Abstract: The transosseous spinal core approach (TOSCA) represents a novel approach to the interior of the spine or disc space by removing a core from a first bone and performing a procedure, and/or making further enlargements and cuts in the first bone and performing a procedure, and/or making another cut into an adjacent disc space from the first bone hole and performing a procedure and/or continuing by cutting into another second bone and performing a procedure. The process can be further extended into additional spine levels by extending the cutting process. A core can be made at more than one level. The preferred surgical approach is a posterior lateral approach. An anterior surgical approach can be used as well. Any practical surgical approach or any combination of surgical approaches can be utilized to gain access to the first bone. Once the surgical soft tissue access to the first bone is completed TOSCA can be used to gain access to the interior of a vertebral body or disc space.

Abstract: The present invention relates to apparatus and methods for stabilizing and or maintaining adjacent bone portions in predetermined desired relationships and for constraining one, two or three-dimensional motion and/or rotation of the adjacent bone portions. More particularly, the present invention relates to a magnetic apparatus with at least two magnetic arrays, each of which may include any number of magnets arranged in a predetermined manner and each magnetic array generating a magnetic field therearound. Once implanted and secured to the adjacent bone portions, the apparatus provides interacting magnetic fields in the area of the bone portions and transduces magnetic energy into mechanical energy and mechanical energy into potential magnetic energy, thereby reproducing functionally anatomic and/or anatomically advantageous arrangement of the bone portions.

Abstract: A method and instrumentation is disclosed for gaining access to areas in and around joints for treatment and to provide new implants and instrumentation adapted for the new method. In a transosseous core approach, the joint is entered through a pathway provided in a portion of a joint bone. Such pathway is preferably made by removing a bone core from the bone in or adjacent to the joint, wherever possible without substantially compromising physical integrity and physiological viability of the joint. A route for the transosseous core approach traverses through a more-accessible bone of the joint which can be aligned with a less-accessible bone in order to facilitate treatment of articular surfaces and/or other structures in the joint. Implant modules are provided which can be inserted into the joint through the transosseous pathway and assembled in situ inside the joint to form an implant assembly.

Abstract: A modular, prosthetic, implant assembly for replacing a shoulder or hip joint is implanted through a transosseous core approach. Typically, the main route for the transosseous core approach traverses through a more-accessible bone of the joint which can be aligned with a less-accessible bone of the joint in order to facilitate treatment of articular surfaces and/or other structures in the joint. A modular implant assembly is provided which can be passed through a relatively small bone hole and then assembled in situ partly in the bone hole and finished in the joint or wholly in the joint.

Abstract: The present invention relates to apparatus and methods for stabilizing and or maintaining adjacent bone portions in predetermined desired relationships and for constraining one, two or three-dimensional motion and/or rotation of the adjacent bone portions. Prostheses according to the present invention include cooperating magnetic arrays, preferably with plural magnets generating composite magnetic fields with predetermined field characteristics. The predetermined field characteristics are selected to interact such that the magnetic arrays on opposing prosthetic components cooperate to urge the bone portions into predetermined desired relationship and to constrain relative motion between the adjacent bone portions in various dimensions, e.g., rotation, flexion and/or extension thereof. Such magnetic constraint permits absorption and/or release of stress generated by externally applied forces.

Abstract: The present invention relates to a method and instrumentation for gaining access to areas in and around joints for treatment and to provide new implants and instrumentation adapted for the new method. In a transosseous core approach of the present invention, the joint is entered through a pathway provided in a portion of a joint bone. Such pathway is preferably made by taking out a bone core from the bone in or adjacent to the joint, wherever possible without substantially compromising physical integrity and physiological viability of the joint. Typically the main route for the transosseous core approach traverses through a more-accessible bone of the joint which can be aligned with a less-accessible bone of the joint in order to facilitate treatment of articular surfaces and/or other structures in the joint. The transosseous pathway into the joint is preferably provided by novel surgical instruments such as a core cutter, cartilage punch, hemostatic device, and retractable axial/transaxial cutting device.

Abstract: The present invention relates to apparatus and methods for stabilizing and or maintaining adjacent bone portions in predetermined desired relationships and for constraining one, two or three-dimensional motion and/or rotation of the adjacent bone portions. More particularly, the present invention relates to a magnetic apparatus with at least two magnetic arrays, each of which may include any number of magnets arranged in a predetermined manner and each magnetic array generating a magnetic field therearound. Once implanted and secured to the adjacent bone portions, the apparatus provides interacting magnetic fields in the area of the bone portions and transduces magnetic energy into mechanical energy and mechanical energy into potential magnetic energy, thereby reproducing functionally anatomic and/or anatomically advantageous arrangement of the bone portions.