Provided is an artificial spinal disc including an upper disc formed in a plate shape with top coupled to an upper vertebra, a protruding joint portion protruding from a lower surface of the upper disc, and a lower disc formed in a plate shape with bottom coupled to a lower vertebra wherein the protruding joint portion is seated on an upper surface of the lower disc. According to the foregoing description, the artificial disc is implanted through the lateral or anterolateral approach to the spine, rather than the anterior approach, and such lateral implantation is straightforward.

Stand-alone interbody fusion devices for engagement between adjacent vertebrae. The stand-alone interbody fusion devices may include frames and one or more endplates coupled to the frame. The frame may be configured and designed to provide the apertures which are designed to retain bone fasteners, such as screws or anchors, and secure the implant to the adjacent vertebrae.

A spinal implant has a proximal region and a distal region, and includes an upper body and a lower body each having inner surfaces disposed in opposed relation relative to each other. A proximal adjustment assembly is disposed between the upper and lower bodies at the proximal region of the spinal implant and is adjustably coupled to the upper and lower bodies, and a distal adjustment assembly is disposed between the upper and lower bodies at the distal region of the spinal implant and is adjustably coupled to the upper and lower bodies. The proximal and distal adjustment assemblies are independently movable with respect to each other to change a vertical height of at least one of the proximal region or the distal region of the spinal implant.

An implantable prosthesis that includes a biased coiling member and a conforming coiling member. The biased coiling member may be biased to curve from a substantially linear configuration to a nonlinear configuration. The conforming coiling member may be engaged with and curved by the biased coiling member from the substantially linear configuration to the nonlinear configuration. The biased coiling member may define a longitudinal axis when in the substantially linear configuration. The biased coiling member and the conforming coiling member may move relative to each other along the longitudinal axis. The prosthesis may be implanted in a surgical procedure that minimizes incision sizes and may be considered less invasive than typical implant procedures, especially spinal implant procedures.

A multi-component implant insertion system for insertion of an intervertebral implant cage and methods of use thereof are described herein. Preferably, the proximal end of a hollow jaw is inserted into the distal end of an inserter. Once inside the inserter, a thread on the jaw engages a corresponding thread inside the inserter, allowing axial advancement of the jaw along the inserter. A ram is inserted through the proximal end of the jaw until the distal end of the ram protrudes at the distal end of the inserter assembly. Optionally, an adjustable stop introduced onto the superior portion of the inserter allows for control over the depth of insertion of the implant. An implant of appropriate size is introduced to the jaw of the inserter assembly and the implant/inserter assembly can be impacted into the vertebral body until the adjustable stop contacts the anterior edge of the vertebral body.

Misaligned bones on opposite sides of a joint are aligned using a first rigid extension securable to one of the misaligned bones using a particular surgical approach, and a second rigid extension having a contacting surface positionable in contact with the other the two misaligned bones from the same surgical approach. The first and second rigid extensions are moved with respect to each other using a lever, whereby a pulling force is exerted on one of the bones, and a pushing force on the other, thereby aligning the first and second misaligned bones.

The invention relates to a set for the endoscopic fixation of an implant by means of a nail or pin. It comprises the following: an applicator sheath insertable through an endoscope into an intervertebral disk and through which an implant is insertable into an intervertebral disk defect; a drill wire guide sheath sized to be insertable into the applicator sheath; and a pusher for imparting blows during the fixation of an implant in the intervertebral disk by means of a nail or pin, wherein the pusher being sized to be insertable into the applicator sheath. In addition, the set may comprise an implant and or at least one nail or pin.

An expandable interbody spacer for placement between adjacent vertebrae having two or more upper and lower endplates and lateral expansion wedges configured to couple a drive means to expand both a height and a width of the expandable interbody spacer from a collapsed state to an expanded state.

A spacer for separating bones of a joint includes a frame and a carriage. The carriage has ramped surfaces, and is slideably moveable in relation to the frame. A screw support is moveably connected to the frame to form a changeable angular orientation with respect to the frame. An actuating screw is supported by the screw support, and is connected to the carriage to cause the carriage to slideably move in relation to the frame when the actuating screw is rotated. Opposing endplates are configured to engage opposing bone of the joint, and each has ramped surfaces mateable with the ramped surfaces of the carriage. When the carriage is moved by rotation of the actuating screw, the ramped surfaces of the carriage and the endplates slide against each other, causing the endplates to move relatively apart, to increase the height of the spacer.

A prosthetic intervertebral disc is formed of first and second end plates sized and shaped to fit within an intervertebral space and to be implanted from the back of the patient, thereby decreasing the invasiveness of the procedure. The posterior approach provides for a smaller posterior surgical incision and avoids important blood vessels located anterior to the spine particularly for lumbar disc replacements. The first and second plates are each formed of first, second and third parts are arranged in a first configuration in which the parts are axially aligned to form a low profile device appropriate for insertion through the small opening available in the TLIF or PLIF approaches described above. The three parts of both of the plates rotate and translate with respect to one another in situ to a second configuration or a deployed configuration in which the parts are axially unaligned with each other to provide a maximum coverage of the vertebral end plates for a minimum of insertion profile. Upon deployment of the disc, a height of the disc is increased.