The present invention provides a spinous process implant and associated methods. In one aspect of the invention, the implant includes a spacer that is connectable to two extensions. One of the two extensions is connectable to the spacer at a first end and coupled to the spacer by a rotational connection. The other of the two extensions is movably connectable to the second end of the spacer and translatable over the outer surface of the spacer from the second end.

The present invention provides spinous process implant and associated methods. In one aspect of the invention the implant limits the maximum spacing between the spinous processes. In another aspect of the invention, a spacer has at least one transverse opening to facilitate tissue in-growth. In another aspect of the invention, an implant includes a spacer and separate extensions engageable with the spacer. In another aspect of the invention, instrumentation for inserting the implant is provided. In other aspects of the invention, methods for treating spine disease are provided.

A method for treating back pain in a patient in need of such treatment is provided. The method includes positioning a balloon catheter in or adjacent to a treatment zone containing a basivertebral nerve. A chemical denervation agent is administered with the balloon catheter such that the chemical denervation agent chemically ablates at least a portion of the basivertebral nerve. Kits, systems and methods are disclosed.

The present invention relates to a spacer device for fixing a band between spinous processes, the spacer device comprising: a band unit which has a certain degree of tension and is disposed between a spinous process and an adjacent spinous process which protrude from the vertebrae, on the outer circumference of the spinous process and on the outer circumference of the adjacent spinous process so as to mutually fix the spinous process and the adjacent spinous process; and a spacer unit which is coupled to the band unit and is disposed in a space between the spinous process and the adjacent spinous process so as to fix the end of the band unit, wherein the spacer unit moves along the band unit from the outside of the body to the inside of the body in a state where the band unit penetrates the spacer unit, and thus the spacer unit is inserted into the space between the spinous process and the adjacent spinous process. Thereby, the spacer device can: efficiently and reliably fix the end of a band for mutually fixing adjacent spinous processes, while permitting fine motion during surgery for treatment of spinal diseases; acquire optimal procedure results and efficiently carry out surgical procedures regardless of skill due to a relatively inexpensive and simple configuration; take action in accordance with the body types of various patients; and provide a patient with a state identical to that of original vertebrae since a firmly fixed state can be maintained and, simultaneously, fine motion is permitted following a procedure.

An implant for deployment in select locations or select tissue for regeneration of tissue is disclosed. The implant includes collagen and or other bio-resorbable materials, where the implant may also be used for therapy delivery. Additionally, the implant may include, or have blended in, an additive, such as an osteoinductive factor, for example biocompatible ceramics and glass.

A method for treating back pain in a patient in need of such treatment is provided. The method includes positioning a balloon catheter in or adjacent to a treatment zone containing a basivertebral nerve. A chemical denervation agent is administered with the balloon catheter such that the chemical denervation agent chemically ablates at least a portion of the basivertebral nerve, Kits, systems and methods are disclosed.

Systems, methods, and kits for performing endoscopic fusion with neuromonitoring. The endoscopic fusion may be performed, for example, through a cannula providing a portal to the disc space. Throughout various steps in the procedure, neuromonitoring may occur to minimize the possibility of injuring or contacting a nerve.

A device is disclosed that includes a bone stent positioned within a bony access channel formed within a vertebra. The bony access channel may extends from an outer end of the vertebra through an endplate. The device includes an end cap attached to a proximal end portion of the bone stent and is configured to, post-operatively, open to allow a reintroduction of a material to a spinal intradiscal space or intervertebral disc and to seal access to the spinal intradiscal space or the intervertebral disc after the reintroduction of the material.

A bone graft implant and methods of using the same are provided herein.

A device for safely approaching vertebral disc space utilizing stereotactic guidance, clearing material from the disc space, a device for expanding the disc space, stereotactic methods for implant planning and monitoring articulating instrument end effectors and a device for implantation into the disc space for the purpose of fusion or disc replacement.