# US 7,744,631 B2 · Method for vertebral disc annular fibrosis tensioning and lengthening > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 7,744,631 B2 - Document ID: US7744631B2 - Status: Granted - Kind: B2 - Application number: 11/679,784 - Filed: 2007-02-27 - Published: 2008-07-24 - Granted: 2010-06-29 - Earliest claimed: 2006-12-28 - Assignees: Mi4Spine, LLC - Inventors: Miquelangelo J. Perez-Cruet; John R. Pepper; John A. Miller - Web page: https://patentgrep.com/patent/US7744631B2 ## CPC - A61B 17/7007: {Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit around the screw or hook heads} - A61B 17/7005: {Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit in the screw or hook heads} - A61B 17/7025: {with a sliding joint} - A61B 17/7026: {with a part that is flexible due to its form} - A61B 2017/00867: {shape memory effect} - A61B 2017/8655: {with special features for locking in the bone} - A61F 2002/4445: {Means for culturing intervertebral disc tissue} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C) ## Abstract A method for providing vertebral disc annular fibrosis tensioning and lengthening that restores the loss of disc height and provides disc regeneration. In one non-limiting embodiment, the method includes inserting pedicle screws into the vertebral bodies of adjacent vertebra and positioning a spring in compression between and in contact with the pedicle screws so that the spring bias forces the pedicle screws apart to provide a distractive force that increases the height of the disc space and promotes the disc regeneration. ## Claims ### Claim 1 A method for providing vertebral disc annular fibrosis tensioning and lengthening, said method comprising: providing a pair of screws within adjacent vertebra, said screws including screw heads, each screw head having a cup-shaped cavity and an open area where the open area of the screw heads face each other; positioning a spring along a first axis between the screws so that opposing ends of the spring are positioned within the cup-shaped cavity of the screw heads, wherein the spring applies a bias to the screws that causes a distractive force to the annular fibrosis of the vertebral disc; and providing a rigid posterior ring positioned around and outside of the screw heads along a second axis so that the posterior ring rigidly holds the screws and the spring causes the screws to pivot away from each other at the second axis. ### Claim 2 (depends on 1) The method according to claim 1 wherein the spring includes a cylindrical body between the opposing ends. ### Claim 3 (depends on 2) The method according to claim 2 wherein the cylindrical body includes a plurality of spaced apart slots that allow the spring to be compressed. ### Claim 4 (depends on 1) The method according to claim 1 wherein the ring is positioned within an annular recess in the heads. ### Claim 5 (depends on 1) The method according to claim 1 wherein an inner surface of the cavity in the screw heads includes a low friction material to reduce wear particle formation. ### Claim 6 (depends on 1) The method according to claim 1 wherein the screws are pedicle screws threaded through a pedicle of a vertebra and into a vertebral body. ### Claim 7 (depends on 1) The method according to claim 1 wherein providing a spring includes providing a spring made of a memory alloy. ### Claim 8 (depends on 7) The method according to claim 7 wherein providing a spring includes providing a spring made of nitinol. ### Claim 9 A method for providing vertebral disc annular fibrosis lengthening for increasing the height of an intervertebral disc, said method comprising mounting a pair of support members to opposing vertebra, applying a separation force to the support members using a linearly expandable link member positioned between and in contact with the support members so as to provide a continuous distractive force to the disc, and providing a rigid force to the support members using a rigid member so that the separation force causes ends of the support members to pivot away from each other at the location where the rigid member is coupled to the support members. ### Claim 10 (depends on 9) The method according to claim 9, wherein the rigid member is a dumbbell member, said support members including a slot where an end of the dumbbell member is positioned within the slots. ### Claim 11 (depends on 9) The method according to claim 9 wherein the link member is a cylindrical member coupled to heads of the support members, said link member including a cylindrical body having slots that allow the link member to be compressed. ### Claim 12 (depends on 9) The method according to claim 9, wherein the link member includes an elongated portion having a spring and end plates, said end plates including openings, said link member further including U-shaped members at the end of each end plate, said U-shaped members being positioned in contact with the support members. ### Claim 13 A method for providing a continuous tension stress on an annulus fibrosis between two vertebra, said method comprising coupling a caudal vertebral body attachment member to one vertebra, coupling a cephelad vertebral body attachment member to another vertebra, coupling a non-rigid interconnection member to the caudal vertebral body attachment member and the cephelad vertebral body attachment member, and coupling a rigid interconnection member to the caudal vertebral body attachment member and the cephelad vertebral body attachment member so that the non-rigid interconnection member causes the cephelad and caudal vertebral body attachment members to pivot away from each other at a location where the rigid interconnection member is coupled to the cephelad and caudal vertebral body attachment members. ### Claim 14 (depends on 13) The method according to claim 13 wherein the method provides a controlled distraction force and a controlled distraction distance on the annulus fibrosis and a controlled dynamic motion of the vertebra. ### Claim 15 (depends on 13) The method according to claim 13 wherein the interconnection member allows vertebral motion while maintaining stress tension on the annulus fibrosis. ### Claim 16 (depends on 13) The method according to claim 13 wherein the attachment members and the interconnection member are arranged in a parallelogram shape. ### Claim 17 A method for regenerating a vertebral disc by hyperextension of an annulus fibrosis of the disc using screws coupled to separate vertebra and an expansive member coupled to the screws, providing an expansive force to the screws and providing a rigid force to the screws where the expansive force causes ends of the screws to pivot away from each other at a location where the rigid force holds the screws, said method creating a strain on the annular fibrosis to provide the disc regeneration. ### Claim 18 (depends on 17) The method according to claim 17 wherein the expansive member and the rigid member are part of a parallelogram linked hardware. ### Claim 19 (depends on 17) The method according to claim 17 wherein the method provides uniform distraction distances within the sagittal plane of the disc.