397A1 (en) * 2004-10-25 2006-05-18 Lins Robert E Interspinous distraction devices and associated methods of insertion
US20060106381A1 (en) * 2004-11-18 2006-05-18 Ferree Bret A Methods and apparatus for treating spinal stenosis
US20060149278A1 (en) * 2004-11-24 2006-07-06 Abdou Amy M Devices and methods for inter-vertebral orthopedic device placement
US20060184247A1 (en) * 2005-02-17 2006-08-17 Edidin Avram A Percutaneous spinal implants and methods
US20060195102A1 (en) * 2005-02-17 2006-08-31 Malandain Hugues F Apparatus and method for treatment of spinal conditions
US20060184248A1 (en) * 2005-02-17 2006-08-17 Edidin Avram A Percutaneous spinal implants and methods
US20070151116A1 (en) * 2005-07-12 2007-07-05 Malandain Hugues F Measurement instrument for percutaneous surgery

Cited By (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9770271B2 (en) 2005-10-25 2017-09-26 Zimmer Biomet Spine, Inc. Spinal implants and methods
US20090306716A1 (en) * 2006-12-08 2009-12-10 Aesculap Ag Implant and implant system
US8313513B2 (en) 2006-12-08 2012-11-20 Aesculap Ag Implant and implant system
US9724136B2 (en) 2007-01-11 2017-08-08 Zimmer Biomet Spine, Inc. Spinous process implants and associated methods
US9247968B2 (en) 2007-01-11 2016-02-02 Lanx, Inc. Spinous process implants and associated 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
US20100168857A1 (en) * 2008-05-30 2010-07-01 Edwin Burton Hatch Flexibly compliant ceramic prosthetic meniscus for the replacement of damaged cartilage in orthopedic surgical repair or reconstruction of hip, knee, ankle, shoulder, elbow. wrist and other anatomical joints
US8114156B2 (en) * 2008-05-30 2012-02-14 Edwin Burton Hatch Flexibly compliant ceramic prosthetic meniscus for the replacement of damaged cartilage in orthopedic surgical repair or reconstruction of hip, knee, ankle, shoulder, elbow, wrist and other anatomical joints
US9084639B2 (en) 2011-02-23 2015-07-21 Farzad Massoudi Spinal implant device with fusion cage and fixation plates and method of implanting
US8496689B2 (en) 2011-02-23 2013-07-30 Farzad Massoudi Spinal implant device with fusion cage and fixation plates and method of implanting
US10052138B2 (en) 2011-02-23 2018-08-21 Farzad Massoudi Method for implanting spinal implant device with fusion cage
US10080588B2 (en) 2011-02-23 2018-09-25 Farzad Massoudi Spinal implant device with fixation plates and method of implanting
US8425560B2 (en) 2011-03-09 2013-04-23 Farzad Massoudi Spinal implant device with fixation plates and lag screws and method of implanting
US20130184826A1 (en) * 2011-12-22 2013-07-18 Basix Spine Llc Bioabsorbable enclosures

Also Published As

Publication number Publication date
JP4303589B2 (en) 2009-07-29
US20040243239A1 (en) 2004-12-02
US7445637B2 (en) 2008-11-04
KR20040038989A (en) 2004-05-08
WO2003015646A3 (en) 2003-11-27
KR100747676B1 (en) 2007-08-08
FR2828398B1 (en) 2003-09-19
WO2003015646A2 (en) 2003-02-27
AU2002337262B2 (en) 2007-04-05
EP1414358B1 (en) 2015-12-30
JP2004538082A (en) 2004-12-24
CN1551747A (en) 2004-12-01
FR2828398A1 (en) 2003-02-14
CN100393286C (en) 2008-06-11
CA2457019A1 (en) 2003-02-27
EP1414358A2 (en) 2004-05-06

Similar Documents

Publication Publication Date Title
US9492202B2 (en) Rod-shaped implant element for the application in spine surgery or trauma surgery and stabilization device with such a rod-shaped implant element
US8636802B2 (en) Dynamized interspinal implant
CA2510248C (en) Intervertebral implant
US7909869B2 (en) Artificial spinal unit assemblies
US8709083B2 (en) Intervertebral fusion implant
AU2008282493B2 (en) Inter-body implantation system and method
US6942697B2 (en) Pair of lumbar interbody implants and method of fusing together adjoining vertebrae bodies
EP2142121B1 (en) Flexible spine stabilization system
US8100945B2 (en) Intervertebral prosthetic device for spinal stabilization and method of implanting same
US8647386B2 (en) Expandable intervertebral implant system and method
US7993376B2 (en) Methods of implanting a motion segment repair system
KR100394937B1 (en) Intervertebral prosthetic device
US7819900B2 (en) Tri-joint implant methods
US9993350B2 (en) Expandable intervertebral implant
US6966910B2 (en) Dynamic fixation device and method of use
CA2495373C (en) Controlled artificial intervertebral disc implant
US8556973B2 (en) Intervertebral disc prosthesis having multiple bearing surfaces
US8052728B2 (en) Method for stabilizing a facet joint
EP1784147B1 (en) Implantable spinal device revision system
US6395034B1 (en) Intervertebral disc prosthesis
AU2002216152B2 (en) Intervertebral stabilising device
EP1929467B1 (en) Prosthetic intervertebral discs
EP1290985B1 (en) Intersomatic cage for posterior fusion surgery to the lumbar column
CA2484923C (en) Dynamic fixation device and method of use
US20070179503A1 (en) Cross-coupled vertebral stabilizers incorporating spinal motion restriction

Legal Events

Date Code Title Description
AS Assignment

Owner name: KYPHON SARL,SWITZERLAND

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:TAYLOR M.D., JEAN;REEL/FRAME:024483/0184

Effective date: 20041107

Owner name: KYPHON SARL, SWITZERLAND

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:TAYLOR M.D., JEAN;REEL/FRAME:024483/0184

Effective date: 20041107