Abstract: The present application is directed to devices and methods for spacing apart spinous processes. In one embodiment, the device includes a body having a central portion that separates first and second sections. The body is constructed of a combination of an elastic material and a bio-absorbable material. When initially implanted within a patient, the bio-absorbable material affects the stiffness of the device. The device stiffness changes to that of the elastic material as the bio-absorbable material is absorbed by the body.

Abstract: A surgical tool and method are provided for positioning an intervertebral device between vertebral members. The tool includes an elongate shaft, an anti-rotation sleeve, and an actuation mechanism. The shaft has proximal and distal ends, with the distal end of the shaft including an engagement member for releasably engaging an intervertebral device. The sleeve includes proximal and distal ends, and is movably mounted to the shaft for reciprocating relative thereto between retracted and extended positions. The distal end of the sleeve includes an anti-rotation member. The actuation mechanism controls positioning of the sleeve between the retracted and extended positions, and locks the sleeve relative to the shaft. When the intervertebral device is releasably engaged by the engagement member, and the sleeve is in the extended position, the anti-rotation member engages the intervertebral device and prevents rotation of the intervertebral device when releasing the engagement member from the intervertebral device.

Abstract: Instruments and methods are provided for implanting nucleus replacement material in an intervertebral disc nucleus space employing an inserter having proximal and distal end regions and a passageway effective for passing the material therethrough. The distal end region of the inserter includes a conical-shaped outer surface, and the passageway exits through a side surface of the inserter in the distal end region at other than the apex of the conical-shaped outer surface. The nucleus replacement material passing through the inserter exits into an intervertebral disc nucleus space when the passageway exit in the side surface at the distal end region is disposed in the nucleus space. The instrument may also include a cover locking mechanism having pivotally connected first and second cover plates with a latching tab and landing sized and configured to mate and lock the cover plates automatically when the inserter assumes an implanting configuration.

Abstract: A spinal rod having first and second end members. The end members may be flexible or rigid. An expandable intermediate section is positioned between the first and second end members. The intermediate section may be axially expandable upon the introduction of a substance into a port that may be located in either of the first and second end members or the intermediate section. The intermediate section may be expandable between a first size, where the first and second end members are spaced a first distance apart, and a second enlarged size, where the first and second end members are spaced a second greater distance apart.

Abstract: An intervertebral prosthetic disc that is configured to be installed within an intervertebral space that can be established between an inferior vertebra and a superior vertebra is disclosed. The intervertebral prosthetic disc includes an inferior articular half that can be configured to engage the inferior vertebra and a superior articular half that can be configured to engage the superior vertebra. The inferior articular half can be configured to cooperate with the superior articular half to allow relative angular motion between the inferior vertebra and the superior vertebra when installed. Further, the intervertebral prosthetic device can be sized and shaped to pass through a psoas muscle without injuring a spinal cord or a sympathetic chain.

Abstract: A method for implanting an articulating intervertebral disc prosthesis into an intervertebral disc space comprises surgically accessing the intervertebral disc space through an opening on a first lateral side of the intervertebral disc space and inserting a first half of the articulating intervertebral disc prosthesis through the opening and into the intervertebral disc space. The method further comprises inserting a second half of the articulating intervertebral disc prosthesis through the opening on the first lateral side of the intervertebral disc space and positioning the first half of the articulating intervertebral disc prosthesis on a second lateral side of the intervertebral disc space. The method also comprises positioning the second half of the articulating intervertebral disc prosthesis on the first lateral side of the intervertebral disc space.

Abstract: Methods and devices for providing a stabilized implant at a site of implantation include providing locking members on faces of the implant and applying bone cement to the implant faces. The locking members secure the bone cement so that the bone cement will not be substantially displaced when the implant is inserted at an implantation site.

Abstract: Embodiments for a spinal implant having elements that are accessible by a surgical approach and releasably engagable by a surgical tool for improved revision of the spinal implant about a patient's spine.

Abstract: Methods for forming a shaped surface, for example, a shaped end plate between adjacent vertebral bodies, and a bone removal device for use in such methods. The device includes a contour having a predetermined profile corresponding at least in part to an implant, and a cutting element following the contour and having a cutting edge having a profile corresponding to the contour profile.

Abstract: A spacer for inserting between vertebral members. The spacer has a non-spherical shape with an anterior section having a first shape and a posterior section having a different shape. An attachment means is positioned within the posterior section, and may include a receiver for attachment with an insertion device, and an anti-rotation mechanism for assistance in removing the spacer from the insertion device. Embodiments of using the spacer is also disclosed which may include inserting the spacer between the vertebral members in a generally posterior approach. Once inserted, the insertion device acts with the anti-rotation device to remove a connection mechanism from the receiver. The spacer remains between the vertebral members and provides relief to the patient.

