Abstract: An intervertebral implant device includes a first plate having a first fixation component; and a first set of outwardly extending projecting members. The device also includes a second plate having a second fixation component; and a second set of outwardly extending projecting members that compliment an alignment with the first set of outwardly extending projecting members. The device also includes a core member that extends through the first plate and the second plate. The core member limits movement of the first plate away from the second plate; and a connecting member that connects to the core member.

Abstract: An interbody spacer for the spine is provided. The interbody spacer includes a cage and bone screws configured to anchor the cage between two vertebrae of the spine. The cage includes a screw plate configured to mate with the cage in a front-loading fashion. The screw plate is interchangeable with another screw plate configured to receive a different number of bone screws. For example, one screw plate adapted for three bone screws is interchangeable with another screw plate adapted for four bone screws and removably connected to the same cage. The screw plate is connectable intraoperatively or pre-assembled. Each screw plate is also provided with an anti-backout mechanism to retain the bone screws and prevent the bone screws from backing out with respect to the screw plate. The anti-backout mechanism includes a cover plate, locking screw or retaining ring.

Abstract: A surgical implant according to an exemplary aspect of the present disclosure includes, among other things, a body that extends along a longitudinal axis between a drive head and a tip. The body includes a cannulation disposed about the longitudinal axis and extending form the tip to the drive head, a solid thread that wraps around the body and a porous region circumferentially extending about the body between adjacent revolutions of the solid thread. In another embodiment, the surgical implant may include a wedge having at least one porous region that extends continuously around a wedge body between an inner wall and an outer wall.

Abstract: A spinal interbody device (IBD) includes a solid wall that at least partially defines a boundary of the IBD and a porous body connected to the solid wall. The porous body includes a plurality of sections that form at least a portion of both a superior and inferior bone interface side of the IBD. Each section of the porous body has a different porosity than an adjacent section such that the porosities increase toward a center of the IBD.

Abstract: A dual-lead thread drive screw system for a lateral expanding coaxial spinal implant. The system consists of a centrally located drive screw with lateral actuators. The actuators contain pins positioned through angular slots located on sidewalls attached to endplates. The angular slots provide angular positioning when the actuator pins translate through them. A carriage contains a drive screw for operating of the actuators. Alignment pins provided on each endplate allow the endplates rotate laterally relative to the carriage. An adjustment nut is axially retained by the carriage, but allowed to rotate. To expand/contract the endplates, the drive screw and adjustment nut are rotated together, with no relative motion between them. To change the angle of the endplates, the drive screw is rotated.

Abstract: A method of implanting an intervertebral spacer may include positioning the intervertebral spacer within an intervertebral space defined by adjacent vertebral bodies. The intervertebral spacer may include a plurality of bores, and each of the plurality of bores may be configured to receive either a linear fastening element or a curvilinear fastening element. The method also may include selecting a first fastening element from a group including linear fastening elements and curvilinear fastening elements, and inserting the first fastening element into a first bore of the plurality of bores such that the first fastening element is inserted into one of the adjacent vertebral bodies to secure the intervertebral spacer within the intervertebral space.

Abstract: Disclosed are system and methods that use at least one non-threaded anchor and an implant with at least one aperture to join boney structures, where the interaction of the head of the anchor with the implant aperture causes the anchor to move transversely with respect to an initial trajectory. This movement causes compression or distraction of the boney structures which are coupled to the anchors.

Abstract: An interbody implant and inserter tool for spinal fusion. The interbody implant includes a cage portion and a nose portion. In some embodiments, an outer surface of the nose portion defines at least a first concave profile in a first direction, and may define a second concave profile in a second direction, the second direction being perpendicular to the first direction. The outer surface may also define an oblong cross-section normal to a nose axis. The oblong cross-section may be axisymmetric or continuously curved (or both) about the nose axis. The concave profile(s) enable easier initial insertion of for more precisely locating the interbody implant, so that the greater insertion forces required during implantation do not occur until the interbody implant is securely and accurately placed.

Abstract: Implementations described and claimed herein provide a spinal facet cage implant for implantation in a spinal facet joint. In one implementation, the implant includes a distal leading end, a proximal trailing end, a first face, and a second face. The distal leading end has a distal surface generally opposite a proximal surface of the proximal trailing end. The first face has a first surface that is generally parallel with a second surface of the second face. The first and second faces extend between the distal leading end and the proximal trailing end. The first and second surfaces having one or more textured features adapted to provide friction with the spinal facet joint. One or more windows are defined in the first and/or second surfaces, and one or more side windows are defined in the first and/or second side surfaces.

