US2677369A - Apparatus for treatment of the spinal column - Google Patents

Apparatus for treatment of the spinal column Download PDF

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US2677369A
US2677369A US27859652A US2677369A US 2677369 A US2677369 A US 2677369A US 27859652 A US27859652 A US 27859652A US 2677369 A US2677369 A US 2677369A
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block
processes
grooves
posterior
adjacent
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Fred L Knowles
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Fred L Knowles
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    • 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
    • A61F2/4405Joints for the spine, e.g. vertebrae, spinal discs for apophyseal or facet joints, i.e. between adjacent spinous or transverse processes
    • 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
    • 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
    • A61F2002/30113Rounded shapes, e.g. with rounded corners circular
    • A61F2002/30118Rounded shapes, e.g. with rounded corners circular concentric circles
    • 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
    • A61F2/30767Special external and/or bone-contacting surfaces, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external and/or bone-contacting surfaces, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes, grooves
    • A61F2002/3082Grooves
    • 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
    • A61F2/30767Special external and/or bone-contacting surfaces, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external and/or bone-contacting surfaces, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes, grooves
    • A61F2002/30841Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
    • A61F2002/30845Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes with cutting edges
    • A61F2002/30846Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes with cutting edges circular
    • 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
    • A61F2/30767Special external and/or bone-contacting surfaces, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external and/or bone-contacting surfaces, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes, grooves
    • A61F2002/30841Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
    • A61F2002/30845Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes with cutting edges
    • A61F2002/30848Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes with cutting edges straight
    • 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
    • A61F2/30767Special external and/or bone-contacting surfaces, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external and/or bone-contacting surfaces, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes, grooves
    • A61F2002/30878Special external and/or bone-contacting surfaces, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes, grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • A61F2002/30879Ribs
    • 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
    • A61F2230/0006Rounded shapes, e.g. with rounded corners circular
    • 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • A61F2310/00017Iron- or Fe-based alloys, e.g. stainless steel
    • 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • A61F2310/00029Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium

Description

y 4, 1954 F. Li KNOWLES 2,677,369

APPARATUS FOR TREATMENT OF THE SPINAL COLUMN Filed March 26, 1952 IN VEN TOR.

Fred L Know/es A TTOR NE Y Patented May 4, 1954 APPARATUS FOR TREATMENT OF THE SPINAL COLUMN Fred L. Knowles} Fort Dodge, Iowa Application March 26, 1952, Serial No. 278,596

The present invention relates to a method and an articl of manufacture for use in relieving an unstable low back.

An unstable low back in humans may be caused by one or more of a number of different factors.

In any event, it is a damage to the spine, generally the lower lumbar and sacral area, that portion immediately adjacent to the sacrum, and usually is accompanied by substantial pain.

Various practices for giving relief from this condition are used at present. All or part of the injured inter-vertebral disc may be removed. A laminectomy may be performed, or a spinal fusion may be used to give relief. None of these practices are simple and some require considerable skill. Where a spinal fusion is made it is not uncommon for the patient to be required to be inactive for a period of six months or more. The principal object of the present invention is to make possibl a simple method and apparatus for use in treating such a condition. It is simple not only in the sense that the surgery performed upon the patient is nominal and the patients recovery will be accomplished within a very brief period of time, but also the blocks which parent from the following description taken in conjunction with the drawings in which Fig. 1 is a side view of the lower portion of the spinal column;

Fig. 2 is a section taken at line 2-2 of Fig. 1;

Fig. 3 is a perspective view of a preferred embodiment of the block of this invention; and

Fig. 4 is an end view ofa block illustrating an alternative form of head therefor.

In some people the upper face 10 of the sacrum ll (Fig. 1) assumes a relatively vertical position with the result that the weight carried by the spine, generally I2, tends not to be securely supported on the sacrum I I. In many such cases the inter-vertebral facets l3 (Fig. 2) of the bones of the spine I2 may ride on each other excessively, causing pain to the individual.

