Abstract: Trials for spinal surgery include: (a) a trial implant portion having a shape corresponding to an implantable spinal disc implant; (b) a shaft connected to the trial implant portion; and (c) at least one axially extending cutting guide slot attached to the shaft at a position that is axially spaced apart from the trial implant portion, the cutting guide slot configured to releasably slidably receive and guide a cutting blade toward vertebral bone. Also described are additional surgical instruments, including, for example, pilot-hole punches, inserters, and methods of cutting keelways.

Abstract: Molded orthopaedic implants include at least one mesh substrate having opposing upper and lower primary surfaces. At least a major portion of the mesh substrate lower primary surface is integrally moldably attached to the molded implant body. The mesh substrate has at least one selectively exposed region devoid of molded material that exposes at least a portion of the mesh substrate upper surface to at least a partial thickness of the mesh substrate so as to allow for tissue in-growth in the at least one exposed region of the mesh substrate.

Abstract: An applicator/dispenser for dispensing, mixing and/or applying a polymerizable monomeric adhesive or sealant material comprises: a body portion; an actuator movable relative to the body portion; a cavity in the body portion; and a piercing or breaking portion on the actuator. Movement of the actuator relative to the body portion moves the piercing or breaking portion into the cavity. When a container of adhesive or sealant material is at least partially disposed within the cavity, movement of the actuator relative to the body portion moves the piercing or breaking portion to rupture the container for mixing, dispensing and/or applying the adhesive or sealant material.