Artificial disc system
A total artificial expansile disc and a method for posterior insertion between a pair of vertebral endplates are disclosed. The total artificial expansile disc includes at least one pair of substantially parallel plates that move apart along a first axis, in order to occupy a space defined by the vertebral endplates. In another embodiment, each of substantially parallel plates includes a first plate and a second sliding plate. An expansion device or tool is used to move the substantially parallel pair of plates apart along the first axis. A core is disposed between the pair of plates, and the core permits the vertebral endplates to move relative to one another. A ball limiter or ball extender prevents the core from being extruded from between the substantially parallel plates.
1. An artificial disc comprising:
a first plate having a first vertebral endplate-engaging surface, a first core-engaging surface including a first concave portion, the first core-engaging surface being opposite the first vertebral endplate-engaging surface;
a second plate having a second vertebral endplate-engaging surface, a second core-engaging surface being opposite the second vertebral endplate-engaging surface, the second plate configured to be positioned substantially parallel to the first plate, the first and second plates configured to occupy a space defined by vertebral endplates of a spine;
a mobile core sized and configured to be positioned between the first plate and the second plate to space the first plate from the second plate and to permit the first and second plates to move relative to one another, wherein the mobile core has first and second plate-engaging surfaces, the first plate-engaging surface being configured to contact the first core-engaging surface and the second plate-engaging surface being configured to contact the second core-engaging surface, the first plate-engaging surface being formed as a convex dome portion shaped to mate with the first concave portion of the first core-engaging surface; and
a plurality of raised barriers positioned with respect to the mobile core to partially limit motion of the mobile core with respect to the first and second plates, wherein the plurality of raised barriers are positioned so as to partially surround the mobile core, wherein the plurality of raised barriers are positioned so as to form a plurality of openings between each of the plurality of raised barriers and an adjacent raised barrier;
wherein the first and second plate-engaging surfaces of the mobile core are configured to slide against the first and second core-engaging surfaces of the first and second plates, respectively,
wherein the sliding of the mobile core with respect to the first and second plates is limited by the plurality of raised barriers,
wherein the mobile core is configured to be engaged with the first and second plates such that the first plate can move with respect to the second plate to accommodate lateral bending, flexion, extension, and rotation; and
wherein the first plate includes a first slot formed as a first opening extending through a first ventral portion of the first plate, and the second plate includes a second slot formed as a second opening extending through a second ventral portion of the second plate, wherein the artificial disc further comprises:
a first endplate-engaging ventral structure configured to engage with the first plate by sliding into the first slot of the first plate, the first endplate-engaging ventral structure having at least one spike configured to extend into a first vertebral endplate; and
a second endplate-engaging ventral structure configured to engage with the second plate by sliding into the second slot of the second plate, the second endplate-engaging ventral structure having at least one spike configured to extend into a second vertebral endplate.
2. The artificial disc of claim 1 , wherein the plurality of raised barriers consists of four raised barriers.
3. The artificial disc of claim 2 , wherein the plurality of raised barriers are positioned around the mobile core so as to be equidistant from one another.
4. The artificial disc of claim 3 , wherein the plurality of raised barriers are positioned such that a core-facing surface of each of the plurality of raised barriers is formed at a 45-90 degree angle to a core-facing surface of the adjacent raised barrier.
5. The artificial disc of claim 4 , wherein the core-facing surface of each of the plurality of raised barriers is formed as a concavely curved surface.
6. The artificial disc of claim 5 , wherein the plurality of raised barriers are configured to contact the second core-engaging surface of the second plate.
7. The artificial disc of claim 6 , wherein the plurality of raised barriers are spaced inwardly from a perimeter edge of the second plate so as to define a gap on the second core-engaging surface of the second plate between the perimeter edge of the second plate and the plurality of raised barriers.
8. The artificial disc of claim 1 , wherein the first slot is positioned on the first plate to align with the second slot on the second plate when the first plate is parallel to the second plate.
9. The artificial disc of claim 1 , wherein the first endplate-engaging ventral structure comprises a first plurality of wedge-shaped spikes extending up above the first vertebral endplate-engaging surface and wherein the second endplate-engaging ventral structure comprises a second plurality of wedge-shaped spikes extending down below the second vertebral endplate-engaging surface.
