Methods and systems for evaluating the biomechanical properties of a subject's spine for the purpose of optimizing a potential surgical intervention by selecting or designing surgical hardware fora spinal correction procedure. The system uses a simulated dynamic analysis configured to analyze, predict and improve the outcome of the surgical procedure by taking into account physiological, biomechanical, and anatomical factors. Machine learning algorithms use the computed distribution of forces and moments on the subject's spine, and compare the subject's results with those of patients from a reference population. By analyzing the biomechanical parameters of individuals in the reference population and distinguishing those whose procedure succeeded versus those whose procedure failed, and comparing their biomechanical parameters to these of the individual under evaluation for a spinal surgery, the method is able to predict the chances for a successful surgery, recommend an optimal procedure and/or the optimal implant(s) configuration.

An intervertebral implant for implantation in an intervertebral space between vertebrae. The implant includes a body extending from an upper surface to a lower surface. The body has a front end, a rear end and a pair of spaced apart first and second side walls extending between the front and rear walls such that an internal chamber is defined within the front and rear ends and the first and second walls. The body defines an outer perimeter and an inner perimeter extending about the internal chamber. At least one of the side walls is defined by an integral porous structure.

Methods of making medical devices are described. An example device is an implant used in spaces between vertebrae in a vertebral column of an animal. The example medical device includes a main body that has a lengthwise axis, a proximal end, a distal end, a length that extends from the proximal end to the distal end, an upper wall, a lower wall, a first lateral wall, a second lateral wall, and defines a plurality of pockets, a plurality of pocket supports, an interior chamber, a plurality of windows, and a recess. A pocket support of the plurality of pocket supports is disposed within each pocket of the plurality of pockets. A first mask includes an elongate member and a plurality of projections and is integrally formed with the medical device main body. The mask is used for performing a finishing process on the device and subsequently removed using a tool.

The invention relates to a device intended to replace or partially replace one or more vertebral bodies or intervertebral discs in the cervical, thoracic or lumbar spine, and includes methods for its use and deployment. The invention may be used to restore biomechanical parameters correlating with improved patient outcomes and also involves a method for a more effective discectomy or corpectomy prior to graft deployment.

Systems and methods are provided for robotically assisted disc prosthesis selection and implantation. The system includes a 3D modeling system for creating a 3D model of first and second vertebra adjacent the intended surgical site and identifying and storing data for the positions of the first and second vertebrae. A computing system for stores and processes the 3D model and the position data. A robot connected to the computing system attaches to a plurality of instruments including sizing templates, trials, cutters or placement instruments for intervertebral disc prostheses. An interface on the computing system allows the surgeon to sequentially deliver the plurality of instruments with the robot to a registration position to improve the speed and accuracy of the surgical procedure.

Intersomatic cage for vertebral stabilization, including a generally prismatic body consisting of surface receptacles containing slow prolonged release substances selected from the classes of anti-inflammatory, anti-infection and bone regrowth promoter drugs. The receptacles are in the form of gratings of grooves.

A geared cam expandable spinal implant. Rotational motion of a rotating portion is translated into linear motion of a yoke, which moves geared cams at the distal end of the implant to mate with, and walk along, teeth of corresponding racks. The walking of the gear cam teeth along the rack teeth creates a regular rate of implant expansion, reduces initial excessive expansion force applied to the implant, and provides fine adjustment of the expansion rate and force.

Spinal implants, spinal implant systems, and methods for inserting spinal implants are provided. The implants can be implanted in an intervertebral space between adjacent superior and inferior vertebrae. The implant includes a superior implant surface having one or more superior positioning grooves configured to receive a corresponding superior positioning rail and an inferior implant surface having one or more inferior positioning grooves configured to receive a corresponding inferior positioning rail when the implant is implanted in the intervertebral space.

Disc prosthesis comprising an insert in the form of a flexible cushion, a first half-shell and a second half shell, the insert in the form of a flexible cushion being positioned between the half-shells, characterized in that a first of the half-shells includes a first base provided with a first surface for hooking on to a first vertebra and a recessed annulus for forming a first cup and in that a second of the half-shells is provided with a first surface for hooking on to a second vertebra and a second surface bearing a rim surrounding a second cup, the cups facing each other each receiving an upper crown and a lower crown of the insert, the annulus and the rim forming walls that slot together with play and making stops for angular and shearing movements between the half-shells.

A biocompatible implant, as well as method of fabricating the implant and repairing an annular defect in annulus fibrosus (AF) of an intervertebral disc (IVD) disposed in a functional spinal unit (FSU), includes an insert that provides faces that can interface with the defect to repair or treat the AF. The implant can deliver biological and mechanical factors to enhance healing in an annular defect and prevent recurrence of herniation symptoms. The implant can be fabricated using a hybrid of first fibrous scaffold structure including at least a first layer and a second layer of first fibers fabricated via three-dimensional fiber deposition (3FD) and second fibrous scaffold structure including a third layer and a fourth layer of second fibers formed via melt electrowriting (MEW). Suitable attachment methods, including bio-adhesives can be used to bond the implant to the IVD and/or FSU.