Abstract: Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.

Abstract: Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.

Abstract: An intervertebral disk prosthesis is disclosed. The intervertebral disk prosthesis is has a base plate, a top plate opposite the base plate, and an intervening core located between the top plate and base plate. One of the plates has a first concave contact face facing the core, which has a adjacent first convex contact face. A groove is provided around one of contact faces in which an elastic ring is placed. When placed in the groove, the elastic ring is also in contact with the opposite contact face.

Abstract: The invention relates to an intervertebral disk implant having two implant plates contacting prepared vertebral body surfaces in the implanted state and an implant core which can be introduced between the implant plates. The invention further relates to a method for the manufacture of an intervertebral disk implant.

Abstract: Embodiments of the invention include devices and methods for performing a corpectomy or spinal disc replacement. Devices may include an inferior bearing that is implantable in an inferior vertebral body and a superior bearing that is implantable in a superior vertebral body. The bearings of some embodiments have a support member rotatably coupled between the bearings, and a fixation device may attach the vertebral bodies to the support member with a fastener.

Abstract: An intervertebral disc prosthesis comprises a first prosthesis component, a second prosthesis component, and an intermediate prosthesis component positioned between the first prosthesis component and the second prosthesis component. The first prosthesis component and second prosthesis component are configured to rotate upon the intermediate prosthesis component. The first prosthesis component includes a vertebra facing surface with a central channel formed in the vertebra facing surface. The central channel is designed and dimensioned to engage an insertion arm of a disc insertion tool. The first prosthesis component also includes at least one indentation configured to engage at least one retention arm of the disc insertion tool. The at least one indentation of the first prosthesis component may comprises at least one groove formed in a collar of the first prosthesis component. In one embodiment, the first and second prosthesis components are plates and the intermediate prosthesis component is a core.

Abstract: The present invention relates to methods and devices for the treatment of disc disease and spinal deformities with an artificial disc replacement.

Abstract: An intervertebral disc prosthesis comprises a superior endplate, an inferior endplate, and an intermediate core positioned between the endplates. The core comprises a central disc portion and a radial flange. The central disc portion of the core is defined by a superior bearing surface and inferior bearing surface. The radial flange of the core includes a first portion that extends radially outward from the central disc portion of the core. The radial flange also includes a second portion that extends axially from the first portion of the flange. The second portion of the flange extends a substantially greater distance toward the inferior endplate than toward the superior endplate. In one embodiment, the second portion of the flange extends completely to the inferior endplate and engages the inferior endplate when the inferior endplate is in a neutral position relative to the core.

Abstract: Disclosed are devices and methods for the placement of a bone fusion implant between vertebral bodies in a human or animal subject. In an exemplary method a pathway is formed in the first sacral vertebrae along a trajectory that has a starting point between the inferior aspect of the facet joint and the first posterior sacral foramen and transverses at least one pedicle, at least a portion of the first sacral vertebra and the disc space immediately superior to the sacrum. A fusion implant is placed into the formed pathway. Additional bone fasteners and inter-connecting rods are added to the fusion implant in order to further strengthen the construct. Embodiments that can be used to fuse an additional level are also disclosed.

Abstract: Embodiments disclosed herein provide a disc implant for maintaining intervertebral spacing and stability within the human spine. In some embodiments, the disc implant includes complementary members between vertebral engaging plates. A first engaging plate may have a convex portion that allows anteroposterior translation of a first member relative to the first engaging plate. Movement of the first member relative to the first engaging plate allows lateral movement of vertebrae adjacent to the engaging plates. The first member may be coupled to a second member via complementary shapes such as a projection and a recess. The second member may have a convex portion that complements a recess of a second engaging plate. The recess may be concave with an arcuate cross-sectional shape in an anteroposterior plane. Movement of the second engaging plate relative to the second member allows for anteroposterior movement of vertebrae adjacent to the engaging plates.

Abstract: A prosthetic joint includes: (a) a bone-implantable first member comprising a rigid material and including a body having an annular flange extending outward at a first end thereof, the first end of the body and the flange cooperatively defining a wear-resistant concave first contact surface having a protruding rim and a recessed central portion; and (b) a bone-implantable second member comprising a rigid material with a wear-resistant convex second contact surface; (c) where the first and second contact surfaces bear directly against each other so as to transfer axial and lateral loads from one of the members to the other, while allowing pivoting motion between the two members; (d) wherein the flange is shaped so as to deform elastically and permit the first contact surface to conform to the second contact surface when the joint is placed under a predetermined load.

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.

