Abstract: The invention concerns a device comprising at least a fixed element (2), secured to a vertebra, at least a mobile element (10), capable of moving relative to the or each fixed element, and at least an intermediate element (22) for articulating the mobile element relative to the fixed element. The intermediate element (22) is received in an internal volume of the mobile element % (10), and the fixed element (2) is received at least partly in an internal volume (26) of the intermediate element (22). Means are provided for securing, at least in translation, said intermediate element (22) to the fixed element (2), comprising the periphery of the substantially rigid outlet of the internal volume of the intermediate element.

Abstract: An expandable intervertebral device including a body extending generally along a longitudinal axis and including at least two branch portions coupled together adjacent an end portion of the body. The device further includes an expansion member positioned between the at least two branch portions with at least a portion of the expansion member arranged at an angular orientation relative to the longitudinal axis whereby a change in the angular orientation relative to the longitudinal axis urges the at least two branch portions apart to expand the body.

Abstract: The tightening instrument is made up of two parts (2,4) joined to each other by means which are designed to automatically uncouple the said two parts (2,4) by shearing rupture of a pin (8) when a predetermined tightening torque is reached, a first (2) of the two parts being provided with a means (3) permitting driving, characterized in that the second (4) of the two parts is a rod whose end (5) opposite its tightening end (6) is adapted to be introduced into a complementary recess (7) formed in the first part (2), and in that the said end (5) includes an axial reservoir (15) for receiving the broken end section (18) of the pin (8).

Abstract: Implant for the cervical spine comprising an anterior plate (1) for maintaining a bone graft, bone anchorage screws (6, 7, 8) for the plate and means (22) for blocking the screws and preventing any migration of the screws, characterized in that the blocking means comprises at least one slide (22) slidably mounted on the plate so as to be applicable on at least one anchorage screw head (15, 16). The slide cooperates with means (33, 34) for retaining the slide on the head of the screw. The slide may be formed by a thin platelet (22a) which is provided with lateral flanges (25) and is slidable in a complementary cavity (18) provided in the plate (1) while being flush with the surface of the plate (1). The plate (1) includes ramps (26) for retaining the slide (22) on which the flanges (25) are slidable, the slide (22) being slidable to a position in which it at least partly overlaps the heads of the associated screws (6 or 7) and is locked in position by suitable means.

Abstract: Lateral connector with adjustable offset for a connection between a rod and a member for fixation to the spine, comprising a component to be connected to the fixation member and provided with an extension inserted into a second component which comprises a seat for the rod and a way to immobilize the rod and the extension when placed in contact with each other. The first component comprises a head with an opening with a bearing surface of articulation cooperating with a corresponding bearing surface of the fixation member. The second component comprises an orifice for receiving the extension, permitting rotation of the second component about the extension, with the orifice intersecting the bottom of the seat to form a slot.

Abstract: A spinal osteosynthesis device comprising a bone anchorage element, a vertebral rod, a connector for interconnecting the rod and the anchorage element so that the anchorage element is capable of being angularly oriented in a polyaxial manner relative to the rod. A fixation element is provided for fixing the position of the connector in translation and in rotation relative to the rod. A clamp element is provided for clamping the bone anchorage element to the connector in a predetermined angular position independent of the fixation element.

Abstract: Implant for the cervical spine comprising an anterior plate (1) for maintaining a bone graft, bone anchorage screws (6, 7, 8) for the plate and at least one slide (22) for blocking the screws and preventing any migration of the screws, characterized in that the at least one slide (22) is slidably mounted on the plate so as to be applicable on at least one anchorage screw head (15, 16). The slide cooperates with boss and recess portions for retaining the slide on the head of the screw. The slide may be formed by a thin platelet (22a)) which is provided with lateral flanges (25) and is slidable in a complementary cavity (18) provided in the plate (1) while being flush with the surface of the plate (1). The plate (1) includes ramps (26) for retaining the slide (22) on which the flanges (25) are slidable, the slide (22) being slidable to a position in which it at least partly overlaps the heads of the associated screws (6 or 7) and is locked in position by suitable structure.

