Abstract: A minimally invasive intervertebral implant includes a circuitous body defining a luminal axis extending longitudinally therethrough. The circuitous body includes proximal and distal ends oppositely disposed along a lateral axis of the circuitous body. Each of the proximal and distal ends includes an aperture disposed therethrough such that the circuitous body includes a first configuration wherein the proximal and distal ends are at a maximum separation and a second configuration wherein the proximal and distal ends are closer together than in the first configuration.

Abstract: A jointed rod assembly for use in a spinal fixation construct involves a caudal rod portion connectable to an adjustment mechanism, and a cranial rod portion connectable to the adjustment mechanism. The adjustment mechanism is configured to rotate the caudal and cranial rod portions relative to one another about a joint axis that is generally perpendicular to the longitudinal axes of the caudal and cranial rod portions. The caudal and cranial rod portions may be dimensioned to be compatible with other pieces of hardware commonly used for spinal fixation, such as bone anchors (e.g., pedicle screws), occipital plates, reducers, and others. The caudal and cranial rod portions are composed of a strong, rigid, non-absorbable, biocompatible material. The jointed rod assembly may be advantageously used in spinal fixation systems and methods of spinal fixation.

Abstract: A spinal joint distraction system for treating a facet joint including articular surfaces having a contour is disclosed and may include a delivery device including a generally tubular structure adapted to engage a facet joint, an implant adapted to be delivered through the delivery device and into the facet joint, the implant comprising two members arranged in opposed position, and an implant distractor comprising a generally elongate member adapted to advance between the two members of the implant causing separation of the members and distraction of the facet joint, wherein the implant is adapted to conform to the shape of the implant distractor and/or the articular surfaces of the facet upon being delivered to the facet joint. Several embodiments of a system, several embodiments of an implant, and several methods are disclosed including a method for interbody fusion.

Abstract: A method of using a multichannel cannula to perform kyphoplasty includes inserting a stabilizing wire into a vertebra damaged by a compression fracture and inserting, over the stabilizing wire, a cannula. The cannula includes a first channel having open proximal and distal ends, and is configured to receive the stabilizing wire, and a second channel having an inlet portal and an exit portal that are in fluid communication. The cannula further includes an expandable portion configured to expand away from the cannula from an outer wall of the second channel. The method also includes inflating the expandable portion to create a void in the bone and to restore the height of the vertebra, and then deflating the expandable portion. When the void has been created, bone cement is delivered through the second channel into the void via the exit portal to at least partially fill the void.

Abstract: Active compression devices, methods of assembly and methods of use are disclosed. A bone fixation device may include a first member, a second member shaped to engage the first member, and at least one deformable member. A bone fusion device including a female member with a proximal and distal end, a male member with a proximal and distal end, and at least one elastic element positioned between the female member and the male member. A bone plating device including a first member, a second member shaped to engage the first member, and at least one deformable member positioned between the first member and the second member. Methods of assembling and using the bone fixation devices, bone fusion devices, and bone plating devices are also disclosed.

Abstract: The present disclosure describes a spinal fixation system comprising a telescoping spinal rod, as well as methods of its use and a guide tower for use therewith. The telescoping rod can be extended after it has been inserted into the patient below the fascia, which permits it to be extended in the sub-fascial space.

Abstract: An apparatus for forming a passageway through tissue includes a dilator mounted to a shaft, wherein the dilator includes a first portion, which has an increasing taper from a first outer diameter to a larger second outer diameter, and a second portion, which has a decreasing taper from the first portion to a distal end of the dilator, and which includes an external non-cutting thread formed along the decreasing taper. Lumens of the dilator and shaft provide a conduit for means to pierce through the tissue, for example, an elongate wire that includes a piercing tip. In some cases, the dilator first portion is expandable to, and contractible from, the larger second outer diameter, wherein the apparatus may include a spreading member configured to slide between the shaft and the first portion. The apparatus may be included in a system with an introducer sheath.

Abstract: A surgical instrument comprises a fulcrum including a first surface that defines a cavity configured for disposal of a first implant support. A second surface is movable relative to the fulcrum and engageable with the support to fix the first surface with the support. A third surface is connected with the second surface such that the second surface is translatable relative to the support and the third surface is engageable with a second implant support. In some embodiments, spinal constructs, implants, systems and methods are disclosed.

