The invention described generally relates to instruments and methods for application with skeletal disorders, and, in particular relates to instruments and methods for the reduction and stabilization of skeletal fractures.
Fracture reduction and/or stabilization are generally practiced to substantially restore or repair skeletal structures to their pre-fractured state. In practice, materials, such as in-situ curable materials (e.g., bone cements) and/or implants are often used to help stabilize fractured bone. In one clinical procedure known as vertebroplasty, bone cement is injected into a fractured vertebral body to stabilize bone fragments. This and other procedures may also additionally use one or a number of devices for reduction and stabilization of a fracture. For vertebroplasty, a device is used to assist in the formation of a cavity in the vertebra prior to injection of the in-situ curable material. Another device used with some procedures is a bone tamp used to reduce the fracture.
The present invention solves many problems associated with current methods and devices for reduction, stabilization, restoration, and repair of skeletal fractures.
Generally, and in one form described herein are methods of reducing and/or stabilizing a fracture in bone. The method includes cutting a portion of the bone having a fracture to create a cavity. The cavity may be substantially axisymmetric and may be cut using any suitable device, such as a tissue cavitation device. The cavity is then expanded to reduce the fracture. A suitable expanding device includes a medical balloon as an example. The expanding device is typically positioned proximate to cortical bone. The fracture may be further reduced by filling the cavity with a material. The material may fully or partially fill the cavity. Examples of suitable materials include implants and in-situ materials that are curable or hardenable. Such materials may be permanent, resorbable, penetrating and combinations thereof. The material filling the cavity offers stabilization to the fracture. Any bone fragments near the fracture may also be stabilized. When suitable, the cutting of a portion of the bone having a fracture is preceded by the formation of at least one passage to the fracture site. Depending on the type of bone having the fracture, the passage(s) may be intracortical, extracortical, intrapedicular, extrapedicular, and combinations thereof.
Additionally, described herein is a method for treating bone comprising the steps of: forming a passage in a vertebra; forming a cavity in the vertebra, wherein the cavity at least extends radially from the passage, wherein the cavity has a first size and a first portion of the cavity is proximate to a vertebral endplate; providing an inflatable device configured for expansion; introducing the inflatable device configured for expansion into the cavity; and expanding the inflatable device configured for expansion to provide an expansion force sufficient to enlarge the cavity to a second size. The expansion force may be provided proximate to the vertebral endplate, comprising a first endplate and a second endplate. The expansion force may be provided to reduce a vertebral compression fracture. The first endplate may be a superior endplate and the second endplate may be an inferior endplate. Forming the cavity comprises a method of cutting bone, the method of cutting bone selected from the group consisting of shearing, cutting, scraping, and combinations thereof. The inflatable device may be a balloon. The inflatable device may be non-compliant. The inflatable device may be semi-compliant. The inflatable device may be configured to manipulate cortical bone to reduce a fracture. The method may further comprise filling the cavity with a material after expanding the inflatable device, the material selected from the group consisting of implantable material, in-situ curable material, in-situ hardenable material, permanent material, resorbable material, penetrating material, and combinations thereof. The passage in the vertebra may comprise forming an entry hole from which the cavity is formed. Forming the cavity may further comprise cutting bone. The cavity may be substantially axisymmetric. The cavity may be substantially non-axisymmetric. In one form, the second size of the cavity has an increased volume as compared with a volume associated with the first size of the cavity. Forming the passage in the vertebra may precede forming the cavity. Forming the passage in the vertebra may occur substantially concomitantly with forming the cavity.
Still further, described herein is a method for treating bone comprising the steps of: forming a passage in a vertebra along a linear axis; providing a tissue cavitation device; forming a cavity in the vertebra with the tissue cavitation device, wherein the cavity has first volume that extends from the passage proximate to a first vertebral endplate; providing an inflatable device configured for expansion in the cavity; and expanding the inflatable device configured for expansion within the cavity to expand the cavity to a second volume, wherein the second volume is greater than the first volume. The cavity is proximate to a second vertebral endplate. The cavity is proximate to but separated from the first vertebral endplate by a layer of cancellous bone. The cavity has a boundary and a portion of the boundary consists of cortical bone. The cavity has a boundary and a portion of the boundary consists of cancellous bone. The inflatable device configured for expansion is a balloon. In one form, expanding the inflatable device manipulates cortical bone to reduce a fracture. The method may further comprise filling the cavity after expanding with a material, wherein the material is a filling material selected from the group consisting of implant material, in-situ curable material, in-situ hardenable material, permanent material, resorbable material, penetrating material, and combinations thereof. In one form, forming the passage in the vertebra comprises forming an entry hole about which the cavity is formed. Forming the cavity in the vertebra may comprise disrupting bone. The cavity may be substantially axisymmetric. The cavity may be substantially non-axisymmetric. The cavity may be formed with rotational actuation of the tissue cavitation device. Forming the passage in the vertebra may precede forming the cavity. Forming the passage in the vertebra may occur substantially concomitantly with the step of forming the cavity.
