Abstract: A spacer for separating bones of a joint, the spacer includes a first endplate configured to engage a first bone of the joint; a second endplate configured to engage a second bone of the joint; tissue engaging projections, wherein the tissue engaging projections are moveable from a retracted position to a deployed position; and an actuation subassembly that extends between the first endplate and the second endplate, wherein the actuation subassembly comprise a drive nut, a drive screw coupled to the drive nut, and a cam frame coupled to the drive screw, wherein the cam frame is disposed between the first endplate and the second endplate to engage the tissue engaging projections.

Abstract: Methods and apparatus for providing correction of one or more maladies or conditions of the spinal column of a living being. In one embodiment, the apparatus includes an implantable device configured to be selectively adjustable in one or more portions thereof so as to permit correction of asymmetries or irregularities of the spinal column via insertion into one or more affected intervertebral disc spaces. In one variant, the implantable device includes upper and lower host elements which are hinged or can pivot relative to one another, and an insertable distraction mechanism which is adjustable to enable one side or the other of the implantable device to alter height. In another variant, both sides of the implantable device can be adjusted for height via the host elements and one or more pivots or hinges. In one implementation, the distraction mechanism is adjustable from multiple approaches into the disc space.

Abstract: A distractor includes a first plate and a second plate. The first plate includes an outer surface having a surface irregularity provided thereon and an inner surface having a protrusion provided thereon. The second plate includes an outer surface having a surface irregularity provided thereon and an inner surface having a recess provided thereon. The protrusion engages with the recess in a ball and socket configuration that permits relative movement of the first and second plates.

Abstract: Systems and methods are described for correcting sagittal imbalance in a spine including instruments for performing the controlled release of the anterior longitudinal ligament through a lateral access corridor and hyper-lordotic lateral implants.

Abstract: An implant, comprising a body having a superior surface and an inferior surface, a superior-inferior axis, and a lateral axis. The implant further includes a first blade having a first retracted position in the body and a first extended position where the first blade extends outwardly from the body. In addition, the implant may include a blade actuating member that can translate through the body in directions parallel to the lateral axis. When the blade actuating member is moved in a first direction along the first axis, the first blade moves towards the first extended position. When the blade actuating member is moved in a second direction opposite the first direction, the first blade moves towards the first retracted position. Further, in the first extended position, the first blade extends from the superior surface at a first non-zero angle with respect to the superior-inferior axis.

Abstract: An interbody cage which comprises a cage body and a mobile rotational element which, when said mobile element is rotated around a longitudinal axis of the body of the cage, may engage one or both adjoining vertebrae and temporally distract the intervertebral space for easier insertion of the cage body. The rotational element may also be designed to durably engage the adjoining vertebrae after its rotation, so as to allow a durable increase of the distraction of the vertebrae. Methods of insertion of the interbody cage are provided wherein the vertebrae are first distracted by the insertion of the cage or of the mobile element, then further distracted by rotation of the mobile element, before the cage is fully inserted into the intervertebral space without the body's superior and inferior surfaces fully engaging the vertebrae in the process.

Abstract: A surgical device is provided. The surgical device includes a tubular outer shaft having a longitudinal axis and an angled guide positioned on a first end of the surgical device. The angled guide may be angled relative to the longitudinal axis of the outer shaft. The surgical device includes an elongated inner shaft having a second end and a third end. The inner shaft is removably coupled to the outer shaft and configured to axially translate through the outer shaft. The surgical device includes pivotal device having at least one joint and an access tool. The at least one joint may be pivotally coupled to the third end of the inner shaft and to an end of the access tool. The pivotal device may be configured to axially translate through the angled guide into a deployed position.

Abstract: A staged expansion of an intervertebral scaffolding system is provided, and also include a laterovertically-expanding frame operable for a reversible collapse from an expanded state into a collapsed state. The expanded state, for example, can be configured to have an open graft distribution window that at least substantially closes upon the reversible collapse.

Abstract: This present subject disclosure provides a novel implant which is readily adjustable to provide a precise angle of lordosis. The implant may be positioned while in low profile, collapsed geometry, and may be expanded when in place to provide a precise angle of lordosis.