Abstract: An expandable interbody spinal fusion device, including a superior component an inferior component and an expansion mechanism. The expansion mechanism including a threaded rod, a threaded collar operatively arranged to engage with the threaded rod and axially translate in a first axial direction, a fixed collar secured about the threaded rod, a first arm pivotably secured to the fixed collar, and a first strut pivotably secured to the first arm and the threaded collar.

Abstract: An ocular implant system including an ocular implant sized and shaped to be inserted at least partially into an eye; a carrier member with a shell having a central channel extending at least partially through the shell from a proximal end towards a distal end of the shell. A guide sleeve removably attached within at least a first region of the central channel of the shell and defining a proximal port into the central channel that is accessible from the proximal end of the shell. An implant holder removably attached within at least a second region of the central channel of the shell adjacent to a distal end of the guide sleeve and having a pair of graspers adapted to releasably secure the implant at a distal end of the implant holder. Related devices, systems, and/or methods are described.

Abstract: A system for performing a laminoplasty procedure in a spinal vertebra includes an implant and an inserter tool. The implant is configured to be placed on a previously formed lamina opening of the spinal vertebra, and is shaped and dimensioned to be placed in the lamina opening after the opening has been distracted. The inserter tool is configured to insert the implant near the lamina opening and then to distract the lamina opening so that the lamina opening is dimensioned to receive the implant and then to place the implant into the distracted lamina opening while simultaneously holding the lamina opening in a distracted state.

Abstract: Methods and apparatus are disclosed for distracting tissue. The devices and methods may include insertion of first and second elongated members into the space between two tissue layers, with an augmenting elongated member inserted therebetween to form a distraction device between the tissues to be distracted. The distraction device defines a generally annular configuration, with a locking member secured to one of the elongated members at a plurality of locations to maintain the distraction device in the generally annular configuration. The augmenting elongated member may be shorter than the first and second elongated members such that a window is defined between the proximal and distal ends of the augmenting elongated member when the distraction device and the first and second elongated members are in the generally annular configuration. Bone graft material or bone filler may be introduced into the interior of the distraction device through the window.

Abstract: The embodiments provide a spinal implant that is configured for lateral insertion into a patient's intervertebral disc space. The spinal implant may have a body having a tapered anterior portion and one or more apertures. The tapered anterior portion allows for concomitant distraction of soft tissue during insertion of the implant. In addition, at least some of the apertures are designed to permit a predetermined amount of nutation by a fixation element. The fixations elements that allow nutation enable the fixation element to toggle from one position to another, for example, during subsidence of the implant in situ.

Abstract: A distractor, such as a pediatric mandibular distractor, includes a housing member elongated along a longitudinal axis. At least one distal footplate is attached to the housing member. A drive rod and at least one proximal footplate configured to be driven by the drive rod are provided. A housing engaging member is configured to engage a drive rod engaging member to prevent the housing from being rotated in either a first or second direction of rotation relative to the drive rod when a rotational force less than a predetermined force is applied to the housing or drive rod. The drive rod can be rotated relative to the housing in either the first or second rotational direction when a force greater than the predetermined force is applied to the drive rod or the housing.

Abstract: Dynamization struts and methods of use are provided. A dynamization strut may comprise a sleeve, a shaft, a biasing member, and a bushing. The sleeve may comprise an inner recess with a first and second section. The shaft may comprise an interior section to be disposed within the inner recess of the sleeve. The biasing member may be disposed around the interior section of the shaft, and sized to fit within the first section of the inner recess of the sleeve. The bushing may be secured against a portion of the shaft. Rotation of the bushing may provide for compressive movement of the biasing member relative to the sleeve and shaft. Compression of the biasing member may occur without a corresponding change in a total length of the dynamization strut. Rather, changes in the length of the strut may occur as a result of external compressive forces acting upon it.

Abstract: An adjustable spine distraction implant alleviates pain associated with spinal stenosis and facet arthropathy by expanding the volume and/or cross sectional area in the spinal canal and/or neural foramen. The adjustable implant provides a spinal extension inhibitor. The implant includes elliptical or oval shaped adjustable member or spacer for positioning between and adjustably spacing apart the spinous processes.

