Elastomeric intervertebral disc prosthesis
View Patent ↗In an intervertebral disc prostheses having a pair of rigid endplates and an elastomeric core structure between the endplates. The core structure is designed to provide desired functional characteristics of the prosthesis.
1. An intervertebral disc prosthesis for implanting between adjacent vertebrae in a spinal motion segment, comprising:
an upper rigid prosthesis endplate for fixation to an adjacent upper vertebra, and having a periphery, an antero-posterior dimension, and a transverse dimension,
a lower rigid prosthesis endplate for fixation to an adjacent lower vertebra, and having a periphery, an antero-posterior dimension, and a transverse dimension, and
an elastomeric core located between said prosthesis endplates and attached to said endplates,
said elastomeric core including at least a first elastomeric core member and having a total cross-sectional area in a horizontal plane and durometer hardness sufficient to provide sufficient compressive strength to support physiological axial loads, and
said elastomeric core having at least an average antero-posterior dimension, sufficiently less than at least one of said upper prosthesis endplate antero-posterior dimension and said lower prosthesis endplate antero-posterior dimension, such that said elastomeric core does not protrude beyond the periphery of one of said prosthesis endplates during normal flexion and extension of said spinal motion segment,
wherein a maximum antero-posterior dimension of said elastomeric core in a central horizontal plane of said prosthesis is less than a maximum transverse dimension of said elastomeric core in said central horizontal plane and each prosthesis endplate has a ratio of a maximum antero-posterior dimension thereof to a maximum transverse dimension there of that is different from a ratio of said maximum antero-posterior dimension of said elastomeric core to said maximum transverse dimension of said elastomeric core in said central horizontal plane.
2. The intervertebral prosthesis of claim 1 , wherein said maximum transverse dimension of said elastomeric core in said central horizontal plane is not less than 1.4 times said maximum anteroposterior dimension of said elastomeric core in said central horizontal plane.
3. The intervertebral disc prosthesis of claim 1 , wherein said elastomeric core has a centroid positioned posterior to a centroid of at least one of said upper prosthesis endplate and said lower prosthesis endplate.
4. An intervertebral disc prosthesis for implanting between adjacent vertebrae in a spinal motion segment, comprising:
an upper rigid prosthesis endplate for fixation to an adjacent upper vertebra,
a lower rigid prosthesis endplate for fixation to an adjacent lower vertebra, and
an elastomeric core structure located between said prosthesis endplates and attached to said endplates,
said elastomeric core structure including at least one elastomeric core member fixedly attached to said endplates and having a total cross-sectional area in a horizontal plane and durometer hardness sufficient to provide sufficient compressive strength to support physiological axial loads,
wherein said elastomeric core member includes only one elastomer and is a unitary body devoid of any axial through-hole, having a generally concave periphery and a height in a midline vertical plane of said core member that is non-decreasing in a posterior to anterior direction essentially entirely over a maximum antero-posterior dimension of said core member,
wherein said antero-posterior dimension in said midline vertical plane is not greater than about three times an axial height dimension of said core member, and
wherein a maximum anteroposterior dimension of said unitary elastomeric body in a central horizontal plane of said prosthesis is less than a maximum transverse dimension of said unitary elastomeric body in said central horizontal plane, and each prosthesis endplate has a ratio of a maximum antero-posterior dimension thereof to a maximum transverse dimension thereof that is different from a ratio of said maximum antero-posterior dimension of said unitary elastomeric body to said maximum transverse dimension of said unitary elastomeric body in said central horizontal plane.
5. The intervertebral disc prosthesis of claim 4 , wherein said antero-posterior dimension is a minimum antero-posterior dimension in said midline vertical plane.
6. The intervertebral disc prosthesis of claim 4 , wherein said unitary elastomeric body has a centroid positioned posterior to a centroid of at least one of said upper prosthesis endplate and said lower prosthesis endplate.
7. The intervertebral prosthesis of claim 4 , wherein said maximum transverse dimension of said unitary elastomeric body in said central horizontal plane is not less than 1.4 times said maximum anteroposterior dimension of said unitary elastomeric body in said central horizontal plane.
8. The intervertebral disc prosthesis of claim 7 , wherein said unitary elastomeric body has a centroid positioned posterior to a centroid of at least one of said upper prosthesis endplate and said lower prosthesis endplate.
9. The intervertebral disc prosthesis of claim 4 , wherein said antero-posterior dimension in said midline vertical plane is about two times of the axial height dimension of said core member.
10. An intervertebral disc prosthesis for implanting between adjacent vertebrae in a spinal motion segment, comprising:
an upper rigid prosthesis endplate for fixation to an adjacent upper vertebra, and
a lower rigid prosthesis endplate for fixation to an adjacent lower vertebra,
wherein said upper and lower endplates are coupled through a single unitary elastomeric body, devoid of any axial through-hole, which is fixedly attached to said upper and lower endplates, said unitary elastomeric body having a generally concave periphery, a maximum antero-posterior dimension in a midline vertical plane of said prosthesis that is less than a respective maximum antero-posterior dimension of each of said upper and lower prosthesis endplates in said midline vertical plane, and a height in said midline vertical plane that is non-decreasing in a posterior to anterior direction essentially entirely over said maximum antero-posterior dimension of said elastomeric body,
wherein, in said midline vertical plane, said unitary elastomeric body has an antero-posterior dimension not greater than about three times an axial height dimension thereof, and
wherein said maximum antero-posterior dimension of said unitary elastomeric body in a central horizontal plane of said prosthesis is less than a maximum transverse dimension of said unitary elastomeric body in said central horizontal plane, and each prosthesis endplate has a ratio of said maximum antero-posterior dimension thereof to a maximum transverse dimension thereof that is different from a ratio of said maximum antero-posterior dimension of said unitary elastomeric body to said maximum transverse dimension of said unitary elastomeric body in said central horizontal plane.
11. The intervertebral disc prosthesis of claim 10 , wherein said unitary elastomeric body has a centroid positioned posterior to a centroid of at least one of said upper prosthesis endplate and said lower prosthesis endplate.
12. The intervertebral disc prosthesis of claim 10 , wherein, in said midline vertical plane, said unitary elastomeric body has an antero-posterior dimension about two times of the axial height dimension.