Abstract: Methods and systems for evaluating the biomechanical properties of a subject's spine for the purpose of optimizing a potential surgical intervention by selecting or designing surgical hardware fora spinal correction procedure. The system uses a simulated dynamic analysis configured to analyze, predict and improve the outcome of the surgical procedure by taking into account physiological, biomechanical, and anatomical factors. Machine learning algorithms use the computed distribution of forces and moments on the subject's spine, and compare the subject's results with those of patients from a reference population.

Abstract: A method of planning the correction of spinal deformations of a subject, by performing segmentation on a three dimensional image of the subject's spine in its erect neutral position, such that the positions and orientations of the vertebrae in a region of interest are characterized. Parameters relating to the alignment and position of the vertebrae are derived from the segmentation, followed by determining whether the parameters fall within an acceptable range desired for the spine of the subject. If not within the acceptable range, an alignment optimization is performed on the vertebrae to bring the parameters within the acceptable range, to reduce the spinal deformations of the subject's spine. The alignment optimization is performed by taking into consideration limitations arising from the dynamic range of motion of the vertebrae as determined by analyzing images of the subject's spine, while the subject is in positions of maximum bending.

Abstract: An intervertebral fusion mechanism includes a disc cage having a scaffolding structure to support bone growth and a porous cancellous bone feeder anchor, connected to the disc cage, for providing a biological material transference interface between cancellous bone and the disc cage.

Abstract: A method of planning the correction of spinal deformations of a subject, by performing segmentation on a three dimensional image of the subject's spine in its erect neutral position, such that the positions and orientations of the vertebrae in a region of interest are characterized. Parameters relating to the alignment and position of the vertebrae are derived from the segmentation, followed by determining whether the parameters fall within an acceptable range desired for the spine of the subject. If not within the acceptable range, an alignment optimization is performed on the vertebrae to bring the parameters within the acceptable range, to reduce the spinal deformations of the subject's spine. The alignment optimization is performed by taking into consideration limitations arising from the dynamic range of motion of the vertebrae as determined by analyzing images of the subject's spine, while the subject is in positions of maximum bending.

Abstract: A method of planning the correction of spinal deformations of a subject, by performing segmentation on a three dimensional image of the subject's spine in its erect neutral position, such that the positions and orientations of the vertebrae in a region of interest are characterized. Parameters relating to the alignment and position of the vertebrae are derived from the segmentation, followed by determining whether the parameters fall within an acceptable range desired for the spine of the subject. If not within the acceptable range, an alignment optimization is performed on the vertebrae to bring the parameters within the acceptable range, to reduce the spinal deformations of the subject's spine. The alignment optimization is performed by taking into consideration limitations arising from the dynamic range of motion of the vertebrae as determined by analyzing images of the subject's spine, while the subject is in positions of maximum bending.

Abstract: A method of planning the correction of spinal deformations of a subject, by performing segmentation on a three dimensional image of the subject's spine in its erect neutral position, such that the positions and orientations of the vertebrae in a region of interest are characterized. Parameters relating to the alignment and position of the vertebrae are derived from the segmentation, followed by determining whether the parameters fall within an acceptable range desired for the spine of the subject. If not within the acceptable range, an alignment optimization is performed on the vertebrae to bring the parameters within the acceptable range, to reduce the spinal deformations of the subject's spine. The alignment optimization is performed by taking into consideration limitations arising from the dynamic range of motion of the vertebrae as determined by analyzing images of the subject's spine, while the subject is in positions of maximum bending.

Abstract: A robotic system for performing minimally invasive spinal stabilization, using two screws inserted in oblique trajectories from an inferior vertebra pedicle into the adjacent superior vertebra body. The procedure is less traumatic than such procedures performed using open back surgery, by virtue of the robot used to guide the surgeon along a safe trajectory, avoiding damage to nerves surrounding the vertebrae. The robot arm is advantageous since no access is provided in a minimally invasive procedure for direct viewing of the operation site, and the accuracy required for oblique entry can readily be achieved only using robotic control. This robotic system also obviates the need for a large number of fluoroscope images to check drill insertion position relative to the surrounding nerves. Disc cleaning tools with flexible wire heads are also described. The drilling trajectory is determined by comparing fluoroscope images to preoperative images showing the planned path.

