Spinecore, Inc.

Antonio Valdevit

Joseph P Errico

Rafail Zubok

Michael W Dudasik

A method for replacing at least a portion of an intervertebral disc in a spinal column includes: removing the portion of the intervertebral disc from the spinal column; and inserting an apparatus for replacing the portion of the intervertebral disc into an intervertebral disc space defined substantially between adjacent vertebral bones of the spinal column, and positioning the apparatus between the vertebral bones, wherein the apparatus is operable to permit the adjacent vertebral bones to articulate relative to one another about at least one of: (i) a first center of rotation for at least one of flexion and extension that is located outside the intervertebral disc space, and (ii) a second center of rotation for lateral bending that is located outside the intervertebral disc space.

Cervical disc replacement

An apparatus for replacing at least a portion of an intervertebral disc in a spinal column includes: a first member having a first vertebral contact surface for engagement with an endplate of a first vertebral bone in the spinal column, and having a first saddle shaped articulation surface; and a second member having a second vertebral contact surface for engagement with an endplate of a second vertebral bone in the spinal column, and having a second saddle shaped articulation surface, wherein an intervertebral disc space is defined substantially between the first and second endplates of the first and second vertebral bones, and the first and second articulation surfaces are sized and shaped to engage one another when the first and second members are disposed in the intervertebral disc space to enable the first and second vertebral bones to articulate in at least one of flexion, extension and lateral bending.

An apparatus for replacing at least a portion of an intervertebral disc in a spinal column includes: a first member having a first vertebral contact surface for engagement with an endplate of a first vertebral bone in the spinal column, and having a first articulation surface that is defined by a plurality of concave arcs each having a respective radius of curvature about a corresponding axis substantially perpendicular to an anterior-posterior plane of the spinal column, and a plurality of convex arcs each having a respective radius of curvature about a corresponding axis substantially perpendicular to a lateral plane of the spinal column; and a second member having a second vertebral contact surface for engagement with an endplate of a second vertebral bone in the spinal column, and having a second articulation surface that is defined by a plurality of convex arcs each having a radius of curvature about a corresponding axis substantially perpendicular to the anterior-posterior plane of the spinal column, and a plurality of concave arcs each having a radius of curvature about a corresponding axis substantially perpendicular to the lateral plane of the spinal column, wherein: an intervertebral disc space is defined substantially between the first and second endplates of the first and second vertebral bones, and the radii of curvature of the first and second articulation surfaces are sized such that the first and second articulation surfaces engage one another when the first and second members are disposed in the intervertebral disc space to enable the first and second vertebral bones to articulate in at least one of flexion, extension and lateral bending.

Cervical disc replacement method

An apparatus for replacing at least a portion of an intervertebral disc in a spinal column includes: a first member having a first vertebral contact surface for engagement with an endplate of a first vertebral bone in the spinal column, and having a first articulation surface that is defined at least by a concave arc having a radius of curvature A about a first axis substantially perpendicular to an anterior-posterior plane of the spinal column, and by a convex arc having a radius of curvature B about a first axis substantially perpendicular to a lateral plane of the spinal column; and a second member having a second vertebral contact surface for engagement with an endplate of a second vertebral bone in the spinal column, and having a second articulation surface that is defined at least by a convex arc having a radius of curvature C about a second axis substantially perpendicular to the anterior-posterior plane of the spinal column, and by a concave arc having a radius of curvature D about a second axis substantially perpendicular to the lateral plane of the spinal column, wherein: an intervertebral disc space is defined substantially between the first and second endplates of the first and second vertebral bones, and the radii of curvature of the first and second articulation surfaces are sized such that the first and second articulation surfaces engage one another when the first and second members are disposed in the intervertebral disc space to enable the first and second vertebral bones to articulate in at least one of flexion, extension and lateral bending.

A method for replacing at least a portion of an intervertebral disc in a spinal column includes removing the portion of the intervertebral disc from the spinal column and inserting an apparatus for replacing the portion of the intervertebral disc. The apparatus is operable to permit respective vertebral bones of the spinal column between which the apparatus is positioned to articulate in flexion and extension in an anterior-posterior plane of the spinal column, lateral bending in a lateral plane of the spinal column, and axial rotation through a range of angles without permitting the vertebral bones to substantially move in directions directed away from one another along a longitudinal axis of the spinal column.

An apparatus for replacing at least a portion of an intervertebral disc in a spinal column includes: a first member having a first vertebral contact surface for engagement with an endplate of a first vertebral bone in the spinal column, and having a first articulation surface; and a second member having a second vertebral contact surface for engagement with an endplate of a second vertebral bone in the spinal column, and having a second articulation surface, wherein: an intervertebral disc space is defined substantially between the first and second endplates of the first and second vertebral bones, and at least one of the first and second articulation surfaces is a saddle shaped surface, and the articulation surfaces are sized and shaped to engage one another when the first and second members are disposed in the intervertebral disc space to enable the first and second vertebral bones to articulate in at least one of flexion, extension, and lateral bending.

An apparatus for replacing at least a portion of an intervertebral disc in a spinal column includes: a first member having a first vertebral contact surface for engagement with an endplate of a first vertebral bone in the spinal column and a first articulating surface having a single saddle surface; and a second member having a second vertebral contact surface for engagement with an endplate of a second vertebral bone in the spinal column and a second articulating surface having a single saddle surface wherein: an intervertebral disc space is defined substantially between the first and second endplates of the first and second vertebral bones, and the first and second members are operable to articulate relative to one another, when disposed in the intervertebral disc space, about at least one of: (i) a first center of rotation for at least one of flexion and extension that is located above the first and second articulating surfaces outside the intervertebral disc space, and (ii) a second center of rotation for lateral bending that is located below the first and second articulating surface.

An articulating joint implant for use in the cervical spine includes a pair of opposing upper and lower elements having nested articulation surfaces providing a center of rotation of the implant above the adjacent vertebral body endplate surfaces in one mode of motion lateral bending and a center of rotation of the implant below those surfaces in flexion/extension, and that further permit axial rotation of the opposing elements relative to one another about the longitudinal axis of the spinal column through a range of angles without causing them to move in opposing directions along the longitudinal axis within that range. In preferred embodiments, the articulation surfaces further cause such opposite movement of the opposing elements beyond that range.

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Fishkill, NY, United States of America

Antonio Valdevit