Composite spinal interbody device and method
View Patent ↗A composite interbody device for use with spinal fusion surgery is described herein. The composite interbody device comprises a central body made from a radiolucent biocompatible polymer (e.g., PEEK or UHMWPE) and metallic plates, which are placed at the superior and inferior surfaces of the central body. The metallic plates are comprised of an end plate that is adjacent to a vertebral body and an intermediate plate that is adjacent to the central body. The end plates may have one or more arrays of apertures to facilitate bone growth into the end plates to secure the interbody device within the intervertebral space. The intermediate plates may also have one or more arrays of apertures to allow the central body to bond to the end plates through compression molding, injection molding, and/or heat molding. The arrays of apertures in the end plates are not aligned with the arrays of apertures in the intermediate plates so that polymer material of the central body will not penetrate into the end plate, where bone growth is encouraged, and vice versa.
1. A composite interbody device adapted for insertion between two adjacent vertebrae, the interbody device comprising:
a first end plate comprising a biocompatible metal and having a superior surface adapted to contact an upper vertebral body, an inferior surface, an exterior side wall connecting the superior surface to the inferior surface, and an interior side wall connecting the superior surface to the inferior surface, the first end plate further comprising a first array of apertures passing from the superior surface to the inferior surface, at least one aperture of the first array of apertures passing from the superior surface through the first end plate to the inferior surface along a longitudinal axis oriented perpendicular to the superior surface of the first end plate;
a first intermediate plate comprising a biocompatible metal and having a superior surface adapted to contact the inferior surface of the first end plate, an inferior surface, an exterior side wall connecting the superior surface to the inferior surface, and an interior side wall connecting the superior surface to the inferior surface, the first intermediate plate further comprising a first array of apertures passing from the superior surface to the inferior surface;
a central body comprising a biocompatible polymer and having a superior surface adapted to contact the inferior surface of the first intermediate plate, an inferior surface, an exterior side wall connecting the superior surface to the inferior surface, and an interior side wall connecting the superior surface to the inferior surface;
a second intermediate plate comprising a biocompatible metal and having a superior surface adapted to contact the inferior surface of the central body, an inferior surface, an exterior side wall connecting the superior surface to the inferior surface, and an interior side wall connecting the superior surface to the inferior surface, the second intermediate plate further comprising a first array of apertures passing from the superior surface to the inferior surface;
a second end plate comprising a biocompatible metal and having a superior surface adapted to contact the inferior surface of the second intermediate plate, an inferior surface adapted to contact a lower vertebral body, an exterior side wall connecting the superior surface to the inferior surface, and an interior side wall connecting the superior surface to the inferior surface, the second end plate further comprising a first array of apertures passing from the superior surface to the inferior surface;
wherein the first array of apertures at the inferior surface of the first end plate do not overlap the first array of apertures at the superior surface of the first intermediate plate such that the biocompatible polymer of the central body is prevented from penetrating through the first intermediate plate into the first end plate when the inferior surface of the first end plate contacts the superior surface of the first intermediate plate;
wherein the first array of apertures at the inferior surface of the second intermediate plate do not overlap the first array of apertures at the superior surface of the second end plate when the inferior surface of the second intermediate plate contacts the superior surface of the second end plate.
2. A composite interbody device according to claim 1 , wherein the first end plate further comprises a second array of apertures passing from the exterior side wall to the interior side wall and a third array of apertures passing from another exterior side wall to another interior side wall;
wherein the second end plate further comprises a second array of apertures passing from the exterior side wall to the interior side wall and a third array of apertures passing from another exterior side wall to another interior side wall;
wherein the first intermediate plate further comprises a second array of apertures passing from the exterior side wall to the interior side wall and a third array of apertures passing from another exterior side wall to another interior side wall; and
wherein the second intermediate plate further comprises a second array of apertures passing from the exterior side wall to the interior side wall and a third array of apertures passing from another exterior side wall to another interior side wall.
3. A composite interbody device according to claim 2 , wherein each of the second and third arrays of apertures in each of the first end plate, the first intermediate plate, the second end plate, and the second intermediate plate intersect the first arrays of apertures in the first end plate, first intermediate plate, the second end plate, and the second intermediate plate, respectively.
