Artificial intervertebral disc with lower height
The disclosure provides an intervertebral disc and related methods. An upper plate includes an upper vertebra contacting portion and a lower bearing surface portion. The upper vertebra contacting portion includes a convex central portion, and a fin or anchoring element with a transverse hole therethrough. A lower plate has a lower vertebra contacting surface and an upper bearing surface. The lower vertebra contacting surface of the lower plate has a convex central portion. 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. A core positioned between the upper and lower plates has rigid upper and lower convex surfaces configured to slide and translate over the bearing surfaces of the upper and lower plates.
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 of the upper plate includes:
a convex central portion,
a fin formed integrally with and extending outward from an upper surface of the convex central portion to define a height above the upper surface, the height being greater than a width of the fin, 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, and
a transverse hole extending at least partially through the width of the fin, and sized for bone ingrowth;
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,
wherein the convex central portion of the upper plate is raised relative to a generally planar peripheral portion of the upper plate.
2. The intervertebral disc of claim 1 , wherein the upper vertebra contacting portion includes a metal and the lower bearing surface portion includes an MRI compatible material.
3. The intervertebral disc of claim 1 , wherein the fin has a length greater than the height.
4. The intervertebral disc of claim 1 , further comprising a plurality of teeth 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 intervertebral disc of claim 1 , wherein the convex central portions of the upper and lower plates are dome shaped portions.
6. The intervertebral disc of claim 5 , wherein the dome shaped portions have a diameter of about 5 to about 20 nm.
7. The intervertebral disc of claim 5 , wherein at least one of the dome shaped portions has a diameter less than a diameter of the core.
8. 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 of the upper plate includes:
a convex central portion,
an anchoring element formed integrally with and extending outward from an upper surface of the convex central portion to define a height above the upper surface, 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, and
a transverse hole extending at least partially through a width of the anchoring element, and sized for bone ingrowth;
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, wherein a centerline axis of the core is substantially aligned with the anchoring element,
wherein the convex central portion of the upper plate is raised relative to a generally planar peripheral portion of the upper plate.
9. The intervertebral disc of claim 8 , wherein the anchoring element is a fin having a height greater than a width.
10. The intervertebral disc of claim 9 , wherein the upper vertebra contacting portion includes a metal and the lower bearing surface portion includes an MRI compatible material.
11. The intervertebral disc of claim 9 , wherein the fin has a length greater than the height.
12. The intervertebral disc of claim 8 , further comprising a plurality of teeth 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.
13. The intervertebral disc of claim 8 , wherein the convex central portions of the upper and lower plates are dome shaped portions.
14. 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 of the upper plate includes:
a convex central portion,
a fin formed integrally with and extending outward from an upper surface of the convex central portion to define a height above the upper surface, the height being greater than a width of the fin, 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, and
a transverse hole extending at least partially through the width of the fin, and sized for bone ingrowth;
a lower plate having a lower vertebra contacting surface and an upper bearing surface,
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 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; and
allowing the upper and lower plates to slide and translate over the rigid upper and lower convex surfaces of the core,
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 14 , 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.
16. The method of claim 14 , wherein the convex central portions of the upper and lower plates are dome shaped portions.
17. The method of claim 14 , 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.