Abstract: A surgical implant and a surgical kit. The surgical implant has a body portion comprising a first hole formed in an exterior surface of the body portion, a second hole adjacent the first hole, and at least one through-hole within the body portion and extending entirely thought a depth of the body portion extending entirely thought a depth of the body portion. The implant has a central opening abutting the body portion and extending through the body portion. The first hole has a first sidewall and a first cavity in the body portion, the second hole has a second sidewall and a second cavity in the body portion, and the first cavity and the second cavity have an interconnected opening there between.

Abstract: An expansion apparatus is used in spinal surgery, and which opens the expandable cage located between the vertebrae during the operation in a preferred amount, and thus adjusts the distance between the vertebrae as desired.

Abstract: An interbody spinal fusion implant includes a top wall, a bottom wall that is spaced apart from the top wall so that a cavity is formed therebetween, and a sidewall extending between the top wall and the bottom wall. At least a portion of the sidewall includes: a row of a plurality of spaced apart outer struts extending between the top wall and the bottom wall, and a row of a plurality of spaced apart inner struts extending between the top wall and the bottom wall, the row of inner struts being set back a distance from the row of outer struts toward the cavity.

Abstract: Provided are systems, devices and methods for treating spinal injuries and abnormalities. For example, provided are spinal fusion devices and methods for treating degenerative disc disease using the spinal fusion device.

Abstract: An expandable implant including a base member including a top surface, a first end, and a second end, and defining a central cavity positioned between the first end and the second end. The expandable implant further including an adjustable member including a top surface and at least one control channel, wherein the adjustable member is adjustably coupled to the base member and movable between a first, collapsed position, and a second, expanded position, a control shaft received by the base member, wherein manipulation of the control shaft causes relative movement of the adjustable member relative to the base member, and at least one control member coupled to the control shaft and received by the control channel, wherein manipulation of the control shaft causes the control member to translate along the control channel.

Abstract: The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. The fusion device described herein is capable of being installed inside an intervertebral disc space at a minimum to no distraction height and for a fusion device capable of maintaining a normal distance between adjacent vertebral bodies when implanted.

Abstract: An improved mechanism for expanding or lifting a device in accordance with various embodiments of the present invention is a coaxial screw gear sleeve mechanism. In various embodiments, coaxial screw gear sleeve mechanisms includes a post with a threaded exterior surface and a corresponding sleeve configured to surround the post, the corresponding sleeve having a threaded interior surface configured to interface with the threaded exterior surface of the post and a geared exterior surface. A drive mechanism can be configured to interface with the geared exterior surface of the sleeve, causing a device utilizing such a mechanism to expand or lift between a collapsed configuration and an expanded configuration.

Abstract: An adjustable spinal fusion intervertebral implant is provided that can comprise upper and lower body portions that can each have proximal and distal wedge surf aces disposed at proximal and distal ends thereof. An actuator shaft disposed intermediate the upper and lower body portions can be actuated to cause proximal and distal protrusions to converge towards each other and contact the respective ones of the proximal and distal wedge surfaces. Such contact can thereby transfer the longitudinal movement of the proximal and distal protrusions against the proximal and distal wedge surfaces to cause the separation of the upper and lower body portions, thereby expanding the intervertebral implant. The upper and lower body portions can have side portions that help facilitate linear translational movement of the upper body portion relative to the lower body portion.

Abstract: A spinal interbody implant includes a two-component cage and expander. The two-component cage, when assembled, accepts the expander through a reverse dovetail configuration between the assembled cage and the expander. The expander has a pair of legs that move within and along lateral channels formed by and between the two cage components for increasing the height of the two cage components relative to one another. The amount of expansion of the cage is determined by the height of the pair of expander legs. The cage accepts different expanders each having pairs of legs of different heights in order to provide different amounts of cage expansion and thus the interbody implant. The front of each expander leg is arch shaped for reception in the lateral channels of the assembled cage and to progressively expand the two cage components relative to one another as the expander is received by the assembled cage.

