Multi-lobe artificial spine joint
An artificial disc is provided which more closely matches the movement of the natural spine. The artificial disc uses one or more projections and corresponding recesses to provide a sliding articulation. The artificial joint is inherently stable in that compressive forces placed on the disc such as the weight placed upon the joint or the tension of surrounding tissues urges the joint towards a neutral position and not farther away from a neutral position.
1. An artificial disc for forming an artificial joint in a spine comprising:
a first portion and a second portion which interact to form an artificial disc;
wherein the first portion comprises:
a first bone attachment surface located on a first side of the first portion for attaching the first portion to a vertebra;
a first articulation surface located on a second side of the first portion, the first articulation surface comprising three projections which extend from the first portion and which are spaced apart from each other;
wherein the second portion comprises;
a second bone attachment surface located on a first side of the second portion for attaching the second portion to a vertebra;
a second articulation surface located on a second side of the second portion,
wherein the three projections slide across the second articulation surface to allow movement of the artificial disc, and wherein the second articulation surface comprises a rigid generally convex portion disposed between the three projections.
2. The artificial disc of claim 1 , wherein the three projections comprise first and second projections which are spaced apart laterally and a third projection which is centered laterally and which is spaced apart in an anterior-posterior direction from the first and second projections.
3. The artificial disc of claim 1 , wherein the second articulation surface comprises three recesses which receive the three projections, and wherein a projection may slide to different locations within a recess to allow articulation of the artificial disc
4. The artificial disc of claim 1 , wherein the second articulation surface comprises a recess which is generally concave and which receives one of the three projections.
5. The artificial disc of claim 1 , wherein the second articulation surface comprises a recess which receives one of the three projections, and wherein the recess has a vertical cross section which is curved such that the recesses comprises a generally horizontal section disposed away from a center of the second articulation surface and a curved section connected thereto disposed adjacent the center of the second articulation surface.
6. The artificial disc of claim 1 , wherein the three projections are rigid and remain in contact with the second articulation surface during movement of the artificial joint.
7. The artificial disc of claim 1 , wherein the second articulation surface comprises generally concave recesses which receive the three projections and wherein the generally convex portion is disposed between the generally concave recesses.
8. The artificial disc of claim 1 , wherein the second articulation surface is curved such that a projection moves horizontally and vertically when the projection slides across the surface of the second articulation surface in a direction towards a center of the second articulation surface.
9. The artificial disc of claim 1 , wherein a projection moves generally horizontally when the projection slides across the surface of the second articulation surface in a direction away from a center of the second articulation surface.
10. An artificial disc for forming an artificial joint in a spine comprising:
an upper portion;
a first bone attachment surface located on the top of the upper portion for attaching the upper portion to a vertebra;
a first articulation surface located on the bottom of the upper portion, the first articulation surface comprising three projections which extend downwardly from the upper portion and which are spaced apart from each other;
a lower portion;
a second bone attachment surface located on the bottom of the lower portion for attaching the lower portion to a vertebra;
a second articulation surface located on the top of the lower portion, wherein the three projections slide across the second articulation surface in combined translation and rotation to allow movement of the artificial disc, and wherein the second articulation surface comprises three recesses which receive the three projections, and wherein a projection may slide to different locations within a recess to allow articulation of the artificial disc.
11. The artificial disc of claim 10 , wherein the three projections comprise one anterior projection and two posterior projections which are spaced apart laterally.
12. The artificial disc of claim 10 , wherein the three projections comprise one posterior projection and two anterior projections which are spaced apart laterally.
13. The articulation surface of claim 10 , wherein a recess has a vertical cross section which is curved such that the recesses comprises a generally horizontal section disposed away from a center of the lower portion and a upwardly curved section connected thereto disposed adjacent the center of the lower portion.
14. The artificial disc of claim 10 , wherein the three projections are rigid and remain in contact with the second articulation surface during movement of the artificial joint.
15. The artificial disc of claim 10 , wherein the second articulation surface is curved such that a projection moves horizontally and vertically when the projection slides across the surface of the second articulation surface in a direction towards a center of the lower portion.
16. The artificial disc of claim 15 , wherein said projection moves generally horizontally when said projection slides across the surface of the second articulation surface in a direction away from a center of the lower portion.