Abstract: Disclosed herein are systems and methods for intervertebral body fusion that provide more robust support within the disc space. Intervertebral body fusion devices can have a unitary monolithic body including a plurality of body segments interconnected with each other by flexure members. Devices be configured to be inserted through an opening in a compressed configuration and then expanded within the disc space to an expanded configuration. In the expanded configuration, devices can have a greater mediolateral or transverse to the disc space footprint. This wider footprint provides greater support for the vertebrae relative to the size of the opening through which the device is inserted.

Abstract: An implant and method for spinal facet joint stabilization uses a wedge and plate adapted to accept prongs of a surgical instrument for installing the implant into a posterior spinal facet joint. The wedge has an anterior end with a threaded bore. A notch in each lateral side of the plate aligns with a groove in each lateral side of the wedge. Each notch and groove pair receives a prong of the surgical instrument to hold the wedge and plate during implantation. A superior tube of the surgical instrument supports a superior rod having an end configured for installing a bone screw attaching the plate to the superior vertebra of the spinal facet joint. An inferior tube of the surgical instrument supports an inferior rod having an end configured to attach to the threaded bore of the wedge along with the plate during introduction of the implant into the spinal facet joint, and installing the set screw to attach the plate to the wedge.

Abstract: A bi-directional fixating transvertebral (BDFT) screw/cage apparatus including an intervertebral cage for maintaining disc height, and a method of inserting the same is provided. The intervertebral cage includes a first internal screw guide and a second internal screw guide, a first screw member and a second screw member, and a central screw locking lever coupled to the intervertebral cage, wherein the central screw locking lever prevents the first screw member and the second screw from pulling-out of the first internal screw guide and the second internal screw guide. The central screw locking lever includes a rotatable handle and stem portion, or a screw locking horizontal bracket. A pliers device for inserting and removing the bi-directional fixating transvertebral (BDFT) screw/cage apparatus, a posterior cervical and lumbar facet joint staple, and a staple gun for a posterior cervical and lumbar facet joint staple also are provided.

Abstract: An expandable implant includes a structural insert to provide a robust connection between an insertion instrument and the expandable implant. The structural insert can be made from a different material than the remainder of the implant to withstand compressive, tensile, shear, and torsional loads which may be present while inserting the implant into a patient. The structural insert may be formed as part of a bottom member of the implant or may be a separate element inserted into the implant body. The structural insert may provide a threaded connection to an insertion instrument. The expandable implant may include a bone graft port in fluid communication with a bone graft opening extending through the implant body.

Abstract: The present disclosure describes an intervertebral implant having a laterovertically-expanding shell operable for a reversible expansion from a collapsed state into an expanded state, the laterovertically-expanding shell having a guide element, one or more connectors, and a pair of lateral extension elements that function to laterally expand the footprint of the implant within an intervertebal disc space.

Abstract: Methods for treating degenerative disc disease by administering a human birth tissue material composition are provided. The method includes the step of administering a human birth tissue material composition onto or into at least one intervertebral disc or intervertebral space in need of treatment.

Abstract: An expandable intervertebral implant, including an inferior component, including a first plate, a second plate connected to the first plate and including a first plurality of locking apertures, and a third plate connected to the first plate and including a second plurality of locking apertures, a superior component slidingly engaged with the inferior component, including, a fourth plate, a fifth plate connected to the fourth plate and including a third locking aperture, and a sixth plate connected to the fourth plate and including a fourth locking aperture, and a locking pin assembly arranged at least partially in the third and fourth locking apertures, and operatively arranged to engage the first and second pluralities of locking apertures to lock the inferior component to the superior component.

Abstract: An expandable interbody spinal fusion device, including an inferior component including at least one hole, a superior component connected to the inferior component, the superior component including a plurality of catches operatively arranged to align with the at least one hole, and a locking screw operatively arranged to engage the plurality of catches and the at least one hole to lock the superior component with respect to the inferior component.

