A bone implant for enclosing bone material is provided. The bone implant comprises a woven or knit mesh having an inner surface and an outer surface opposing the inner surface and configured to receive a bone material when the inner surface of the mesh is in an open configuration. A plurality of projections are disposed on or in at least a portion of the inner surface of the mesh, the outer surface of the mesh or both the inner and outer surfaces of the mesh, the plurality of projections extending from at least the portion of the inner surface, the outer surface or both the inner and outer surfaces of the mesh and are configured to engage a section of the inner or outer surfaces of the mesh or both in a closed configuration so as to enclose the bone material.

Disclosed is a system for delivering a facet screw assembly to a facet joint. The system includes a facet screw assembly and a delivery device. The distal end of the delivery device includes a facet screw engagement feature, which is keyed to a corresponding delivery device engagement feature. In other embodiments, the system may include a facet screw assembly, a facet access guide, a washer sizer tool removably engaged with the facet access guide, a lateral mass decorticator guide slidably and removably engaged with the washer size tool, a washer implant delivery tool removably engaged with the facet access guide and detachably coupled to the facet screw assembly, and optionally an impact handle detachably coupled to the facet access guide, washer sizer tool, and washer implant delivery tool.

A distally expanding facet joint implant and delivery device for distally distracting a facet joint. The facet joint implant generally includes an outer part and an inner part. The outer part includes a pair of opposed distally expandable facet plates connected by a hinge. The inner part includes a wedge that is selectively movable against the facet plates to distally expand and contract the facet joint implant into open and closed states. Teeth on the outer part engage indents on the inner part to maintain the facet joint implant in the distally expanded state. The outer and inner parts include outer and inner connectors, and the delivery device includes corresponding outer and inner connectors adapted to be in locked engagement with the outer and inner connectors to hold the implant and selectively cause it to distally expand and contract.

A spinal facet fusion implant comprising: an elongated body having a distal end, a proximal end and a longitudinal axis extending between the distal end and the proximal end, the elongated body being characterized by a superior body surface and an inferior body surface; a superior stabilizer extending outwardly from the superior body surface, the superior stabilizer being characterized by a superior stabilizer surface; and an inferior stabilizer extending outwardly from the inferior body surface, the inferior stabilizer being characterized by an inferior stabilizer surface; wherein (i) the superior body surface and the inferior body surface are tapered relative to one another, and/or (ii) the superior stabilizer surface and the inferior stabilizer surface are tapered relative to one another.

A crosslink is provided for securing orthopedic implants, such as facet joint replacement implants, together. The crosslink has a pair of implant coupling components, a pair of rod coupling components, a rod, and a pair of fasteners. Each facet joint implant may include a semicylindrical interface received in a resilient member of the corresponding implant coupling component to permit relative cephalad/caudal adjustment between the crosslink and the implants. The resilient members grip the semicylindrical interface of the implant to enable at least temporary attachment of the implant coupling components to the implants independently of the rod. Clocking features on the semicylindrical interfaces and on the interfacing areas of the implant coupling components and rod coupling components may limit assembly of the crosslink to discrete relative orientations and prevent play after assembly. The fasteners secure the rod coupling components to the rod at the desired positions along the rod.

A method for stabilizing a cervical spine segment includes inserting a respective uncinate joint stabilizer into each uncinate joint along a medial-to-lateral direction starting from intervertebral disc space of the cervical spine segment, and securing each uncinate joint stabilizer to the respective uncinate joint. A system for stabilizing a cervical spine segment includes a pair of uncinate joint stabilizers, each (a) elongated along a lengthwise dimension and configured for placement in the respective uncinate joint with the lengthwise dimension substantially oriented along an anterior-to-posterior direction of the cervical spine segment, (b) having height configured to define spacing of the respective uncinate joint, (c) and including a tapered portion for interfacing with superior and inferior surfaces of the respective uncinate joint and to enable insertion of the uncinate joint stabilizer into the respective uncinate joint from intervertebral disc space of the cervical spine segment.

Disclosed is a system for delivering a facet screw assembly to a facet joint. The system includes a facet screw assembly and a delivery device. The distal end of the delivery device includes a facet screw engagement feature, which is keyed to a corresponding delivery device engagement feature. In other embodiments, the system may include a facet screw assembly, a facet access guide, a washer sizer tool removably engaged with the facet access guide, a lateral mass decorticator guide slidably and removably engaged with the washer size tool, a washer implant delivery tool removably engaged with the facet access guide and detachably coupled to the facet screw assembly, and optionally an impact handle detachably coupled to the facet access guide, washer sizer tool, and washer implant delivery tool.

A method of resurfacing a facet joint with a facet implant system. The facet joint includes a superior facet and an inferior facet that are adjacent to each other and movable with respect to each other. A first facet implant component is provided that has a first visualization marker. The first visualization marker includes a first marker section and a second marker section. The first marker section is oriented at an angle with respect to the second marker section. The first facet implant component between the superior facet and the inferior facet. A location and an orientation of the first facet implant component are determined using an imaging technique that locates the first visualization marker.

Systems for and methods of fusing a sacroiliac joint are provided which may include an implant adapted to be inserted into the joint space defined by the bones of a sacrum and an ilium and a delivery tool for inserting the implant into the sacroiliac joint. The method may include delivering the implant into the SI joint in a first position and transitioning the implant from the first position to a second position in situ. The implant may be configured such that in the second position the implant generally mimics a shape of the joint space of the sacroiliac joint. The implant may further include an actuation mechanism configured to cause the implant to transition from the first position to the second position. The actuation mechanism may include a hydraulic, pneumatic, geared or screwed mechanical arrangement.

The present invention relates to an implantable vertebral arthrodesis device (1) for fusing an overlying vertebra and an underlying vertebra, the device comprising an anterior portion (2) having upper and lower bearing zones (2a, 2b) suitable respectively for receiving lower and upper portions (3, 6) of upper and lower laminae (4, 7) of the overlying and underlying vertebrae (5, 8), said zones (2a, 2b) being spaced apart by a minimum height h (h1) for maintaining intervertebral spacing; rigid retaining devices (9) arranged relative to the anterior portion (2) so as to block migration of said anterior portion (2) towards the spinal canal; a posterior portion (10) in connection with said anterior portion (2), including a main housing (11) having first and second openings (11a, 11b) facing each other and suitable for receiving in part the spinous processes (12, 13); and a granular osteosynthesis material arranged in said main housing (11).