In other instances there may be a traumatic degeneration of the spinal discs. This most often occurs to the disc l5 between the sacrum I! and the fifth lumbar vertebra [6. However, it may occur to other discs, such as disc ll between the fourth lumbar vertebra l8 and the fifth lumbar vertebra l6.

Continued degeneration of a disc may result in a bulging of the disc, such as is illustrated at I9 6 Claims. (01. 128-92) I in Fig. l, and a pressing against the spinal cord or cauda equina (Fig. 2). In extreme cases there may be a rupture of the inter-vertebral disc with a portion of the nucleus thereof being extruded into the canal occupied by the spinal cord or its lower prolongation, the cauda equina. Either is likely to produce a sensation of pain in the lower parts of the body because of the pressure on the nerves of the spinal cord.

An unstable low back may involve damage to the inter-vertebral facets [3 or to the intervertebral discs, such as [5 or H, or both. Other factors, such as nutritional disturbances, may be an element in producing the condition that is diagnosed as an unstable low back.

While the present practices for treating this condition will usually provide relief, those practices will often involve rather extensive operational procedures. In addition, th period of enforced inactivity maybe long. By employing the present invention all this is eliminated or greatly reduced.

I have discovered that by forwardly flexing the spine as far as possible, blocking apart the posterior processes situated above and below the point of injury, and returning the spine to the normal position the weight carried on the spine is leveled out at the inter-vertebral disc and facets at that point and transferred to the posterior processes. This relieves the pain and encourages the body to repair the injured members. To this end I have devised a block, generally 24, for insertion at the point of injury. Its use will be described on the basis of its insertion between the top 25 of the rear of the sacrum H and the posterior process 26 of the fifth lumbar vertebra l6, inasmuch as this is the most common point of trouble. It will be apparent that the block (and the method of its insertion at the fifth lumbar vertebrae) maybe usedbetw'een the posterior process 26 and the posterior process 21 of the fourth lumbar vertebra It, or elsewhere, depending upon the point of injury.

Block 24 should be formed of a material that will be tolerated by the human body. A stainless steel alloy of coba1t,.chromium, and molybdenum such as that sold under the name of Vitallium may be used. Other stainless steels such as the common 18% chromium and 8% nickel alloy may be acceptable. Certain plastics are also tolerated by the body and may be used.

The two ends 29 and 8B of block 24 are identical and each has recess means in the form of a groove 3! thereacross, with the two grooves being parallel to each other. The proportions of the grooves 3| are such as to cause the sides of the groove to fit snugly about the upper rear 25 of the sacrum II or posterior process 26 when the block is inserted therebetween with the grooves 3| parallel to the longitudinal axis of the posterior process. A groove three-sixteenths of an inch wide and one-eighth of an inch deep has been found to be suitable for most purposes.

Transverse to grooves 31 are a pair of shallow grooves 33 and 34 forming teeth 35, 36, and 31 across each of ends 29 and 30. The teeth are for engaging the processes or sacrum, as the case may be, to hold th block 24in place, particularly during the period while the ligament is building up about the block. The configuration and size of the transverse grooves and thus of the teeth is not particularly important. In the illustrated embodiment the transverse grooves 33 and 34 are about the same width as the grooves 3i and about one-fourth as deep.

7 Other types of grooves and teeth may be used, as for example those illustrated in Fig. 4. There a plurality of circular grooves 39 form teeth 40 in the end 29 of the block. In some instances it will be possible to completely dispense with the use of such teeth.

Preferably the blocks 24 are formed with concave sides 42 of generally circular configuration. This aids in grasping the blocks at the time of use. Also it reduces the sharp edges presented to the ligaments that grow around it.

It will be found to be desirable to have the blocks made up beforehand in an assortment of sizes. In most cases a set of blocks of sizes ranging from one-quarter of'an inch in length, as measured between the bottoms of grooves 3|, to one inch in length, in steps of one-sixteenth of an inch, will be adequate. The ends 29 of the blocks illustrated are one-half of an inch square.

