Abstract: An expandable interbody implant adapted for insertion at least into a disc space, between two adjacent vertebrae of a spine. An upper member and a lower member are pivotally connected at least by a drive link. A bone graft storage portion packed with a selected volume of bone growth material. A translational wall is provided between the bone graft storage portion and a trailing end of the implant. An actuator engages the bone graft storage portion, pushing it forward into engagement with the drive link, which pivots upward, moving the upper member upward away from the lower member. Upward movement of the upper member raises the translational wall to a position to assist in retention of the selected volume bone graft material within the hollow portion of the bone graft storage portion. Upward rotation of the drive link brings a face thereof into contact with a front of the bone graft storage portion, thereby retaining near constant volume of the bone graft material.

Abstract: An expandable spinal implant includes a distal projection extending from only one side of the implant, ending in an anterior tip, the anterior portion and anterior tip defining an elongated distal end hook, which is wider than the proximal end. The distal end hook rotates around the spinal cord, aligning the implant with a desired pathway, then inserts into place in the disc space between the vertebrae. The elongated widened distal end hook provides a TLIF approach, distributes loads, provides anterior rim engagement, and creates lordosis.

Abstract: An expandable spinal implant includes a distal projection extending from only one side of the implant, ending in an anterior tip, the anterior portion and anterior tip defining an elongated distal end hook, which is wider than the proximal end. The distal end hook rotates around the spinal cord, aligning the implant with a desired pathway, then inserts into place in the disc space between the vertebrae. The elongated widened distal end hook provides a TLIF approach, distributes loads, provides anterior rim engagement, and creates lordosis.

Abstract: A surgical retractor includes a first member defining a longitudinal axis. The first member includes a blade disposed in spaced apart relation relative to the longitudinal axis and a grip surface. A second member has a blade disposed in spaced apart relation relative to the longitudinal axis and a grip surface. The grip surfaces are configured to be drawn together along the longitudinal axis such that the blades are engageable with tissue and connected with the grip surfaces such that the grip surfaces provide a tactile feedback of the tissue engagement. Systems and methods of use are disclosed.

Abstract: A spinal implant comprises a first member, a second member and an actuator defining a transverse pivot axis. A first link is connected to the first member and the actuator adjacent the pivot axis. The first link includes an inner surface defining a cavity. A second link is connected to the second member and the actuator adjacent the pivot axis. The actuator is rotatable for translating the pivot axis such that the second link is movable within the cavity to move the members between a contracted configuration and an expanded configuration. Systems and methods of use are disclosed.

Abstract: Spinal implant trials are provided having various configurations and sizes that aid the selection of spinal implants having similar configurations and sizes. A surgeon during surgery can insert various configurations and sizes of the spinal implant trials into a disc space between two adjacent vertebral bodies of a patient to enable the selection of a spinal implant configured and sized to fit the patient's disc space. Fluoroscopic images can be used in aiding the selection of an appropriately configured and sized spinal implant corresponding to one of the spinal implant trials. The spinal implant trials include features that reveal on the fluoroscopic images whether the spinal implant trials are properly oriented and positioned in the disc space. As such, the selection of the configuration and size of the spinal implants can be made after it is determined that the spinal implant trials are properly oriented and positioned within the disc space.

Abstract: A spinal fusion implant includes a leading end, an opposite trailing end, an upper portion extending between the leading and trailing ends, a lower portion extending between the leading and trailing ends, and opposed first and second side portions extending between the leading and trailing ends. The upper portion includes at least two rails extending between the leading and trailing ends, the at least two rails including a first rail and a second rail spaced apart from one another, the first rail of the upper portion including a bone-contacting surface being at least partially smoothened. The lower portion includes at least two rails extending between the leading and trailing ends, the at least two rails including a first rail and a second rail spaced apart from one another, the first rail of the lower portion including a bone-contacting surface being at least partially smoothened.

Abstract: A surgical implant and a method for the making the surgical implant is provided. The surgical implant includes various granules incorporated into an upper surface and a lower surface of a body portion thereof. The granules can be pressed into the upper surface and the lower surface via physical force using at least one mold portion. The physical force applied by the at least one mold portion can deform and/or extrude the upper surface and the lower surface to impregnate these surfaces with the granules. The granules can provide the implant with bioresorbable and/or mechanically-reinforced properties.

Abstract: A spinal implant includes a body having opposite first and second end walls and opposite first and second side walls. The side walls each extend from the first end wall to the second end wall. A first cap is coupled to top ends of the walls. A second cap is coupled to bottom ends of the walls. The implant includes an opening extending through the caps such that the first cap defines a first ledge extending from the walls to the opening and the second cap defines a second ledge extending from the walls to the opening. Systems and methods of use are disclosed.

Abstract: A spinal implant comprises a first member, a second member and an actuator defining a transverse pivot axis, A first link is connected to the first member and the actuator adjacent the pivot axis. The first link includes an inner surface defining a cavity. A second link is connected to the second member and the actuator adjacent the pivot axis. The actuator is rotatable for translating the pivot axis such that the second link is movable within the cavity to move the members between a contracted configuration and an expanded configuration. Systems and methods of use are disclosed.