Abstract: A bone fusion method, apparatus and device for insertion between bones that are to be fused together and/or in place of one or more of the bones, such as, for example, the vertebrae of a spinal column. The bone fusion device comprises one or more extendable plates having a central rib. The bone fusion device includes one or more support channels configured to receive an insertion instrument that is then secured to the bone fusion device via a coupling mechanism. As a result, the coupled device is able to be securely positioned between vertebrae using the insertion instrument with minimal risk of slippage.

Abstract: The disclosure is directed to a resilient implant for implantation into human or animal joints to act as a cushion allowing for renewed joint motion. The implant endures variable joint forces and cyclic loads while reducing pain and improving function after injury or disease to repair, reconstruct, and regenerate joint integrity. The implant is deployed in a prepared debrided joint space, secured to at least one of the joint bones and expanded in the space, molding to surrounding structures with sufficient stability to avoid extrusion or dislocation. The implant has opposing walls that move in varied directions, and an inner space filled with suitable filler to accommodate motions which mimic or approximate normal joint motion. The implant pads the damaged joint surfaces, restores cushioning immediately and may be employed to restore cartilage to normal by delivering regenerative cells.

Abstract: Systems and methods for accessing an interior space of a joint such as a hip joint in preparation for arthroscopic surgery are provided. In general, the described techniques utilize a joint access device having a handle and a dilator shaft and/or sheath coupled to a distal end of the handle. The device can be advanced over a guidewire inserted into a joint to a first position and the guidewire can be reversibly locked to the handle. The handle can be associated with an actuator configured to be actuated to cause the dilator shaft and/or sheath to advance distally toward a second position within the joint while simultaneously retracting the guidewire coupled to the handle.

Abstract: An instrument for obtaining spinal rod measurements in situ includes a measurement member, a first indicating member, and a second indicating member. The measurement member measures a length between two spinal implants. The first indicating member couples with the measurement member and includes a first measurement scale coupled with a first shaft for engaging a first spinal implant of the two spinal implants. The second indicating member couples with the measurement member and includes a second measurement scale coupled with a second shaft for engaging a second spinal implant of the two spinal implants.

Abstract: A joint-spacing balloon catheter comprising: a shaft having a distal end and a proximal end; first and second balloons mounted to the distal end of the shaft, the first balloon being disposed distal to, and spaced from, the second balloon, with the portion of the shaft between the first and second balloons being flexible; and a handle attached to the proximal end of the shaft.

Abstract: A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. An access cannula may be introduced over the first dilator tube. A drill may be inserted through the access cannula and used to perform a foraminoplasty. Surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.

Abstract: Devices, systems, and methods are provided for facilitating the aligning and balancing of the knee during total knee replacement surgery. A femoral assembly is engaged with a distal femur. The positions of medial and lateral portions of the femoral assembly relative to a stationary portion of the femoral assembly can be separately adjusted to adjust the alignment of the knee. A force sensor will be provided to sense the forces in the medial and lateral portions of the knee, and the medial and lateral portions of the femoral assemblies will be adjusted so that the sensed forces are balanced. The alignment of the knee is visually verified using a knee alignment verification member coupled to the femoral assembly. The knee alignment verification member may emit laser beams along the mechanical axes of the femur and tibia, or the knee alignment verification member may couple to alignment rods aligned along these axes.

Abstract: A spinal procedure includes attaching a first reduction instrument to a first guide assembly and a second guide assembly. The first reduction instrument includes a fixed attachment assembly and a translating attachment assembly that cooperatively interfaces the fixed attachment assembly. The first guide assembly is attached to a first pedicle and the second guide assembly is attached to a second pedicle. The first reduction instrument is moved to reduce an orientation of the spine, while imaging a reduction of the orientation of the spine. An angle and position of the first reduction instrument is locked upon achieving a desired reduction. The spine may then be fused.

Abstract: A method for inserting an intervertebral disc prosthesis into a space between two vertebrae involves inserting the prosthesis partway into the space under constraint to prevent endplates of the prosthesis from articulating, releasing the prosthesis from constraint, and inserting the unconstrained prosthesis farther into the space. In some embodiments, the method involves grasping the prosthesis with a grasping device to insert the prosthesis partway under constraint, loosing the grasping device to release the prosthesis from constraint, and pushing the prosthesis farther into the disc space using the grasping device and/or one or more separate pusher devices. A system includes a grasping device, at least one separate pushing device, and optionally a vertebral spreading device and/or a vertebral midline indicator device.