Also described herein is a method of treating bone comprising the steps of: forming a passage in a vertebra; providing a tissue cavitation device, inserting the tissue cavitation device into the passage; forming a cavity with the tissue cavitation device along a central portion of the vertebra, wherein the cavity extends proximate to a vertebral body endplate; providing an inflatable device configured for expansion with a working fluid; inserting the inflatable device into the cavity that is the central portion of the vertebra; and expanding the inflatable device to expand the cavity. The cavity may be proximate a first region of the vertebral body endplate which includes cortical bone. The cavity may be proximate a second region of the vertebral body endplate which includes cortical bone, wherein the first region is a superior endplate and the second region is an inferior endplate. The cavity may be proximate a first region of the vertebral body endplate and separated from the first region by a layer of cancellous bone. In one form, the cavity has a boundary, a portion of which is cortical bone. The cavity may also have a boundary, a portion of which is cancellous bone. Forming the cavity may comprise a method of separating bone, the method of separating bone selected from the group consisting of shearing, cutting, scraping, and combinations thereof. The inflatable device may be a balloon. The inflatable device may be substantially non-compliant. The inflatable device may be semi-compliant. The inflatable device may be used to manipulate cortical bone to reduce a fracture. The method may further comprise filling the cavity with a material, wherein the material is a filling material selected from the group consisting of implant material, in-situ curable material, in-situ hardenable material, permanent material, resorbable material, penetrating material, and combinations thereof. The cavity may be substantially axisymmetric. The cavity may be substantially non-axisymmetric. In one form, a working end of the tissue cavitation device is transformable between a first shape for entry into the passage and a second shape for forming the cavity. In one or more embodiments, the tissue cavitation device comprises: a shaft having a diameter and a longitudinal axis; and flexible cutting element associated with the shaft, wherein the flexible cutting element is configured to assume a first shape for insertion and configured to assume a second shape suitable for forming the cavity that has a diameter greater than a diameter of the shaft when the shaft is rotated about the longitudinal axis of the shaft. The cavity is formed with rotational actuation of the tissue cavitation device. Wherein forming the passage in the vertebra may precedes forming the cavity. Wherein forming the passage in the vertebra may occur substantially concomitantly with forming the cavity. In some forms, expanding the inflatable device provides a distraction force.
A method for treating bone is also described that comprises: forming a passage in a vertebra along a linear axis; providing a tissue cavitation device; forming a cavity in the vertebra with the tissue cavitation device by separating bone, wherein the cavity is formed with rotational actuation of the tissue cavitation device, wherein the cavity extends from the passage; providing an inflatable device configured for expansion; and expanding the inflatable device configured for expansion within the cavity to enlarge the cavity.
Those skilled in the art will further appreciate the above-noted features and advantages of the invention together with other important aspects thereof upon reading the detailed description that follows in conjunction with the drawings.
For a more complete understanding of the features and advantages of the present invention, reference is now made to the detailed description of the invention along with the accompanying figures in which corresponding numerals in the different figures refer to corresponding parts and in which:
Although making and using various embodiments of the present invention are discussed in detail below, it should be appreciated that the present invention provides many inventive concepts that may be embodied in a wide variety of contexts. The specific aspects and embodiments discussed herein are merely illustrative of ways to make and use the invention, and do not limit the scope of the invention
In the description which follows like parts may be marked throughout the specification and drawing with the same reference numerals, respectively. The drawing figures are not necessarily to scale and certain features may be shown exaggerated in scale or in somewhat generalized or schematic form in the interest of clarity and conciseness.
Instruments and methods will be disclosed for reducing and stabilizing bone fractures. The method may be useful for fractured bone, including vertebral bone. Typically, vertebral bone fractures in compression. This type of fracture is most common in the thoracic and/or lumbar regions of the spine and may coincide with regions of osteoporotic bone.
