A cage for facilitating fusion of bones, such as vertebrae, or fusion of adjacent bone surfaces is disclosed. In one form, the cage includes a plurality of spaced apart walls comprising a biodegradable polymeric material (e.g., polycaprolactone); an osteoconductive mineral coating (e.g., a calcium compound) on at least a portion of the walls; and a bioactive agent (e.g., a bone morphogenetic protein) associated with the polymeric material and/or the coating. The bioactive agent is present in amount that induces ossification between the bones or adjacent bone surfaces. The cage may also include a fixation plate connected to at least one of the walls.

Coiled spinal implants for disc, vertebral body, and spinal motion segment replacement or reconstruction comprise a plurality of loops and spaces between the loops, with the loops formed of a hollow material and having a plurality of apertures or a longitudinal gap that extend(s) through the sidewalls of the loops and into the hollow center. The coiled implants include one or more balloons within the hollow center, the spaces between the coil loops, and/or within the central void that the coil surrounds. Filling the balloon expands the loops and thereby increases the height of the coil. Bone graft material or bone cement may be deployed from the apertures or gap.

The biocompatible lattice structures and implants disclosed herein have an increased or optimized lucency, even when constructed from a metallic material. The lattice structures can also provide an increased or optimized lucency in a material that is not generally considered to be radiolucent. Lucency can include disparity, maximum variation in lucency properties across a structure, or dispersion, minimum variation in lucency properties across a structure. The implants and lattice structures disclosed herein may be optimized for disparity or dispersion in any desired direction. A desired direction with respect to lucency can include the anticipated x-ray viewing direction of an implant in the expected implantation orientation.

An improved interbody spinal implant which takes into account specific patient variables. During the preoperative phase an interactive CT radiodensity scan of localized portions of the vertebrae is used to determine whether the template for a preselected implant will minimize subsidence based on the Hounsfield Unit score and a corresponding calculated Hounsfield Parameter value generated by the scan for the contact surface area of the selected implant. If not, a template for another selected implant having different medial and lateral dimensions is selected and placed over the interactive CT scan. If acceptable Hounsfield Parameters are generated this means acceptable minimal subsidence will occur. The surgeon may then evaluate the size of the bone graft window or the implant opening permitting the surface contact area of the implant with the superior and inferior vertebrae to determine if it is acceptable to ensure proper fusion and minimize subsidence.

Disclosed is a spinal complex cage, which includes a cage which is made of a polymeric material, and metal covers which are formed on upper and lower portions of the cage, respectively, in which couplers formed on the metal covers are coupled to coupling grooves formed in the cage, such that the metal covers are detachably coupled to the upper and lower portions of the cage. Accordingly, because the cage and the metal cover are detachably coupled to each other, the manufacturing method is simple, and the metal cover is easily coupled to or separated from the cage, such that the spinal complex cage may be variously and quickly applied even during the surgery in accordance with shapes or intervals between the vertebral bodies, and as a result, a spinal fusion rate is excellent, and the accurate and precise surgical operation is enabled.

The embodiments provide a spinal implant that is configured for midline insertion into a patient's intervertebral disc space. The spinal implant may have a body and the body comprises one or more apertures. The apertures receive fixation elements, such as a screw and the like. The fixation element may comprise one or more anti-backout features, such as a split ring. In addition, at least some of the apertures are designed to permit a predetermined amount of nutation by a fixation element. The apertures that allow nutation enable the fixation element to toggle from one position to another, for example, during subsidence of the implant in situ. Some of the apertures may be configured to rigidly lock with the fixation elements. Moreover, the spinal implant may include features, such as one or more bores, that can accommodate imaging marks to help guide a surgeon.

A spinal fusion implant including a body and a jacket is disclosed. The jacket includes at least two radiopaque markers extending therefrom for use in determining the position of the implant after placement between intervertebral bodies. Methods of implanting and evaluating positioning of the implant are also disclosed.

A system for implanting an inter-body device between adjacent vertebrae comprises an inter-body device having a plurality of cans secured to a flexible bridge and having a relief portion therebetween. An inserter tube and complementary bullnoses are advantageously secured to the vertebrae by an extension arm for securing the assembly precisely in place. A plurality of articulating trial implants are provided to test fit a disc space for the proper sized inter-body device.

A bone stabilization plate system. The bone stabilization plate system includes a base plate configured to fit primarily between an anterior portion of a first bone's lip osteophyte and an anterior portion of a second, adjacent bone's lip osteophyte. The bone stabilization plate system includes a plurality of bone screws configured to fit in respective bone screw holes in the base plate to secure the base plate.

Coiled spinal implants for disc, vertebral body, and spinal motion segment replacement or reconstruction comprise a plurality of loops and spaces between the loops, with the loops formed of a hollow material and having a plurality of apertures or a longitudinal gap that extend(s) through the sidewalls of the loops and into the hollow center. The coiled implants include one or more balloons within the hollow center, the spaces between the coil loops, and/or within the central void that the coil surrounds. Filling the balloon expands the loops and thereby increases the height of the coil. Bone graft material or bone cement may be deployed from the apertures or gap.