Posterior lumbar joint prosthesis
There is provided a posterior lumbar joint prosthesis which includes prosthetic elements reproducing the movements of the joint facets and vertebral anchors which adapt to the variations in the anatomy of vertebra. In use, the prosthesis has lower and upper connectors on each side of the lumbar vertebra. The lower connectors are coupled with, and pivotably mounted onto, respective lower pedicular screws, and a member defining a member axis links lower and upper connectors on each side of the lumbar vertebra. Upon lateral flexion of one of the upper and lower vertebrae relative to the other, each lower connector is capable of multiaxis pivotable movement relative to the respective lower pedicular screws such that each member is capable to pivot with respect to (i) the axis of the lower screw, (ii) a first axis intersecting the lower screw and the lower connector, and/or (iii) an axis intersecting the above first axis and the lower screw, while the member can also move along the member axis.
1. A posterior lumbar joint prosthesis intended for an upper and a lower lumbar vertebrae, the upper lumbar vertebra having left and right upper pedicles and the lower lumbar vertebra having left and right lower pedicles, said prosthesis comprising:
(a) a left upper pedicular screw extending along a left upper axis, said left upper pedicular screw having a lower threaded portion configured to be anchored in the left upper pedicle;
(b) a right upper pedicular screw extending along a right upper axis, said right upper pedicular screw having a lower threaded portion configured to be anchored in the right upper pedicle;
(c) a left lower pedicular screw extending along a left lower axis, said left lower pedicular screw having upper and lower threaded portions, said lower threaded portion configured to be anchored in the left lower pedicle;
(d) a right lower pedicular screw extending along a right lower axis, said right lower pedicular screw having upper and lower threaded portions, said lower threaded portion configured to be anchored in the right lower pedicle;
(e) left and right lower connectors, each respectively coupled to said left and right lower pedicular screws;
(f) a left member for linking said left upper pedicular screw and said left lower connector, said left member extending along a left member axis and having a lower end and an upper lateral projection linked to said left upper pedicular screw, said left member axis being spaced from said left lower axis;
(g) a right member for linking said right upper pedicular screw and said right lower connector, said right member extending along a right member axis and having a lower end and an upper lateral projection linked to said right upper pedicular screw, said right member axis being spaced from said right lower axis;
(h) a U-shaped right upper connecting portion provided at an end of said right upper pedicular screw;
(i) a U-shaped left upper connecting portion provided at an end of said left upper pedicular screw;
(j) a right ball ring of the right member, the right ball ring fitting in the U-shape of the right upper connecting portion; and
(k) a left ball ring of the left member, the left ball ring fitting in the U-shape of the left upper connecting portion,
wherein each of said left and right lower connectors has a body having an internal peripheral wall defining a first aperture encircling each member axis and a connecting portion having a second aperture encircling each lower axis, wherein each lower pedicular screw extends through said second aperture of each lower connector and wherein each member extends through said first aperture of each lower connector;
wherein said prosthesis comprises left and right sleeves, each of said left and right sleeves having a spherical portion with an external convex peripheral surface and being mounted on said upper threaded portion of each lower pedicular screw and within said second aperture of said connecting portion of each lower connector and
wherein said connecting portion of each lower connector has an internal concave peripheral wall following said external convex peripheral surface of said sleeve such that each lower connector is pivotably mounted with respect to said sleeve and such that, in use, lateral flexion of one of the upper and lower vertebrae relative to the other imparts either or both (i) movement of one member along said member axis with respect to said first aperture of said lower connector and (ii) pivotable movement of said member relative to said lower axis, and further imparts pivotable movement of said member relative to either or both (iii) a first lower pivoting axis intersecting said member axis and said lower axis and (iv) a second lower pivoting axis, parallel to said member axis, and intersecting said lower axis and said first lower pivoting axis; and wherein said prosthesis comprises left and right lower nuts, wherein each sleeve has an upper portion extending above said connecting portion of said lower connector and wherein each lower nut is tightened on said upper threaded portion of each lower pedicular screw such that it abuts and maintains in place each sleeve while allowing pivotable movements of said lower connector with respect to said sleeve.
