Surgical procedure for implanting spinal fusion device

Claim 1

A method for preparing two adjacent vertebrae and a disc space therebetween to receive an interlocking spinal fusion implant and for inserting the implant into the disc space, the method comprising the steps of: performing a discectomy which produces an annulotomy wide enough to accommodate a preselected interlocking intervertebral implant, thereby creating a disc space; placing either against or within the disc space an appropriate sized distractor having a shaft; impacting the distractor fully into the disc space; placing over the proximal end of the distractor shaft the distal end of an appropriately sized box guide having tangs at its distal end and advancing the box guide until the tangs are within the disc space; removing the distractor through the box guide while maintaining the position of the box guide; inserting into the box guide a first tome specially configured to make horizontal cuts in the cortical shells of said two adjacent vertebrae; making horizontal cuts posteriorly in the cortical shells of the two adjacent vertebrae using said first tome; removing the first tome; inserting a second tome specially configured to make anterior to posterior cuts in the two adjacent vertebrae of a shape designed to mate intimately with protrusions on the interlocking intervertebral implant, the cuts being made in such fashion that the anterior to posterior cuts end substantially at the posteriorly made horizontal cuts; removing the second tome from the disc space; and inserting an interlocking intervertebral implant through the box guide into the disc space so that the protrusions on the implant mate intimately with the anterior to posterior cuts.

Claim 2

A method for preparing two adjacent vertebrae and a disc space therebetween to receive an interlocking spinal fusion implant and for inserting the implant into the disc space, the method comprising the steps of: performing a discectomy which produces an annulotomy wide enough to accommodate a preselected interlocking intervertebral implant, thereby creating a disc space; placing either against or within the disc space an appropriate sized distractor having a shaft; impacting the distractor fully into the disc space; placing over the proximal end of the distractor shaft the distal end of an appropriately sized box guide having tangs at its distal end and advancing the box guide until the tangs are within the disc space; removing the distractor through the box guide while maintaining the position of the box guide; inserting into the box guide a first tome specially configured to make horizontal cuts in the cortical shells of said two adjacent vertebrae; making horizontal cuts posteriorly in the cortical shells of the two adjacent vertebrae using said first tome; removing the first tome; inserting a second tome specially configured to make anterior to posterior cuts in the two adjacent vertebrae of a shape designed to mate intimately with protrusions on the interlocking intervertebral implant, the cuts being made in such fashion that the anterior to posterior cuts end substantially at the posteriorly made horizontal cuts; removing the second tome from the disc space; and inserting an interlocking intervertebral implant through the box guide into the disc space so that the protrusions on the implant mate intimately with the anterior to posterior cuts.