Abstract: An apparatus for replacing a damaged spinal disc in a spinal column includes a first retaining device having an outer surface engageable with a first vertebra of the spinal column and an inner surface. A second retaining device has an outer surface engageable with a second vertebra of the spinal column and an inner surface. A resilient core has a first surface and a second surface. The first surface engages the inner surface of the first retaining device. The second surface engages the inner surface of the second retaining device. The resilient core has a tapered radially outer surface extending from adjacent the first surface to adjacent the second surface. The first retaining device may have a flange extending toward the second retaining device. A concave surface may extend between the first surface and the radially outer surface. The concave surface of the core may engage the flange when the apparatus is free of a load.

Abstract: An apparatus for replacing a damaged spinal disc in a spinal column includes a first retaining device having an outer surface engageable with a first vertebra of the spinal column and an inner surface. A second retaining device has an outer surface engageable with a second vertebra of the spinal column and an inner surface. A resilient core has a first surface and a second surface. The first surface engages the inner surface of the first retaining device. The second surface engages the inner surface of the second retaining device. The resilient core has a tapered radially outer surface extending from adjacent the first surface to adjacent the second surface. The first retaining device may have a flange extending toward the second retaining device. A concave surface may extend between the first surface and the radially outer surface. The concave surface of the core may engage the flange when the apparatus is free of a load.

Abstract: A robotic system for performing minimally invasive spinal stabilization, using two screws inserted in oblique trajectories from an inferior vertebra pedicle into the adjacent superior vertebra body. The procedure is less traumatic than such procedures performed using open back surgery, by virtue of the robot used to guide the surgeon along a safe trajectory, avoiding damage to nerves surrounding the vertebrae. The robot arm is advantageous since no access is provided in a minimally invasive procedure for direct viewing of the operation site, and the accuracy required for oblique entry can readily be achieved only using robotic control. This robotic system also obviates the need for a large number of fluoroscope images to check drill insertion position relative to the surrounding nerves. Disc cleaning tools with flexible wire heads are also described. The drilling trajectory is determined by comparing fluoroscope images to preoperative images showing the planned path.

Abstract: An apparatus (10) for cutting bone includes a shaft member (12) having a central axis (14) and extending between a proximal end portion (16) and a distal end portion (18). The proximal end portion (16) has a first surface (32) adapted to receive repetitive impacts. The distal end portion (18) includes a cutting blade (40) extending in a first plane between a shield section (46) and a guide portion (60). The shield section (46) and the guide section (60) project axially beyond the cutting blade (40) to recess the cutting blade (40) in the distal end portion (18). The shield section (46) includes an inwardly facing shield surface (48) which extends in a second plane that is transverse to the first plane of the cutting blade (40). The apparatus (10) is a form of an osteotome that is particularly useful for certain spine-related surgical procedures.

Abstract: A method for replacing a spinal disc between first and second vertebrae of a spinal column includes determining a reference point on the spinal column. A marker is connected to a vertebra of the spinal column at the reference point. The marker is engaged with a guide assembly for guiding insertion of a surgical instrument between the first and second vertebrae to prepare the space between the first and second vertebrae for receiving an apparatus between the first and second vertebrae. The apparatus is inserted between the first and second vertebrae. The apparatus has a first end, a second opposite end, and first and second lateral sides extending between the first and second ends. An outer surface is engageable with the first vertebra of the spinal column. A rail extending from the outer surface is engageable with the first vertebra to connect the apparatus to the first vertebra. The rail extends a first distance from the outer surface adjacent the first end.

Abstract: The present invention provides a minimally invasive apparatus for placing screws across a facet joint between adjacent first and second vertebrae. The apparatus includes a first K-wire for inserting into the spinous process of the first vertebrae and a first fixation block removably connected to the first K-wire. The apparatus further includes a second K-wire for inserting into a transverse process of the second vertebrae and a second fixation block removably connected to the second K-wire. A rod member is removably connected to both of the first and second fixation blocks. A swivel block assembly includes relatively movable first and second block members. The rod member is removably connected to the first block member. A cannula extends from the second block member. The screws are insertable through the cannula for implantation across the facet joint. Methods for using the apparatus to place facet screws and fuse adjacent vertebrae are also provided.