4. A composite interbody device according to claim 3 , wherein the first, second, and third arrays of apertures in each of the first end plate, the first intermediate plate, the second end plate, and the second intermediate plate are substantially orthogonal to each other.
5. A composite interbody device according to claim 3 , wherein the intersection of the first, second, and third arrays of apertures in each of the first end plate, the first intermediate plate, the second intermediate plate, and the second end plate creates an interconnected void of at least 40% of the volume of the first end plate, first intermediate plate, second intermediate plate, and second end plate, respectively.
6. A composite interbody device according to claim 3 , wherein the intersection of the first, second, and third arrays of apertures in the first and second end plates creates an interconnected void in the range of about 40% to about 70% of the volume of the first and second end plates, respectively.
7. A composite interbody device according to claim 6 , wherein the intersection of the first, second and third arrays of apertures in the first and second intermediate plates creates an interconnected void in the range of about 30% to about 60% of the volume of the first and second intermediate plates, respectively.
8. A composite interbody device according to claim 1 , wherein the interior side walls of the first end plate, the first intermediate plate, the central body, the second intermediate plate, and the second end plate form a major aperture passing through interbody device from the superior surface of the first end plate to the inferior surface of the second plate.
9. A composite interbody device according to claim 1 , wherein the central body further comprises:
a first screw hole passing from the exterior side wall of the central body to the interior side wall of the central body and towards one of the end plates, wherein the first screw hole is operable to receive a bone screw that connects to one of the vertebral bodies; and
a second screw hole passing from the exterior side wall of the central body to the interior side wall of the central body and towards one of the end plates, wherein the second screw hole is operable to receive a bone screw that connects to one of the vertebral bodies.
10. A composite interbody device according to claim 9 , wherein the first screw hole intersects the superior surface of the first end plate and the second screw hole intersects an inferior surface of the second end plate.
11. A composite interbody device according to claim 9 , wherein the central body further comprises a receptacle for receiving a back-out plate that is adjacent to the first and second screw holes, and wherein the back-out plate inhibits the bone screws from backing out of the upper and lower vertebral bodies.
12. A composite interbody device according to claim 1 , wherein the exterior side wall of the central body further comprises a tool receptacle for receiving a insertion tool that can be releasably connected to the interbody device during the implantation of the device between adjacent vertebrae.
13. A composite interbody device according to claim 1 , wherein the interbody device is shaped to be inserted between adjacent vertebrae in the cervical region of the spine.
14. A composite interbody device according to claim 1 , wherein the interbody device is shaped to be inserted between adjacent vertebrae in the lumbar region of the spine.
15. A composite interbody device according to claim 1 , wherein the central body comprises a radiolucent material for monitoring an amount of bone on-growth and through-growth.
16. A composite interbody device according to claim 1 , wherein the superior surface of the first end plate further comprises spikes or ridges for restricting relative movement of the composite interbody device with respect to the upper vertebral body.
17. A composite interbody device according to claim 1 , wherein, in the first and second intermediate plates, at least one of the first array of apertures each pass from the superior surface through the intermediate plate to the inferior surface.
18. A composite interbody device according to claim 1 , wherein, in the second end plate, at least one of the first array of apertures each pass from the superior surface through the second end plate to the inferior surface.