Abstract: A two part annulus repair rivet for repairing a defect in the annulus of an intervertebral disc includes a first part delivered through a port and adapted to be positioned at an internal surface of an annulus adjacent a defect and a second part adapted to be positioned on an external surface of the annulus adjacent the defect. The first and second parts are secured together, repairing the defect.

Abstract: An intervertebral fusion cage that is adapted to contain an inserter within its inner volume during insertion of the cage.

Abstract: An expandable spinal implant is provided having first and second endplates hinged along one end and an expansion mechanism disposed therebetween configured to expand the first and second endplates from each other to provide a lordotic angle of up to 60 degrees. Various implants, systems and methods are disclosed.

Abstract: The present invention is an implant for bone. The current implant is particularly useful in spinal surgical procedures.

Abstract: An orthopaedic surgical instrument including a shaft including a head sized to be received in the socket of a medical device is disclosed. The orthopaedic surgical instrument includes a retaining flange that is rotatable relative to the head about an axis between a first position in which a tip of the retaining flange is aligned with the head and a second position in which the tip of the retaining flange is received in one of a number of apertures of the medical device when the head of the shaft is received in the socket of the medical device. A system and method including the orthopaedic surgical instrument are also disclosed.

Abstract: A device, system, and method for performing a spinal procedure. The device includes first and second shape-memory outer platforms, the outer platforms expanding at a temperature greater than the transformative temperature, a core member having first and second expansion bodies and first and second wedge members, the first expansion body being coupled to the first outer platform and the second expansion body being coupled to the second outer platform, and a screw rotatably disposed within the core member, the screw passing through at least a portion of each of the first and second wedge members. Rotation of the screw causes the first and second wedge members to move toward each other and the first and second expansion bodies to move away from each other. Thus, reaching a transformation temperature and rotating the screw expands the device to come in contact with and anchored against both of the adjacent vertebrae.

Abstract: An embodiment includes an orthopedic fusion system comprising: a cage; a curved first channel coupling a lateral wall of the cage to a superior surface of the cage; a curved second channel coupling the lateral wall of the cage to an inferior surface of the cage; a third channel coupling the superior surface of the cage to the inferior surface of the cage; a curved first anchor configured to slide within the first channel; a curved second anchor configured to slide within the second channel; and a resilient member comprising a resilient first arm that projects across a portion of the first channel and a resilient second arm that projects across a portion of the second channel. Other embodiments are described herein.

Abstract: A spinal implant including porous and solid portions is disclosed. The implant includes porous portions on upper and lower surfaces and in an interior thereof. Methods of manufacturing and implanting such implants are also disclosed.

Abstract: The present invention relates to a system and method for spinal disc replacement surgery via a lateral approach. The invention also relates to a spinal disc replacement device that is designed to be inserted via the lateral approach disc replacement surgery. The invention further relates to tools used for the spinal disc replacement surgery via the lateral approach.

Abstract: A variable height intervertebral spine implant is adjustable in situ having first and second trapezoidal components oriented such that the short surfaces/sides of their parallel surfaces/sides are adjacent, forming a first wedge-shaped pocket between opposing first skew surfaces/sides of the first and second components on a first end, and a second wedge-shaped pocket between opposing second skew surfaces/sides of the first and second components on a second end. First and second lateral flanges of both the first and second components cooperate to connect the first and second components together, and to allow height adjustment between the first and second components. A first wedge situated in the first pocket and a second wedge situated in the second pocket are connected via a drive mechanism that effects concerted movement thereof whereby contraction increases implant height while expansion decreases implant height. The wedges ride against the skew sides of the components.

Abstract: A spinal implant system is provided for bridging an intervertebral space between vertebral bodies bordering the intervertebral space. The spinal implant system includes at least one adjustable end cap and a spinal implant. The end cap can be used with additional end caps and/or the spinal implant. Multiple end caps can be stacked on top of one another, and one end cap can be attached to a first end of the spinal implant, and another end cap 10 can be attached to a second end of the spinal implant. Thus, one or more of the end caps can be attached to either end of the spinal implant.

Abstract: An expandable cage for placement between adjacent vertebrae having two or more upper and lower end plates having compound-angled slots, ramps or rails, and a drive means having corresponding compound-angled slots, ramps or rails configured to slidingly engage the compound-angled slots, ramps or rails of the two or more upper and lower end plates, wherein movement of the drive means in a first direction moves the two or more upper and lower end plates away from each other both vertically and horizontally to expand both a height and a width of the expandable cage from a collapsed state to an expanded state.

