Abstract: Instrumentation for implanting an artificial intervertebral disc includes an inserter/impactor for inserting and removing the static trials and for inserting the artificial intervertebral discs, the inserter/impactor having at least one shaft having a longitudinal axis and a shaft distal end adapted for engagement with the trials and the disc, the shaft distal end further having forward surfaces for engagement with corresponding confronting surfaces of at least one of the baseplates for axial rotationally aligning the at least one of the baseplates with respect to the longitudinal axis.

Abstract: An orthopedic device set, including: a plurality of intervertebral spacer elements, each spacer element having a different axial thickness from each other element, the axial thicknesses being selected to increase by an increment from one element to another; and an instrument for holding ones of the intervertebral spacer elements, the instrument comprising a shaft having a distal end, a selectively grasping subassembly for alternatively rigidly holding each spacer element at the distal end so that the spacer element cannot move relative to the instrument, and releasing the spacer element.

Abstract: A kit for preparing an intervertebral disc space for receiving an implant (100) includes a plurality of trials (152) having different sizes. Each trial (152) includes a body (154) insertible into an intervertebral disc space, the body (154) having a leading end (162), a trailing end (164), a top surface (156) and a bottom surface (160), the top surface of the body having a first groove (176) formed therein. Each implant also includes a flange (166) secured to the trailing end (164) of the body (154), the flange (166) having a first channel (180) aligned with the first groove (176), wherein each of the different sized trials has a different flange thickness. The flange thickness controls advancement of a cutting tool such as a chisel (192) into the first groove at the top surface of the trial body, which controls the depth of the cut into vertebral bone.

Abstract: An intervertebral spacer device may include first and second plates, each having inner and outer surfaces thereof, the plates may be disposed in a spaced apart relationship such that the inner surfaces face toward one another, and the outer surfaces face away from one another, the first plate including a retaining wall extending outwardly from the inner surface of the first plate; and a belleville washer, having narrow and wide ends thereof, may be disposed with said wide end contacting said inner surface of said first plate within said retaining wall, such that a compressive load applied to the outer surfaces of said plates is counteracted by said belleville washer, said belleville washer including a plurality of radially spaced concentric groove; wherein each concentric groove of the plurality of radially spaced concentric grooves in the belleville washer may have a respective length, a respective depth along the respective length, and a respective width along the respective length, at least one of the resp

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces. Each of the opposing plates has an external surface with a deflectable wire mesh thereon, into which the bone can readily grow.

Abstract: Instrumentation for implanting an artificial intervertebral disc includes static trials and a dynamic trial for determining the appropriate size of disc to be implanted, static trial holders for manipulating the static trials, inserter/impactors for inserting and removing the static trials and for inserting the artificial intervertebral discs, repositioners/extractors for repositioning and extracting the static trials or the artificial intervertebral discs, and a leveler for setting the proper position of the artificial intervertebral disc. Methods for using the same are also disclosed. Features for artificial intervertebral discs and intervertebral spacer devices useful for manipulation by the instrumentation are also disclosed.

Abstract: Instrumentation for implanting an artificial intervertebral disc includes a dynamic trial for distracting an intervertebral space and/or determining the appropriate size of disc to be implanted, which dynamic trial includes a shaft, at least two distal extensions coupled to the shaft, a bifurcated trial having a first trial half of the bifurcated trial coupled to a first of the extensions and having a second trial half of the bifurcated trial coupled to a second of the extensions, and a pin located between the extensions, wherein movement of the pin in a distal direction increases a separation between the extensions, and wherein varying the separation between the extensions varies a separation between the trial halves.

Abstract: Spacerless artificial disc replacements (ADR) are disclosed. One preferred embodiment includes two saddle-shaped components to facilitate more normal spinal flexion, extension, and lateral bending while limit axial rotation, thereby protecting the facet joints and the annulus fibrosus (AF). Either or both of the superior and inferior components are made of a hard material such as chrome cobalt, titanium, or a ceramic including alumina, zirconia, or calcium phosphate. The articulating surfaces of the ADR are also preferably highly polished to reduce friction between the components. Metals, alloys or other materials with shape-memory characteristics may also prove beneficial.

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by at least one spring mechanism. The preferred spring mechanism is at least one belleville washer having radially spaced concentric grooves. In a preferred embodiment there is a single such belleville washer which is modified to mount onto a ball-shaped head. The lower plate of this embodiment includes a post extending upwardly from the inner surface of the plate, the post including a ball-shaped head. The modified belleville washer can be rotatably mounted to the head such that the wider portion of the washer seats against the upper plate.

Abstract: An instrument for holding an intervertebral spacer, the instrument comprising a shaft having a proximal end and a distal end, the proximal end forming a handle and the distal end forming a spacer engaging subassembly, the spacer engaging subassembly comprising at least one selectively expanding and contracting enclosure into which at least a portion of the spacer is introduced when the engaging subassembly is expanded and an actuating mechanism, extending from the proximal end to the distal end, by which the spacer member engaging subassembly may be selectively expanded and contracted.