17. The artificial disc of claim 10 , wherein the three projections engage the second articulation surface to space a section of the upper portion between the three projections apart from the second articulation surface.
18. An artificial disc for forming an artificial joint in a spine comprising:
an upper portion;
a first bone attachment surface located on the top of the upper portion for attaching the upper portion to a vertebra;
a first articulation surface located on the bottom of the upper portion, the first articulation surface comprising three rigid projections which extend downwardly from the upper portion in a triangular arrangement;
a lower portion;
a second bone attachment surface located on the bottom of the lower portion for attaching the lower portion to a vertebra;
a second articulation surface located on the top of the lower portion, wherein the three projections slide across the second articulation surface while remaining in contact with the second articulation surface to allow movement of the artificial disc, and wherein the second articulation surface comprises three recesses associated with the three projections, and wherein a projection moves to different locations within a recess during movement of the artificial disc.
19. The artificial disc of claim 18 , wherein the upper portion moves in combined translational and rotational movement relative to the lower portion.
20. The artificial disc of claim 18 , wherein a recess has a vertical cross section which is curved such that the recesses comprises a generally horizontal section disposed away from a center of the lower portion and a upwardly curved section connected thereto disposed adjacent the center of the lower portion.
21. The artificial disc of claim 18 , wherein the recess is curved such that the projection moves upwardly when the projection slides in a direction towards a center of the lower portion and the projection moves generally horizontally when the projection slides away from a center of the lower portion relative to a neutral position of the artificial disc.
22. The artificial disc of claim 18 , wherein the three projections engage the second articulation surface to space a section of the upper portion between the three projections apart from the second articulation surface.
23. An artificial disc for forming an artificial joint in a spine comprising:
an upper portion;
a first bone attachment surface located on the top of the upper portion for attaching the upper portion to a vertebra;
a first articulation surface located on the bottom of the upper portion, the first articulation surface comprising three rigid projections which extend downwardly from the upper portion, said three rigid projections comprising first and second projections which are spaced apart laterally and a third projection which is centered laterally and which is spaced apart in an anterior-posterior direction from the first and second projections;
a lower portion;
a second bone attachment surface located on the bottom of the lower portion for attaching the lower portion to a vertebra;
a second articulation surface located on the top of the lower portion, wherein the three projections slide across the second articulation surface to allow movement of the artificial disc, and wherein the second articulation surface comprises three recesses which receive the three projections, and wherein a projection may slide to different locations within a recess to allow articulation of the artificial disc.
24. The artificial disc of claim 23 , wherein the three projections comprise one anterior projection and two posterior projections which are spaced apart laterally.
25. The artificial disc of claim 23 , wherein the three projections comprise one posterior projection and two anterior projections which are spaced apart laterally.
26. The articulation surface of claim 23 , wherein a recess has a vertical cross section which is curved such that the recesses comprises a generally horizontal section disposed away from a center of the lower portion and a upwardly curved section connected to the generally horizontal section and disposed adjacent the center of the lower portion.
27. The artificial disc of claim 23 , wherein the three projections remain in contact with the second articulation surface during movement of the artificial joint.
28. An artificial disc for forming an artificial joint in a spine comprising:
a first top portion and a second bottom portion which interact to form an artificial disc;
wherein the first portion comprises:
a first bone attachment surface located on a first side of the first portion for attaching the first portion to a vertebra;
a first articulation surface located on a second side of the first portion, the first articulation surface comprising three projections which extend downwardly from the first portion, said three projections comprising first and second projections which are spaced apart laterally and a third projection which is centered laterally and which is spaced apart in an anterior-posterior direction from the first and second projections;
wherein the second portion comprises;
a second bone attachment surface located on a first side of the second portion for attaching the second portion to a vertebra;
a second articulation surface located on a second side of the second portion,
wherein the three projections slide across the second articulation surface to allow movement of the artificial disc and wherein the three projections contact the second articulation surface at locations which extend away from a center of the second portion in a generally horizontal direction and which curve upwardly in a direction towards the center of the second portion.
29. The artificial disc of claim 28 , wherein the three projections are rigid and remain in contact with the second articulation surface.