An endplate for an intervertebral prosthesis prosthesis endplate of the
invention includes: a generally planar base plate, a first elevated
region, or dome, within the base plate periphery, and a second elevated
region, or dome, within the boundary of the first elevated region. The
antero-posterior and side-to-side (medial-lateral) dimensions of the
first elevated region are made to be unequal in order to provide
resistance to torsional stresses, and the laterally opposite sidewalls of
the first elevated region are defined by arcs that terminate in sagittal
planes of the endplate, and are symmetrical with respect to a coronal
plane of the endplate. A bone rasp for preparing a surgical site for
implantation of the prosthesis has a rasp head having a pivot point and
rasp teeth arranged to produce a recess or seat of predetermined shape. A
groove-cutter for preparing a medial antero-posterior groove in a
vertebral body without damaging the anterior rim of the vertebral body
has a guide head that is seated in a prepared recess in the vertebral
body and a reciprocable tooth that can be stowed in a recess while the
cutter is initially positioned within the intervertebral space.