2. A posterior lumbar joint prosthesis intended for an upper and a lower lumbar vertebrae, the upper lumbar vertebra having left and right upper pedicles and the lower lumbar vertebra having left and right lower pedicles, said prosthesis comprising:
(a) a left upper pedicular screw extending along a left upper axis, said left upper pedicular screw having a lower threaded portion configured to be anchored in the left upper pedicle;
(b) a right upper pedicular screw extending along a right upper axis, said right upper pedicular screw having a lower threaded portion configured to be anchored in the right upper pedicle;
(c) a left lower pedicular screw extending along a left lower axis, said left lower pedicular screw having upper and lower threaded portions, said lower threaded portion configured to be anchored in the left lower pedicle;
(d) a right lower pedicular screw extending along a right lower axis, said right lower pedicular screw having upper and lower threaded portions, said lower threaded portion configured to be anchored in the right lower pedicle;
(e) left and right lower connectors, each respectively coupled to said left and right lower pedicular screws;
(f) a left member for linking said left upper pedicular screw and said left lower connector, said left member extending along a left member axis and having a lower end and an upper lateral projection linked to said left upper pedicular screw, said left member axis being spaced from said left lower axis;
(g) a right member for linking said right upper pedicular screw and said right lower connector, said right member extending along a right member axis and having a lower end and an upper lateral projection linked to said right upper pedicular screw, said right member axis being spaced from said right lower axis;
(h) a U-shaped right upper connecting portion provided at an end of said right upper pedicular screw;
(i) a U-shaped left upper connecting portion provided at an end of said left upper pedicular screw;
(j) a right ball ring of the right member, the right ball ring fitting in the U-shape of the right upper connecting portion; and
(k) a left ball ring of the left member, the left ball ring fitting in the U-shape of the left upper connecting portion,
wherein each of said left and right lower connectors has a body having an internal peripheral wall defining a first aperture encircling each member axis and a connecting portion having a second aperture encircling each lower axis, wherein each lower pedicular screw extends through said second aperture of each lower connector and wherein each member extends through said first aperture of each lower connector;
and wherein, in use, lateral flexion of one of the upper and lower vertebrae relative to the other imparts either or both (i) movement of one member along said member axis with respect to said first aperture of said lower connector and (ii) pivotable movement of said member relative to said lower axis.
3. A posterior lumbar joint prosthesis intended for an upper and a lower lumbar vertebrae, the upper lumbar vertebra having left and right upper pedicles and the lower lumbar vertebra having left and right lower pedicles, said prosthesis comprising:
(a) a left upper pedicular screw extending along a left upper axis, said left upper pedicular screw having a lower threaded portion configured to be anchored in the left upper pedicle;
(b) a right upper pedicular screw extending along a right upper axis, said right upper pedicular screw having a lower threaded portion configured to be anchored in the right upper pedicle;
(c) a left lower pedicular screw extending along a left lower axis, said left lower pedicular screw having upper and lower threaded portions, said lower threaded portion configured to be anchored in the left lower pedicle;
(d) a right lower pedicular screw extending along a right lower axis, said right lower pedicular screw having upper and lower threaded portions, said lower threaded portion configured to be anchored in the right lower pedicle;
(e) left and right lower connectors, each respectively coupled to said left and right lower pedicular screws;
(f) a left member for linking said left upper pedicular screw and said left lower connector, said left member extending along a left member axis and having a lower end and an upper lateral projection linked to said left upper pedicular screw, said left member axis being spaced from said left lower axis;
(g) a right member for linking said right upper pedicular screw and said right lower connector, said right member extending along a right member axis and having a lower end and an upper lateral projection linked to said right upper pedicular screw, said right member axis being spaced from said right lower axis;
(h) a U-shaped right upper connecting portion provided at an end of said right upper pedicular screw;
(i) a U-shaped left upper connecting portion provided at an end of said left upper pedicular screw;
(j) a right ball ring of the right member, the right ball ring fitting in the U-shape of the right upper connecting portion; and
(k) a left ball ring of the left member, the left ball ring fitting in the U-shape of the left upper connecting portion,
wherein each of said left and right lower connectors has a body having an internal peripheral wall defining a first aperture encircling each member axis and a connecting portion having a second aperture encircling each lower axis,
wherein each lower pedicular screw extends through said second aperture of each lower connector and wherein each member extends through said first aperture of each lower connector; and
wherein said prosthesis comprises left and right sleeves, each of said left and right sleeves having a spherical portion with an external convex peripheral surface and being mounted on said upper threaded portion of each lower pedicular screw and within said second aperture of said connecting portion of each lower connector and
wherein said connecting portion of each lower connector has an internal concave peripheral wall following said external convex peripheral surface of said sleeve such that each lower connector is pivotably mounted with respect to said sleeve and such that, in use, lateral flexion of one of the upper and lower vertebrae relative to the other imparts either or both (i) movement of one member along said member axis with respect to said first aperture of said lower connector and (ii) pivotable movement of said member relative to said lower axis, and further imparts pivotable movement of said member relative to either or both (iii) a first lower pivoting axis intersecting said member axis and said lower axis and (iv) a second lower pivoting axis, parallel to said member axis, and intersecting said lower axis and said first lower pivoting axis.