Spinal stabilization devices and their methods of insertion and use to
treat degenerated lumbar, thoracic or cervical spinal discs in minimally
invasive, outpatient procedures are described. In one embodiment, the
spinal stabilization device is an expandable cage made of a coil or
perforated cylindrical tube with a bulbous or bullet-shaped distal end
and a flat or rounded proximal end. In a preferred embodiment, the spinal
stabilization device is mechanically expanded to a larger diameter or is
made of a superelastic nickel-titanium alloy which is thermally
programmed to expand to a relatively larger diameter when a
pre-determined transition temperature below body temperature is reached.
To treat a degenerated disc, a guide wire is inserted into the disc and
an endoscope is inserted through a posterolateral puncture in the back
and advanced up to the facet of the spine. Mechanical tools or laser
energy, under endoscopic visualization, are used to remove or vaporize a
portion of the facet bone, creating an opening into the foraminal space
in the spine for insertion of an endoscope, which enables the disc,
vertebra and nerves to be seen. The passageway is expanded, mechanical
tools or laser of RF energy are used to make a tunnel into the disc, and
a delivery cannula is inserted up to the opening of the tunnel. An
insertion tool is used to insert one or more spinal stabilization devices
into the tunnel in the disc, preserving the mobility of the spine, while
maintaining the proper space between the vertebra. Laser or radio
frequency (RF) energy is used to coagulate bleeding, vaporize or remove
debris and shrink the annulus of the disc to close, at least partially,
the tunnel made in the disc.