Before one undertakes to-insert the blocks, it is desirable to X-ray the patient with the spine in forward flexure to make sure that the posterior process will open at the point where it is desired to insert the block. To insert the blocks the spine is placed in extreme forward fiexure and the skin separated at the point where the block is to go. The ligaments'between" the posterior process at that point are cut away and theavailable distance-between the adjacent portions of the posterior processes is determined.

A block is selected which will fit tightlybetween the processes. It is slid into place with the grooves 3! aligned'with the longitudinal axis of the processes. Preferably the blockshould be snug and if necessary it can be tapped intoplace.

Theincisionis closed and the spine returned to the normal position. The straightening of the spine causes theposterior processes to bear against the ends of the block with the result that the load carried by the spine is shifted from the facets and disc to the posterior processesv and block.

The foregoing description of a specific embodi-s. ment is for the purpose of complying with 35 U. S. C. 1 2 and should not be construed as im posing unnecessary limitations on the. appended claims.

I claim: I

1. A block for insertion between two adjacent posterior spinous processes, said block having recess means at opposite ends of the block adapted to form seats for the adjacent portions of said two processes, said block also having bone engaging means on said ends thereof.

2. A block for insertion between two adjacent posterior spinous processes, said block having recess means at opposite ends of the block adapted to form seats for the adjacent portions of said two processes, the distance between said seats being between about one-quarter of an inch and about one inch.

.3. A block for insertion between two adjacent posterior spinous processes, said bloc-k having recess means at opposite ends of the block adapted to form seats for the adjacent portions of said two processes, the distance between said seats being between about one-quarter of an inch and about one inch,;said block being formed of a rigid material tolerated by body tissues.

4. A block for insertion between two adjacent posterior spinous processes, said block having means to engage the processes including a groove on each end of the block, said-grooves being generally coplanar, said grooves forming seats for the adjacent portions of said two processes, the distance between said seats being between onequarter of an inch and one inch.

5. A block for insertion between two adjacent posterior spinous processes, said block having a groove on each end of the block, said grooves being generally coplanar, said grooves forming seats for the adjacent portions of said two processes, the distance between said seats being between one-quarter of an inch and one inch, said block being formed of a material tolerated by body tissue, said block having at least two grooves across the ends thereof transverse to said first mentioned grooves thereby forming teeth to engage the processes to prevent the block from slipping out of place.

6. A block for insertion between two adjacent posterior spinous processes, said block having recess means at opposite ends of the block adapted to form seats for the adjacent portions of said two processes, said block also having bone engaging means on said ends thereof, said block being formed of a rigid material tolerated by body tissues.

References Cited in the file of this patent UNITED STATES. PATENTS Number Name Date 1,401,056 Doyle Dec. 20, 1921 1,973,240 Werness et a1 Sept. 11, 1934 OTHER REFERENCES Catalog of Zirnmer Mfg. C0,, Warsaw, Ind, 1947, p. 40. (Copy in Div. 55'.)

Lumbar Disc Lesions, a book by J. R. Armstrong, published in London in 1952, pp. 188-191,. (Copy in Div. 55.)

