Posterior total joint replacement
View Patent ↗A prosthetic system for implantation between upper and lower vertebrae comprises an upper joint component. The upper joint component comprises an upper contact surface and an upper articulation surface. The system further includes a lower joint component. The lower joint component comprises a lower contact surface and a lower articulation surface configured to movably engage the upper articulation surface to form an articulating joint. The articulating joint is adapted for implantation within a disc space between the upper and lower vertebrae, allowing the upper and lower vertebrae to move relative to one another. The system further includes a bridge component extending posteriorly from one of either the upper or lower joint components and from the disc space. The bridge component has a distal end opposite the one of the either upper or lower joint components. The distal end of the bridge component comprises a connection component adapted to receive a fastener.
1. A surgical method comprising:
removing at least a portion of a natural intervertebral disc from between upper and lower vertebrae to create a disc space;
removing a portion of at least one articular process from either the upper or lower vertebrae;
assembling a joint of a first vertebral arthroplasty device by placing an upper component of the first vertebral arthroplasty device in articulating engagement with a lower component of the first vertebral arthroplasty device;
inserting the joint of the first vertebral arthroplasty device into the disc space;
positioning a posterior extension of the lower component outside of the disc space; and
attaching the posterior extension of the lower component to the lower vertebra with a bone fastener;
wherein a first bumper component at an anterior end of the lower component limits dislocation of the joint of the first vertebral arthroplasty device.
2. The surgical method of claim 1 further comprising:
assembling a joint of a second vertebral arthroplasty device; and
inserting the joint of the second vertebral arthroplasty device into the disc space and in bilateral relationship with the first vertebral arthroplasty device.
3. The surgical method of claim 1 further comprising:
cutting a channel in at least one of either the upper or lower vertebrae to receive a keel extension of the first vertebral arthroplasty device.
4. The surgical method of claim 3 wherein the cutting is performed by a sharpened leading edge of the keel extension.
5. The surgical method of claim 1 wherein a second bumper component, between the joint of the first vertebral arthroplasty device and the posterior extension, limits dislocation of the joint of the first vertebral arthroplasty device.
6. The surgical method of claim 1 further comprises positioning a tab extending from the superior component of the first vertebral arthroplasty device against a surface of a vertebral body portion of the upper vertebra.
7. The surgical method of claim 6 wherein the step of positioning a tab comprises visualizing the tab engaging the surface of the vertebral body to locate the center of rotation of the joint of the first vertebral arthroplasty device in a predetermined location.