A minimally invasive facet joint hemi-arthroplasty method using a unique
metallic overlay, instrumentation and surgical protocol to resurface the
superior facet of the inferior vertebrae limited to the facet joints
located on the lumbar spine, Occiput-C1 through L5-S1. Using related new
instrumentation and a surgical protocol invented to prepare the joint, a
metallic overlay is mechanically crimped in place without the use of
cement or pedicle screws. Permanent fixation occurs when bone in-grows
onto a rough, porous surface on the inside of the implant. This
hemi-arthroplasty method resurfaces half of the facet joint to provide
for smooth, pain free joint articulation in deteriorated or diseased
spinal facet joints without the need for major surgery or rehabilitation
at considerably less risk to the patient. This procedure may also be used
to prophylactically resurface the joint to minimize or eliminate future
deterioration caused by the additional stress to facet joints from disc
replacements or instrumented vertebral fusion. Instrumentation includes a
newly invented planer, director probe with slap-hammer, vertebral
separator, osteotome, broach, crimper and facet joint prosthetic implant
for use in surgically resurfacing facet joints located from Occiput-C1
through L5-S1 using a minimally invasive outpatient facet joint
hemi-arthroplasty method developed specifically for that purpose.