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Cited By (340)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3426364A (en) * 1966-08-25 1969-02-11 Colorado State Univ Research F Prosthetic appliance for replacing one or more natural vertebrae
US4309777A (en) * 1980-11-13 1982-01-12 Patil Arun A Artificial intervertebral disc
US4349921A (en) * 1980-06-13 1982-09-21 Kuntz J David Intervertebral disc prosthesis
US4554914A (en) * 1983-10-04 1985-11-26 Kapp John P Prosthetic vertebral body
US4612918A (en) * 1984-10-16 1986-09-23 Barclay Slocum Method of eliminating canine cauda equina syndrome
US4743256A (en) * 1985-10-04 1988-05-10 Brantigan John W Surgical prosthetic implant facilitating vertebral interbody fusion and method
US4834757A (en) * 1987-01-22 1989-05-30 Brantigan John W Prosthetic implant
US4917704A (en) * 1987-07-09 1990-04-17 Sulzer Brothers Limited Intervertebral prosthesis
US5011484A (en) * 1987-11-16 1991-04-30 Breard Francis H Surgical implant for restricting the relative movement of vertebrae
US5015255A (en) * 1989-05-10 1991-05-14 Spine-Tech, Inc. Spinal stabilization method
US5163939A (en) * 1991-06-27 1992-11-17 Frederick Winston Disk flow and methods therefor
US5192327A (en) * 1991-03-22 1993-03-09 Brantigan John W Surgical prosthetic implant for vertebrae
US5306309A (en) * 1992-05-04 1994-04-26 Calcitek, Inc. Spinal disk implant and implantation kit
US5306307A (en) * 1991-07-22 1994-04-26 Calcitek, Inc. Spinal disk implant
EP0610837A1 (en) * 1993-02-09 1994-08-17 Acromed Corporation Spine disc
US5445639A (en) * 1989-05-10 1995-08-29 Spine-Tech, Inc. Intervertebral reamer construction
FR2717675A1 (en) * 1994-03-24 1995-09-29 Taylor Jean Shock-absorbing spacer block for location between adjacent vertebrae implanted during spinal surgery
WO1995031947A1 (en) * 1994-05-23 1995-11-30 Spine-Tech, Inc. Intervertebral fusion implant
US5496318A (en) * 1993-01-08 1996-03-05 Advanced Spine Fixation Systems, Inc. Interspinous segmental spine fixation device
WO1996027345A2 (en) 1988-06-13 1996-09-12 Michelson Gary K Appartus and method of inserting spinal implants
FR2742653A1 (en) * 1995-12-21 1997-06-27 Colorado Cage vertebral interbody
US5658029A (en) * 1995-09-25 1997-08-19 Franko; Terry L. Hand-saver for plastic shopping bags
US5674296A (en) * 1994-11-14 1997-10-07 Spinal Dynamics Corporation Human spinal disc prosthesis
US5728159A (en) * 1997-01-02 1998-03-17 Musculoskeletal Transplant Foundation Serrated bone graft
US5769781A (en) * 1995-11-13 1998-06-23 Chappuis; James L. Protector retractor
US5772661A (en) * 1988-06-13 1998-06-30 Michelson; Gary Karlin Methods and instrumentation for the surgical correction of human thoracic and lumbar spinal disease from the antero-lateral aspect of the spine
US5836948A (en) * 1997-01-02 1998-11-17 Saint Francis Medical Technologies, Llc Spine distraction implant and method
US5860973A (en) * 1995-02-27 1999-01-19 Michelson; Gary Karlin Translateral spinal implant
WO1999004733A1 (en) * 1997-07-24 1999-02-04 Techsys Medical, L.L.C. An interbody fusion device having partial circular section cross-sectional segments
EP0959792A1 (en) * 1997-01-02 1999-12-01 Saint Francis Medical Technologies, Inc. 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
US6086613A (en) * 1997-12-23 2000-07-11 Depuy Acromed, Inc. Spacer assembly for use in spinal surgeries
US6096038A (en) * 1988-06-13 2000-08-01 Michelson; Gary Karlin Apparatus for inserting spinal implants
US6120502A (en) * 1988-06-13 2000-09-19 Michelson; Gary Karlin Apparatus and method for the delivery of electrical current for interbody spinal arthrodesis
US6123705A (en) * 1988-06-13 2000-09-26 Sdgi Holdings, Inc. Interbody spinal fusion implants
US6149650A (en) * 1988-06-13 2000-11-21 Michelson; Gary Karlin Threaded spinal implant
US6156038A (en) * 1997-01-02 2000-12-05 St. Francis Medical Technologies, Inc. Spine distraction implant and method
US6210412B1 (en) 1988-06-13 2001-04-03 Gary Karlin Michelson Method for inserting frusto-conical interbody spinal fusion implants
US6224595B1 (en) 1995-02-17 2001-05-01 Sofamor Danek Holdings, Inc. Method for inserting a spinal implant
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