Abstract: An artificial intervertebral disc comprises two opposing shells having opposing inner surfaces and oppositely directed outer surfaces. The outer surfaces are adapted for locating against adjacent vertebrae. The inner surface of one shell including a ball and the inner surface of the other shell including a cooperating ring are adapted to restrict articulation of the ball within a defined region.

Abstract: The invention relates to a spinal implant to be inserted between two vertebra to support and stabilize adjacent vertebra and allow for physiological motion. One embodiment of the implant includes an upper assembly and a lower assembly, where the assemblies are adapted to articulate relative to one another. This implant also includes elongate elements that are deployable between a closed position and an open position. Portions of the implant can interlock to form various shapes. The invention includes an implantable device to support the vertebrae, and a minimally invasive method for inserting and deploying the device within the intervertebral space.

Abstract: The invention relates to an intervertebral disc prosthesis having an upper plate, a lower plate having an essentially-flat support surface, and an intermediate element having a base which is equipped with a rim and which is topped with a spherical cap. The upper plate and the cap define a ball and socket joint therebetween. The base of the intermediate element comes into contact with a support surface of the lower plate. The lower plate is equipped with a guide having two edges which maintain the intermediate element therebetween. The rim of the base comes into contact with the edges, the rim being circular in shape and adapted to enable the intermediate element to roll along the length of the edges.

Abstract: The invention relates to a distractible intervertebral implant having a first assembly (10) constituted by a first prosthetic plate (16) and a first spacer element (18), the prosthetic plate being secured to the first spacer element; a second assembly (12) constituted by a second prosthetic plate (22) and by a hollow second spacer element (24), having a first end secured to the second prosthetic plate and the first spacer element being suitable for sliding in the second spacer element; and means (14) for preventing the spacer element from moving in translation or in rotation relative to each other, the means having a clamping collar (28) surrounding a portion of the outside surface of the second spacer element, and a lock screw (30) for tightening the collar onto the second spacer element.

Abstract: An implant made of at least two different materials. The implant may include materials with varying radiolucency and mechanical properties. Such a hybrid implant may offer controlled radiographic visibility and optimized structural properties for implant placement, including placement for use in spinal arthrodesis.

Abstract: An artificial vertebral joint is interposed between a superior vertebra and an inferior vertebra. The artificial vertebral joint comprises a rostral joint component having a first surface adapted for engagement with an endplate of the superior vertebra, a first anterior articulation surface, and a support tab adapted for extending from the first surface and for engaging a portion of the endplate. The portion of the endplate extends from the first surface to a posterior edge of the endplate. The joint further comprises a caudal joint component having a second surface adapted for engagement with an endplate of the inferior vertebra and a spacer component adapted for interposition between the rostral joint component and the caudal joint component.

Abstract: A cervical fixation device, for insertion between a pair of adjacent cervical vertebrae, includes a frame comprised of a first material. The frame has a generally rectangular proximal end and a generally rectangular distal end. The distal end is connected to the proximal end by at least one upper arch and at least one lower arch. The upper and lower arches are spaced apart from each other. The frame has a generally hollow interior, substantially open lateral sides between the upper and lower arches and a substantially open proximal end.

Abstract: An intervertebral disc prosthesis comprises a first plate including a socket and a second plate comprising a recess. A core is sandwiched between the socket and the recess. The core includes a domed surface and a plug portion. The first plate is configured to rotate upon the domed surface of the core. The second plate is substantially fixed to the core, with the plug portion engaging the recess. The core may be press-fit into the second plate during assembly of the intervertebral disc prosthesis. The first plate and second plate both include tabs that define notches, wherein the notches are configured to engage prongs of a disc insertion tool. Teeth provided on the first plate and the second plate assist in fixing the first plate and the second plate to the vertebral bodies.

Abstract: An electronically assisted artificial vertebral disc having an upper disc plate and a lower disc plate is disclosed. An actuator imparts movement to at least one of the upper and lower disc plates. A control device controls the actuator and the amount of movement between the disc plates. The actuator includes a plurality of either linear actuators or rotary actuators that are driven by electric motors in response to the control device. The control device includes at least a first sensor for detecting the position of the actuator and at least a second sensor for detecting the spatial orientation of at least one of the upper and lower disc plates. The control device also preferably includes a microprocessor that calculates the desired positions of the upper and lower disc plates and provides a control signal to the actuator to drive the upper and lower disc plates to their desired positions.