Abstract: An adjustable pin drill guide and method for using an adjustable pin drill guide to prepare a vertebral body space to receive an implant are disclosed. The method includes providing an adjustable pin drill guide, producing a gap by removing tissue between a first vertebral body and a second vertebral body, inserting into the gap first and second extensions of the guide in a first position, moving the first extension and the second extension to a second position, drilling a first hole in the first vertebral body through a first opening in the guide, drilling a second hole in the second vertebral body through a second opening in the guide, placing a first pin into the first hole, and placing a second pin into the second hole. The first and second extensions are preferably in parallel planes when in the first and second positions.

Abstract: An orthopedic device set, including: a plurality of intervertebral spacer elements, each spacer element having a different axial thickness from each other element, the axial thicknesses being selected to increase by an increment from one element to another; and an instrument for holding ones of the intervertebral spacer elements, the instrument comprising a shaft having a distal end, a selectively grasping subassembly for alternatively rigidly holding each spacer element at the distal end so that the spacer element cannot move relative to the instrument, and releasing the spacer element.

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by at least one spring mechanism. The preferred spring mechanism is at least one spirally slotted belleville washer having radially spaced concentric grooves. In a preferred embodiment there is a single such belleville washer which is modified to mount onto a ball-shaped head. The lower plate of this embodiment includes a post extending upwardly from the inner surface of the plate, the post including a ball-shaped head. The modified belleville washer can be rotatably mounted to the head such that the wider portion of the washer seats against the upper plate.

Abstract: Instrumentation for implanting a cervical disc replacement device includes cervical disc replacement trials for determining the appropriate size of replacement device to be implanted, an insertion plate for maintaining the elements of the replacement device in fixed relation to one another for simultaneous manipulation, an insertion handle for attachment to the insertion plate for manipulation of the elements, an insertion pusher for releasing the insertion handle from the insertion plate, a drill guide that cooperates with the insertion plate to guide the drilling of tap holes for bone screws to be placed through bone screw holes in the flanges of the replacement device, clips that are applied to the flanges after placement of the bone screws to resist screw backout, and a clip applicator for applying the clips to the flanges.

Abstract: Instrumentation for implanting an intervertebral disc replacement device includes a retaining device comprising a threaded attachment member for threaded engagement with the at least one mounting screw hole in the flange of the intervertebral disc replacement device, and a head flange extending from the threaded attachment member, wherein a portion of the head flange is in part abuttingly received against a side of the flange of the intervertebral disc replacement device and another portion of the head flange is partially received over a portion of the bone screw to prevent the bone screw from backing out of the at least one bone screw hole when the retaining device is fully engaged with the intervertebral disc replacement device.

Abstract: An instrument for holding an intervertebral spacer includes a shaft having a proximal end forming a handle, and a distal end forming a claw subassembly for holding the spacer; the claw subassembly including a first pincer which is fixed at the distal end of the shaft and a second pincer which is selectively rotateable into and out of spacer holding association with said first pincer to hold and release, respectively, the spacer. The instrument includes an actuation mechanism for selectively rotating the second pincer, wherein the first and second pincers have opposing inner curved surfaces that extend to a distal end of the instrument.

Abstract: Instrumentation for implanting a cervical disc replacement device includes cervical disc replacement trials for determining the appropriate size of replacement device to be implanted, an insertion plate for maintaining the elements of the replacement device in fixed relation to one another for simultaneous manipulation, an insertion handle for attachment to the insertion plate for manipulation of the elements, an insertion pusher for releasing the insertion handle from the insertion plate, a drill guide that cooperates with the insertion plate to guide the drilling of tap holes for bone screws to be placed through bone screw holes in the flanges of the replacement device, clips that are applied to the flanges after placement of the bone screws to resist screw backout, and a clip applicator for applying the clips to the flanges.

Abstract: Instrumentation for implanting a cervical disc replacement device includes cervical disc replacement trials for determining the appropriate size of replacement device to be implanted, an insertion plate for maintaining the elements of the replacement device in fixed relation to one another for simultaneous manipulation, an insertion handle for attachment to the insertion plate for manipulation of the elements, an insertion pusher for releasing the insertion handle from the insertion plate, a drill guide that cooperates with the insertion plate to guide the drilling of tap holes for bone screws to be placed through bone screw holes in the flanges of the replacement device, clips that are applied to the flanges after placement of the bone screws to resist screw backout, and a clip applicator for applying the clips to the flanges.

Abstract: Instrumentation for implanting a cervical disc replacement device includes cervical disc replacement trials for determining the appropriate size of replacement device to be implanted, an insertion plate for maintaining the elements of the replacement device in fixed relation to one another for simultaneous manipulation, an insertion handle for attachment to the insertion plate for manipulation of the elements, an insertion pusher for releasing the insertion handle from the insertion plate, a drill guide that cooperates with the insertion plate to guide the drilling of tap holes for bone screws to be placed through bone screw holes in the flanges of the replacement device, clips that are applied to the flanges after placement of the bone screws to resist screw backout, and a clip applicator for applying the clips to the flanges.

Abstract: Instrumentation for implanting an intervertebral disc replacement device includes an insertion plate comprising a base, a first mounting element of the base operable to engage a first member of an intervertebral disc replacement device and a second mounting element of the base operable to engage a second member of the intervertebral disc replacement device, the first and second mounting elements cooperating to engage and orient the first and second members of the intervertebral disc replacement device for simultaneous insertion into an intervertebral disc space of a spinal column.