Artificial intervertebral disc with lower height
An intervertebral disc is provided having an upper plate, a lower plate, and a core. The upper and lower plates include outer vertebral body contacting surfaces which are provided with attachment enhancing features to ensure bone integration. The attachment enhancing features shown include one or more fins, serrations and teeth. An opposite surface of the plates from the vertebral body contacting surfaces is formed with a recess which serves as a bearing surface for the core. In order to form an intervertebral disc with a lower disc height, at least one of the recesses is provided opposite a corresponding dome shaped portion on the vertebral body contacting surfaces. This allows the plates to be formed with a thinner profile for a smaller overall disc height. In addition to providing a lower overall height to the artificial disc, the dome shaped portion of the plates also provides a more anatomically shaped outer vertebral body contacting surface.
1. An intervertebral disc comprising:
an upper plate having an upper vertebra contacting portion and a lower bearing surface portion, wherein the upper vertebra contacting portion includes a metal and the lower bearing surface portion includes an MRI compatible material, wherein the upper vertebra contacting portion of the upper plate has a convex central portion and at least one anchoring element formed integrally with and extending outward from an upper surface of the convex central portion, and wherein the lower bearing surface portion has a concavity disposed opposite the convex central portion and wherein the convex central portion and the concavity have nesting curvatures;
a lower plate having a lower vertebra contacting surface and an upper bearing surface; and, wherein the lower vertebra contacting surface of the lower plate has a convex central portion, and wherein the upper bearing surface has a concavity disposed opposite the convex central portion and wherein the convex central portion and the concavity have nesting curvatures; and
a rigid core positioned between the upper and lower plates, the core having rigid upper and lower convex surfaces configured to slide and translate over the bearing surfaces of the upper and lower plates.
2. The disc of claim 1 , wherein the at least one anchoring element is a first fin having a height greater than a width.
3. The disc of claim 2 , wherein the first fin has a length greater than the height.
4. The disc of claim 1 , further comprising a plurality of teeth provided on the upper vertebra contacting portion of the upper plate and the lower vertebra contacting surface of the lower plate wherein the plurality of teeth are not positioned on the convex central portions of the upper and lower plates.
5. The disc of claim 1 , wherein the convex central portions are dome shaped portions.
6. The disc of claim 1 , wherein the convex central portion of the upper plate is raised relative to a generally planar peripheral portion of the upper plate.
7. The disc of claim 5 , wherein the dome shaped portions have a diameter of about 5 to about 20 nm.
8. The disc of claim 5 , wherein at least one of the dome shaped portions has a diameter less than a diameter of the core.
9. A method of implanting an artificial intervertebral disc between adjacent spinal vertebrae in place of a damaged disc, the method comprising:
providing an artificial intervertebral disc comprising:
an upper plate having an upper vertebra contacting portion and a lower bearing surface portion, wherein the upper vertebra contacting portion includes a metal and the lower bearing surface portion includes an MRI compatible material, wherein the upper vertebra contacting portion of the upper plate has a convex central portion, wherein the lower bearing surface portion has a concavity disposed opposite the convex central portion and wherein the convex central portion and the concavity have nesting curvatures;
a lower plate having a lower vertebra contacting surface and an upper bearing surface; and, wherein the lower vertebra contacting surface of the lower plate has a convex central portion, and wherein the upper bearing surface has a concavity disposed opposite the convex central portion and wherein the convex central portion and the concavity have nesting curvatures; and
a rigid core positioned between the upper and lower plates, the core having rigid upper and lower convex surfaces;
inserting the artificial intervertebral disc including the upper and lower plates and core together into a space between the adjacent spinal vertebrae;
allowing the upper and lower plates to slide and translate over the rigid upper and lower convex surfaces of the core.
10. The method of claim 9 , wherein the convex central portion of the upper vertebra contacting portion includes at least one anchoring element formed integrally with and extending outward from an upper surface of the convex central portion.
11. The method of claim 10 , wherein the at least one anchoring element is a first fin having a height greater than a width.
12. The method of claim 9 , further comprising a plurality of teeth provided on the upper vertebra contacting portion of the upper plate and the lower bearing surface of the lower plate wherein the plurality of teeth are not positioned on the convex central portions of the upper and lower plates.
13. The method of claim 9 , wherein the convex central portions are dome shaped portions.
14. The method of claim 9 , wherein the convex central portion of the upper plate is raised relative to a generally planar peripheral portion of the upper plate.
15. The method of claim 13 , wherein the dome shaped portions have a diameter of about 5 to about 20 nm.
16. The method of claim 9 , wherein the convex central portions are placed into recesses in the adjacent spinal vertebrae when the artificial disc is inserted into the space between the adjacent spinal vertebrae.