Abstract: An improved fastener is provided for use in retaining vertebrae in a desired spatial relationship. The fastener has a mounting section with a first external thread to engage a vertebra. The fastener has a retaining section with a second external thread to engage an internal thread on a retaining element, such as a nut. A pair of parallel flats are formed on opposite sides of the retaining section. The flats are spaced apart by a distance which is substantially the same as or greater than a root diameter of the external thread on the retaining section. A driving recess in an axially outer end of the retaining section has arcuate corner portions which receive force to effect rotation of the fastener relative to a vertebra engaged by the mounting section. The arcuate corner portions of the driving recess are offset from a plane containing the longitudinal central axis of the retaining section and extending perpendicular to the flats.

Abstract: An apparatus for retaining first and second cervical vertebrae of a spinal column in a desired spatial relationship includes a pair of longitudinal members positionable along the spinal column. A first plate connectable to the first vertebra has an inner side surface for engaging an anterior surface of the first vertebra. The first plate interconnects the pair of longitudinal members. First fastener means is engageable with the first plate for connecting the first plate to the first vertebra. The first fastener means has a threaded end portion for engaging the first vertebra. A second plate connectable to the second vertebra has an inner side surface for engaging an anterior surface of the second vertebra. The second plate interconnects the longitudinal members. Second fastener means is engageable with the second plate for connecting the second plate to the second vertebra. The second fastener means has a threaded end portion for engaging the second vertebra.

Abstract: A spinal disc prosthesis (10) to replace a damaged spinal disc in a spinal column (16) of a human, includes an elastomeric core (200) having upper and lower surfaces (202, 212) which are parallel to each other. An upper rigid plate (20) has opposed first and second surfaces (42, 52). The first surface (42) is affixed to the upper surface (202) of the elastomeric core. The second surface (52) is inclined relative to the first surface (42). A lower rigid plate (120) has opposed third and fourth surfaces (142, 152). The third surface (142) is affixed to the lower surface (212) of the elastomeric core (200) and extends parallel to the first surface (42). The fourth surface (152) is inclined relative to the third surface (142). The second and fourth surfaces (52, 152) are inclined relative to each other.

Abstract: An apparatus retaining first and second vertebrae of a spinal column in a desired spatial relationship includes a longitudinal member positionable along the spinal column. A member, such as a plate, connectable with the first vertebra has first and second fastener openings and a portion engageable with the longitudinal member. A first fastener extendable through the first fastener opening in the member has a first end portion for attachment to the first vertebra and has a longitudinal axis. A second fastener extendable through the second fastener opening in the member has a first end portion for attachment to the first vertebra and has a longitudinal axis. The longitudinal axes of the first and second fasteners converge at an acute angle as viewed in a sagittal plane when the first and second fasteners connect the member with the first vertebra. The member connectable with the first vertebra has a body portion and has a lip portion projecting from the body portion of the member.

Abstract: A method and apparatus is provided to retain elements of the spine and/or pelvis in a desired spatial relationship. A plurality of fasteners are connected with a plurality of the elements. A longitudinal member is connected with the fasteners by a plurality of connector members. The longitudinal member and fasteners are movable relative to each other to adjust the distance between the longitudinal member and fasteners to thereby obtain the desired spatial relationship between the longitudinal member and elements to which the fasteners are connected. Once the longitudinal member and fasteners have been positioned in the desired spatial relationship, clamps are engaged to hold the longitudinal member, fasteners and connector members against relative movement. To provide for the adjustability of the longitudinal member relative to the fasteners, oblong openings are formed in the connector members.

Abstract: An apparatus for retaining vertebrae in a desired spatial relationship. The apparatus includes a fastener which cooperates with a connector assembly, a longitudinal member which is positionable along the spinal column at a location offset from the fastener, and a connector assembly which connects the fastener with the longitudinal member. The connector assembly includes a transverse member, a retainer block, and a set screw. The transverse member and retainer block have mating teeth. When the desired spatial relationship is achieved, the set screw is tightened thereby engaging the teeth and providing for a rigid locked assembly.

Abstract: A spinal implant for use in distracting and maintaining spinal disc height while promoting fusion of adjacent vertebrae of a spinal column includes first and second side surfaces extending substantially parallel to each other. Upper and lower surfaces for engaging the adjacent vertebrae extend between the first and second side surfaces and extend from a first end portion to a second end portion of the spinal implant. The spinal implant includes recesses located in the first and second side surfaces for receiving an instrument to rotate the spinal implant. A method of fusing together the adjacent vertebrae using the spinal implant includes removing at least a portion of the spinal disc between the adjacent vertebrae. The spinal implant is inserted between the adjacent vertebrae with the first and second parallel side surfaces facing the adjacent vertebrae.

Abstract: An apparatus for retaining first and second bone portions in a desired spatial relationship comprises a first member positionable along the first and second bone portions. A second member connectable with the first bone portion has surface member defining an opening. A fastener is extendable through the opening in the second member to connect the second member to the first bone portion. The fastener has a first portion for engaging the first bone portion and a second portion for clamping the first member against the second member to fix the first and second members against relative movement. The first member is also connected to the second bone portion.

Abstract: An apparatus for use in retaining vertebrae of a spinal column in a desired spatial relationship includes a longitudinal member extendable along the spinal column. A fastener for connecting the longitudinal member to a vertebra includes a first end portion for engaging a vertebra and a second end portion connectable with the longitudinal member. A staple including a plurality of mounting projections for engaging the vertebra has surfaces for defining an opening through which the second end portion of the fastener extends. The staple includes surfaces for engaging the second end portion of the fastener to prevent relative rotation between the fastener and the staple.

