Intervertebral prosthetic disc
A prosthetic disc for insertion between adjacent vertebrae includes upper and lower plates, a core disposed between the plates, and at least one projection extending from at least one of the upper and lower curved surfaces of the core into at least one recess of one of the inner surfaces of the plates. The recess is oversize with respect to the projection to allow sliding movement of the plate over the core while retaining the core between the plates during such sliding movement. The projection(s) may include a rod extending through an axial hole in the core, multiple surface features of the core, or the like.
1. A method of implanting a prosthetic disc, the method comprising:
providing a prosthetic disc including: upper and lower plates and a core, wherein the core has at least one convex bearing surface configured to slide over a corresponding bearing surface of one of the upper and lower plates upon implantation between adjacent vertebrae;
providing a rib on only one of the upper and lower plates and a channel in a corresponding bearing surface of the core, with the rib located between a central axis of the plate and an outer periphery thereof, wherein the rib is a continuous rib;
positioning the core between the upper and lower plates with the core held captive between the plates while the plates slide over the core by locating the rib within the channel;
forcibly separating adjacent vertebrae from one another to provide space for insertion of the prosthetic disc; and
inserting the prosthetic disc between the separated vertebrae.
2. The method of claim 1 , wherein the upper and lower plates are allowed to slide over the core.
3. The method of claim 1 , wherein the core comprises at least one spherical surface.
4. The method of claim 1 , wherein the rib extends into the core and does not extend through the core.
5. The method of claim 1 , wherein the rib extends outward from one of the upper and lower plates in a direction toward the other one of the plates.
6. The method of claim 1 , wherein the core slides on a bearing surface of the at least one plate and the rib extends from the bearing surface toward the other one of the plates.
7. The method of claim 1 , wherein at least one of the upper and lower plates is free to rotate with respect to the core.
8. The method of claim 1 , wherein the bearing surface of the plate at least partially surrounds the rib extending from the bearing surface.
9. The method of claim 1 , wherein the core comprises a polyethylene, polymer or ceramic material.
10. The method of claim 1 , wherein a central axis of each of the upper and lower plates is located midway between lateral edges of the upper or lower plates; and wherein the rib is located between the central axis of the one of the upper and lower plates and an outer periphery thereof.
11. The method of claim 1 , wherein the core is a single monolithic core.
12. The method of claim 1 , wherein the core has upper and lower surfaces complementary in shape to the inner bearing surfaces of the upper and lower plates to allow the upper and lower plates to slide over the core upon implantation between the adjacent vertebrae.
13. The method of claim 1 , wherein the channel is located in a spherically curved surface of the core.
14. The method of claim 1 , wherein the rib has side surfaces located substantially at right angles to the bearing surface on which the rib is located.
15. The method of claim 1 , wherein the rib is located with clearance in the channel.
16. The method of claim 15 , wherein at a limit of sliding movement of the plates over the core, the rib abuts against the channel.
17. The method of claim 14 , wherein the rib side surfaces include two opposite side surfaces which are substantially parallel.
18. The method of claim 17 , wherein the plate bearing surface at least partially surrounds the two opposite side surfaces of the rib.
19. The method of claim 1 , wherein the convex bearing surface of the core allows the core to rotate freely with respect to at least one of the upper and lower plates.
20. The method of claim 1 , wherein the rib and channel do not intersect a central axis of the core when the upper and lower plates and core are aligned vertically with one another.
21. The method of claim 1 , wherein the core has a substantially circular shaped perimeter.
22. The method of claim 1 , wherein the prosthetic is inserted between the separated vertebrae in a posterior direction.
23. The method of claim 1 , wherein after insertion of the prosthetic disc, the vertebrae, adjacent ligaments and soft tissues are allowed to move together to hold the prosthetic disc in place.
24. The method of claim 1 , wherein the rib and channel provide a retaining structure with restrains both lateral and anterior/posterior movement of the core with respect to the upper and lower plates.
25. A method of implanting a prosthetic disc, the method comprising:
providing a prosthetic disc including: upper and lower plates and a core, wherein the core has at least one convex bearing surface configured to slide over a corresponding bearing surface of one of the upper and lower plates upon implantation between adjacent vertebrae;
providing a rib on only one of the upper and lower plates and a channel in a corresponding bearing surface of the core, with the rib located between a central axis of the plate and an outer periphery thereof, and between a central axis of the core and an outer periphery thereof;
positioning the core between the upper and lower plates with the core held captive between the plates while the plates slide over the core by locating the rib within the channel;
forcibly separating adjacent vertebrae from one another to provide space for insertion of the prosthetic disc; and
inserting the prosthetic disc between the separated vertebrae.