10. The artificial disc of claim 1 , wherein the first endplate-engaging ventral structure engages with the first plate such that part of the first endplate-engaging ventral structure is above the first plate, part of the first endplate-engaging ventral structure is below the first plate, and part of the first endplate-engaging ventral structure is in the first slot, and
wherein the second endplate-engaging ventral structure engages with the second plate such that part of the second endplate-engaging ventral structure is above the second plate, part of the second endplate-engaging ventral structure is below the second plate, and part of the second endplate-engaging ventral structure is in the second slot.
11. The artificial disc of claim 1 , wherein the mobile core comprises polyethylene and at least one of the first and second plates comprises cobalt chromium.
12. The artificial disc of claim 1 , wherein the convex dome portion of the first plate-engaging surface of the mobile core has a first height and a first radius, with the first height being less than the first radius.
13. The artificial disc of claim 1 , wherein the artificial disc is sized and configured to be a lumbar artificial disc to be inserted in a lumbar disc space.
14. An artificial disc system, comprising:
an artificial disc comprising:
a first plate having a first vertebral endplate-engaging surface, a first core-engaging surface including a first concave portion, the first core-engaging surface being opposite the first vertebral endplate-engaging surface;
a second plate having a second vertebral endplate-engaging surface, a second core-engaging surface being opposite the second vertebral endplate-engaging surface, the second plate configured to be positioned substantially parallel to the first plate, the first and second plates configured to occupy a space defined by first and second vertebral endplates of a spine;
a mobile core sized and configured to be positioned between the first plate and the second plate to space the first plate from the second plate and to permit the first and second plates to move relative to one another, wherein the mobile core has first and second plate-engaging surfaces, the first plate-engaging surface being configured to contact the first core-engaging surface and the second plate-engaging surface being configured to contact the second core-engaging surface, the first plate-engaging surface being formed as a convex dome portion shaped to mate with the first concave portion of the first core-engaging surface; and
a plurality of raised barriers positioned with respect to the mobile core to partially limit motion of the mobile core with respect to the first and second plates, wherein the plurality of raised barriers are positioned so as to partially surround the mobile core, wherein the plurality of raised barriers are positioned so as to form a plurality of openings between each of the plurality of raised barriers and an adjacent raised barrier;
wherein the first plate includes a first slot formed as a first opening extending through a first ventral portion of the first plate, and the second plate includes a second slot formed as a second opening extending through a second ventral portion of the second plate, wherein the artificial disc further comprises:
a first endplate-engaging ventral structure configured to engage with the first plate by sliding into the first slot of the first plate, the first endplate-engaging ventral structure having at least one spike configured to extend into a first vertebral endplate; and
a second endplate-engaging ventral structure configured to engage with the second plate by sliding into the second slot of the second plate, the second endplate-engaging ventral structure having at least one spike configured to extend into a second vertebral endplate; and
a surgical tool for inserting the artificial disc between the first and second vertebral endplates, the surgical tool comprising:
a handle portion;
an elongate insertion portion extending distally away from the handle portion; and
an implant holder connected at a distal end of the elongate insertion portion and having first and second portions sized and configured to engage the first and second plates so as to hold the first and second plates relatively firmly during insertion and positioning of the first and second plates between the first and second vertebral endplates in a disc space.
15. The artificial disc system of claim 14 , wherein the surgical tool attaches to the first and second plates without engaging the mobile core.
16. The artificial disc system of claim 14 , wherein each of the first and second plates comprise means for engaging with the implant holder of the surgical tool.
17. A method of operating the artificial disc system of claim 14 , the method comprising:
gripping the first and second plates of the artificial disc via the implant holder of the surgical tool;
inserting the artificial disc into a patient along a surgical path via the surgical tool into a lumbar disc space between the first and second vertebral endplates of the spine, wherein the mobile core is positioned between the first and second plates;
engaging the first and second vertebral endplates with the first and second plates of the artificial disc, such that the first and second vertebral endplate-engaging surfaces contact the first and second vertebral endplates; and
releasing the first and second endplates of the artificial disc and removing the surgical tool.
18. The method of claim 17 , further comprising fixing the first and second endplates of the artificial disc with respect to the first and second vertebral endplates.