Abstract: An apparatus for retaining first and second vertebrae of a spinal column in a desired spatial relationship comprises first and second longitudinal members positionable along the spinal column. A first member connects the first and second longitudinal members to the first vertebra and second member connects the first and second longitudinal members to the second vertebra. A connector for interconnecting the first and second longitudinal members extends between the first and second longitudinal members and transverse to the first and second longitudinal members. The connector includes a band defining first and second openings through which the first and second longitudinal members are extendable.

Abstract: An apparatus for retaining bone portions in a desired spatial relationship includes a longitudinal plate extendable along the bone portions. A fastener has a first end portion engageable with a bone portion. A connecting member for connecting the plate to the fastener in any one of an infinite number of positions along the slot includes a recess for receiving a portion of the plate. The recess has an interference fit with the portion of the plate received in the recess. A nut engages the second end portion of the fastener to apply a force to cause the interference fit between the plate and the recess.

Abstract: A method of forming a composite structure comprises the steps of forming a radially inner portion of a preform with braided reinforcing fibers extending substantially transverse to an axis of the preform and forming a radially outer portion of the preform circumscribing the inner portion with braided reinforcing fibers extending substantially parallel to the axis of the preform. The preform is heated and consolidated in a mold into the composite structure. The composite structure has braided reinforcing fibers extending throughout a radially inner portion substantially transverse to an axis of the structure along which the structure is subject to splitting to resist splitting of the composite structure along the axis and braided reinforcing fibers extending throughout a radially outer portion substantially parallel to the axis to resist bending of the composite structure. The composite structure is particularly suitable for manufacturing a bone plate.

Abstract: A spinal disc prosthesis comprises an upper rigid plate, a lower rigid plate, and an elastomeric core interposed between the plates and adhered to the plates. The elastomeric core has an upper portion with an outer peripheral surface extending substantially perpendicular to the upper plate. A lower portion of the elastomeric core has an outer peripheral surface extending substantially perpendicular to the lower plate. An intermediate portion of the elastomeric core, extending between the upper and lower portions, has a concave outer peripheral surface. Each of the upper and lower plates has a plurality of ribs extending into the elastomeric core to secure the elastomeric core to the upper and lower plates.

Abstract: An apparatus for interconnecting a pair of longitudinal members connectable with vertebrae of a spinal column comprises first and second connector members connectable with the longitudinal members. An elongate plate extends transverse to the longitudinal members and interconnects the first and second connector members. The first connector member includes a hook portion extendable around a portion of the longitudinal member. A set screw clamps the longitudinal member to the hook portion of the connector member. A nut threadably engages the set screw to clamp the elongate plate to the connector member. The elongate plate includes surfaces defining a recess for receiving the connector member. The surfaces defining the recess engage the connector member to prevent the elongate plate from pivoting relative to the connector member.

Abstract: An apparatus for interconnecting a pair of longitudinal members connectable with vertebrae of a spinal column comprises first and second connector members connectable with the longitudinal members and a rod extendable transverse to the longitudinal members and between the first and second connector members. The first connector member includes a recess for receiving the rod and a set screw for clamping the rod in the recess. The first connector member includes an opening through which a fastener for connecting one of the longitudinal members to the spinal column is extendable.

Abstract: An apparatus for retaining vertebrae of a spinal column in a desired spatial relationship includes a fastener having a first end portion for engaging a vertebra. A connector member interconnects the fastener and a longitudinal member positionable along the spinal column. The connector member includes a clamp for clamping the longitudinal member to the connector member. The fastener extends through a slot in the connector member to permit adjustment of the distance between the axis of the fastener and the axis of the longitudinal member. The axis of the fastener is spaced from the clamp a distance measured along the axis of the longitudinal member when the connector member interconnects the fastener and the longitudinal member.

Abstract: A method of fusing together the adjacent vertebrae using the spinal implant includes removing at least a portion of the spinal disc between the adjacent vertebrae. The spinal implant is inserted between the adjacent vertebrae with the first and second parallel side surfaces facing the adjacent vertebrae. The spinal implant is rotated into a position in which the parallel side surfaces extend from one of the adjacent vertebrae to the other adjacent vertebrae and the upper and lower surfaces engage the adjacent vertebrae.

Abstract: A three-dimensional fiber reinforced composite structure which is made by providing yarn having of a plurality of continuous reinforcing fibers and fibers which when melted form a matrix material, randomizing the yarn, forming the randomized yarn into a preform, and consolidating the preform in one direction. Each of the plurality of reinforcing fibers extends continuously and randomly throughout the matrix because of the randomizing. The fiber reinforced composite structure is particularly suitable for manufacturing a vertebral prosthetic spinal implant device.

Abstract: An apparatus for use in retaining spinal elements in a desired spatial relationship includes a fastener for engaging a spinal element. A longitudinal member is positionable along the spinal column. A connector member interconnects the fastener and the longitudinal member. The connector member has a mounting section with surface means defining a first opening through which the fastener extends. The longitudinal member extends through a second opening in the connector member. The axis of the opening through which the longitudinal member extends is perpendicular to top and bottom surfaces of the connector member. The mounting section has a side surface extending at an acute angle to the top and bottom surfaces. The connector member includes a surface that is parallel to the longitudinal axis of the opening through which the longitudinal member extends.