Abstract: A prosthetic device for insertion into a spondylosed intervertebral space is provided. The prosthetic device includes a first component having a first flange for longitudinally engaging a first vertebra during longitudinal insertion therein, and a second component having a second flange for longitudinally engaging a second vertebra during longitudinal insertion therein. One of the first and second components comprises a projection and the other of the first and second components comprises a recess, the projection and recess being adapted to engage one another. One of the projection and the recess are offset relative to the other of the projection and the recess to accommodate the spondylosed relationship between the first and second vertebrae.

Abstract: A sliding intervertebral implant and method includes a first member that connects to an intervertebral space between two adjacent vertebrae. The first member includes a pair of curved side walls connected to each of a front wall, an upper curved wall, and a lower curved wall, wherein a length of a first curved side wall is less than a length of each of a second curved side wall, the upper curved wall, and the lower curved wall, and wherein an edge of the second curved side wall is offset from an edge of the front wall. A second member is slidably attached to the first member, and includes a top and bottom curved wall each connected to an inclined side wall and a guide wall, wherein the guide wall comprises grooves, wherein the second curved side wall of the first member slides in the grooves of the guide wall.

Abstract: A device for a ball-and-socket-type connection of two members includes a first member having a head and a second member having a cavity that receives the head. The cross-sectional surface of the cavity is tapered at the lower end of the second member as a result of a constriction. The head and/or cavity is configured spherically with a center of articulation (Z). The ball-and-socket-type connection between the two members can be detachably fixed by means of a clamping element that can be connected to the second member. The head has a recess in which the front end of the clamping element can rest. The recess and/or the front end has an at least partially spherical surface with a center (C). In the clamped position of the device, the center of articulation (Z) and the center (C) are identical.

Abstract: The invention relates to an intervertebral disc prosthesis comprising at least two plates, namely first and second plates, articulated about each other by means of a curved surface, namely articulation, of at least one of the plates, each of the plates comprising a surface known as a contact surface, intended to be in contact with a vertebral plate of one of the vertebrae between which the prosthesis is intended to be inserted, this contact surface for each of the plates comprising a geometrical centre at equal distance from at least two diametrically opposite points located on the periphery of the plate, in which the geometric centres of the plates are not vertically aligned, this off-setting of the geometrical centres of the plates engendering an off-setting of the edges of the plates in at least one direction perpendicular to the vertical axis of the spinal column.

Abstract: Disclosed is an intervertebral disc prosthesis for the total replacement of a natural intervertebral disc within the lumbar and cervical spine, comprising of articulating sliding partners. The upper sliding partner has means for a firm assembly to an upper vertebral body and the lower sliding partner has means for a firm assembly to a lower vertebral body. At least one sliding surface is between two sliding partners. Two- and three-part functional designs are planned and both having in common, that, as a result of the shape of the articulating surface(s), the laterolateral and dorsoventral motion amplitudes differ. The resulting angles including the rotation around a fictitious vertical axis can be defined to a desired extent.

Abstract: A bone prosthesis device is comprised of an upper and lower abutment surfaces and an intervening malleable member. The device is sufficiently small so that implantation into an inter-vertebral disc space can be performed from a substantially posterior approach without significant impingement upon the neural elements.

Abstract: A space keeper for vertebrae or intervertebral disks is provided, which has a tubular section and teeth on the respective ends of the space keeper. On at least one end of the tubular section an element is provided, which has a top plate which is tiltable about an angle to the longitudinal axis of the tubular section.

Abstract: A vertebral replacement implant includes two longitudinal elements slidably mounted with respect to each other, and locking elements. These locking elements include, on one of the longitudinal elements, an anchor surface, and on the other of the longitudinal elements, an anchor shoe guided in translation to take up a first position in which the elements slide freely with respect to each other, and a second position in which the anchor shoe cooperates with the anchor surface to lock the elements together, with a system converting a rotational movement into a translational movement transmitted to the anchor shoe.

Abstract: The present invention relates to an expandable prosthetic implant device for engagement between vertebrae generally comprising an inner member, outer member, and gear member positioned coaxial with respect to each other such that the inner and outer members are moveable relative to each other along an axis. The gear member is axially fixed to the outer member and freely rotatable with respect to the outer member and the gear member threadedly engages a threaded portion of the inner member to translate inner member along the axis. The implant is configured to engage the vertebrae in a predetermined alignment and the gear member includes gear teeth exposed to the exterior and configured to be accessible by a tool member at a plurality of angular positions around the perimeter of the implant device.

Abstract: An article including a spinal prosthesis having a unitary body with at least three attachment points attachable to spinal structure, the unitary body including a flexure assembly positioned between first and second attachment members, wherein flexure of the flexure assembly permits movement of the first attachment member relative to the second attachment member.

