A method of using a robotic guidance system for performing surgery on a spine is provided. The method includes utilizing a computerized tomographic scan image of a location on a spinal column of a patient, such that the computerized tomographic scan image is connected to a computer and visible on a monitor connected to the computer. The method also includes attaching a coupling component to the spinal column of the patient, coupling a marker to the coupling component, and imaging, with a fluoroscope, the view of the spinal column of the patient, wherein the fluoroscope image is transmitted to the computer and visible on the monitor and the at marker is clearly visible in the fluoroscope image. The method also includes positioning a cannula, with a robotic mechanism, to a first position relative to a vertebra in the spinal column of the patient, drilling a passage through the cannula into bone of the vertebra in the spinal column of the patient, inserting a guidewire through the cannula into the passage in the bone of the vertebra in the spinal column of the patient, and positioning a screw into the bone of the vertebra in the spinal column of the patient.

An adjustable balloon that includes a handle having an inflation port, an access cannula, a rotary handle, an inner sleeve and sharp tip. The inner sleeve extends within the access cannula to support compliant, inflatable structure. The access cannula may be retracted into the handle by operation of the rotary handle to expose the inflatable structure, such that the inflatable structure may have an adjustable length. The access cannula may include length indicators to show a length of the inflatable structure as a result of the access cannula being withdrawn into the handle.

In the use of devices and methods for measuring applied pressure on an article, such as a patella construct during a surgical procedure, a clamp is provided with arms, an optional external spring, an optional internal spring and a torque knob for applying constant and measurable pressure to the article. Embodiments of the clamp include a spring rod engaged with the torque knob for assisting in applying and retaining desired pressure. Spike elements and a bushing insert are secured to the ends of the arms for retaining the article in place during use. The elements are advantageously assembled and disassembled to facilitate thorough and quick cleaning.

A method of gradually aligning a spine having a plurality of vertebra, including: forming a hole in a vertebra of the spine; placing a tube having a proximal end and a distal end, the tube arranged to extend into or through the hole, the tube having an inflatable balloon secured to the distal end; extending a cable within the tube, the cable having an anchor tip or an array; inflating the inflatable balloon against an external surface of the vertebra and enclosing the anchor tip or array; releasably attaching an external leverage support to the proximal end of the tube; pulling the cable and the inflated balloon toward the external leverage support; and, attaching the cable to the external leverage support.

Systems and methods of delivering and deploying a stent into a curvilinear cavity within a vertebral body or other bony or body structure. In some instances, the system can include an elongate shaft for delivering a self-expanding, cement-directing stent and devices that may be used to perform the steps to deliver and deploy the stent.

In one embodiment, the present disclosure relates to a joint replacement assembly. The joint replacement assembly comprises a baseplate having an articulating side and a bone facing side, and a proximal member having a proximal end and a distal end, the proximal end being connectable to the bone facing side of the baseplate, the distal end having a plurality of grooves arranged about a first axis extending through the proximal member in a lengthwise direction. The joint replacement assembly further comprises a distal member having a proximal end and a distal end, the proximal end being connectable to the distal end of the proximal member and having a plurality of protrusions configured to engage with the plurality of grooves and prevent rotation of the distal member about the first axis relative to the proximal member.

A surgical instrument comprises a first member including an inner surface that defines a cavity and an outer surface configured to space tissue. The first member includes a first locking surface. A second member is configured for disposal within the cavity and extends between a first end configured to penetrate tissue and a second end configured to generate a signal representative of a position of the second member. The second member includes a second locking surface. The members are disposable between a first orientation such that the locking surfaces are engaged to resist relative axial translation of the members and a second orientation such that the locking surfaces are disengaged and the second member is axially translatable relative to the first member. Systems and methods are disclosed.

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. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.

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. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube may be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.

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. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube may be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.