Posterior prosthetic intervertebral disc
A prosthetic intervertebral disc is formed of first and second end plates sized and shaped to fit within an intervertebral space and to be implanted from the back of the patient, thereby decreasing the invasiveness of the procedure. The posterior approach provides for a smaller posterior surgical incision and avoids important blood vessels located anterior to the spine particularly for lumbar disc replacements. The first and second plates are each formed of first, second and third parts are arranged in a first configuration in which the parts are axially aligned to form a low profile device appropriate for insertion through the small opening available in the TLIF or PLIF approaches described above. The three parts of both of the plates rotate and translate with respect to one another in situ to a second configuration or a deployed configuration in which the parts are axially unaligned with each other to provide a maximum coverage of the vertebral end plates for a minimum of insertion profile. Upon deployment of the disc, a height of the disc is increased.
1. A method of deploying a prosthetic intervertebral disc, the method comprising:
providing the prosthetic intervertebral disc having first and second end plates, each of the end plates having a vertebral contacting surface and an opposing inner surface, a first bearing surface on the inner surface of the first end plate and a second bearing surface on the inner surface of the second end plate, the first and second bearing surfaces are arranged to allow articulation and rotation between the first and second plates when contacting each other, wherein the first and second plates are each formed of first, second and third parts, each of the parts having a longitudinal axis extending along a longest dimension between a proximal end and an opposite distal end thereof; wherein the first, the second and the third parts of each of the end plates are arranged with the proximal end of the second part interconnected with the distal end of the first part and the distal end of the second part interconnected with the proximal end of the third part;
inserting the prosthetic intervertebral disc in a first configuration in situ between two adjacent vertebrae, wherein in the first configuration, the longitudinal axes of the first, the second and the third parts of each of the end plates are axially aligned with each other; and
deploying the first and second plates in situ between the two adjacent vertebrae from the first configuration to a second configuration in which the longitudinal axes of the first, the second and the third parts are axially unaligned with each other by both (i) rotation of the first and the third parts relative to the second part and (ii) sliding the opposite ends of the second part in elongated tracks including ramps extending in the inner surfaces of the first and the third parts to increase a height of the prosthetic intervertebral disc, measured between the vertebral contact surfaces of the first and second end plates, in a direction perpendicular to a direction of elongation of the tracks.
2. The method of claim 1 , wherein the first bearing surface and the second bearing surface comprise a ball and socket articulating joint.
3. The method of claim 1 , wherein the prosthetic intervertebral disc in the second configuration comprises H-shaped arrangement.
4. The method of claim 1 , wherein the prosthetic intervertebral disc in the first configuration has a height and a width of less than 12 mm.
5. The method of claim 1 , wherein the prosthetic intervertebral disc in the second configuration has a height of at least 1.5 times a height in the first configuration.