Method for using dynamic lordotic guard with movable extensions for creating an implantation space posteriorly in the lumbar spine

摘要

A lordotic guard and method for guiding a bone removal device to form an implantation space in the human spine and, if desired, for inserting a spinal implant into the implantation space. The guard has a body having a first portion and a second portion in pivotal relationship to one another proximate the leading end between an open position and a closed position. The first and second portions define an opening for providing a protected pathway to the disc space and the adjacent vertebral bodies. At least one disc space penetrating extension extends from the leading end of the body adapted for insertion at least in part into the disc space. First and second portions of the extension are in pivotal relationship to one another about an axis that passes through at least a portion of the pathway.