The present invention relates to a spinal arthrodesis system including at least two types of implants from among the three following types: an intersomatic implant (IS), including at least one passage (40) mating at least one anchoring device (1); an interspinous implant (IE), including at least two wings able to run along a portion of the vertebral spines (EI, ES); a facet implant (IF) including a bone attachment.

A facet joint replacement system includes an inferior implant with an inferior articular surface, a superior implant with a superior articular surface and may include a crosslink extending across a vertebral sagittal plane. The inferior implant may comprise an inferior strut, and a polyaxially adjustable, lockable mechanism which may couple the inferior articular surface with a first end of the inferior strut, and couple the inferior articular surface with the crosslink. A second end of the inferior strut may be secured to a polyaxially adjustable, lockable fixation assembly securable in a vertebra. The superior implant may be secured to a polyaxially adjustable lockable fixation assembly securable in a vertebra. The positions of the inferior articular surface and the first end of the inferior strut are independently translatable along a medial-lateral axis of the vertebra prior to lockout by the lockable mechanism. The crosslink may be placed into the lockable mechanism from a posterior approach.

A biodegradable implant for use in intertransverse process spinal fusion having an absorbable matrix having a bone generating material disposed therein. A molded biodegradable case being made of bioabsorbable polymer can at least partially surround the absorbable matrix to carry a substantial portion of compression force relative to said absorbable matrix.

A spacer member is provided that is configured to be implanted adjacent an anatomical structure. The spacer member defines a curved bore, a first opening in a side wall of the spacer member and a second opening in one of a top wall and a bottom wall of the spacer member. Each of the first opening and the second opening are in fluid communication with the curved bore. A flexible anchoring member is configured to be inserted through the side opening and through the curved bore of the spacer member such that a distal end portion of the flexible anchoring member extends out of the second opening at an angle relative to the one of the top wall and the bottom wall of the spacer member.

A method of surgically treating a patient suffering from severe pain and disability of the low back and buttock by stabilizing the patient's spinal column to their pelvis with an implant system including surgical tools and an implant designed to prevent movement between the sacrum and the ilium while being able to attach to a spinal fusion rod which connect to pedicle screws implanted in the bones of the spine of the patient in order to offer lasting relief of the patient's symptoms. The system is designed to address complications in adult spinal deformity by optimizing spinopelvic fixation via-a-vis the unique biomechanics of the SI joint. The sacropelvic system is a surgical solution which provides an additively manufactured implant at the base of the spine employing an S2AI trajectory while utilizing assisting technologies including surgical navigation and intraoperative neurophysiological monitoring.

An intervertebral spacer is designed particularly for patients who are not candidates for total disc replacement. The spacer maintains disc height and prevents subsidence with a large vertebral body contacting surface area while substantially reducing recovery time by eliminating the need for bridging bone. The intervertebral spacer or fusion spacer includes a rigid spacer body sized and shaped to fit within an intervertebral space between two vertebral bodies. In one embodiment, the spacer body has two opposed metallic vertebral contacting surfaces, at least one fin extending from each of the vertebral contacting surfaces and configured to be positioned within slots cut into the two vertebral bodies. Holes, if present, cover less than 40 percent of the entire vertebral body contacting surfaces to provide increased bone ongrowth surfaces and to prevent subsidence.

Various embodiments of cervical plates for treating the spine are provided. The cervical plates include an access surface and a bone facing surface. The cervical plate further includes at least one hole between the access surface and the bone facing surface. The hole includes a trajectory surface that guides an anchor into a corner or edge of a vertebral body, wherein a portion of the hole extends into the disc space region. In some embodiments, the cervical plate includes a ledge to support high angle screw insertion. In some embodiments, an interbody implant is provided. The cervical plate and the interbody spacer can have a corresponding curvature.

An expandable implant may include a superior endplate and an inferior endplate. The superior endplate may have at least one track extending in a proximal-to-distal direction and an inferior endplate may have at least one track extending in the proximal-to-distal direction. An adjusting shim may be disposed within the at least one track to adjust a spacing and angle of inclination of the implant. Some embodiments may include a plurality of tracks for adjusting a spacing and an angle of inclination between the superior endplate and the inferior endplate. Some embodiments may be configured to adjust an orientation of the implant relative to a disc space in both the sagittal plane and the coronal plane. Various embodiments disclosed herein may be used in an Anterior lumbar interbody fusion (ALIF), Transforaminal lumbar interbody fusion (TLIF), or a lateral Lumbar Interbody Fusion (LLIF) procedure, for example.

Improved bone plate systems are described herein. In some instances, a bone plate system can include a base plate, at least one retainer plate, and at least one spacer. The at least one retainer plate is configured to reside on the base plate in a free floating manner and can receive at least one fastener to secure the retainer plate to the at least one spacer, thereby providing a plate system that attaches to a spacer. In other instances, a bone plate system can include a base plate having one or more push plates that can engage at least one spacer.

An implant assembly including an expandable vertebral body replacement implant. The implant assembly includes a right hand end and a left hand end configured to attach to a threaded actuator. An outer ring is configured to surround each of the right and left hand ends and the threaded actuator. The implant assembly may include removable endplates configured to engage vertebral bodies as interbody spacer or through a corpectomy. The implant assembly includes a locking mechanism to prevent collapse or movement the implant assembly after implantation. The locking mechanism automatically engage after removal of an inserter instrument from the implant assembly.