A surgical system includes a sleeve defining a passageway. An adapter is removably coupled to the sleeve. The adapter defines a channel. A delivery device includes a distal end positioned in a channel of the adapter. A bone fastener includes a head and a shank defining a cannula. A distal portion of the adapter is positioned in the shank such that the channel is in communication with a cannula of the shank. A plunger is movably disposed in a lumen of the delivery device. The plunger is configured to move a material through the lumen and the channel and into the cannula. Methods and kits are disclosed.

A surgical expandable implant includes a bolt, a movable member, and a support body. The bolt has a bolt body and a fixing member. The movable member is configured to be slidably sleeved on the bolt body. The support body has a first end configured to extend through the fixing member and a second end configured to extend through the movable member. The movable member is configured to slide along the length of the bolt body so as to move the support body from an initial shape to a deformed shape.

Disclosed herein are minimally invasive systems and method for stabilizing the spine, while preserving a degree of spinal flexion and extension of the spine at the level of the stabilized vertebrae postoperatively. The systems and methods can include an expandable anchor and rod that span an intervertebral disc. The anchor can have interstices, and ends in two adjacent vertebral bodies. The system can also include a volume of bone cement media.

A bone screw implant is provided for immobilizing the articular surfaces of two bone segments by securing, fusing, or compression the two segments. The implant may be fabricated from a porous biocompatible metal and have a cylindrical shape and fully or partially threaded and may have variable pitch threads and a variable diameter of the shaft. The implant may include a blunt tip or a fluted self-drilling tip and a headless screwdriver socket. Large pitch cancellous threads may be in the leading-end portion of the cylinder shaft, and smaller pitch cortical threads may be at the trailing edge portion of the shaft. The implant may be fenestrated, it may have a roughened surface, and it may be coated with an osteoconductive material. The implant may be cannulated. In a specific embodiment, the implant is used for immobilizing the articular surfaces of a sacroiliac joint. The implant may be coated with hydroxyapatite or tricalcium phosphate at thickness of 100 nm to 100 μm thick.

A bone graft delivery system includes a rasp having an elongate body extending between a proximal end and a distal end, a lumen extending through the elongate body and configured to receive bone graft material, a rasping surface removably couplable to the distal end of the elongate body and configured to decorticate bone material of a patient, and one or more openings configured to deliver bone graft material from the lumen.

A trumpet expandable vertebral device, includes: a center shaft having a front end and a rear end; a trumpet expandable part mounted outside and surrounding the center shaft, wherein the trumpet expandable part includes: plural expandable plates, each expandable plate having a thickness which increases from the front end toward the rear end; a fixed part, for fixing the relative position of the trumpet expandable part with respect to the center shaft in an axial direction of the center shaft, but allowing the center shaft to rotate with respect to the trumpet expandable part within the fixed part in a radial direction of the center shaft; and a connection part for connecting the trumpet expandable plates with the fixed part; a trumpet expanding ring mounted outside and surrounding the center shaft, wherein the trumpet expanding ring is located between the center shaft and the trumpet expandable part in the radial direction; wherein when the trumpet expanding ring moves toward the rear end relatively to the trumpet expandable part, the trumpet expandable plates are expanded to expand a vertebra.

Implant systems and methods treatment of a joint include a distal portion, a middle portion, and a proximal portion. The distal portion may include a thread having a first thread minor, a first thread major, and a first pitch. The distal portion also may have a reverse cut, helical fenestration formed through the thread. The middle portion may be devoid of threads and may include a porous outer surface structure to promote bony integration, the porous outer surface structure having a leading end and a trailing end, with the leading end having a diameter larger than the first thread minor. The proximal portion may include a proximal thread having a second thread minor, a second thread major, and a second pitch. The second thread minor may be substantially the same width as the trailing end of the middle portion.

A kit of parts for inserting a deformable implant into a cavity in a bone of a patient is described. An inserter instrument comprises a body having a cavity extending along a longitudinal axis from a distal end to a proximal end. An attachment mechanism is provided at the distal end and to which a deformable implant can be releasably attached. A drive mechanism is provided at the proximal end of the body. An insertion stop is mounted on the body and arranged to control the depth of insertion of the inserter instrument into a guide tube. A push rod is freely and slidably arranged within the cavity and has a distal end engageable with a part of the deformable implant and a proximal end abutable by the drive mechanism. The drive mechanism is operable to drive the push rod toward the distal end of the body. The kit also includes an impactor dimensioned for slidable engagement within the cavity.

An expandable vertebral device with triangular connection beam includes: a rotatable center shaft; a fixed part, wherein the rotatable center shaft penetrates through the fixed part and is rotatable relative to the fixed part; a movable slide, surrounding a portion of the rotatable center shaft, and is movable along an axial direction of the rotatable center shaft in response to a rotation of the rotatable center shaft; at least one first connection beam, which is rotatably connected to the fixed part; at least one second connection beam, which is rotatably connected to the movable slide, and is rotatably connected to the corresponding first connection beam; whereby when the rotatable center shaft rotates within the fixed part so that the movable slide moves away from the fixed part, the first and second connection beams are expanded to restore a vertebra to its original shape.

Threaded sacro-iliac joint stabilization (e.g., fusion, fixation) implants and methods of implantation and manufacture. Some implants include a threaded distal region, an optionally threaded central region, and an optionally threaded proximal region. The distal, central, and proximal regions have lengths such that when the implant is laterally implanted across a SI joint, the distal region can be positioned in a sacrum, the central region can be positioned across an SI-joint, and the proximal region can be positioned in an ilium.