Abstract: A prosthetic device for posterior placement in an intervertebral space defined between an upper vertebrae and a lower vertebrae may include an upper articular portion configured to be at least partially disposed in the intervertebral space and a lower articular portion configured to be at least partially disposed in the intervertebral space below the upper articular portion, the upper and lower articular portions being configured to provide articulating motion to the upper and lower vertebrae. The upper and lower articular portions each may include a posterior section configured to be disposed in a location posterior of the intervertebral space. The posterior section of one of the upper and lower articular portions may include a post, and the posterior section of the other of the upper and lower articular portions may include a receiving portion configured to interact with the post during articulation.

Abstract: An article including a spinal prosthesis having a unitary body with at least three attachment points attachable to spinal structure, the unitary body including a flexure assembly positioned between first and second attachment members, wherein flexure of the flexure assembly permits movement of the first attachment member relative to the second attachment member.

Abstract: An article including a spinal prosthesis having a unitary body with at least three attachment points attachable to spinal structure, the unitary body including a flexure assembly positioned between first and second attachment members, wherein flexure of the flexure assembly permits movement of the first attachment member relative to the second attachment member.

Abstract: A method of implanting an intervertebral implant or component thereof, in which each component is selected to have an inner surface and an outer surface which engages an adjacent vertebra and presents only three distinct points of contact with a cortical rim of the vertebra. The outer surface is selected to have a footprint which is sized to be within that of the cortical rim. In disclosed embodiments, the footprint can be convexo-concave shaped or kidney shaped. The intervertebral implant can be provided with upper and lower (or first and second) components which engage adjacent first and second vertebrae and which move relative to one another. The implant has both the first and second outer surfaces sized to present a respective footprint sufficient for two lateral-anterior and one posterior points of contact with an adjacent cortical rim of the respective first and second vertebra.

Abstract: An instrument for finally seating an endplate of an intervetebral motion disc.

Abstract: A stabilization system for a human spine is provided comprising at least one dynamic interbody device and at least two dynamic posterior stabilization systems. The dynamic posterior stabilization system may be coupled on contralateral sides of vertebrae. In some embodiments, a bridge may couple a dynamic interbody device to a dynamic posterior stabilization system.

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by at least one spring mechanism. The preferred spring mechanism is at least one belleville washer having radially spaced concentric grooves. In a preferred embodiment there is a single such belleville washer which is modified to mount onto a ball-shaped head. The lower plate of this embodiment includes a post extending upwardly from the inner surface of the plate, the post including a ball-shaped head. The modified belleville washer can be rotatably mounted to the head such that the wider portion of the washer seats against the upper plate.

Abstract: An artificial intervertebral disc includes housing members including spaced inner surfaces facing each other and oppositely facing outer surfaces for engaging spaced apart vertebral surfaces. Bearing surfaces extend from each of the inner surfaces for engaging each other while allowing for low friction and compression resistant movement of the housing members relative to each other while under compression. Load sharing pads are disposed between the inner surfaces and about at least a portion of the bearing surfaces for sharing absorption compressive loads with the bearing surfaces while limiting the relative movement of the housing members.

Abstract: A total disc implant (TDI) is provided for total replacement of a spinal disc or discs in a human patient or other mammal, wherein the TDI is designed to maintain a substantially full range of natural motion (ROM) following implantation. The TDI generally comprises, in one preferred form, upper and lower end plates for affixation to adjacent vertebral bodies, with an intervening insert disposed therebetween. The end plates each include elongated part-cylindrical surfaces oriented generally perpendicular to each other, with one of said surfaces extending in an anterior-posterior direction and the other extending in a medial-lateral direction. The intervening insert defines concave upper and lower part-cylindrical seats oriented for respectively engaging these part-cylindrical surfaces, wherein these part-cylindrical seats are defined by offset radii to include a somewhat flattened central base region merging smoothly with upwardly curving radiused sides.

Abstract: A prosthetic disc for insertion between adjacent vertebrae includes a core having upper and lower curved surfaces, upper and lower plates, and peripheral restraining structure on at least one of the upper plate, the lower plate and the core. Each plate has an outer surface which engages a vertebra and an inner curved surface which slides over the curved surface of the core. The peripheral restraining structure serves to hold the core against a curved surface of at least one of the plates during sliding movement of the plates over the core.

