Abstract: An article of footwear includes an upper having a body with a first side and a second side, and a closure system for the upper. The closure system includes a first anchoring cable loop fixed at the first side, a flap, a flap cable loop, and a lace. The flap is fixed to the second side and extends across the body to a free end at the first side. The flap has an aperture extending through the flap. A flap cable loop extends from the free end. The flap cable loop is configured to extend from the free end through the first anchoring cable loop, and from the first anchoring cable loop back to the flap and through the aperture in the flap from an inner side to an outer side of the flap. A lace extends through the looped end of the flap cable at the outer side.

Abstract: An article of footwear includes an upper having a body with a first side and a second side, and a closure system for the upper. The closure system includes a first anchoring cable loop fixed at the first side, a flap, a flap cable loop, and a lace. The flap is fixed to the second side and extends across the body to a free end at the first side. The flap has an aperture extending through the flap. A flap cable loop extends from the free end. The flap cable loop is configured to extend from the free end through the first anchoring cable loop, and from the first anchoring cable loop back to the flap and through the aperture in the flap from an inner side to an outer side of the flap. A lace extends through the looped end of the flap cable at the outer side.

Abstract: An article of footwear includes an upper having a body with a first side and a second side, and a closure system for the upper. The closure system includes a first anchoring cable loop fixed at the first side, a flap, a flap cable loop, and a lace. The flap is fixed to the second side and extends across the body to a free end at the first side. The flap has an aperture extending through the flap. A flap cable loop extends from the free end. The flap cable loop is configured to extend from the free end through the first anchoring cable loop, and from the first anchoring cable loop back to the flap and through the aperture in the flap from an inner side to an outer side of the flap. A lace extends through the looped end of the flap cable at the outer side.

Abstract: An article of footwear includes an upper having a body with a first side and a second side, and a closure system for the upper. The closure system includes a first anchoring cable loop fixed at the first side, a flap, a flap cable loop, and a lace. The flap is fixed to the second side and extends across the body to a free end at the first side. The flap has an aperture extending through the flap. A flap cable loop extends from the free end. The flap cable loop is configured to extend from the free end through the first anchoring cable loop, and from the first anchoring cable loop back to the flap and through the aperture in the flap from an inner side to an outer side of the flap. A lace extends through the looped end of the flap cable at the outer side.

Abstract: A distraction device includes a cage distractor, two distractor blades, an inserter positioner, and a clip inserter. The cage distractor is selectively securable to the two distractor blades and includes two distractor housings moveable relative to one another. The inserter positioner is selectively securable to the two distractor blades and include a center member that is centered between the distractor blades when the inserter positioner is secured to the two distractor blades. The clip inserter is configured to secure a clip to a distal end thereof and is slidable through the center member to secure the clip to a cage distracted by the movement of the two distractor housings away from one another. The clip maintaining the distraction of the cage.

Abstract: An expandable spinal implant configured for positioning within a space between adjacent vertebral bodies includes an upper body, a lower body, a ratchet mechanism, and a plurality of bone screws. The upper body and lower body are pivotably affixed at a first end and are capable of movement relative to each other. The ratchet mechanism is slidably disposed on one of the upper and lower body and is capable of engaging the opposite one of the upper and lower body thereby permitting movement of the upper and lower body relative to each other in a first direction, but not in a second direction. An insertion instrument capable of being attached to the expandable spinal instrument and a method of performing spinal surgery is also disclosed.

Abstract: An expandable spinal implant configured for positioning within a space between adjacent vertebral bodies includes an upper body, a lower body, a ratchet mechanism, and a plurality of bone screws. The upper body and lower body are pivotably affixed at a first end and are capable of movement relative to each other. The ratchet mechanism is slidably disposed on one of the upper and lower body and is capable of engaging the opposite one of the upper and lower body thereby permitting movement of the upper and lower body relative to each other in a first direction, but not in a second direction. An insertion instrument capable of being attached to the expandable spinal instrument and a method of performing spinal surgery is also disclosed.

Abstract: An expandable spinal implant configured for positioning within a space between adjacent vertebral bodies includes an upper body, a lower body, a ratchet mechanism, and a plurality of bone screws. The upper body and lower body are pivotably affixed at a first end and are capable of movement relative to each other. The ratchet mechanism is slidably disposed on one of the upper and lower body and is capable of engaging the opposite one of the upper and lower body thereby permitting movement of the upper and lower body relative to each other in a first direction, but not in a second direction. An insertion instrument capable of being attached to the expandable spinal instrument and a method of performing spinal surgery is also disclosed.

Abstract: An apparatus supports the spine between vertebrae and promotes spinal fusion. The apparatus generally includes a first supporting member, a second support member, and an expansion member. The first support member has a first longitudinal passage extending therethrough, a first supporting end configured to engage tissue, and a rack configured to engage a tool. The second supporting member contains a second longitudinal passage extending therethrough and a second supporting end configured to engage tissue. The second longitudinal passage is dimensioned to receive at least a portion of the first supporting member. The first and second supporting members are configured to move with respect to each other. The expansion member is removably positioned between the first and second supporting members and is adapted to maintain the first and second supporting members in a fixed relative position.

Abstract: An insertion device includes a first engagement arm having a first body portion and a first proximal extension, a second engagement arm including a second body portion and a second proximal extension, and an adjustment mechanism. The second proximal extension is disposed about the first proximal extension and is slidable therealong to vary a spacing between the first and second engagement arms. The adjustment mechanism includes an adjustment screw rotatably coupled to the first proximal extension and an adjustment cylinder coupled to the second proximal extension. The adjustment cylinder is configured to receive the adjustment screw in threaded engagement therewith such that rotation of the adjustment screw relative to the adjustment cylinder urges the second proximal extension to translate along the first proximal extension to vary the spacing between the first and second engagement arms.

