Abstract: A driver for transmitting off-axis torque may include a handle. The driver may include a shaft extending between a first end and a second end. The shaft may be coupled to the handle at the first end of the shaft. The second end of the shaft may define a void. The driver may include an anvil disposed within the void of the second end of the shaft. The driver may include a biasing member disposed within the void of the second end of the shaft between the shaft and the anvil. The biasing member may be configured to bias the anvil against the second end of the shaft. The driver may include a tip engaged with a surface of the anvil. The driver may include a sleeve coupled to the second end of the shaft such that the tip is constrained.

Abstract: Surgical drivers, systems, kits, and methods are provided that are suitable to provide off-axis torque to a surgical tool, implant, or instrument by a surgeon. In some embodiments, a driver may include a handle. The driver may also include a sleeve shaft coupled to the handle. The driver may also include a first gear shaft disposed within the sleeve shaft and have a first gear. The driver may also include an angled shaft that defines an aperture. The driver may also include a second gear shaft sized and configured to be inserted into the aperture. The second gear shaft may have a second gear configured to mesh with the first gear. The driver may also include at least one outer shaft that couples the sleeve shaft and the angled shaft.

Abstract: A screw inserter for driving a screw into a vertebral body includes an inner element for engaging a screw portion of the screw and an outer element for engaging a coupling element of the screw. The outer element may include a threaded distal end. In addition, the screw inserter may include a button permitting the translation of the inner element with respect to the outer element. Further, the inserter may include an outer knob allowing the rotation of the inner element with respect to the outer element when moved to a first position. When the outer knob is moved to a second position it prevents the rotation of the inner element with respect to the outer element.

Abstract: A lumbar interbody fusion device includes a first wing, a second wing, and a bridge. The bridge has an arcuate resting shape and include a first end connected to the first wing, a second end connected to the second wing, and at least one aperture extending through the bridge in a radial direction relative to the arcuate resting shape of the bridge. The bridge is elastically deformable such that a distance between the first wing and the second wing may vary according to elastic deformation of the bridge.

Abstract: In one embodiment, the present disclosure relates to a system that includes a plate holder and an awl. The plate holder has a first end and a second end with an engagement feature at the second end that is engageable with a bone plate. The awl is releasably engaged to the plate holder and includes a locking mechanism adjustable from a first setting to a second setting and a tip. When the locking mechanism is in the first setting, the awl is fixed relative to the plate holder and the tip is disposed within the plate holder. When the locking mechanism is in the second setting, the awl is axially translatable relative to the plate holder such that the tip of the awl extends out of the second end of the plate holder.

Abstract: A lumbar interbody fusion device includes a first wing, a second wing, and a bridge. The bridge has an arcuate resting shape and include a first end connected to the first wing, a second end connected to the second wing, and at least one aperture extending through the bridge in a radial direction relative to the arcuate resting shape of the bridge. The bridge is elastically deformable such that a distance between the first wing and the second wing may vary according to elastic deformation of the bridge.

Abstract: In one embodiment, the present disclosure relates to a system that includes a plate holder and an awl. The plate holder has a first end and a second end with an engagement feature at the second end that is engageable with a bone plate. The awl is releasably engaged to the plate holder and includes a locking mechanism adjustable from a first setting to a second setting and a tip. When the locking mechanism is in the first setting, the awl is fixed relative to the plate holder and the tip is disposed within the plate holder. When the locking mechanism is in the second setting, the awl is axially translatable relative to the plate holder such that the tip of the awl extends out of the second end of the plate holder.

Abstract: Disclosed herein are embodiments of a spinal implant having structures that incorporate a solid material and a porous material. The solid material provides the implant with an outer shell for structural integrity while the porous material, distributed within an interior of the implant as a lattice structure for example, promotes visibility of the implant in radiological imaging, promotes bony ingrowth and cell attachment and improves wicking.

Abstract: In one embodiment, the present disclosure relates to a system that includes a plate holder and an awl. The plate holder has a first end and a second end with an engagement feature at the second end that is engageable with a bone plate. The awl is releasably engaged to the plate holder and includes a locking mechanism adjustable from a first setting to a second setting and a tip. When the locking mechanism is in the first setting, the awl is fixed relative to the plate holder and the tip is disposed within the plate holder. When the locking mechanism is in the second setting, the awl is axially translatable relative to the plate holder such that the tip of the awl extends out of the second end of the plate holder.

Abstract: A lumbar interbody fusion device includes a first wing, a second wing, and a bridge. The bridge has an arcuate resting shape and include a first end connected to the first wing, a second end connected to the second wing, and at least one aperture extending through the bridge in a radial direction relative to the arcuate resting shape of the bridge. The bridge is elastically deformable such that a distance between the first wing and the second wing may vary according to elastic deformation of the bridge.

Abstract: A lumbar interbody fusion device includes a first wing, a second wing, and a bridge. The bridge has an arcuate resting shape and include a first end connected to the first wing, a second end connected to the second wing, and at least one aperture extending through the bridge in a radial direction relative to the arcuate resting shape of the bridge. The bridge is elastically deformable such that a distance between the first wing and the second wing may vary according to elastic deformation of the bridge.

Abstract: An implant that can hold bone graft material, and receive support from adjacent tissues and structures. In one aspect, the implant has an attachment region to directly engage with adjacent tissues and structures. In another aspect, the implant is malleable and can be manipulated to conform to the adjacent tissues and structures.

Abstract: A lumbar interbody fusion device includes a first wing, a second wing, and a bridge. The bridge has an arcuate resting shape and include a first end connected to the first wing, a second end connected to the second wing, and at least one aperture extending through the bridge in a radial direction relative to the arcuate resting shape of the bridge. The bridge is elastically deformable such that a distance between the first wing and the second wing may vary according to elastic deformation of the bridge.

Abstract: In one embodiment, the present disclosure relates to a system that includes a plate holder and an awl. The plate holder has a first end and a second end with an engagement feature at the second end that is engageable with a bone plate. The awl is releasably engaged to the plate holder and includes a locking mechanism adjustable from a first setting to a second setting and a tip. When the locking mechanism is in the first setting, the awl is fixed relative to the plate holder and the tip is disposed within the plate holder. When the locking mechanism is in the second setting, the awl is axially translatable relative to the plate holder such that the tip of the awl extends out of the second end of the plate holder.

Abstract: A method and apparatus for setting a curve in a shirt collar is provided. The apparatus includes a form comprising an under collar portion and an over collar portion. The under collar portion has a curved surface configured to contact an underside of the shirt collar. The over collar portion has a curved surface configured to contact an opposite side of the shirt collar. The under collar portion and the over collar portion are urged together to clamp at least a portion of the shirt collar therebetween.