Intervertebral implants for implanting into an intervertebral space are provided. The implants can comprise one or more layers that are operably attached to one another. An implant can comprise a first layer having a first mating surface that mates with a second mating surface of a second layer. The first mating surface and the second mating surface can have features that allow them to complement each other. The implants can include one or more bore holes for receiving a fixation member. The bore holes can be horizontal, vertical or diagonal. In some cases, the bore holes will be blind bore holes.

An artificial replacement disk assembly comprised of a core in between two endplates. The endplates have outer surfaces that match the surface morphologies of the corresponding vertebral endplates. The endplates may have textured inner surface to form a strong fusion with the core during the fabrication process. The thick solid endplates strongly fused to the core create a very resilient implant. Gripping structures on the endplates may permit easy manipulation of the assembly during surgical procedures.

An improved method of fusing the sacroiliac joint and tools for accomplishing the same is disclosed. In one embodiment, the present invention is a method that uses an intra-articular joint fusion device for connecting the sacrum and ilium that includes creating a first incision in the patient's skin proximal to the patient's sacroiliac joint, inserting a surgical channel tool into the incision from the patient's posterior, creating a void in the sacroiliac joint, inserting a fusion implant into the void, the fusion implant having at least one fixation element for engagement with bone tissue in the articular surfaces of the sacrum and the ilium, and driving the fusion implant into the void such that the at least one fixation element engages with bone tissue in an articular surface of at least one of the sacrum and ilium, and the fusion implant fixes relative positions of the sacrum and ilium.

A prosthesis for spinal surgery includes a spacer adapted to be secured into the bone and attached to one of a plurality of configuration plates. The configuration plates are interchangeable and each one is configured to utilize a different combination of bone screws, anchors or both. The prosthesis may further include a retaining mechanism to prevent bone screws and/or anchors from backing out.

A spinal jack adapted for installation between first and second vertebral processes, including a central body supporting first and second inter-expandable jack halves between retracted and expanded positions. Each of the jack halves further includes gripping portions adapted for engaging the vertebral processes. A geared mechanism provides for expanding or retracting the jack halves in order to establish a corrected adjusted orientation between the processes.

A surgical cage positioning system for the implantological replacement of an intervertebral disk, in the region of the lumbar spine of humans, has a positioning instrument with a first coupling prong and with a first manipulator prong, each provided with a coupling element. The manipulator prong can be displaced in the axial direction relative to the coupling prong by means of a handle. The cage positioning system has a cage with an insertion opening for the instrumentation segment and with coupling means, via which the coupling elements of the instrumentation segment, each pivotally connected to the cage, can be coupled so that the cage can be pivoted by means of the manipulator prong about an axis of rotation defined by the coupling element of the coupling prong and the coupling means of the cage relative to the longitudinal axis of the positioning instrument.

A device for insertion into a gap between adjacent, spaced apart bony elements includes an adjustable length interconnecting member having a distal and a proximal retention plate secured to opposite ends of the interconnecting member. The distal retention plate has a non-rotated position and a plurality of rotated positions. The non-rotated position aligns the distal retention plate with the gap prior to and during insertion of the distal retention plate into the gap. The distal retention plate is rotated after it has exited the gap on a distal side of the gap to prevent its return into the gap. The proximal retention plate is misaligned with the gap so that it cannot enter into the gap. The rotated distal retention plate cooperates with the proximal retention plate to hold bony elements such as adjacent vertebral bodies in a stable relationship to one another when the interconnecting member is shortened.

An intervertebral cage with an outer frame, an open inner core region and a porosity gradient within the outer frame is provided. The outer frame includes a posterior wall, an anterior wall, a pair of side walls extending between the posterior wall and the anterior wall and the porosity gradient may comprise at least one of: a decreasing average pore diameter in a direction from an outer surface to an inner surface of at least one of the pair of side walls; an increasing average pore diameter in a direction from an outer surface to an inner surface of at least one of the pair of side walls; a decreasing average pore diameter in a direction from an upper surface to a lower surface of at least one of the side walls; and an increasing average pore diameter in a direction from an upper surface to a lower surface of at least one of the side walls.

Disclosed are devices for the fixation and support of vertebrae, particularly adjustable spinal implant devices.

A low profile intervertebral implant for implantation in an intervertebral disc space between adjacent vertebral bodies of a quadruped. The intervertebral implant includes a plate and a spacer that extends from the plate. The intervertebral implant can define geometries that nest with complementary geometries of the vertebral bodies. Further, the plate can include fixation holes that extend along trajectories such that screws inserted through the fixation holes and driven into the respective vertebral bodies can purchase with dense cortical bone.