Abstract: An intervertebral stabilizer includes: a first plate member operable to engage an endplate of a first vertebral bone of a spine; a second plate member spaced apart from the first plate member and operable to engage an endplate of an adjacent second vertebral bone of the spine; a ball element depending from the first plate member; and a socket element depending from the second plate member, wherein at least one of the ball and socket elements include one or more keyed surfaces such that: (i) an assembly function is obtained in which the ball element may at least one of be received into, and removed from, the socket element in one or more first articulation positions of the first and second plate members; and (ii) a capture function is obtained in which the ball element may at least one of not be received into, and not be removed from, the socket element in one or more second articulation positions of the first and second plate members.

Abstract: A vertebral body replacement implant having an upper and a lower support plate and two load-bearing elements, the mutual spacing of which is adjustable and of which at least one is connected in an articulated manner to a support plate, the load-bearing element in the region of the articulated connection to the support plate having a bearing projection with a spherical lateral support surface having a complimentary design to the contact surface of the support plate or a bearing part connected thereto, the contact surface extending in peripheral direction at least over 180°, the support plate or the bearing part is mounted on the bearing projection pivotably about a pivotal axis that extends parallel to the support plate, and a releasable clamping device that clamps the bearing projection and the support plate or the bearing part in the contact region of the lateral surface and/or of the contact surface against one another.

Abstract: An intervertebral prosthesis for insertion between adjacent vertebrae includes upper and lower prosthesis plates locatable against respective vertebrae and having opposing, concavely curved recesses therein, and a core located between the plates. The core has opposed, convexly curved surfaces received in the recesses of the plates to allow the plates to slide in articulated manner over the core. The opposed surfaces of the core and the recesses of the plates have cooperating spherical curvatures. The recess of each plate surrounds a locating peg projecting centrally from the base of the recess and is bounded by an annular rim, such that the annular rims of the plates are arranged to contact one another at a predetermined limit of sliding movement of the plates over the core. The peg locates loosely in an opening located centrally in a curved surface of the core, whereby the plates can slide over the core in all directions while the peg holds the core captive.

Abstract: An implantable apparatus for use in the correction of skeletal deformities comprising a hinge applied in various orientations across one or more growth plates and attached to bone via attachment members.

Abstract: Provided is an implant comprising: a platform; a deformable pad affixed to the platform and adapted to seat two or more bearings; and the two or more bearings. The deformable pad can have a number of neutral positions matching the number of bearings, with the deformability of the pad adapted to apply force on the bearings any time the bearings are displaced laterally, with the force being in the direction of the corresponding neutral position.

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by at least one spring mechanism. The preferred spring mechanism is at least one spirally slotted belleville washer having radially spaced concentric grooves. In a preferred embodiment there is a single such belleville washer which is modified to mount onto a ball-shaped head. The lower plate of this embodiment includes a post extending upwardly from the inner surface of the plate, the post including a ball-shaped head. The modified belleville washer can be rotatably mounted to the head such that the wider portion of the washer seats against the upper plate.

Abstract: An improved total disc replacement system and related methods, wherein a pair of anchor plates, each adapted to engage a vertebral body, and a translating internal member are provided. The translating internal member boasts the ability to move or translate between the anchor plates without compromising the conformity of the interface between the translating internal member and the anchor plates. In a significant aspect, the anchor plates may be locked in place relative to one another after implantation to effect fusion between the vertebral bodies.

Abstract: A modular disc prosthesis system is provided that allows a disc prosthesis to be constructed, either pre- or intra-operatively, to have a desired degree of freedom or constraint when positioned between endplates of adjacent vertebrae. In particular, the components can be assembled to form a disc prosthesis having a center of rotation that is constrained or fixed such that, when the disc prosthesis is implanted between endplates of adjacent vertebrae, the adjacent vertebrae have one degree of freedom and move about a fixed center of rotation. Alternatively, one or more of the same components and one or more additional components of the system can be used to construct a disc prosthesis having a center of rotation that is unconstrained or that floats such that, when the disc prosthesis is implanted between the endplates of adjacent vertebrae, the adjacent vertebrae have multiple degrees of freedom and can move about a floating or moving center of rotation, i.e., a center of rotation that is not fixed.

Abstract: The present invention relates to an intervertebral disc prosthesis comprising at least three pieces including an upper plate, a lower plate, and a movable core at least in relation to a plate, wherein it also comprises two anatomic adaptation elements of which each has, on one hand, a surface in contact with a surface of a vertebra and, on the other hand, a face of which at least a part has a surface in contact with at least a part of the plate opposite to which the anatomic adaptation element is mounted, the anatomic adaptation elements being fixed onto the plates via fixation means.