Abstract: A delivery device for inserting an interbody implant into an intervertebral space in a patient has an elongate tube with a channel and is sized to fit in an intervertebral space. The elongate tube has a proximal portion, a distal portion, a longitudinal axis, and a window with a longitudinal axis. The window is disposed adjacent the distal portion of the elongate tube and the longitudinal axis of the window is offset from the longitudinal axis of the elongate tube. The channel is sized to receive the interbody implant, and also the channel is configured such that the interbody implant is advanced therealong from the proximal region toward the distal region. The interbody implant is deployed into the intervertebral space from the window.

Abstract: An apparatus for dispensing a plurality of implants including a barrel, a magazine, and a driver. The barrel has a longitudinal passage and a lateral passage intersecting the longitudinal passage adjacent a distal end of the barrel. The magazine has a housing defining a chamber for holding a plurality of implants. The housing is slidably connected to the barrel and movable between a retracted position and an extended position wherein a slot of the housing is aligned with the lateral passage of the barrel. A pusher member connected to the housing is caused to push one of the implants through the slot and the lateral passage and into the longitudinal passage. The driver is disposed in the longitudinal passage to be axially and rotatably movable to apply a rotational force to the implant.

Abstract: A method for fusing a spinal sacroiliac joint and a surgical kit. The kit includes a bone-void filler, stabilization device or implant, a guide pin, a joint locator, a set of dilation tubes, a reamer, a novel directional cannula, a novel tapping cap, a novel drill guide, a drill bit, and a novel implant positioner. The method includes the steps of locating the sacroiliac joint, retracting the soft tissue exposing the graft site, removing any bone obstructions and preparing a relatively smooth graft site horizontal to the immediate sacroiliac joint, creating a cavity in the ilium and sacrum to a predetermined depth that spans the sacroiliac joint, inserting a novel stabilization implant into the cavity, and seating the implant within the cavity at a predetermined depth.

Abstract: A device for repairing a bone fracture that is inserted intrafocally and deployed to properly position the fracture. The device includes an implant inserted intrafocally as a low profile fold and is then deployed to position the fracture.

Abstract: Disclosed is an implantable artificial intervertebral disc joint replacement device for implantation between adjacent vertebral bodies. The device allows selective positioning of a disc implant element and comprises translatable surfaces, a mechanism for translation, a means for bone attachment, and an integrated disc implant. The device can be used in the lumbar, thoracic, and cervical regions of the spine in single or multi-level configurations. When implanted in a patient, the device includes an upper (cranial) component and a lower (caudal) component attached to the vertebral body above and below the replaced intervertebral disc respectively, with the joint implant integrated into the translatable surfaces. Following implantation, precise positioning of the joint implant within the intervertebral space with respect to the spinal axis is then adjusted based upon the particular anatomical and functional needs of the individual patient to satisfy spinal range of motion and stability requirements.

Abstract: A system for implanting an inter-body device between adjacent vertebrae comprises an inter-body device having a plurality of cans secured to a flexible bridge and having a relief portion therebetween. An inserter tube and complementary bullnoses are advantageously secured to the vertebrae by an extension arm for securing the assembly precisely in place. A plurality of articulating trial implants are provided to test fit a disc space for the proper sized inter-body device.

Abstract: A method for inserting an intervertebral disc prosthesis into a space between two vertebrae involves inserting the prosthesis partway into the space under constraint to prevent endplates of the prosthesis from articulating, releasing the prosthesis from constraint, and inserting the unconstrained prosthesis farther into the space. In some embodiments, the method involves grasping the prosthesis with a grasping device to insert the prosthesis partway under constraint, loosing the grasping device to release the prosthesis from constraint, and pushing the prosthesis farther into the disc space using the grasping device and/or one or more separate pusher devices. A system includes a grasping device, at least one separate pushing device, and optionally a vertebral spreading device and/or a vertebral midline indicator device.

Abstract: A method for performing an open wedge osteotomy includes providing a fixation plate defining a first aperture and a second aperture and creating a first hole and a second hole in a bone. The fixation plate is coupled to the bone by aligning the first aperture of the fixation plate and the first hole of the bone and inserting a fastener through the first aperture and into the first hole. A cut is created through at least a portion of the bone to create a first resected surface and a second resected surface after creating the first hole and the second hole. The method further includes moving the first resected surface and the second resected surface relative to each other until the second aperture of the fixation plate is aligned with the second hole of the bone. The fixation plate is coupled to the bone by inserting a second fastener through the second aperture of the fixation plate and into the second hole of the bone.