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 spinal fusion implant includes a leading end, an opposite trailing end, an upper portion extending between the leading and trailing ends, a lower portion extending between the leading and trailing ends, and opposed first and second side portions extending between the leading and trailing ends. The upper portion includes at least two rails extending between the leading and trailing ends, the at least two rails including a first rail and a second rail spaced apart from one another, the first rail of the upper portion including a bone-contacting surface being at least partially smoothened. The lower portion includes at least two rails extending between the leading and trailing ends, the at least two rails including a first rail and a second rail spaced apart from one another, the first rail of the lower portion including a bone-contacting surface being at least partially smoothened.

Abstract: A system for use during surgical procedures. The system includes an implant and an inserter. The implant has a faceted post that rotates, ribs adapted to receive impact from an instrument to help position the implant, and stops. The inserter has a sleeve, into and from which a hook retracts and extends and on which a tab is disposed, and a pair of catches. The hook and tab combine to lock the post into position and to release the post so that the post can rotate. The engagements between the hook and the post and between the tab and the post permit rotation of the implant in situ. The stops and catches define an articulation range for the implant relative to a longitudinal axis of the inserter. A related method of using the system is also provided.

Abstract: A corpectomy cage includes a main body, a first end cap, and a second end cap. The main body is shaped as a hollow rectangular prism, and includes a first end and a second end. The first end has a plurality of first receivers formed therein, and the second end has a plurality of second receivers formed therein. The first end cap includes a plurality of first legs configured to be received within respective first receivers to removably engage the first end cap with the first end of the main body. Similarly, the second end cap includes a plurality of second legs configured to be received within respective second receivers to removably engage the second end cap with the second end of the main body. Each of the end caps further includes a plurality of teeth arranged opposite the plurality of legs.

Abstract: A method for treating a spine includes the steps of: creating a surgical pathway in a body along a first surgical approach to a surgical site including vertebral tissue; creating a surgical pathway in the body along a second surgical approach to the surgical site including the vertebral tissue; disposing a fulcrum with an intervertebral disc space of the vertebral tissue via the first surgical approach; and manipulating the vertebral tissue via the second surgical approach. Spinal implants, surgical instruments and systems are disclosed.

Abstract: A method is disclosed for introducing a spinal disc implant into an intervertebral space of a subject. The subject is placed in a lateral position, and the anterior face of the spinal disc intervertebral space is accessed, between the L5 and S1 vertebrae, from an anterior and lateral retroperitoneal approach. An operative corridor to the anterior face of the spinal disc space is established by introducing a retractor instrument anterolaterally to the spinal disc space between the anterior superior iliac spine and the anterior inferior iliac spine. The damaged spinal disc contents are removed from the intervertebral space through the operative corridor, and the implant is advanced into the intervertebral space at an oblique angle and pivoted to position the implant substantially laterally within the intervertebral space. Elongated retractor and insertion instruments, as well as a modified disc implant, are also disclosed for carrying out the method.

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: Expandable fusion cages are disclosed which may be expandable in two substantially mutually perpendicular directions.

Abstract: An embodiment includes an expandable intervertebral body fusion device with two expansion wedges within a generally hollow main body. After implantation into the intervertebral disc space, the expansion wedges are simultaneously moved from the center of the device toward the ends, which flexes the arms of the cage and increases the size of the implant. This expansion stabilizes the device in the disc space and increases the disc height, thereby reducing foraminal compression of spinal nerves and creating a stable motion segment for eventual fusion. Other embodiments are described herein.

Abstract: A spinal implant for placement between vertebral bodies includes a first member for engaging one of the vertebral bodies, a second member for engaging an opposing one of the vertebral bodies, and at least one extendable support element for inducing movement of the entire first member away from the second member. The first member is connected to the second member such that the first member moves away from the second member by a larger distance at a first end of the implant than at a second end of the implant. A connecting member may connect the first and second members together at the second end of the implant. The connecting member may include one or more rotatable linkages, or the connecting member may be an extension of one of the first and second members slidably received within a track defined within the other of the first and second members.

