Lateral Lumbar Disc Structure to Prevent Implant Dislocation
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Solution Overview
Problem
Conventional spinal fusion and artificial disc replacement surgeries cause significant damage to surrounding tissues and organs, require large incisions, and result in prolonged surgery times, with anteriorly inserted artificial discs prone to dislocation and excessive force transmission.
Innovation Solution
A lateral approach artificial disc design featuring upper and lower plates with wing portions and an inserter that allows for rotational movement, utilizing keels and protrusions for fixation and a dome-shaped inserter for controlled motion, enabling minimal invasive surgery and preserving the anterior longitudinal ligament.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If anterior approach artificial disc replacement is performed, then the artificial disc can be inserted into the vertebral body, but the anterior longitudinal ligament and surrounding organs are damaged
Solution Approach 1:
The patent applies the inversion principle by changing the surgical approach from anterior to lateral. Instead of approaching the vertebral body from the front (anterior approach), the artificial disc is inserted from the side (lateral approach). This reverses the traditional surgical pathway, allowing the anterior longitudinal ligament to remain intact while still achieving successful disc replacement. The lateral approach provides access to the vertebral body without requiring dissection through the anterior abdominal wall and ligamentous structures.
Solution Approach 2:
The patent uses the lateral surgical approach as an intermediary method to achieve artificial disc replacement without directly damaging the anterior longitudinal ligament. By introducing a new access route (lateral approach) as a mediator between the surgical goal and tissue preservation, the procedure avoids direct contact with and damage to the anterior longitudinal ligament and surrounding organs while still enabling successful disc implantation.
2Ease of operation
If large incision is made for spinal fusion surgery, then the vertebral body can be adequately exposed, but the surgery time is prolonged and tissue damage increases
Solution Approach 1:
The patent applies segmentation by dividing the surgical procedure into distinct phases: making a small lateral incision, creating a controlled access path to the vertebral body, and inserting the artificial disc through this limited approach. Instead of making one large incision for complete exposure, the surgery is segmented into targeted steps that provide adequate access while minimizing overall tissue disruption and reducing surgery time.
Solution Approach 2:
The patent applies local quality by providing localized exposure of the vertebral body through a small lateral incision rather than a large midline incision. The surgical access is concentrated precisely where needed (laterally at the target vertebral level) while leaving the surrounding anterior structures undisturbed. This localized approach maintains adequate surgical access while significantly reducing overall tissue damage and operative time.
3Ease of operation
If anterior longitudinal ligament is removed, then the artificial disc can be inserted from anterior approach, but the artificial disc is prone to dislocation and excessive force is transmitted
Solution Approach 1:
The patent applies inversion by preserving the anterior longitudinal ligament and changing the insertion approach from anterior to lateral. Instead of removing the ligament to facilitate anterior insertion, the approach is reversed: the ligament is kept intact and the disc is inserted through a lateral pathway. This maintains the ligament's stabilizing function while achieving successful disc replacement, preventing both dislocation and excessive force transmission.
Solution Approach 2:
The patent applies beforehand cushioning by preserving the anterior longitudinal ligament as a protective structure before disc insertion. The intact ligament acts as a cushioning and stabilizing element that prevents excessive force transmission to the artificial disc and surrounding structures. By maintaining this natural protective barrier prior to surgery, the design prevents postoperative dislocation and reduces stress on the implant.
4Loss of time
If lateral approach is used, then the surgery time is reduced and tissue damage is minimized, but the surgical path requires precision to avoid psoas muscle and peritoneum
Solution Approach 1:
The patent uses the lateral approach itself as an intermediary pathway that naturally avoids critical structures. By selecting a surgical corridor laterally positioned between the psoas muscle and peritoneum, the approach serves as a mediator route that provides access to the vertebral body without requiring direct manipulation or risk to these structures. The anatomical landmarks in the lateral approach serve as natural guides for maintaining precise surgical path.
Solution Approach 2:
The patent applies preliminary action by carefully planning and establishing the lateral surgical path before reaching the vertebral body. The surgical approach is pre-positioned to follow a safe corridor that avoids psoas muscle and peritoneum, with landmarks identified and trajectory established in advance. This preliminary positioning of the surgical path ensures precision is maintained throughout the procedure without requiring complex real-time adjustments.
Data Source
AI summary
The present disclosure relates to an artificial lumbar disc and provides a lateral approach artificial disc that is inserted laterally rather than anteriorly of the spine, thereby preventing damage to blood vessels or other organs that may occur when an anterior access artificial disc is inserted from the front, shortening the surgical time, preventing dislodgment of the artificial disc, and improving the surgical prognosis. The artificial disc is inserted between two adjacent vertebrae and includes an upper plate contacting an upper vertebra, a lower plate contacting a lower vertebra, and an inserter inserted between the upper plate and the lower plate to allow the upper plate to rotate by a set angle with respect to the lower plate, and an upper wing portion and a lower wing portion are formed on the upper plate and the lower plate.