Abstract: A distraction system includes a distraction rod having one end configured for affixation to at a first location on patient. The system further includes an adjustable portion configured for placement in the patient at a second location, the adjustable portion comprising a housing containing a magnetic assembly comprising a magnet, the magnetic assembly secured to a threaded element that interfaces with an opposing end of the distraction rod. The system includes a magnetically permeable member in proximity to the magnetic assembly and covering an arc of less that 360° of the adjustable portion.

Abstract: An external distraction apparatus for performing a craniofacial distraction is disclosed. The external distraction apparatus may comprise a stationary member. The stationary member may be configured to be affixed to a head of a patient. The external distraction apparatus may also comprise laterally disposed distractors. The laterally disposed distractors may extend inferiorly from the stationary member and be moveable relative to the stationary member. The external distraction apparatus may comprise a motor and controller. The motor may be powered with the controller to perform a craniofacial distraction in an automated fashion.

Abstract: An apparatus and method is provided for interbody fusion including distracting, in a given direction, and supporting opposing vertebral bodies. A plurality of wafers are consecutively inserted between the vertebral bodies to create a column of wafers. The column of wafers is oriented between the vertebral bodies so as to expand in the given direction as the wafers are consecutively added to the column.

Abstract: A bone distractor to create separation between bone segments by means of a pair of mounts respectively secured to the bone segments and interconnected by means of a drive spring which is secured to one of the mounts and threadedly interconnected to the other mount such that rotation of the drive spring creates sufficient separation of the bone segments to allow for osteogenesis to occur.

Abstract: Provided are modular implant delivery systems, devices and methods. In some embodiments, spinal implant delivery devices and methods are provided. An exemplary delivery device may include a head supported by a handle. The head may have an opening defining an insertion axis. The handle may have a handle axis that traverses the insertion axis. The head may also be configured to releasably couple one or more blades.

Abstract: A load control device can be attached to bones on either side of an articulated joint in order to control the forces and loads experienced by the joint. The device comprises an apparatus for controlling the load on articular cartilage of a human or animal joint and includes: a first fixation assembly for attachment to a first bone; a second fixation assembly for attachment to a second bone; a link assembly coupled to the first fixation assembly by a first pivot and coupled to the second fixation assembly by a second pivot, the first and second fixation assembly thereby each being angularly displaceable relative to the link assembly. The apparatus enables a clinician to effectively control the environment of cartilage in a joint during a treatment episode.

Abstract: Devices and methods are disclosed for providing access to a central compartment of a hip joint. The devices can access the central compartment by distracting all or a portion of the labrum. The labrum can be distracted by advancing a device underneath the bottom edge of the labrum, and using the device to further distract the labrum. Some devices can move underneath the labrum to provide a gap for other devices to access the central compartment.

Abstract: A joint-spacing balloon catheter comprising: a shaft having a distal end and a proximal end; first and second balloons mounted to the distal end of the shaft, the first balloon being disposed distal to, and spaced from, the second balloon, with the portion of the shaft between the first and second balloons being flexible; and a handle attached to the proximal end of the shaft.

Abstract: A surgical instrument includes a first member defining a longitudinal axis. A second member is disposed with the first member and is axially translatable relative to the first member. A first body is connected to the first member and is translatable along an arcuate path relative to the first member. The first body is connected to a first implant support. A second body is connected to the second member and is translatable along an arcuate path relative to the second member. The second body is connected to a second implant support. Systems and methods of use are disclosed.

Abstract: Various embodiments are directed to femoral and tibial bases that form structures of an implantable mechanical energy absorbing system. According to one embodiment, the bases include a low-profile body having a elongate and a curved body portion. One end of the base is elevated as compared to another end. An inner surface of the low-profile body has a raised portion extending along the elongate, straight portion of the low-profile body. The bases also include a plurality of openings positioned along the low-profile body for alignment and purposes of affixation to body anatomy.