Abstract: An endoscopically implantable inflatable interbody fusion device, including an inflatable body having a first inner wall and an outer wall, a first cavity defined by the first inner wall, at least one hollow space between the first inner wall and the outer wall, a first delivery tube extending from outside the outer wall into the at least one hollow space, and a second delivery tube extending from outside the outer wall, through the at least one hollow space, and terminating in the first cavity.

Abstract: Devices and methods are provided for optimized spinal fixation using additive manufacturing techniques to create implants with optimized structure for various surgical approaches, anatomies, etc. One exemplary embodiment includes a cage having an X-shaped connection that can bear a load during cage impaction. The cage can be additively manufactured to incorporate features such as variable wall thickness or material density to adjust properties of the cage, including load bearing capability, flexibility, radiolucency, etc. The cage can further include one or more of the connectors disposed between upper and lower endplates. In some embodiments, the cage can include a feature for coupling an insertion device thereto for introducing the cage into the body of a patient. In some embodiments, a plate can be appended to or integrally formed with a proximal end of the cage to assist with securing the cage to vertebral bodies.

Abstract: An orthopedic device for implanting between adjacent vertebrae comprising: an arcuate balloon and a hardenable material within said balloon. In some embodiments, the balloon has a footprint that substantially corresponds to a perimeter of a vertebral endplate. An inflatable device is inserted through a cannula into an intervertebral space and oriented so that, upon expansion, a natural angle between vertebrae will be at least partially restored. At least one component selected from the group consisting of a load-bearing component and an osteobiologic component is directed into the inflatable device through a fluid communication means.

Abstract: A system and method for securing a medical implant within a patient includes disposing an anchor element around the implant, the anchor element including a pair of tabs each including an eyelet, and a flexible intermediate portion between the tabs, by positioning the implant within the intermediate portion and folding the anchor element such that the tabs contact one another. The anchor element is positioned at a desired implantation position with the tabs proximate soft tissue of the patient. The method further includes inserting a distal tip of a fixation element delivery tool through the eyelets and into the soft tissue, the fixation element including at least one tissue anchor and an adjustable suture arrangement coupled to the tissue anchor. The tissue anchor is deployed from the delivery tool and into the soft tissue of the patient. The delivery tool is withdrawn and the adjustable suture arrangement is tightened.

Abstract: Bone plates for engaging bone members are described herein. The bone plates can receive one or more screws to secure the bone plates to an underlying bone member. The one or more screws can be inserted into bone plate holes that can be considered locking or non-locking. The bone plates described herein can have particular combinations of locking and/or non-locking holes. In addition, instruments such as distal and proximal aiming guides can accompany the bone plates to guide one or more screws into the bone plates.

Abstract: The present disclosure includes implant systems, devices, implants, guides, instruments and methods of use. The insertion guide including a base member having a first opening with a first trajectory and a second opening with a second trajectory, a connecting member having a first end and a second end, wherein the first end is coupled to the base member and a locking block coupled to the second end of the connecting member. The locking block has a first guide hole and a second guide hole. The implant including a body including a first hole at a first end of the body, a second hole at a second end of the body, and a locking opening positioned between the first hole and the second hole. Methods of using the implant systems are also disclosed.

Abstract: Artificial intervertebral discs include an annulus fibrosus portion and a nucleus pulposus portion. Annulus fibrosus portions disclosed and contemplated herein include a plurality of layers. Fibers within the layers are arranged to provide a crisscross pattern between adjacent layers. Nucleus pulposus portions disclosed and contemplated herein can include a flexible, sealed enclosure.

Abstract: A spine stabilization and fusion system includes a lateral cage configured for placement between an upper vertebra and a lower vertebra. A face of the lateral cage includes an opening. The system also includes a lateral plate that includes one or more holes extending from a lateral face of the lateral plate to a medial face of the lateral plate. The one or more holes are configured to receive one or more fasteners. The lateral plate also includes a protrusion formed on the medial face of the lateral plate, where the protrusion is configured to mate with the opening in the face of the lateral cage.

Abstract: Provided are systems, apparatuses, and methods for performing minimally invasive spinal surgery. For example, provided is a minimally invasive surgical apparatus for securing a pedicle screw or lateral mass screw to a vertebral lateral mass or pedicle. The example apparatus includes an instrument portal, a pedicle screw or lateral mass screw reducer, an anchor pin receiving chamber, an anchor pin, and a handle.

