Abstract: The total disc replacement device (1) comprising a central axis (2), a first and a second apposition plate (3; 5), a first and a second joint component (4; 6) being mutually arranged in a ball joint like manner and being located between said first and second apposition plates (3; 5) and intermediate means (7) being disposed at least between the first apposition plate (3) and the first joint component (4) in such manner that, the first joint component (4) is not freely moveable transversely to the central axis (2) with respect to the first apposition plate (3) under load-free conditions, but a limited movement of the first joint component (4) relative to the first apposition plate (3) transversal to the central axis (2) is allowed under load.

Abstract: An intervertebral implant including a top part, a bottom part and a joint arranged axially between the top part and the bottom part. The top part includes a top surface suitable to be placed on the base plate of a body of the vertebra adjacent and above the site of removal. The bottom part has a bottom surface suitable to be placed on the cover plate of a body of the vertebra adjacent and below the site of removal. The joint includes a convex joint part with a first articular surface and a joint shell matching it, with a second articular surface mounted in a sliding manner on the first articular surface. The intervertebral implant including a temporarily locking mechanism to fix the two parts relative to one another.

Abstract: A bone fixation element (10) for use in spinal fixation facilitates insertion of a longitudinal spinal rod (45) in a rod-receiving channel (26) formed in the bone fixation element. The bone fixation element engages a coated spinal rod, preferably a dynamic spinal rod made from a generally non-biocompatible material such as nickel, cobalt chromium or Nitinol. The bone fixation element preferably incorporates first (120) and second (140) rod protectors to contact the coating on the spinal rod when the rod is received in the rod receiving channel of the hone fixation element. The first and second rod protectors are preferably constructed of a material having a hardness that is less than a hardness of a material of the coated spinal rod.

Abstract: An intervertebral implant for implantation between an upper vertebra and a lower vertebra having a central axis. The implant may have a first member with a top surface for contacting at least a portion of the upper vertebra and a bottom surface as well as a second member with a top surface and a bottom surface for contacting at least a portion of the lower vertebra. An elastic spacer may be disposed between the first member and the second member. The bottom surface of the first member and the top surface of the second member may have a first constraint means and the other of the bottom surface of the first member and the top surface of the second member may be provided with a second constraint means, to limit the amount of lateral movement between the first and second members. Additionally, the constraint means may be sized and configured such that a gap with a width greater than zero is provided at least transversely to the central axis between the first and second constraint means in an unloaded state.

Abstract: An endoprosthesis for a joint, in particular a an intervertebral implant with a central axis, a top part, a bottom part and a joint provided between them, wherein the joint comprises at least two articular surfaces A and B that can slide on one another; the top part has a top apposed surface that intersects the central axis and lateral surfaces; the bottom part has a bottom apposed surface that intersects the central axis and lateral surfaces; and wherein the endoprosthesis comprises at least one channel suitable to convey body fluid, said channel terminating in one of the two articular surfaces A and B and connecting it with the exterior of the endoprosthesis for the joint.

Abstract: A spine retractor and distractor device comprises spinal process clamps and a retractor assembly, which may be rotatably coupled with the spinal process clamps. The retractor assembly may include a retractor ring, or frame, and a plurality of retractor blades adjustably coupled to the frame, e.g., by clamps. The spinal process clamps can maintain a grip on the spinal processes of the patient, and distraction pliers may be used to impart a distraction force on the spinal process clamps to distract the spinal segments. Additionally, other components, features, or tools, e.g., a light source and/or a camera, can be mounted on the instrument.

Abstract: An intervertebral prosthesis or disk prosthesis comprising a front side, a rear side, an upper side which can be placed on the base plate of vertebral body, a lower side which can be placed on the base plate of a vertebral body, a right side, a left side, a cavity which can receive a fluid hydraulic osteocementum, an opening in the cavity and several outlets out from the cavity. The total of the transversal surfaces of the outlets SV on the front side, the total of the transversal surfaces of the outlets SH on the rear side, the total of the transversal surfaces of the outlets SR on the right side and the total of the transversal surfaces of the outlets on the left side satisfy the following conditions: SL>SR or SR>SL or SH>SV or SV>SH.

Abstract: A method for total replacement of an affected intervertebral disc through a dorsal approach comprising the steps of removing the disc material of the affected intervertebral disc (3) and inserting an intervertebral prosthesis (30) into the intervertebral disc space via an extraforaminal path (23).

Abstract: A manipulation device of hollow intervertebral or disk prostheses and to the supply thereof with a flowable, hydraulic, osteocementum. Said device comprises a tube provided with a front end and a rear end, a handle and a guiding element for the flowable osteocementum. The front end of the tube is embodied in such a manner that the handle or the guiding element for the flowable osteocementum can be coupled thereto. The rear end of the tube is embodied in such a manner that it can be connected in a rotationally fixed and sealed manner to a hollow intervertebral or disk prosthesis. The handle can be connected in a rotationally fixed manner to the tube and the tube is torsionally fixed in relation to the longitudinal axis thereof.

Abstract: The inventive intervertebral implant (1), in particular an artificial intervertebral disc comprises a central axis (2), a top part (3) and a lower part (4), wherein A) the top part (3) is provided with a top apposition surface (5) which rests on a base plate of a superimposed vertebral body, B) the lower part (4) is provided with a lower apposition surface (6) for resting on the covering plate of an underneath vertebral body, C) one part (3, 4) comprises a convex joint element (12) provided with a convex sliding surface (11) and the other part (3, 4) comprises a joint shell (13) provided with a complementary concave surface, D) the convex joint element (12) and the convex joint shell (13) form a joint (9) by means of which the two parts (3, 4) are rotatable with respect to each other around at least one axis of rotation and E) the intervertebral implant (1) is permeable to x-rays.