Anterior Intervertebral Fusion with Fixation System, Device, and Method

摘要

A system, device, and method are disclosed for anterior intervertebral fusion with fixation. An intervertebral fusion with fixation device includes a spacer configured to fit into a disc space between plural vertebrae, the spacer including through holes between and through plural sidewalls. A first fixating element is rigidly preloaded in a first portion of the spacer along a first linear trajectory. A second fixating element is rigidly preloaded in a second portion of the spacer along a second linear trajectory. An integrated drill and screwdriver instrument is adapted to extend through a cannula of the first fixating element and second fixating element and penetrate the vertebra. The instrument is further adapted to drive the head of the first fixating element and second fixating element into the vertebra and lock the first fixating element and second fixating element with respect to the spacer to prevent extrusion from the spacer.

主权项

1. An intervertebral fusion with fixation device configured to be implanted between plural vertebrae, the device comprising:
a spacer with an insertion wall, a trailing wall opposite to the insertion wall, a first lateral wall, a second lateral wall opposite to the first lateral wall, a top surface, and a bottom surface opposite to the top surface, the top and bottom surfaces each extending between the insertion wall and the trailing wall for contact with first and second vertebra respectively, wherein a first hole and a second hole extends through the spacer from the trailing wall toward the top and bottom surfaces respectively; a first cannulated bone screw including a first tip at a first leading end and a first head at an opposed first trailing end, the first leading end rigidly maintaining the first cannulated bone screw in a first preloaded position in the first hole along a first linear trajectory through threaded engagement of the first leading end inside the first hole, the first head being spaced away from the spacer in the first preloaded position, the first cannulated bone screw configured to penetrate and secure to the first vertebra by advancing along the first linear trajectory to a first locked position in which the first head is advanced into the first hole; and a second cannulated bone screw including a second tip at a second leading end and a second head at an opposed second trailing end, the second leading end rigidly maintaining the second cannulated bone screw in a second preloaded position in the second hole along a second linear trajectory that is different and divergent from the first linear trajectory through threaded engagement of the second leading end inside the second hole, the second head being spaced away from the spacer in the second preloaded position, the second cannulated bone screw configured to penetrate and secure to the second vertebra by advancing along the second trajectory to a second locked position in which the second head is advanced into the second hole.