An intervertebral support device to impose an anatomic distance between two adjacent vertebral bodies having a pair of vertebral support elements for introduction between the edge portions of the rear half of the vertebrae, at respective substantially symmetrical positions of the instantaneous rotation axis of the natural relative flexion-extension movement of the two adjacent vertebrae. The device assists stabilizing and/or restoring the correct position of the rotation axis, which characterizes the first stage of the degenerative breakdown, without significantly limiting the relative movement of the two vertebrae. The support elements have preferably a constraint means that constrains them to the edge portions of the vertebral bodies, in particular to resist the reaction force on the intervertebral disc.

An adjustable spinal fusion intervertebral implant is provided that can comprise upper and lower body portions that can each have proximal and distal wedge surf aces disposed at proximal and distal ends thereof. An actuator shaft disposed intermediate the upper and lower body portions can be actuated to cause proximal and distal protrusions to converge towards each other and contact the respective ones of the proximal and distal wedge surfaces. Such contact can thereby transfer the longitudinal movement of the proximal and distal protrusions against the proximal and distal wedge surfaces to cause the separation of the upper and lower body portions, thereby expanding the intervertebral implant. The upper and lower body portions can have side portions that help facilitate linear translational movement of the upper body portion relative to the lower body portion.

A spacer member is provided that is configured to be implanted adjacent an anatomical structure. The spacer member defines a curved bore, a first opening in a side wall of the spacer member and a second opening in one of a top wall and a bottom wall of the spacer member. Each of the first opening and the second opening are in fluid communication with the curved bore. A flexible anchoring member is configured to be inserted through the side opening and through the curved bore of the spacer member such that a distal end portion of the flexible anchoring member extends out of the second opening at an angle relative to the one of the top wall and the bottom wall of the spacer member.

Bone implants, including methods of use and assembly. The bone implants, which are optionally composite implants, generally include a distal anchoring region and a growth region that is proximal to the distal anchoring region. The distal anchoring region can have one or more distal surface features that adapt the distal anchoring region for anchoring into iliac bone. The growth region can have one or more growth features that adapt the growth region to facilitate at least one of bony on-growth, in-growth, or through-growth. The implants may be positioned along a posterior sacral alar-iliac (“SAI”) trajectory. The implants may be coupled to one or more bone stabilizing constructs, such as rod elements thereof.

Pedicle-based intradiscal fixation devices, systems, instruments, and methods thereof. The implant or a portion thereof may be composed of a shape-memory material, which has a curved shape-memory orientation and a temporarily straight orientation. The implant may be configured to be inserted into a pedicle of an inferior vertebra, through the vertebral body of the inferior vertebra, and into the vertebral body of the superior vertebra to thereby stabilize the inferior and superior vertebrae.

Methods and apparatus for providing correction of one or more maladies or conditions of the spinal column of a living being. In one embodiment, the apparatus includes an implantable device configured to be selectively adjustable in one or more portions thereof so as to permit correction of asymmetries or irregularities of the spinal column via insertion into one or more affected intervertebral disc spaces. In one variant, the implantable device includes upper and lower host elements which are hinged or can pivot relative to one another, and an insertable distraction mechanism which is adjustable to enable one side or the other of the implantable device to alter height. In another variant, both sides of the implantable device can be adjusted for height via the host elements and one or more pivots or hinges. In one implementation, the distraction mechanism is adjustable from multiple approaches into the disc space.

A device promotes osseointegration between two adjacent vertebrae. The device includes a spacer fabric having a top layer, a bottom layer, and intermediate filler fibers connecting the top layer and the bottom layer. The spacer fabric is capable of expanding to fill a gap between two adjacent vertebrae.

A device for modulating biological tissue and/or bone conformation, the device including a shape memory material and being capable of modulating biological tissue and/or bone conformation simultaneously in at least two dimensions, a process for producing the device, a process for modulating biological tissue and/or bone using the device, and uses thereof.

Spinal tissue distraction devices that include a member which has a pre-deployed configuration for insertion between tissue layers and a deployed configuration in which the member, by change of configuration, forms a support structure for separating and supporting layers of spinal tissue.

An intervertebral implant for supporting vertebrae that includes an anterior end element, a posterior end element, and four wings disposed between the anterior end element and the posterior end element. The four wings and the anterior and posterior end elements define a substantially open central space. The wings are arranged in pairs facing in opposed directions and include teeth facing in those opposed directions for gripping substantially planar surfaces at opposite sides of the implant.