Common medical nomenclature may be used when describing aspects of the present invention. As used herein, superior is nearer the head in relation to a specific reference point, inferior is nearer the feet in relation to a specific reference point, anterior is forward in relation to a specific reference point and posterior is rearward in relation to a specific reference point. The midsagittal plane is an imaginary plane dividing the body into a right side and left side. A frontal plane is any imaginary vertical plane orthogonal to the midsagittal plane.
Referring not to
Vertebral 1 of
Continuing to refer to
The term “tissue cavitation device” as used herein will refer to a device useful with the present invention. This device is capable of separating a portion of bone having a fracture and providing a cavity in the portion of the bone including or near the site of the fracture. By use of such a device, the device may separate the bone by cutting, shearing or scraping the bone, as examples. The separation creates a cavity that is typically substantially larger in diameter than the access passage, as shown in
Referring now to
Referring now to
Often, it is desirable to have the height and width of cavity 72 be of similar or equal dimensions. Therefore, an axisymmetric shape of cavity 72 is useful, although non-axisymmetric shapes are also contemplated. For example, device 30, shown in
A further step to reduce the fracture includes expansion of the cavity with an expanding device. The expanding device is one that expands the shape of the cavity in at least one dimension. The device, itself may be involved in the expansion. Alternatively, one or more materials may be used with the device for such expansion. Example of expanding devices are a medical balloon or SKy Bone Expander (Disc Orthopaedic Technologies Inc., New Jersey, USA). Other suitable expandable means may also be used. Referring now to
In general, because cortical bone is stiffer and stronger as compared with cancellous bone, expanding device 40 may be positioned initially at or in proximity to cortical bone 12. The position of expanding device 40 is typically based on the size, shape, and location of cavity 72. For example, with expanding device 40 as a medical balloon, the top and bottom surface of expandable portion 41 may be initially positioned at or in proximity of cortical bone 12 upon initial pressurization of expandable portion 41. Therefore expandable portion 41 may provide relatively direct distraction forces against superior endplate 8 and inferior endplate 8′ upon pressurization of expandable portion 41. The width of expandable portion 41 relates to the vertical distraction forces expandable portion 41 provides for a given pressure. Relative to passage 70, cavity 72 is typically larger, allowing pressurization of a relatively large expandable portion 41. Thus, for a given pressure, a larger expanding expandable portion 41 would generally provide greater distraction forces. Or, for a required distraction force, a larger expanding portion 41 generally requires lower pressure. Typically, a larger expanding device provides greater surface area for distraction and provides broader, more uniform distraction, while avoiding local pressure concentrations. Referring to
Referring now to
Referring specifically to
The fracture may be further reduced and/or stabilized by any of a number of means, including introduction of a material. Some examples of suitable materials include an implant, a support, an in situ material that is hardenable or curable, and other equivalents. An example of a material used for further reduction is shown in
The instruments and methods presented in this disclosure are used as examples of the present invention. Those skilled in the art will be able to develop modifications and variants that do not depart from the spirit and scope of the present invention. Variations include using a porous expanding device. Alternately, an expanding device may be filled with a material (e.g., implant or in-situ material that is curable or hardenable) and subsequently left in the patient to become permanent or later resorbed. It is also understood that the expanding device may be an implant or include an implant and, thus, all or part of the device may remain in cavity 72′. Such implants may be metallic or nonmetallic, coated or noncoated.
Alternate surgical approaches are also within the scope of the present invention. For example the instruments and methods may be used on the right side and left side of a body of a bone, such as in a bipedicular approach for vertebral bone. The present invention is applicable to the reduction and stabilization of any bone or fracture site, including fractured vertebra. Accordingly, the present invention offers restoration and repair of a fractured bone comprising cortical and/or cancellous bone.
Additional objects, advantages and novel features of the invention as set forth in the description, will be apparent to one skilled in the art after reading the foregoing detailed description or may be learned by practice of the invention. The objects and advantages of the invention may be realized and attained by means of the instruments and combinations particularly pointed out here.
This application is a continuation of U.S. patent application Ser. No. 11/140,413 filed May 27, 2005, which claims the benefit of U.S. Provisional Patent Application No. 60/575,635 filed May 28, 2004. The entirety of both patent applications are hereby incorporated by reference to the fullest extent allowable.
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