19. A composite interbody device adapted for insertion between two adjacent vertebrae, the interbody device comprising:
a first end plate comprising a biocompatible metal and having a superior surface adapted to contact an upper vertebral body, an inferior surface, an exterior side wall connecting the superior surface to the inferior surface, and an interior side wall connecting the superior surface to the inferior surface, the first end plate further comprising a first array of apertures passing from the superior surface to the inferior surface, at least one aperture of the first array of apertures passing from the superior surface through the first end plate to the inferior surface along a longitudinal axis oriented perpendicular to the superior surface of the first end plate;
a first intermediate plate comprising a biocompatible metal and having a superior surface adapted to contact the inferior surface of the first end plate, an inferior surface, an exterior side wall connecting the superior surface to the inferior surface, and an interior side wall connecting the superior surface to the inferior surface, wherein the inferior surface of the first intermediate plate further comprises a first array of linear recesses, at least one linear recess of the first array of linear recesses passing from an exterior side wall to an opposing exterior side wall along a transverse axis oriented perpendicular to the exterior side wall of the first intermediate plate;
a central body comprising a biocompatible polymer and having a superior surface adapted to contact the inferior surface of the first intermediate plate, an inferior surface, an exterior side wall connecting the superior surface to the inferior surface, and an interior side wall connecting the superior surface to the inferior surface;
a second intermediate plate comprising a biocompatible metal and having a superior surface adapted to contact the inferior surface of the central body, an inferior surface, an exterior side wall connecting the superior surface to the inferior surface, and an interior side wall connecting the superior surface to the inferior surface, the second intermediate plate further comprising a first array of linear recesses passing from an exterior side wall to an opposing exterior side wall;
a second end plate comprising a biocompatible metal and having a superior surface adapted to contact the inferior surface of the second intermediate plate, an inferior surface adapted to contact a lower vertebral body, an exterior side wall connecting the superior surface to the inferior surface, and an interior side wall connecting the superior surface to the inferior surface, the second end plate further comprising a first array of apertures passing from the superior surface to the inferior surface.
20. A composite interbody device according to claim 19 , wherein one or more of the linear recesses of both the first and second intermediate plates has a T-shaped cross section.
21. A composite interbody device according to claim 19 , wherein the first end plate further comprises a second array of apertures passing from the exterior side wall to the interior side wall and a third array of apertures passing from another exterior side wall to another interior side wall; and
wherein the second end plate further comprises a second array of apertures passing from the exterior side wall to the interior side wall and a third array of apertures passing from another exterior side wall to another interior side wall.
22. A composite interbody device according to claim 21 , wherein each of the second and third arrays of apertures in the first end plate and the second end plate intersect the first arrays of apertures of the first end plate and the second end plate, respectively.
23. A composite interbody device according to claim 22 , wherein each of the first, second, and third arrays of apertures in each of the first end plate and the second end plate is substantially orthogonal to the other arrays of apertures.
24. A composite interbody device according to claim 22 , wherein the intersection of the first, second, and third arrays of apertures in the first and second end plates creates an interconnected void of at least 40% of the volume of the first and second end plates, respectively.
25. A composite interbody device according to claim 22 , wherein the intersection of the first, second and third arrays of apertures in the first and second end plates creates an interconnected void of about 40% to about 70% of the volume of the first and second end plates, respectively.
26. A composite interbody device according to claim 21 , wherein the exterior side wall of the central body further comprises a tool receptacle for receiving a insertion tool that can be releasably connected to the interbody device during the implantation of the device between adjacent vertebrae.
27. A composite interbody device according to claim 19 , wherein the interior side walls of the first end plate, the first intermediate plate, the central body, the second intermediate plate, and the second end plate form a major aperture passing through interbody device from the superior surface of the first end plate to the inferior surface of the second plate.
28. A composite interbody device according to claim 19 , wherein the central body further comprises:
a first screw hole passing from the exterior side wall of the central body to the interior side wall of the central body and towards one of the end plates, wherein the first screw hole is operable to receive a bone screw that connects to one of the vertebral bodies; and
a second screw hole passing from the exterior side wall of the central body to the interior side wall of the central body and towards one of the end plates, wherein the second screw hole is operable to receive a bone screw that connects to one of the vertebral bodies.
29. A composite interbody device according to claim 28 , wherein the first screw hole intersects the superior surface of the first end plate and the second screw hole intersects an inferior surface of the second end plate.
30. A composite interbody device according to claim 28 , wherein the central body further comprises a receptacle for receiving a back-out plate that is adjacent to the first and second screw holes, and wherein the back-out plate inhibits the bone screws from backing out of the upper and lower vertebral bodies.
31. A composite interbody device according to claim 19 , wherein, in the second end plate, at least one of the first array of apertures each pass from the superior surface through the second end plate to the inferior surface.