Abstract: A method for treating a complex fracture with a variable length nail is provided. The nail is configured for at least 5 mm of axial length change in each direction. The method involves making a first hole or incision in the skin of the patient in proximity to a fractured long bone and at least partially clearing a canal through the center of the long bone. The variable length nail is inserted into the canal and securing a distraction shaft and a housing of the nail to separate portions of the fractured long bone. The hole or incision is allowed or caused to close. An external adjustment device comprising at least one rotatable magnet is placed in proximity to the patient's skin. The external adjustment device is operated so that a magnetic field of the at least one rotatable magnet of the external adjustment device causes the rotatable permanent magnet of the variable length nail to rotate, causing either extension or retraction of the distraction shaft relative to the housing.

Abstract: A method for fusing a spinal sacroiliac joint The method includes the steps of locating the sacroiliac joint, retracting the soft tissue to expose the graft site, removing any bone obstructions and preparing a relatively smooth graft site horizontal to the immediate sacroiliac joint, creating a therapeutic cavity by creating a first cavity in the ilium and a second cavity in the sacrum to a predetermined depth that spans the sacroiliac joint, inserting a stabilization implant into the therapeutic cavity, and seating the implant within the therapeutic cavity at a predetermined depth.

Abstract: A spinal stabilization system, method, and a surgical kit having a surgical extender apparatus for implanting a surgical screw are disclosed. The extender includes a housing having a distal end and a proximal end, a hollow interior passageway disposed between the distal end and the proximal end, a channel disposed along an exterior surface of the housing at least partially between the distal end and the proximal end and configured to at least partially expose the hollow interior passageway, an interior locking mechanism disposed on an interior surface of the housing and substantially adjacent the proximal end, wherein the interior locking mechanism is configured to allow attachment of at least one surgical tool, and at least one flexible member disposed substantially adjacent the distal end. The housing is configured to accommodate placement of a surgical screw implant. The surgical screw implant is secured to the housing using a mating feature in the surgical screw implant.

Abstract: A growing rod for mounting between attachment mechanisms that are secured to anatomical structures of a patient having scoliosis. The growing rod includes a base rod having an attachment end, an extendable rod that is translatable relative to the base rod along a longitudinal axis and a housing enclosing at least a portion of the extendable rod therein. A magnet is rotatably mounted within the housing and is enclosed by a top magnet cover and a bottom magnet cover. The magnet includes a first pole and a second pole. A gear reduction mechanism is associated with the magnet and the extendable rod. The gear reduction mechanism reduces an output rotation to the extendable rod relative to an input rotation from the magnet.

Abstract: A surgical device is disclosed which may advantageously perform the functions of both a retractor and a distractor. The device has two retractor blades facing each other and held in a common frame, the retractor blades are insertable into a surgical incision in a patient and moveable away from each other along a main axis (x) so as to widen the surgical incision; and a connecting pin attached at a distal end of each retractor blade. Each connecting pin is attachable to a pedicle screw anchored to respective vertebrae of the patient, so that moving away the two retractor blades along the main axis (x) determines a distraction of the vertebrae.

Abstract: Support orthopaedic device (1) for a knee joint, comprising a proximal connector (2) and a distal connector (3), articulated among themselves and respectively intended to be associated with a proximal bone (100) and a distal bone (101) of a lower limb connected among themselves by a knee joint. The device comprises a first rod (4a) and a second rod (4b), which are hinged, according to hinging axes normal to a median excursion plane of the orthopaedic device (1), to the proximal connector (2) and to the distal connector (3) so as to form with them an articulated quadrilateral. The articulated quadrilateral is planarly mobile according to a plane parallel to the excursion plane between a configuration corresponding to an extended position of the knee joint and configurations corresponding to bendings of different entity of the knee joint; the relative motion imposed to the proximal and distal connectors (2, 3) by the articulated quadrilateral is consistent with the physiological movement of the knee joint.

Abstract: An installation tool that is useful for the efficient and effective placement of an article, such as an artificial disc, between adjacent vertebral bodies is provided. The installation tool can be provided as a kit having modular components which allow the surgeon to select from among a variety of components to assemble an installation tool that is optimized for its intended use. The installation tool of the invention generally includes a pair of opposed levers, each of which has a proximal handle portion and a distal portion. A fulcrum is disposed between the two levers to enable proper operation of the tool. The tool further includes a pusher block that is positioned between the two levers and is selectively movable between an initial location distal of the fulcrum and a final location adjacent the distal end of the levers. The pusher block includes a proximal end, a distal end, and a bore extending at least partially therethrough.