Abstract: An intervertebral disc includes a superior endplate having an upper vertebral contacting surface and a lower bearing surface, wherein the upper vertebral contacting surface of the superior endplate has a central portion that is raised relative to a peripheral portion of the superior endplate, and wherein the lower bearing surface has a concavity disposed opposite the raised central portion. The disc includes an inferior endplate having a lower vertebral contacting surface and an upper surface, wherein the lower vertebral contacting surface of the inferior endplate has a central portion and wherein the upper bearing surface has a concavity disposed opposite the central portion. A core is positioned between the upper and inferior endplates, the core having upper and lower core bearing surfaces configured to mate with the bearing surfaces of the upper and inferior endplates.

Abstract: The present invention relates to a vertebral system comprising a vertebral implant (2) and a plurality of inserts, said implant being designed to be implanted in a vertebral segment composed of at least two vertebrae and including a body (20) the walls whereof delimit a cavity (23) leading to the outside of the body (20) through at least one opening in at least one of said walls, at least one passage (21) passing through the implant (2) from the periphery to an upper or lower surface to receive a bone-anchoring device (1) capable of anchoring the implant (2) in at least one of said vertebrae, the system being characterized in that it includes at least two inserts selected from among the following inserts: at least one graft insert (3, 3A, 3B, 4, 5A, 5B, 6A, 6B, 6C, 6D, 202, 250) capable of being colonized by bone tissue and/or receiving at least one bone tissue graft and/or at least one substitute; and/or at least one bone-anchoring insert (210) comprising said passage (21) capable of receiving said bone

Abstract: Provided is a cage for spinal surgery, in which an elastic structure having elasticity and a porous structure are combined with each other to elastically support the vertebra and increase a bone fusion rate. The cage for the spinal surgery includes an elastic structure having a plurality of leaf springs provided, respectively, on both sides of a frame, one end of which protrudes, and a porous structure coupled to the elastic structure while being elastically supported by the elastic structure, and disposed in space between neighboring vertebrae, with a plurality of bone fusion holes for bone growth being formed on a surface of the porous structure.

Abstract: There is disclosed a bone fixation device that can include a cage having an optional mesh portion. The bone fixation device can be configured to couple a leg portion to a foot portion of a user's body. In at least one embodiment, the device includes at least one cage having a plurality of struts forming cells. There can be an optional mesh portion having a pre-set porosity that can be either constant or variable in density. In at least one embodiment there can be a cage portion which is substantially spherical shaped. Alternatively, the device can be substantially egg shaped. In at least one embodiment there can be a central post hole for receiving a post. In another embodiment at least one plate or shaft can connect to the cage.

Abstract: In accordance with one aspect, a spinal implant for fusing vertebral bones is provided that includes a monolithic body for being inserted between bones. The body has a through opening of the body for receiving bone growth material and a wall of the body extending about the through opening. The wall includes nubs extending into the through opening that increase the surface area of the wall available for bone on-growth.

Abstract: A spinal implant comprises an implant body extending between an anterior surface and a posterior surface, and including a first vertebral engaging surface and a second vertebral engaging surface. The implant body includes an inner surface that defines at least one opening oriented to implant a fastener oblique relative to a lateral axis of a subject body and adjacent an intervertebral space of the subject body. The implant body defining a cavity such that a surgical instrument is connectable with the implant body adjacent the cavity and movable relative to the implant body. Systems, surgical instruments and methods are disclosed.

Abstract: A geared cam expandable spinal implant. Rotational motion of a rotating portion is translated into linear motion of a yoke, which moves geared cams at the distal end of the implant to mate with, and walk along, teeth of corresponding racks. The walking of the gear cam teeth along the rack teeth creates a regular rate of implant expansion, reduces initial excessive expansion force applied to the implant, and provides fine adjustment of the expansion rate and force. Spikes, pivotally mounted on the yoke, pivot outward as the implant expands, to a fully-deployed position into engagement with surfaces of adjacent vertebral bodies. The engagement between the deployed spikes and the vertebral bodies prevents inadvertent backout of the expanded implant.

