Polyaryletherketone artificial intervertebral disc
An intervertebral prosthesis for insertion between adjacent vertebrae, in one embodiment, includes upper and lower prosthesis plates and a movable core. The prosthesis plates and optionally the core are formed of polyaryletherketone (PAEK) for improved imaging properties. A metallic insert is provided on each of the PAEK prosthesis plates providing a bone ongrowth surface.
1. A method for relieving back pain with an intervertebral disc comprising:
implanting an upper plate comprising a body having an upper vertebra contacting surface and a lower bearing surface and a metal screen covering the upper vertebra contacting surface, wherein the body of the upper plate consists of polyaryletherketone (PAEK) and the metal screen is attached to the upper surface of the plate by insert molding, peripheral locking features, or adhesives and the metal screen provides improved bone attachment;
implanting a lower plate comprising a body having a lower vertebra contacting surface and an upper bearing surface and a metal screen covering the lower vertebra contacting surface, wherein the body of the lower plate is formed of PAEK and the metal screen is attached to the upper surface of the plate by insert molding, peripheral locking features, or adhesives and the metal screen provides improved bone attachment; and
positioning a ceramic core between the upper and lower plates with the ceramic core having upper and lower bearing surfaces in contact with the PAEK of the upper and lower plates; and
allowing the upper and lower plates to articulate with respect to one another and with respect to the core.
2. The method of claim 1 , wherein each metal screen has a plurality of projections formed thereon and a plurality of holes formed therethrough for improving bone attachment.
3. A method for relieving back pain with an intervertebral disc comprising:
implanting an upper plate comprising a polyaryletherketone (PAEK) body and a metallic insert covering an upper surface of the body and having a plurality of projections formed thereon against an upper vertebra, wherein the metallic insert is attached to the upper surface of the plate by insert molding, peripheral locking features, or adhesives and improves bone ingrowth and bone attachment;
implanting a lower plate comprising a polyaryletherketone (PAEK) body and a metallic insert covering a lower surface of the body and having a plurality of projections formed thereon against a lower vertebra, wherein the metallic insert is attached to the upper surface of the plate by insert molding, peripheral locking features, or adhesives and improves bone ingrowth and bone attachment;
positioning a core between the upper and lower plates; and
allowing the upper and lower plates and the core to articulate with respect to one another in an anterior-posterior direction and in a lateral direction and to rotate with respect to one another.
4. The method of claim 3 , wherein the core is movable with respect to the upper and lower plates.
5. The method of claim 3 , further comprising proyiding anchoring elements in the form of fins extending from the upper surface of the upper plate and from the lower surface of the lower plate.
6. The method of claim 5 , wherein the fins are formed of PAEK.
7. The method of claim 5 , wherein the fin is formed is formed of PAEK and is covered with a metallic material.
8. The method of claim 5 , wherein the fin is formed as a part of the metallic insert.
9. The method of claim 3 , wherein the metallic inserts have a thickness of about 0.1 to about 1.0 mm.
10. The method of claim 3 , wherein the core is formed of PAEK.
11. The method of claim 3 , wherein the core is formed of ceramic.
12. The method of claim 3 , wherein the core is metallic.
13. The method of claim 3 , wherein the metallic inserts have a thickness of at least 0.3 mm.
14. The method of claim 3 , wherein each metallic insert comprises a metal screen having the plurality of projections formed thereon and a plurality of holes formed therethrough.