One embodiment of the present invention provides a cage for spinal interbody fusion, which has sufficient durability and allows for bone fusion with a bone implanted to the anterior disk as well as fusion between vertebrae, thereby achieving a more stable bone fusion. The cage for spinal interbody fusion according to the embodiment of the present invention comprises a cage body and a tip which is formed to extend from the cage body and have a predetermined curvature. Further, the cage body has a cavity part which is formed to penetrate from the top surface to the bottom surface of the cage body with a projection part having a plurality of projections formed on the top surface and the bottom surface, and at least one perforation part, which is perforated from the side surface adjacent to the top surface or the bottom surface to the direction of the cavity part, and is located in the anterior direction of the cavity part.

An artificial acetabulum having a multilayer shell-core composite structure includes a ceramic acetabular liner, a transition layer and an acetabular shell. The acetabular shell is made of a porous metal, a porous alloy or a porous toughened ceramic; the ceramic acetabular liner is made of a ceramic material; and the transition layer is made of a composite material comprising materials of the acetabular shell and the ceramic acetabular liner. The artificial acetabulum is manufactured through sintering a green body of successively stacked layers of the ceramic acetabular liner, the transition layer and the acetabular shell, and the green body of successively stacked layers is obtained through a powder co-injection molding process. The ceramic acetabular liner of the artificial acetabulum has a high rigidness, corrosion-proof and wear-proof performance. The acetabular shell of the artificial acetabulum has a high toughness and shock resistant performance.

The present invention is directed to a medical implant, methods of use and making of such implants. A method of making an implantable device may include obtaining an anatomical model in a computer aided design (CAD) system, customizing the anatomical model per patient specific parameters and creating a virtual image of the anatomical model, incorporating at least one microchannel geometry within said anatomical model, adjusting the density infill to a measurement ranging per patient specific parameters, and using three-dimensional printing to form the implantable device based on the anatomical model. The implant can be made of suitable metallic or polymeric material, such as PLA.

A top-loading pedicle screw system for correcting a misalignment of the spinal column of a patient. The top-loading pedicle screw assembly comprises a screw having a threaded shaft for affixation the assembly to a vertebral pedicle. The screw has a shank top forming an internal curved socket. A head is positioned within the socket to move in a multi-axial relationship thereto. A through bore is formed in the head to receive a rod that joins two or more pedicle screw assemblies to the spinal column of a patient. A locking element is inserted into the head to lock the rod to the head while also locking the head to the shank top of the screw.

A system and method for developing customized apparatus, such as guides, for use in one or more surgical procedures is disclosed. The system and method incorporates a patient's unique anatomical features or morphology, which may be derived from capturing MRI data or CT data, to fabricate at least one custom apparatus or guide. According to a preferred embodiment, the customized apparatus comprises at least one patient-specific surface and or contour, which may be derived from MRI or CT data. Apparatus may be matched in duplicate and oriented around the patient's own anatomy, and may further provide any desired axial alignments or insertional trajectories. In an alternate embodiment, the apparatus may further be aligned and/or matched with at least one other apparatus during the surgical procedure.

Methods for altering the natural history of degenerative disc disease and osteoarthritis of the spine are proposed. The methods focus on the prevention, or delayed onset or progression of, subchondral defects such as bone marrow edema or bone marrow lesion, and subchondral treatment to prevent the progression of osteoarthritis or degenerative disc disease in the spine and thereby treat pain.

An intervertebral implant, alone and in combination with an insertion tool for inserting same and a method for inserting same. The implant has upper and lower parts which have universal movement relative to each other. Each of the upper and lower parts also has a surface engaging an adjacent vertebrae. Each part has a keel extending from said surface into a cutout in the adjacent vertebrae, and each keel has an anterior opening recess therein. An insert tool has a pair of arms which are received in the recess of the keels through the anterior opening to securely hold and insert the implant. Projections and matching indentations in each arm and the base of its recess securely attached each arm within its keel.

A system for stabilizing a cervical spine segment includes a pair of uncinate joint stabilizers for stabilizing a respective pair of uncinate joints. Each uncinate joint stabilizer is elongated along a lengthwise dimension and is 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. Each uncinate joint stabilizer has height configured to define spacing of the respective uncinate joint. Each uncinate joint stabilizer includes a generally cylindrical portion with cylinder axis in the lengthwise dimension. The generally cylindrical portion has threads for threading the uncinate joint stabilizer into the respective uncinate joint along the anterior-to-posterior direction. The threads are interrupted by one or more fenestrations configured to accommodate bone graft material, bone growth, and/or tissue displaced from the respective uncinate joint by the uncinate joint stabilizer.

An expandable anterior lumbar interbody fusion device comprises a deformable monolithic body having posterior and anterior ends, an upper bone contact structure and a lower bone contact structure. The body is expandable along a height axis between a first smaller height to a second larger height. The body comprises a pair of opposed side structures, each including a translatable center section being movable in a direction transverse to the height axis, a first locator arm adjacent the posterior end, a second locator arm adjacent the anterior end and a pair of formable load-bearing columns supported by the upper bone contact structure, the lower bone contact structure and the center section. The columns are not formed at the first height but are operative upon expansion of the body to the second height to form load-bearing columns along the height axis between the upper and lower bone contact structures.

An implant for therapeutically separating bones of a joint has two endplates each having an opening through the endplate, and at least one ramped surface on a side opposite a bone engaging side. A frame is slideably connected to the endplates to enable the endplates to move relative to each other at an angle with respect to the longitudinal axis of the implant, in sliding connection with the frame. An actuator screw is rotatably connected to the frame. A carriage forms an open area aligned with the openings in the endplates. The openings in the endplates pass through the carriage to form an unimpeded passage from bone to bone of the joint. The carriage has ramps which mate with the ramped surfaces of the endplates, wherein when the carriage is moved by rotation of the actuator screw, the endplates move closer or farther apart.