Anchoring devices, anchoring systems for intervertebral implants, intervertebral implants, and instruments and methods for implanting implants are disclosed. In preferred configurations, these various objects share the feature of comprising or cooperating with an anchoring device having a body comprising at least one curved plate elongated along a longitudinal axis, designed to be inserted through a passage crossing at least a part of implant, in order to penetrate into at least one vertebral endplate and attach implant onto this vertebral endplate by means of at least one stop retaining the implant, characterized in that the body comprises at least one longitudinal rib on at least a part of at least one of its faces, said rib being designed to cooperate with a groove made in passage of implant. In some preferred configurations, anchoring device comprises withdrawal stops or latches, and/or means for withdrawing the anchor from an inserted position.

Systems, devices, and methods are provided for orthopedic implants. The implants may include a base member, such as an acetabular shell or an augment, that is configured to couple with an augment, flange cup, mounting member, or any other suitable orthopedic attachment. Mounting members include, for example, flanges, blades, hooks, and plates. In some embodiments, the orthopedic attachments may be adjustably positionable about the base member or other attachments, thereby providing modularity for assembling and implanting the device, and various securing and/or locking mechanisms may be used between the components of the implant.

Systems, devices, and methods are provided for orthopedic implants. The implants may include a base member, such as an acetabular shell or an augment, that is configured to couple with an augment, flange cup, mounting member, or any other suitable orthopedic attachment.

An insertion instrument for inserting an implant includes an elongated main body having a proximal handle and a distal portion that selectively couples to the implant. A plunger is slidably engaged in a central passage of the elongated main body to fix the implant to the elongated main body. A hex nut driver is concentrically located about the plunger and elongated main body to deploy an actuation plunger of the implant. The proximal handle portion of the main body includes a staggered path therethrough for accepting a tab of the plunger therein. Advancement and retraction of the plunger tab within the staggered path alternates the insertion instrument between an unlocked position to mount the implant on the distal portion, a locked position to lock the implant on the distal portion, and a deployed position configured to secure the implant in position.

An insertion instrument for inserting an implant includes an elongated main body having a proximal handle and a distal portion that selectively couples to the implant. A wing actuation tool is slidably engaged in a central passage of the elongated main body to fix the implant to the elongated main body. The wing actuation tool temporarily attaches to the implant allowing for deployment and retraction of wings of the implant during surgery. Longitudinal translation of the wing actuation tool deploys an actuation plunger of the implant.

A spacer separates bones of a joint using a driver tool having a threaded shaft. The spacer has a superior endplate with inferior facing ramps, and an inferior endplate with superior facing ramps. Two bearings are positioned between the endplates, each bearing has superior facing ramps which mate with the inferior facing ramps of the superior endplate, and inferior facing ramps which mate with the superior facing ramps of the inferior endplate. One bearing has a threaded aperture, and the other a thrust surface. A threaded shaft is threaded into the threaded aperture to push against the thrust surface to drive the bearings apart. As the bearings move apart, the mated ramps slide against each other to drive the superior and inferior endplates apart.

A bone graft delivery system and method for using same to deliver graft material into a surgical site. The system includes an interbody implant having a securing site disposed on a surface of the implant and a holder having an elongated, hollow handle including a distal end. The distal end of the holder is configured to removably engage the securing site of the interbody implant to secure the interbody implant to the distal end of the holder until such time as a user desires to disengage the holder from the interbody implant. The interbody implant may be a cage implant having opposing anterior and posterior surfaces, opposing first and second lateral surfaces, and opposing top and bottom surfaces, wherein the top surface comprises a first aperture and the bottom surface comprises a second aperture, the posterior surface comprising a third aperture, the first, second, and third apertures all linking to a main cavity, the main cavity generally extending between the top surface and the bottom surface.

Embodiments are directed to spinal treatments and, more particularly, to a trial inserter tool compatible with detachable trial heads for use in spinal surgery. In a preferred embodiment, the present invention provides a system for sizing an implant to be used in posterior lumbar interbody fusion surgery. The system may comprise a trial inserter tool, wherein the trial inserter tool comprises: a body, wherein the body is an elongated tubular, wherein the body comprises a first end and a second end; an actuation device, wherein the actuation device is disposed on the body between the first end and the second end; and a hooked support member that extends from the second end of the body; and a trial head disposable on the hooked support member.

An expandable interbody spacer for the spine is provided. The spacer includes upper and lower endplates simultaneously movable with respect to a housing along an axis traverse to a longitudinal axis to increase or decrease the height of the spacer selectably along both an anterior side and a posterior side for uniform expansion/contraction of the endplates or only along the anterior side for angular expansion/contraction of the endplates. A spacer deployment instrument is provided that is selectable to effect uniform or angular expansion/contraction. When uniform expansion/contraction is selected a gear on an anterior rod is engaged with a gear on a posterior rod to simultaneously rotate both rods in opposite directions. Opposite threads on actuators of the spacer effect translation of the actuators in the same direction along the longitudinal axis.

A spinal fixation device includes a housing defining a chamber and a longitudinal axis, and an end plate assembly operatively coupled with the housing. The end plate assembly includes a first end plate configured to engage a vertebral body and first and second support assemblies operatively coupled to the first end plate. The first support assembly is selectively movable between a first position in which the first end plate is spaced apart from the housing and a second position in which the first end plate is adjacent the housing. The second support assembly is transitionable between a first state in which the first end plate has a first angular orientation and a second state in which the first end plate has a second angular orientation.