The invention relates to medical implants, including spinal implants and bone grafts, for fixation and integration with hard tissue. The bone medical implants include at least one rotational fixation mechanism that further includes or is attached to one or more sharp protrusions configured to penetrate and become lodged into hard tissue to provide support and positional stability. Such support is useful to ensure that the spinal bone graft may be used without additional stabilizing or anchoring structures, such as supporting plates or screws.

This application describes surgical instruments and implants for building a posterior fixation construct across one or more segments of the spinal column during a medialized posterior lumbar interbody fusion (PLIF) procedure.

An intervertebral implant for insertion into an intervertebral disc space between adjacent vertebral bodies or between two bone portions. The implant includes a spacer portion, a plate portion operatively coupled to the spacer portion and one or more blades for securing the implant to the adjacent vertebral bodies. The blades preferably include superior and inferior cylindrical pins for engaging the adjacent vertebral bodies. The implant may be configured to be inserted via a direct lateral trans-psoas approach. Alternatively, the implant may be configured for insertion via an anterior approach.

A method for treating a spine comprises the steps of: inserting a surgical instrument into a tissue cavity, the surgical instrument including an image guide oriented relative to a sensor to communicate a signal representative of a position of the surgical instrument relative to the tissue cavity; displaying a selected configuration with a distal end of the surgical instrument in the tissue cavity; tracking movement of the selected configuration in the tissue cavity with a tracking device that communicates with a processor to generate data for display of the movement; and determining a volume of the tissue cavity based on the data. Systems, spinal constructs, implants and surgical instruments are disclosed.

An adjustment tool configured to adjust an intervertebral implant comprises a housing, a traveler member, a tether member, and a drive member. The traveler member is coupled to the housing. A proximal end of the tether member is coupled to the traveler, and a distal end of the tether member is configured to couple to the implant. The tether member is substantially linearly fixed to the traveler and rotatable relative to the traveler. The drive member is configured to transition between 1.) a first position in which the drive member is coupled to the tether such that rotation of the drive member causes rotation of the tether relative to the traveler, and 2.) a second position in which the drive member is coupled to the traveler such that rotation of the drive member causes rotation of the traveler relative to the housing.

Embodiments of mammalian bony anchor(s) 10 for treating mammalian bony segments such as in conjunction with other system(s) to encourage bony fusion, stabilize, maintain spacing between, or couple the bony segments. Other embodiments may be described and claimed.

Disclosed are systems, devices, methods and surgical procedures for altering and/or correcting the alignment of adjacent bones, including bones of the spine.

Disclosed are systems, devices, methods and surgical procedures for altering and/or correcting the alignment of adjacent bones, including bones of the spine.

Intervertebral disk prosthesis comprising an external waterproof multilayered deformable casing surrounding a peripheral partition membrane delimiting an outer space and an inner cavity, wherein the inner cavity is partitioned by vertical walls delimiting at least four cavity compartments configured to be filled with a non-toxic saline solution, and wherein the vertical walls comprise orifices and/or porous membranes configured to induce the saline solution to flow from one cavity compartment toward another upon heterogeneous application of a pressure comprised between 0.05 and 3 MPa in a duration comprised between 10 seconds and 60 minutes, and to revert back to its native compartment upon removal of said pressure in a duration comprised between 10 seconds and 180 minutes, and wherein the walls are distributed asymmetrically in the inner cavity so that a posterior part of the inner cavity comprises fewer and/or larger cavity compartments than an anterior part of the inner cavity.

A spinal disc implant including a body defined by a plurality of interwoven or braided nitinol strands. The body includes a first end and a second end. The nitinol strands come together at the first end and are secured with a first fitting. The nitinol strands also come together at the second end and are secured with a second fitting. The second fitting can include a snare hook. The braided nitinol skeleton is internally assembled within the intervertebral disc. The implant is filled with liquid, gel or silicone when utilized as a motion preserving nucleus pulpous implant. The implant is filled with bone graft material when utilized as an inter-body fusion implant. An instrument and technique that provides a minimally invasive needle based solution to address degenerative disc disease with enhanced structural integrity of the spine compared to conventional surgical devices and techniques.