Abstract: A spinal implant comprises a first member defining a longitudinal axis and including a wall that defines an axial cavity and at least one lateral opening configured for disposal of an instrument. A second member is configured for disposal with the axial cavity and includes a wall having an axial surface disposed along a thickness thereof. The axial surface defines at least a portion of an axial opening and includes a plurality of gear teeth disposed therealong. The instrument is engageable with the teeth to axially translate the second member relative to the first member. Systems and methods of use are disclosed.

Abstract: A bone fastener includes a first member having an inner surface defining an implant cavity and at least one mating element. A second member is disposed with the first member and is configured to penetrate tissue. A part is moveable relative to the second member and configured for disposal of an implant. The at least one mating element is engageable such that the first member is moveable relative to the second member to dispose the implant at a desired orientation relative to the second member. Implants, systems, constructs, instruments and methods are disclosed.

Abstract: An intervertebral fusion implant comprises a body defining a longitudinal axis and extending between a first end and a second end. The body defines a first wall configured for engaging a first vertebral surface and a second wall configured for engaging a second vertebral surface. The first wall is connected to the second wall. The first wall is movable relative to the second wall such that the body is deformable from a first, initial implanted configuration such that the body is disposed between the first vertebral surface and the second vertebral surface for fixation thereof and a second configuration such that the body is deformed relative to the first configuration to adapt to an orientation of the first vertebral surface and the second vertebral surface. Methods of use are disclosed.

Abstract: A spinal implant comprises a first member including a wall that defines a first cavity and a second member including a wall defining a second cavity. At least one first expandable bone graft is disposable within the second cavity. The second member is axially translatable relative to the first member between a first configuration and a second, expanded configuration such that at least a portion of the at least one first graft is disposed within the first cavity and the first cavity includes a substantially void portion. At least one second bone graft has a selective configuration and dimension for disposal within the substantially void portion. Systems and methods are disclosed.

Abstract: An interbody endcap includes a wall having a first surface connected to an interbody implant and a second surface including an arcuate portion configured for engagement with a vertebral endplate surface. The second surface extends outwardly from the interbody implant to at least adjacent a perimeter of the vertebral endplate surface. Systems and methods are disclosed.

Abstract: A spinal implant comprises a first member including a wall that defines a first cavity and a second member including a wall defining a second cavity. At least one first expandable bone graft is disposable within the second cavity. The second member is axially translatable relative to the first member between a first configuration and a second, expanded configuration such that at least a portion of the at least one first graft is disposed within the first cavity and the first cavity includes a substantially void portion. At least one second bone graft has a selective configuration and dimension for disposal within the substantially void portion. Systems and methods are disclosed.

Abstract: A spinal implant has a first member defining a longitudinal axis. A second member includes an axial cavity configured for disposal of the first member. A third member is rotatable relative to the first member and defines a transverse cavity. A locking element is disposable in the transverse cavity and engageable with the first member to fix the third member relative to the first member. Systems and methods of use are disclosed.

Abstract: A spinal implant comprises a first member including a wall that defines a first cavity and a second member including a wall defining a second cavity. At least one first expandable bone graft is disposable within the second cavity. The second member is axially translatable relative to the first member between a first configuration and a second, expanded configuration such that at least a portion of the at least one first graft is disposed within the first cavity and the first cavity includes a substantially void portion. At least one second bone graft has a selective configuration and dimension for disposal within the substantially void portion. Systems and methods are disclosed.

Abstract: A surgical instrument includes a body extending between a first end and a second end and includes at least one mating element engageable with an interbody implant. A first member is disposed with the body and engageable with the interbody implant to move the interbody implant between a first configuration and a second, expanded configuration. A second member is disposed with the body and engageable with the interbody implant to fix the interbody implant in a selected second configuration. Systems and methods are disclosed.

Abstract: A spinal implant comprises a first member defining a longitudinal axis and including a wall that defines an axial cavity and at least one lateral opening configured for disposal of an instrument. A second member is configured for disposal with the axial cavity and includes a wall having an axial surface disposed along a thickness thereof. The axial surface defines at least a portion of an axial opening and includes a plurality of gear teeth disposed therealong. The instrument is engageable with the teeth to axially translate the second member relative to the first member. Systems and methods of use are disclosed.