Abstract: A facet distraction prosthesis (10, 30) includes an array of facet distraction base elements (12, 32) connected to each other by one or more connector elements (14, 34). A pair of diagonally adjacent base elements (12, 32) are connected to each other by a set of or more connector elements (14, 34) which intersects with another set of one or more connector elements (14, 34) that connects another pair of diagonally adjacent base elements (12, 32). The connector elements (14, 34) are flexible so that the base elements (12, 32) can flex with respect to each other and adapt to a geometry of a facet joint.

Abstract: A pivoting wedge expandable spinal implant. An upper portion and a lower portion are pivotally connected together. The implant, in a collapsed position, is inserted into a disc space. A driving screw engages and applies a force to a pushing portion, driving the pushing portion toward the implant's distal end. The pushing portion engages and drives a wedge toward the implant's distal end. The wedge pivots upward against an inner surface of the lower portion. The wedge continues to pivot along an inner surface of the upper portion, translating the force to the upper portion, pivoting and expanding the upper portion to an expanded position.

Abstract: The disclosure relates to a cervical spine fixation apparatus comprising: a body; a spacer; and a frame which is positioned on the lateral side of the spacer and couples with the spacer, wherein the frame has a coupling part for coupling with the body, and the body comprises a hole in which the coupling part of the frame is inserted. Or, the disclosure relates to a cervical spine fixation apparatus comprising: a body; and a spacer having a coupling part, wherein the body comprises a hole in which the coupling part is inserted, and the spacer moves with respect to the body.

Abstract: Intervertebral implant systems include spacers that may have solid and porous bodies integrally formed together as a single part. The bone-facing sides of the spacers include asymmetric lobes which may include solid and/or porous portions. Bone anchor holes may extend through the spacers and lobes, to receive bone anchors. A helically fluted bone anchor may be received in the bone anchor holes.

Abstract: Embodiments herein are generally directed to spinal implants, systems, apparatuses, and components thereof that can be used in spinal fusion and/or stabilization procedures, as well as methods of installation. The spinal implants may include an intervertebral spacer and a plate member.

Abstract: A spine implant for an ALIF procedure includes anchoring members being either a bone screw or flexible barb, each having a head on one end of a shaft, and a tip on another end of the shaft. The spine implant includes a porous cage having a front, rear, central cavity, and three angled bores in the front that extend into the central cavity configured to receive one of the plurality of anchoring members such that the tip of the anchoring member extends from one or another side of the cavity with its head retained in the front. The spine implant further includes two retention members configured for insertion into the front such that a portion of the two retention members are positioned over the heads of two, adjacent anchoring members to inhibit bone anchor backout via cam action between the retention member and the heads of the anchoring members.

Abstract: A spine implant for a TLIF surgical procedure is configured to be guided into place during implantation in conjunction with a complementary insertion instrument. The cage of the implant is constrained to a limited range of rotation about a pivoting post carried by the cage. The insertion instrument is configured to hold the post while controllably rotating the cage relative to the post in order to angularly position the implant during implantation. Range of rotational motion is controlled by the configuration of an opening in and end of the cage and a groove in the pivot post. A retaining pin of the implant extends from the cage into the groove of the post to rotationally connect the cage to the post.

Abstract: Methods and apparatus for performing joint laxity measurement are disclosed. A retractor includes a plurality of spacers, such as plates, that are capable of being moved from a central portion of the retractor by a carriage mechanism. In some cases, the carriage mechanism may press against ramps connected to internal sides of the plates, thereby causing the plates to be displaced outwardly. In other cases, the carriage mechanism may include blades that rotate and press against the internal sides of the plates, thereby causing the plates to be displaced outwardly. The retractor is mounted on a surgical device configured to actuate the carriage mechanism. When the retractor is placed in a joint and the carriage mechanism is actuated, a measurement of the joint laxity may be determined based upon characteristics of the retractor and/or the surgical device.