Abstract: A system for removing an implant from between a pair of vertebral bodies comprises a removal shaft. The removal shaft includes a threaded shaft portion and is coupled to a spreader block. A connector body is threadedly coupled to the threaded shaft portion. The system further includes a first removal blade having a proximal end and a distal end. The proximal end is attached to the connector body and the distal end is attachable to the implant. A first spreader brace is attached to the spreader block. Rotation of the threaded shaft removes at least a portion of the implant from between the pair of vertebral bodies.

Abstract: An implantable prosthesis is described having a pair of opposed shells and a central body disposed between the opposed shells wherein the central body and the shells cooperate to limit the motion of the central body with respect to the shells. An assembly for preparing a disc space for the implantation of a prosthesis is further described having a plurality of instruments cooperating to guide a tool associated with the assembly.

Abstract: An vertebral implant is interposed between two vertebral endplates and comprises a first endplate assembly having a first restraint mechanism extending from a first exterior surface for engaging a first vertebral endplate The implant further comprises a second endplate assembly having a second restraint mechanism extending from a second exterior surface for engaging a second vertebral endplate and a central body articulable between the first and second endplate assemblies. The first restraint mechanism has a shape that matches a contour in the first vertebral endplate.

Abstract: An intervertebral implant comprises a first member for engaging a first vertebral body and a second member for engaging a second vertebral body. The first member has a first surface with a first curve, and the second member has a second surface with a second curve. The first member is translatable with respect to the second member and the second curve is positioned within the first curve to bias the first and second curved surfaces towards central alignment along a longitudinal axis passing through the first and second vertebral bodies.

Abstract: A joint prosthesis comprises a first member for engaging a first bone portion and a second member for engaging a second bone portion. The first member comprises a first surface with a first curve and the second member comprises a second surface with a second curve. The first member is translatable with respect to the second member and the second curve is positioned within the first curve to bias the first and second curves towards alignment along a first axis passing through the first and second bone portions.

Abstract: A motion-preserving implant device for insertion between two bones is disclosed. The motion-preserving implant includes a first plate for engaging with a first bone and a second plate for engaging with a second bone. An articulation member is positioned between the two plates and a motion-controlling member attached to one or both of the plates. In some embodiments, the motion-controlling member is configured to constrain, dampen, and/or bumper the relative motion between the two plates.

Abstract: A prosthetic device according to which a time-dependent degree of resistance is provided to at least one predetermined type of relative directional motion between first and second components of the device.

Abstract: An artificial spinal joint for creating at least a portion of a coupling between a superior vertebra and an inferior vertebra comprises an articulating joint replacement assembly. The articulating joint replacement assembly comprises an anterior joint replacement component extending into an intervertebral disc space between the superior and inferior vertebrae, a first posterior joint replacement component, and a first bridge component coupled between the anterior joint replacement component and the first posterior joint replacement component. The artificial spinal joint further comprises a support joint replacement assembly. The support joint replacement assembly comprises an anterior support component extending into an intervertebral disc space between the superior and inferior vertebrae, a second posterior joint replacement component, and a second bridge component coupled between the anterior support component and the second posterior joint replacement component.

Abstract: An artificial spinal joint for creating at least a portion of a coupling between a superior vertebra and an inferior vertebra comprises a first joint half comprising a first intervertebral articulating assembly, a first rostral connection assembly, and a first caudal connection assembly. The joint further comprises a second joint half comprising a second intervertebral articulating assembly, a second rostral connection assembly, and a second caudal connection assembly. The joint further comprises a constraint component extending between the first rostral connection assembly and the first caudal connection assembly.

Abstract: An artificial spinal joint for creating at least a portion of a coupling between a superior vertebra and an inferior vertebra is disclosed. The artificial spinal joint comprises a first arthroplasty half comprising a first articulating joint replacement component for placement in an intervertebral disc space between the superior and inferior vertebrae, a first posterior joint replacement component, and a first bridge component coupled between the first articulating joint replacement component and the first posterior joint replacement component. The artificial spinal joint further comprises a second arthroplasty half comprising a second articulating joint replacement component for placement in an intervertebral disc space between the superior and inferior vertebrae, a second posterior joint replacement component, and a second bridge component coupled between the second articulating joint replacement component and the second posterior joint replacement component.