Abstract: The present invention is a minimally invasive surgical method for fusing adjacent vertebrae. A first K-wire is inserted into the spinous process of an upper vertebrae. A second K-wire is inserted into a transverse process of a lower vertebrae. A first fixation block is secured to the first K-wire and a second fixation block is secured to the second K-wire. A rod member extends across the K-wires. A swivel block assembly is secured to achieve a desired angle for a first axis along which a first screw will be implanted into a facet joint. The swivel block assembly is secured at a desired axial position on the rod member. Percutaneous access to the upper vertebrae along the first axis is then obtained via a cannula. A removable screw having a threaded section for implantation across the facet joint and an elongated shank section that is shearable subcutaneously is inserted through the cannula. The threaded section is implanted along the first axis across the facet joint to attach the upper and lower vertebrae.

Abstract: An example apparatus places translaminar screws across a facet joint between adjacent first and second vertebrae in a minimally invasive surgical procedure. The apparatus includes a first K-wire, a second K-wire, a first fixation block, a second fixation block, a support block, a first rod member, a second rod member, and a cannula. The first K-wire is inserted into the spinous process of the first vertebrae. The second K-wire is inserted into a transverse process of the second vertebrae. The first fixation block has perpendicularly extending first and second passages. The first K-wire extends into the first passage in the first fixation block. The second fixation block has perpendicularly extending first and second passages. The second K-wire extends into the first passage in the second fixation block. The support block has perpendicularly extending first and second passages. The first K-wire extends into the first passage in the support block.

Abstract: An apparatus (10) for cutting bone includes a shaft member (12) having a central axis (14) and extending between a proximal end portion (16) and a distal end portion (18). The proximal end portion (16) has a first surface (32) adapted to receive repetitive impacts. The distal end portion (18) includes a cutting blade (40) extending in a first plane between a shield section (46) and a guide portion (60). The shield section (46) and the guide section (60) project axially beyond the cutting blade (40) to recess the cutting blade (40) in the distal end portion (18). The shield section (46) includes an inwardly facing shield surface (48) which extends in a second plane that is transverse to the first plane of the cutting blade (40). The apparatus (10) is a form of an osteotome that is particularly useful for certain spine-related surgical procedures.

Abstract: An apparatus for cutting bone includes an elongate member (11) having a central axis. The elongate member includes a tubular portion (12) that extends between a proximal end portion and a distal end portion. The distal end portion includes an articulatable head section with a stop surface and a cutting edge (70) projecting from the stop surface. The head section is articulatable about a pivot axis (74) that extends transverse to the central axis. The apparatus further includes a mechanism (90, 100) for articulating the head section relative to the tubular portion. The apparatus is a form of an osteotome that is particularly useful for certain spine-related surgical procedures.

Abstract: An anchor is implantable into a bone in a patient's body and, when implanted, is resistant to toggling in the bone and to being pulled from the bone. The anchor includes a head end portion having a surface that extends transverse to a central axis of the anchor and is engagable with the bone. A plurality of helical spikes extend from the surface on the head end portion and are engagable with the bone. Each of the plurality of helical spikes has a helical central axis that forms a helix around the central axis of the anchor. Each of the plurality of helical spikes further has a circular cross-sectional configuration as viewed in a plane extending perpendicular to the helical central axis of each of the helical spikes and a distal end portion with a tip that penetrates the bone as the head end portion is rotated relative to the bone.

Abstract: An apparatus for replacing a damaged spinal disc in a spinal column includes an artificial disc. The artificial disc includes a resilient core having a first surface and a second surface, a first retaining member connected to the first surface of the resilient core, and a second retaining member connected to the second surface of the resilient core. The first retaining member has an outer surface engageable with a first vertebra of the spinal column and an inner surface facing the first surface of the resilient core. The second retaining device has an outer surface engageable with a second vertebra of the spinal column and an inner surface facing the second surface of the resilient core. A first mounting member is connectable with the first vertebra and the artificial disc to position the artificial disc between the first and second vertebrae.

Abstract: A method for replacing a damaged spinal disc between first and second vertebrae of a spinal column includes connecting a first mounting member with the first vertebra of the spinal column. An artificial disc is moved between the first and second vertebrae and into engagement with the first mounting member to guide the artificial disc into position between the first and second vertebrae. The artificial disc includes a resilient core having a first surface and a second surface, a first retaining member connected to the first surface of the resilient core, and a second retaining member connected to the second surface of the resilient core. The first retaining member has an outer surface engageable with a first vertebra of the spinal column and an inner surface facing the first surface of the resilient core. The second retaining member has an outer surface engageable with the second vertebra of the spinal column and an inner surface facing the second surface of the resilient core.