Abstract: The plug (1) comprises two coaxial parts (2, 3) separated by a fracture initiating line (4). A respective print (6, 7) is provided on each part and is coaxial with the other print. The first part (1) permits the screwing of the second part (3) which is provided with a screw thread (5) in an implant to which it must remain fixed after fracture of the two parts on the line (4), when a predetermined fracture torque is exceeded. The print (7) of the second part (3) permits a subsequent unscrewing, if necessary, for disassembling the instrumentation, which constitutes an essential advantage of this plug. Further, the clamping can be achieved with high precision in conformity with the wishes of the manufacturer, since the fracture torque can be adjusted to the intended value by machining the fracture intiating line (4) in a precise manner.

Abstract: A spinal implant for an osteosynthesis device having a bone anchorage portion, a connector portion adapted for connection to an elongate rod, an extension portion extending from the connector portion, and a threaded fastener operable to secure the implant to the elongate rod. The connector portion includes a pair of flanges extending axially from the anchorage portion and spaced apart to define a channel for receiving the elongate rod therein. The extension portion includes a first segment extending axially from one of the flanges and a second segment extending transversely from the first segment toward the other of the flanges so as to define a transverse opening capable of receiving the elongate rod therethrough. The fastener is advanced along a continuous thread extending between the extension portion and the opposing flanges to secure the elongate rod within the channel. In one embodiment, the extension portion is selectively separable from the connector portion.

Abstract: An expandable interbody fusion device in one embodiment includes a cylindrical body (10) defining a hollow interior (17) for receiving bone graft or bone substitute material. The body (10) is divided into a number of branches (24, 26, 40 and 41) connected to one another at a fixed end (20) and separated at an expandable end (18). The expandable cage may be inserted in its substantially cylindrical form and may be expanded by movement of an expansion member (50) to establish lordosis of the spine. The present invention provides an expansion member (50) that interacts with the interior surfaces of the device to maintain the cage in the expanded condition and provide a large internal chamber (17) for receiving bone in-growth material. Methods for insertion of the fusion device are also disclosed.

Abstract: The invention concerns a prosthesis (2) designed to be inserted between two neighboring vertebrae, comprising a core (4) made of an elastic material and covered, over part of its periphery, with a rigid material coating (6) designed to be in contact with the two neighboring vertebrae. The core (4) comprises, in transverse cross-section, two end portions (8) linked by a median portion (12) and said coating includes two caps provided with a threading and covering at least partially the external periphery of the end portions (8), the distance separating the caps increasing towards the prosthesis front part.

Abstract: The plug (1) comprises two coaxial parts (2, 3) separated by a fracture initiating line (4). A respective print (6, 7) is provided on each part and is coaxial with the other print. The first part (1) permits the screwing of the second part (3) which is provided with a screw thread (5) in an implant to which it must remain fixed after fracture of the two parts on the line (4), when a predetermined fracture torque is exceeded. The print (7) of the second part (3) permits a subsequent unscrewing, if necessary, for disassembling the instrumentation, which constitutes an essential advantage of this plug. Further, the clamping can be achieved with high precision in conformity with the wishes of the manufacturer, since the fracture torque can be adjusted to the intended value by machining the fracture intiating line (4) in a precise manner.

Abstract: A tool for driving a screw having two threaded shanks separated by an intermediate portion. The tool includes a rod having a tapped end portion adapted to engage one of the threaded shanks. The tool also includes a cage adapted to receive the intermediate portion of the screw therein. The cage is provided with at least one opening containing a rolling member configured to be applied against a surface of the intermediate portion of the screw. The tool additionally includes a tube surrounding the rod and the cage. The tube includes an inner wall having a profile configured such that as the tube is rotated about the longitudinal axis, the inner surface applies a radial force to the rolling member, causing the rolling member to be radially displaced through the opening in the cage and placing it in abutment with the intermediate portion of the screw.