Abstract: An intervertebral fusion implant comprises a body defining a longitudinal axis and extending between a first end and a second end. The body defines a first wall configured for engaging a first vertebral surface and a second wall configured for engaging a second vertebral surface. The first wall is connected to the second wall. The first wall is movable relative to the second wall such that the body is deformable from a first, initial implanted configuration such that the body is disposed between the first vertebral surface and the second vertebral surface for fixation thereof and a second configuration such that the body is deformed relative to the first configuration to adapt to an orientation of the first vertebral surface and the second vertebral surface. Methods of use are disclosed.

Abstract: An intervertebral fusion implant comprises a body defining a longitudinal axis and extending between a first end and a second end. The body defines a first wall configured for engaging a first vertebral surface and a second wall configured for engaging a second vertebral surface. The first wall is connected to the second wall. The first wall is movable relative to the second wall such that the body is deformable from a first, initial implanted configuration such that the body is disposed between the first vertebral surface and the second vertebral surface for fixation thereof and a second configuration such that the body is deformed relative to the first configuration to adapt to an orientation of the first vertebral surface and the second vertebral surface. Methods of use are disclosed.

Abstract: A spinal implant comprises a first member defining a longitudinal axis and including a wall that defines an axial cavity and at least one lateral opening configured for disposal of an instrument. A second member is configured for disposal with the axial cavity and includes a wall having an axial surface disposed along a thickness thereof. The axial surface defines at least a portion of an axial opening and includes a plurality of gear teeth disposed therealong. The instrument is engageable with the teeth to axially translate the second member relative to the first member. Systems and methods of use are disclosed.

Abstract: Systems and devices for providing dynamic stabilization of one or more spinal motion segments are provided. The systems include a connecting element between two or more bone anchor assemblies that can be attached to two or more vertebral bodies of at least one spinal motion segment. The connecting element includes a first end, a second end, an intermediate resilient element and a sheathed tether extending from the first end to the second end and through the resilient intermediate element.

Abstract: An improved pultrusion process for preparing composite materials having about 10 percent to about 45 percent by volume of reinforcing fibers so as to produce a composite material having enhanced flexibility as compared with composite materials having a higher percent of reinforcing fibers by volume. Articles of manufacture made from composite material produced by the improved pultrusion process, specifically spinal implants, are also provided.

Abstract: A vertebral construct comprises a longitudinal element extending between a first end and a second end. The longitudinal element defines a central axis. A first spacer is mounted to the longitudinal element. A second spacer is mounted to the longitudinal element. A flexible element is disposed about the longitudinal element and between the first spacer and the second spacer. The flexible element defines a central axis offset from the central axis of the longitudinal element. Methods of use are disclosed.

Abstract: An interbody endcap includes a wall having a first surface connected to an interbody implant and a second surface including an arcuate portion configured for engagement with a vertebral endplate surface. The second surface extends outwardly from the interbody implant to at least adjacent a perimeter of the vertebral endplate surface. Systems and methods are disclosed.

Abstract: A spinal implant comprises a first member including a wall that defines a first cavity and a second member including a wall defining a second cavity. At least one first expandable bone graft is disposable within the second cavity. The second member is axially translatable relative to the first member between a first configuration and a second, expanded configuration such that at least a portion of the at least one first graft is disposed within the first cavity and the first cavity includes a substantially void portion. At least one second bone graft has a selective configuration and dimension for disposal within the substantially void portion. Systems and methods are disclosed.

Abstract: An intervertebral fusion implant comprises a body defining a longitudinal axis and extending between a first end and a second end. The body defines a first wall configured for engaging a first vertebral surface and a second wall configured for engaging a second vertebral surface. The first wall is connected to the second wall. The first wall is movable relative to the second wall such that the body is deformable from a first, initial implanted configuration such that the body is disposed between the first vertebral surface and the second vertebral surface for fixation thereof and a second configuration such that the body is deformed relative to the first configuration to adapt to an orientation of the first vertebral surface and the second vertebral surface. Methods of use are disclosed.

Abstract: Embodiments of the invention include templates and methods for evaluating the appropriate size and shape for a medical implant. In particular, some embodiments include expandable templates and methods for evaluating appropriate size and shape for implantation of a spinal rod.