Limited motion prosthetic intervertebral disc
A prosthetic intervertebral disc includes an upper plate and a lower plate and employs congruent stepped features to provide limited articulating motion between the plates. The stepped features can be used to provide articulating motion of a rocking type rather than a rubbing or translating type of motion provided in many artificial discs. Each of two parts of the intervertebral disc includes two or more stepped bearing surfaces, having curved or flat shapes, which mate with one another to provide the articulation to the disc. The stepped features can be designed to restrict motion in flexion-extension or lateral bending to less than a predetermined angle. The stepped design can be modified to either allow or prevent rotational motion between the plates. The limited motion disc substantially prevents translation, however some limited translation can be provided by modification of the relative sizes of the stepped features.
1. A prosthetic intervertebral disc comprising:
first and second endplates sized and shaped to fit within an intervertebral space, each endplate having a vertebral contacting surface and an inner surface, wherein a first longitudinal axis and a second longitudinal axis extends between the vertebral contacting surface and the inner surface of the first and second endplates, respectively;
a first continuous bearing surface on the inner surface of the first endplate, the first continuous bearing surface comprising a plurality of concentric first steps arranged in a concave configuration, wherein an end of the first longitudinal axis extends to the first continuous bearing surface;
a second continuous bearing surface on the inner surface of the second endplate, the second continuous bearing surface comprising a plurality of concentric second steps arranged in a convex configuration, wherein each step of the plurality of concentric second steps is complementary to, and mates with a corresponding step of the plurality of first steps in the concave configuration to provide articulation between the first and second endplates, wherein an end of the second longitudinal axis extends to the second continuous bearing surface,
wherein each of the plurality of first steps and second steps has a rise and a run,
wherein the plurality of first steps and the plurality of second steps mate so that the end the first longitudinal axis and the end of the second longitudinal axis are retained substantially adjacent to each other so as to define a pivot point about which the first and second endplates are adapted to rock relative to each other, and
wherein each step of the plurality of concentric first steps has an annular periphery disposed fully about the first longitudinal axis and each step of the plurality of concentric second steps has an annular periphery disposed fully about the second longitudinal axis.
2. The disc of claim 1 , wherein the annular peripheries of the first steps and second steps are circular.
3. The disc of claim 1 , wherein the annular peripheries of the first steps and second steps are oval.
4. The disc of claim 1 , wherein the first steps and second steps each have a curved cross sectional profile.
5. The disc of claim 1 , wherein the first steps and second steps each have a planar cross sectional profile.
6. The disc of claim 1 , wherein the first steps have a planar cross sectional profile and the second steps have a curved cross sectional profile.
7. The disc of claim 1 , wherein the first and second steps each have a width in a radial direction at least 3 times a height of the steps in an axial direction.
8. The disc of claim 1 , wherein the plurality of first steps comprise at least three steps.
9. The disc of claim 1 , wherein the first steps and the second steps interact to limit articulating motion between the plates to a maximum of 5 degrees in the anterior, posterior, or lateral directions.
10. The disc of claim 1 , wherein the first steps and the second steps interact to limit rotational motion between the plates to a maximum of 2 degrees.
11. The disc of claim 1 , wherein the first steps and the second steps interact to limit translational motion between the plates to less than 1 mm.
12. The disc of claim 1 , further comprising at least one fin extending from each of the vertebral contacting surfaces.
13. The disc of claim 1 , wherein the first steps and second steps are arranged in strata.
14. A prosthetic intervertebral disc comprising:
first and second endplates sized and shaped to fit within an intervertebral space, each endplate having a vertebral contacting surface and an inner surface, wherein a first longitudinal axis and a second longitudinal axis extends between the vertebral contacting surface and the inner surface of the first and second endplates, respectively;
a first continuous bearing surface on the inner surface of the first endplate, the first continuous bearing surface comprising a plurality of first steps formed on a unitary piece of the first endplate, the plurality of first steps arranged in a concave configuration, wherein an end of the first longitudinal axis extends to the first continuous bearing surface;
a second continuous bearing surface, the second continuous bearing surface comprising a plurality of second steps formed on a unitary piece of the second endplate, the plurality of second steps arranged in a convex configuration, wherein each step of the plurality of second steps is complementary to a corresponding step of the plurality of first steps in the concave configuration, wherein an end of the second longitudinal axis extends to the second continuous bearing surface,
wherein the plurality of first steps and the plurality of second steps mate so that the end the first longitudinal axis and the end of the second longitudinal axis are retained substantially adjacent to each other so as to define a pivot point about which the first and second endplates are adapted to rock relative to each other,
wherein each of the plurality of first steps and second steps has a rise and a run,
and wherein each step of the plurality of concentric first steps has an annular periphery disposed fully about the first longitudinal axis and each step of the plurality of concentric second steps has an annular periphery disposed fully about the second longitudinal axis.