Abstract: A device includes a core having proximal and distal ends and defining a first female thread. A drive screw includes first and second ends. The first end includes a first male thread. The second end including a second male thread that engages the first female thread. A first body includes a second female thread that engages the first male thread. A second body is coupled to the drive screw. A first plate is coupled to the core and the first body. The first plate includes a first vertebral engaging surface. A second plate is coupled to the core and includes a second vertebral engaging surface. The drive screw is configured to rotate relative to the core to simultaneously pivot the first plate relative to the core and alter a distance between the first vertebral engaging surface and the second vertebral engaging surface.

Abstract: A device includes a core defining first and second female threads. A first member includes a first body and a first drive screw coupled to the first body, the first drive screw being configured to engage the first female thread. A second member includes a second body and a second drive screw coupled to the second body, the second drive screw being configured to engage the second female thread. A first plate is coupled to the core and the first body. The first plate includes a first vertebral engaging surface. A second plate is coupled to the core and the second body. The second plate includes a second vertebral engaging surface. The drive screws are configured to independently rotate relative to the core to pivot the first plate relative to the core and to alter a distance between the first vertebral engaging surface and the second vertebral engaging surface.

Abstract: A retention system includes a first member having an inner surface defining a first thread form. The first thread form includes a first stage having a first pitch and a second stage having a second pitch that is greater than the first pitch. A second member includes a shaft and a neck. The shaft includes an outer surface defining a second thread form configured to engage the first thread form to lock the second member with the first member. The neck includes a smooth unthreaded section. Methods of use are disclosed.

Abstract: A surgical implant includes a body portion, a first tier, and a second tier. The first tier is attached to an upper surface of the body portion, and the second tier is attached to a lower surface of the body portion. Each of the upper surface and the lower surface of the body portion includes channels formed therein. The first tier includes a first layer including a plurality of first slats and a second layer including a plurality of second slats, where the plurality of first slats and the plurality of second slats intersect one another to form openings therebetween. The second tier includes a third layer including a plurality of third slats and a fourth layer including a plurality of fourth slats, where the plurality of third slats and the plurality of fourth slats intersect one another to form openings therebetween.

Abstract: A retention system includes a first member having an inner surface defining a first thread form. The first thread form includes a first stage having a first pitch and a second stage having a second pitch that is greater than the first pitch. A second member includes a shaft and a neck. The shaft includes an outer surface defining a second thread form configured to engage the first thread form to lock the second member with the first member. The neck includes a smooth unthreaded section. Methods of use are disclosed.

Abstract: A spinal implant comprises an implant body extending between an anterior surface and a posterior surface and includes a first vertebral engaging surface and a second vertebral engaging surface. The implant body includes an inner surface that defines at least one cavity that is oriented to implant a fastener oblique relative to a lateral axis of a subject body and adjacent an intervertebral space of the subject body. At least one indicia is disposed with the implant body to facilitate orientation of the implant body with the subject body. Systems and methods are disclosed.

Abstract: A surgical instrument configured to enable simultaneously driving a bone screw into a boney structure of a patient and delivering of a blade within the patient adjacent the bone screw is disclosed. The surgical instrument may include an elongated outer-sheath extending in a longitudinal direction from a proximal end to a distal end, for example The elongated outer-sheath may include an interior cavity that defines a centrally disposed longitudinal axis that extends in the longitudinal direction, for example. The surgical tool may include a central-sheath disposed within the interior cavity that extends in the longitudinal direction, for example. The surgical instrument may further include an inner-shaft rotatably supported by the central-sheath that extends in the longitudinal direction, for example. The inner-shaft may include a driver configured to selectively drive a bone screw upon rotation of the inner-shaft about the longitudinal axis, for example.

Abstract: A spinal implant comprises an implant body extending between an anterior surface and a posterior surface and includes a first vertebral engaging surface and a second vertebral engaging surface. The implant body includes an inner surface that defines at least one cavity that is oriented to implant a fastener oblique relative to a lateral axis of a subject body and adjacent an intervertebral space of the subject body. At least one indicia is disposed with the implant body to facilitate orientation of the implant body with the subject body. Systems and methods are disclosed.

Abstract: A surgical instrument configured to enable simultaneously driving a bone screw into a boney structure of a patient and delivering of a blade within the patient adjacent the bone screw is disclosed. The surgical instrument may include an elongated outer-sheath extending in a longitudinal direction from a proximal end to a distal end, for example. The elongated outer-sheath may include an interior cavity that defines a centrally disposed longitudinal axis that extends in the longitudinal direction, for example. The surgical tool may include a central-sheath disposed within the interior cavity that extends in the longitudinal direction, for example. The surgical instrument may further include an inner-shaft rotatably supported by the central-sheath that extends in the longitudinal direction, for example. The inner-shaft may include a driver configured to selectively drive a bone screw upon rotation of the inner-shaft about the longitudinal axis, for example.