Abstract: An expandable intervertebral fusion cage is independently expandable vertically and laterally. The fusion cage includes a cage body that can receive an expansion member that causes the fusion cage to expand vertically. The cage body is responsive to a compressive force to move to an expanded lateral position, whereby the fusion cage defines a substantially circular annular profile.

Abstract: The present application is generally directed to implantable systems, devices and related methods pertaining to spinal surgery. In particular, the present application discloses a frame and spacer system for inserting into a disc space. The frame and spacer system is of low profile. The frame can receive different fixation devices, including threaded and non-threaded fixation devices.

Abstract: Medical implants disclosed herein may include an interior space and at least one bone on-growth structure within the interior space. The bone on-growth structure may include a root coupled to an interior surface of the implant, or to a mesh insert disposed within the interior space of the implant. The root may extend into the interior space toward another opposing interior surface of the implant. The bone on-growth structure may include a plurality of branches coupled to the root via a plurality of junctions. The plurality of branches may project at a plurality of different angles with respect to the root. The plurality of branches may each terminate within the interior space, or alternatively, one or more branches may contact opposing interior surfaces of the implant. The medical implants may also include one or more channels to enhance bone growth within the interior space.

Abstract: A packaging for an implant to hold the implant in a first condition. The packaging including a first packaging tube and a container, wherein the implant is movable from the container into the first tube and maintained within the first tube in a second condition, the implant having a first transverse dimension in the first condition and a second transverse dimension in the second condition, the second transverse dimension being less than the first transverse dimension.

Abstract: The present disclosure provides an intervertebral cage including superior and inferior members each including an engagement surface for engaging a corresponding vertebrae. The intervertebral cage also includes a posterior member that extends between a posterior end of the superior and inferior members and spaces them from each other in a superior-inferior direction. The superior and inferior members extend in a posterior-to-anterior direction from the posterior member and define anterior free ends to form a substantially open anterior end between the superior member and the inferior member in a posterior-anterior direction. The engagement surfaces of the superior and inferior members substantially diverge from each other in the superior-inferior direction along the posterior-to-anterior direction. The superior and inferior members each include first apertures extending therethrough in the superior-inferior direction that define a pathway through the intervertebral cage in the superior-inferior direction.

Abstract: A vertically expandable intervertebral cage, deployment devices, and methods for using the same. The intervertebral cage can include a circuitous body at least partially enclosing an interior volume. The intervertebral cage can also include a front panel which can be formed into a wedge for facilitating implantation of the intervertebral cage into an intervertebral space. The intervertebral cage can be converted from an undeployed configuration, wherein the height of the intervertebral cage is reduced, to a deployed configuration, wherein the height of the intervertebral cage is increased to support end plates of the vertebrae. The intervertebral cage can be converted from the undeployed configuration to a deployed configuration by using a deployment device such as an implantation device and a guide wire. The deployment device can be used to impart a force upon the cage.

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: An expandable intervertebral fusion implant capable of being expanded in three dimensions, said implant including an inferior component, including a plate, and a first wedge slidably connected to the plate, the first wedge having a first surface, and a superior component including a second wedge, the second wedge having a second surface, wherein the first surface is operatively arranged to engage the second surface to displace the superior component relative to the inferior component. The surfaces of the wedges may be angled and include a plurality of corrugations or steps which engage to allow the implant to expand and collapse.

Abstract: A spinal implant is provided including an upper surface, a lower surface, a front surface and a back surface, two side surfaces extending between the upper surface and the lower surface, the two side surfaces extending between the front surface and the back surface and an opening positioned closer to the back surface than the front surface. The opening is provided to contain graft material that spans between a cortical rim of the upper vertebral body and the cortical rim of the lower vertebral body. The method includes packing the opening with graft material, wherein the graft material spans between the decorticated cortical rim of the upper vertebral body and the decorticated cortical rim of the lower vertebral body.

Abstract: Devices and related methods for the dynamic correction of spinal deformities are disclosed. The devices and methods are particularly useful for correcting an abnormal curvature of the spine. In one exemplary embodiment, a method for correcting deformity via a spinal implant that can include a polymer between or attached to a top and bottom plate, which can exist in a wedge-shaped configuration in order to apply asymmetric forces to the spinal column, is provided. The implant may be inserted between adjacent vertebrae comprising part of the abnormal curvature, thereby restoring the normal curvature of a spine.