Prosthetic disc for intervertebral insertion
A prosthetic disc for insertion between adjacent vertebrae includes a core having upper and lower curved surfaces, upper and lower plates, and peripheral restraining structure on at least one of the upper plate, the lower plate and the core. Each plate has an outer surface which engages a vertebra and an inner curved surface which slides over the curved surface of the core. The peripheral restraining structure serves to hold the core against a curved surface of at least one of the plates during sliding movement of the plates over the core.
1. A method of retaining a core in a prosthetic disc for insertion between adjacent vertebrae, the method comprising:
providing upper and lower plates, each plate having an outer surface which engages a vertebra and an inner surface, and providing a bearing surface on at least one of the inner surfaces of the upper or lower plates;
providing a peripheral retaining structure on at least one of the upper or lower plates, the peripheral retaining structure including a radially inwardly projecting flange;
inserting a core between the upper and lower plates, the core having an outer surface which mates with and slides over the bearing surface; and
holding the core between the upper and lower plates by providing a mating groove on the core which engages the projecting flange, while allowing the upper and lower plates to move with respect to one another and with respect to the entire core.
2. The method of claim 1 , wherein the upper and lower plates are metallic and the core comprises a polymer.
3. The method of claim 2 , wherein the core comprises polyethylene.
4. The method of claim 1 , wherein the inwardly projecting flange is joined to the inner surface of the upper or lower plate by a web.
5. The method of claim 4 , wherein the web is an annular web.
6. The method of claim 1 , wherein the flange is an annular flange.
7. The method of claim 1 , wherein the flange defines an overhang, and wherein at least part of the core extends into the overhang to provide an interference fit of the core with the flange.
8. The method of claim 1 , wherein the flange comprises a number of flange segments which hold the core.
9. The method of claim 1 , further comprising providing the outer surfaces of the upper and lower plates each with an upstanding central fin for fixation.
10. The method of claim 1 , wherein the outer surfaces of the upper and lower plates comprise a rough microfinish for further fixation.
11. The method of claim 10 , wherein the outer surfaces of the upper and lower plates comprise serrations for further fixation.
12. The method of claim 10 , wherein the outer surfaces of the upper and lower plates are coated with titanium plasma spray for further fixation.
13. The method of claim 1 , wherein the core is movable with respect to both the upper and lower plates.
14. The method of claim 1 , wherein the core includes convex outer surfaces on both the upper and lower surfaces and the core is movable with respect to both the upper and lower surfaces.
15. A method of retaining a core in a prosthetic disc for insertion between adjacent vertebrae, the method comprising:
providing upper and lower plates, each plate having an outer surface which engages a vertebra and an inner surface, and providing a bearing surface on at least one of the inner surfaces of the upper or lower plates, wherein the upper and lower plates comprise an upstanding central fin on the outer surfaces for fixation and a titanium surface coating for enhanced fixation;
providing a peripheral retaining structure on at least one of the upper or lower plates, the peripheral retaining structure including an inwardly projecting flange;
inserting a core between the upper and lower plates, the core having an outer surface which mates with and slides over the bearing surface; and
holding the core between the upper and lower plates by providing a mating groove on the core which engages the projecting flange, while allowing the upper and lower plates to move with respect to one another and with respect to the core and the mating groove of the core.