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.

Arcuate fixation members with varying configurations and/or features are provided, along with additional components for use therewith in provided intervertebral implants. The arcuate fixation members may be of different lengths, cross sectional geometries, and/or cross sectoinal areas. Applications of intervertebral implants utilizing arcuate fixation members are particularly suitable when a linear line-of-approach for delivering fixation members is undesirable.

The present invention relates to a spinal fusion cage which is inserted between vertebral bodies at the lowest height and is height-adjustable in the inserted state, and has improved fixing strength by insertion of a bone screw through an end plate, wherein cages having heights within a predetermined range can be replaced by a single cage. Therefore, manufacturers can reduce the number of product groups that need to be produced, and can also reduce product stock. In addition, unlike the conventional cages having preset heights at regular intervals, the height can be linearly adjusted according to the distance between the vertebral bodies of a patient, and thus surgery can be performed using the cage adjusted to an optimum height according to the patient’s condition.

An intervertebral implant for fusing vertebrae is disclosed. The implant may have a body with curved, posterior and anterior faces separated by two narrow implant ends, superior and inferior faces having a plurality of undulating surfaces for contacting vertebral endplates, and at least one depression in the anterior or posterior face for engagement by an insertion tool. The implant may also have one or more vertical through-channels extending through the implant from the superior face to the inferior face, a chamfer on the superior and inferior surfaces at one of the narrow implant ends, and/or a beveled edge along a perimeter of the superior and inferior faces. The implant configuration facilitates transforaminal insertion of the implant into a symmetric position about the midline of the spine so that a single implant provides balanced support to the spinal column. The implant may be formed of a plurality of interconnecting bodies assembled to form a single unit. An implantation kit and method are also disclosed.

A tool assembly includes a universal, intervertebral bone fusion spacer for insertion into a disc space between a first vertebral body and a second vertebral body and fusion of the first vertebral body to the second vertebral body via biological bone fusion and screw fusion, and a tool for manipulating and inserting the universal, intervertebral bone fusion spacer into the disc space between the first vertebral body and the second vertebral body to provide fusion of the first vertebral body to the second vertebral body via biological bone fusion and screw fusion.

An intervertebral implant frame that is configured to be attached to a spacer body can include a pair of arms that extend longitudinally from a support member such that the arms extend substantially around the spacer body. The arms may be configured to expand, crimp, or otherwise engage the spacer body to thereby hold the spacer body to the frame. The spacer body may be made from bone graft.

An interbody spinal implant including a body having a top surface, a bottom surface, opposing lateral sides, and opposing anterior and posterior portions. At least a portion of the top surface, the bottom surface, or both surfaces has a roughened surface topography including both micro features and nano features, without sharp teeth that risk damage to bone structures, adapted to grip bone through friction generated when the implant is placed between two vertebrae and to inhibit migration of the implant. The roughened surface topography typically further includes macro features and the macro features, micro features, and nano features overlap. Also disclosed are methods of using such implants and processes of fabricating a roughened surface topography on a surface of an implant. The process includes separate and sequential macro processing, micro processing, and nano processing steps.

The invention relates to an expandable implant (11) with an upper plate (12) and a lower plate (16) which extend in the xy plane, which serve for anchoring on/in the vertebral support surfaces, and at least three gears (20, 25, 30) which are coupled to each other, wherein the gears (20, 25, 30) serve to expand the implant (11), and each gear (20, 25, 30) has a threaded spindle (21, 25, 31) and a threaded sleeve with corresponding inner thread (22, 27, 32), wherein the pitch of one thread (31, 32) is different from the pitch of the other threads (21, 22; 26, 27). The invention also relates to an operating instrument (80) for this implant.

An expandable prosthetic implant for engagement between vertebrae includes a first member having a first end, a second end, a plurality of extensions and a hollow interior portion extending from the first end to the second end, wherein the plurality of extensions extend from the first end to the second end. A second member includes a first end, a second end, a hollow interior portion extending from the first end to the second end, and a plurality of extensions extending from the second end to the first end. The plurality extensions of the first member are configured to coaxially interdigitate with the second member, and the plurality of extensions of the second member are configured to coaxially interdigitate with the first member. The first member of the implant is moveable relative to the second member along a longitudinal axis.

An intervertebral implant for spondylolisthesis correction includes a superior side with serrations angled superiorly and toward the implant insertion direction, an inferior side with serrations angled inferiorly and opposite the implant insertion direction, and an instrument connection feature. An instrument for connection to the implant includes an implant connection feature movable between unlocked and locked states, and a friction-reducing feature movable between disengaged and engaged states. The instrument has a first state, in which the implant connection feature is in the unlocked state and the friction-reducing feature is in the disengaged state; a second state, in which the implant connection feature is in the locked state and the friction-reducing feature is in the engaged state; and a third state, in which the implant connection feature is in the locked state and the friction-reducing feature is in the disengaged state. Methods of apparatus assembly and surgery are disclosed.