Abstract: A vertebral rod for fixation of a spine, the rod defining an outer cross section and including a detachable end portion also defining the same outer cross section. In one embodiment, the detachable end portion is connected to the remainder of the rod by a region of reduced strength. The region of reduced strength forms a fracture initiator defining an area of reduced outer cross section so that the detachable end portion can be broken off. In another embodiment, the rod defines a threaded opening and a threaded spigot, each extending along the longitudinal axis of the rod. The spigot threadedly engages the opening to releasably connect the detachable end portion to the remainder of the rod. In either embodiment, the detachable end portion is configured to receive a driving tool for removing the detachable end portion from the remainder of the rod.

Abstract: A vertebral rod for fixation of a spine, the rod formed of a first material and defining a passage extending at least partially therethrough, the passage at least partially filled with a second material different from the first material to thereby enable the stiffness of the rod to be varied along its length. The first and second materials are either a metallic material or a biocompatible material such as plastic. The rod may be formed of at least three layers of material, with the layers composed of at least two different materials.

Abstract: Bone screw for osteosynthesis devices comprising a screwing head and a screw-threaded shank having a transition portion having a variable profile between two shank parts of different profiles. The threading has a constant pitch and a constant outside diameter, and includes cutting crests throughout its length, including in the transition region. According to one method for manufacturing this screw, there are machined on the transition portion of the shank threads of decreasing depth up to the end of this transition region, the threads along the transition portion defining truncated, non-cutting crests. There is removed from the threads on the transition portion a sufficient amount of material for converting the non-cutting crests into sharp, cutting crests. This method provides a screw with bone anchorage capability throughout the length of the thread.

Abstract: This instrumentation comprises valves (2) for shifting aside tissues and vessels, pins for fixing each valve (2) to the spine, each valve (2) comprising for this purpose sleeves (6) in which the pin (5) is slidable; the instrumentation further comprises, for each valve (2), an articulated device (7) comprising a clamp (12) for clamping a rod (13) fixed to the valve (2); the clamp (12) may be articulated to a ball and oriented in all directions in space while the rod (13) and the valve (2) are adjustable in translation in the clamp (12); the articulated devices (7) are adjustably slidably mounted on a support frame (8). The instrumentation further comprises a push member which is capable of bearing against the valves (2) and preventing them from slipping on the surface of the spine while they are being placed in position. This device permits conveniently orienting the valves (2) in all directions and in translation.

Abstract: The body (4) of the hook (1) has a passage (6) for receiving a transverse bar, which passage terminates in an aperture (7) and extends throughout the length of the body. The hook (1) includes a curved strip portion (5) for retaining an osteosynthesis rod which is connected to the body (4) in a region of said aperture (7). The height of the aperture (7) exceeds the thickness of the bar. The strip portion (5) has a width substantially equal to the width of the body (4) and edge portions (9) of the passage (6) are so shaped as to define sliding ramps for the rod which are inclined toward the interior of the strip portion (5). The arrangement of the hook ensures a trapping of the rod which improves the safety of the device in use and reduces the overall size of the hook.

Abstract: The instrumentation comprises for each lumbar vertebra two pedicular screws having two screw threads, one of the screw threads corresponding to the region of penetration of the screw in the pedicle, two rods having asperities respectively associated with a pedicular screw and secured to the latter by connection elements provided with elements for clamping the rods. Each connection element is in one piece and the screw thread corresponding to the region of penetration of the screw in the pedicle terminates in an annular shoulder against which the connection element bears which is separated by a smooth part from the screw thread outside the region of penetration in the pedicle.

Abstract: An instrument including a guide needle (1), at least two nesting concentric tubes (2-6) placed over the guide needle, and an outer working tube (7) concentric with said tubes. The tip of the outer tube (7) is provided with a device (11) for spacing apart the bodies of vertebrae adjacent to the disk and keeping them apart during surgery, while its proximal end is provided with a hand grip (8). Anterior percutaneous nuclear incision performed with said instrument enables puncture of the disk, and particularly excision of the nucleus, to be performed easily, more quickly and more effectively than with the conventional posterolateral approach, while avoiding any damage to the anatomical environment of the patient.