Abstract: A distraction device includes a cage distractor, two distractor blades, an inserter positioner, and a clip inserter. The cage distractor is selectively securable to the two distractor blades and includes two distractor housings moveable relative to one another. The inserter positioner is selectively securable to the two distractor blades and include a center member that is centered between the distractor blades when the inserter positioner is secured to the two distractor blades. The clip inserter is configured to secure a clip to a distal end thereof and is slidable through the center member to secure the clip to a cage distracted by the movement of the two distractor housings away from one another. The clip maintaining the distraction of the cage.

Abstract: An expandable spinal implant configured for positioning within a space between adjacent vertebral bodies includes an upper body, a lower body, a ratchet mechanism, and a plurality of bone screws. The upper body and lower body are pivotably affixed at a first end and are capable of movement relative to each other. The ratchet mechanism is slidably disposed on one of the upper and lower body and is capable of engaging the opposite one of the upper and lower body thereby permitting movement of the upper and lower body relative to each other in a first direction, but not in a second direction. An insertion instrument capable of being attached to the expandable spinal instrument and a method of performing spinal surgery is also disclosed.

Abstract: A distraction device includes a cage distractor, two distractor blades, an inserter positioner, and a clip inserter. The cage distractor is selectively securable to the two distractor blades and includes two distractor housings moveable relative to one another. The inserter positioner is selectively securable to the two distractor blades and include a center member that is centered between the distractor blades when the inserter positioner is secured to the two distractor blades. The clip inserter is configured to secure a clip to a distal end thereof and is slidable through the center member to secure the clip to a cage distracted by the movement of the two distractor housings away from one another. The clip maintaining the distraction of the cage.

Abstract: An apparatus supports the spine between vertebrae and promotes spinal fusion. The apparatus generally includes a first supporting member, a second support member, and an expansion member. The first support member has a first longitudinal passage extending therethrough, a first supporting end configured to engage tissue, and a rack configured to engage a tool. The second supporting member contains a second longitudinal passage extending therethrough and a second supporting end configured to engage tissue. The second longitudinal passage is dimensioned to receive at least a portion of the first supporting member. The first and second supporting members are configured to move with respect to each other. The expansion member is removably positioned between the first and second supporting members and is adapted to maintain the first and second supporting members in a fixed relative position.

Abstract: An insertion device includes a first engagement arm having a first body portion and a first proximal extension, a second engagement arm including a second body portion and a second proximal extension, and an adjustment mechanism. The second proximal extension is disposed about the first proximal extension and is slidable therealong to vary a spacing between the first and second engagement arms. The adjustment mechanism includes an adjustment screw rotatably coupled to the first proximal extension and an adjustment cylinder coupled to the second proximal extension. The adjustment cylinder is configured to receive the adjustment screw in threaded engagement therewith such that rotation of the adjustment screw relative to the adjustment cylinder urges the second proximal extension to translate along the first proximal extension to vary the spacing between the first and second engagement arms.

Abstract: A distraction device includes a cage distractor, two distractor blades, an inserter positioner, and a clip inserter. The cage distractor is selectively securable to the two distractor blades and includes two distractor housings moveable relative to one another. The inserter positioner is selectively securable to the two distractor blades and include a center member that is centered between the distractor blades when the inserter positioner is secured to the two distractor blades. The clip inserter is configured to secure a clip to a distal end thereof and is slidable through the center member to secure the clip to a cage distracted by the movement of the two distractor housings away from one another. The clip maintaining the distraction of the cage.

Abstract: An apparatus supports the spine between vertebrae and promotes spinal fusion. The apparatus generally includes a first supporting member, a second support member, and an expansion member. The first support member has a first longitudinal passage extending therethrough, a first supporting end configured to engage tissue, and a rack configured to engage a tool. The second supporting member contains a second longitudinal passage extending therethrough and a second supporting end configured to engage tissue. The second longitudinal passage is dimensioned to receive at least a portion of the first supporting member. The first and second supporting members are configured to move with respect to each other. The expansion member is removably positioned between the first and second supporting members and is adapted to maintain the first and second supporting members in a fixed relative position.

Abstract: A bone screw for attaching a bone plate to bone includes a shank defining a lumen extending at least partially therethrough from a proximal end thereof, a head defining a lumen therethrough, and a rod member. The rod member is configured for insertion through the lumen of the head and into the lumen of the shank. The rod member is fixedly engageable with the shank and moveably coupled to the head such that both the rod member and the shank are moveable with respect to the head.

Abstract: An insertion tool for placing a spinal implant in an intervertebral space includes a handle assembly, a jaw assembly having first and second jaw members movable with respect to each other, and a holding member adapted to hold and release an implant in response to a manipulation of the handle assembly. The holding member is configured to move longitudinally with respect to the jaw assembly upon manipulation of the handle assembly.

Abstract: An expandable spinal implant configured for positioning within a space between adjacent vertebral bodies includes an upper body, a lower body, a ratchet mechanism, and a plurality of bone screws. The upper body and lower body are pivotably affixed at a first end and are capable of movement relative to each other. The ratchet mechanism is slidably disposed on one of the upper and lower body and is capable of engaging the opposite one of the upper and lower body thereby permitting movement of the upper and lower body relative to each other in a first direction, but not in a second direction. An insertion instrument capable of being attached to the expandable spinal instrument and a method of performing spinal surgery is also disclosed.