Abstract: An intervertebral prosthetic implant having a first endplate having a first surface configured to substantially engage with a first vertebral body and a second surface having an extension with a concave contact surface, the concave contact surface being spaced apart from the second surface. A second endplate is provided with a first surface configured to substantially engage with a second vertebral body and a second surface comprising a convex contact surface, and the second endplate having a securing element positioned along and above the second surface defining a first and second window on opposing sides of the second surface. The securing element extends along the width and length of the lower endplate and configured with an access hole. An extension portion extends from the first surface of the first endplate through the access hole of the securing element and contacts the second surface of the second endplate.

Abstract: An interbody fusion device includes a base member, a top member, and an expansion mechanism for moving the top member relative to the base member. The expansion mechanism may include a connector drive rod assembly, a gear, a threaded rod, and a support means. The gear ring is coupled to the threaded rod and is rotatable. The expansion mechanism may also include at least one load head coupled to the threaded rod. An alternative interbody fusion device is also disclosed and includes a bottom member, a superior member, and an expansion mechanism for moving the superior member relative to the base member, wherein the expansion mechanism comprises at least one expansion assembly for moving an end of the superior member relative to the bottom member.

Abstract: A spinal cage with a wall extending in a longitudinal direction defining an interior space is disclosed. There is also provided a deployable element in movable relation to the spinal cage.

Abstract: A method for designing a patient-specific implant includes obtaining image data of a region of interest of the spine of a patient, measuring one or more geometric characteristic of the region of interest from the image data, comparing a measurement obtained for at least one of the one or more geometric characteristics to a mathematical rule associated with the particular geometric characteristic, and generating three-dimensional implant geometry data if the measurement of the at least one of the one or more geometric characteristics conforms with the associated mathematical rule, the implant geometry data configured to guide an additive manufacturing operation.

Abstract: A prosthetic intervertebral spacer includes a body having a front end, a rear end, an anterior side, a posterior side, a top surface, and a bottom surface, and an arcuate interface extending away from the body and being connected to the rear end and the posterior side of the body. A method of inserting and positioning the spacer includes engaging a tool to the interface, inserting the spacer at least partially into the intervertebral disc space by moving the tool along an insertion direction, and allowing the spacer to rotate with respect to the insertion direction within the intervertebral disc space while continuing to move the tool along the insertion direction.

Abstract: An intervertebral scaffolding system is provided having a rigid central beam and a laterovertically-expanding frame operable for a reversible collapse from an expanded state into a collapsed state.

Abstract: Devices, systems, and methods for bone stabilization, especially proximal humeral stabilization. The stabilization system may include a bone plate having an elongated portion extending along a longitudinal axis and an enlarged head portion extending from the elongated portion. The stabilization system may include an intramedullary nail having an upper portion and a lower portion extending from the upper portion, the upper portion and the lower portion including a plurality of holes. A plurality of fasteners may be configured to extend through one or more of the plurality of through holes in the bone plate and/or one or more of the plurality of holes in the intramedullary nail and into the bone. The plate and nail may each be used alone or in combination together to stabilize a fracture in a long bone, such as a humerus.

Abstract: A device is provided to allow adaptation of a prosthetic or robotic foot in the medial-lateral direction, including pronation and supination of the foot using a series of articulations. Articulations are permitted in the disclosed device due to linkage systems positioned at various locations of the prosthetic foot. In particular, the device includes multiple connected linkage systems each including upper and lower portions with an articulating contact surface designed for load carriage and stability. The point of contact between the contact surfaces of each linkage system comprises the position-dependent instantaneous center of rotation of the upper portion with respect to the lower portion. The device also includes a platform coupled between the linkage systems and a base.

Abstract: An intervertebral implant may include an input for expanding at least two extendable support elements connected to a body at respective locations, such that the extendable support elements each apply a respective expansion force directed away from a surface of the body. Application of a single input force to the input may induce the extendable support elements to apply different amounts of expansion force. Alternatively or additionally, an intervertebral implant may include at least two portions connected together by a hinge for articulation about the hinge. In one aspect, the hinge may include at least two rigid links each pivotably connected to the two portions. In another aspect, a rigid link of the hinge may include a passageway for communicating a hydraulic fluid between the two portions. A locking system may be positionable into successive locked configurations by operation of a cam to prevent contraction of an extendable support element.