Orthopedic implants, systems, instruments, and methods. A bi-portal lumbar interbody fusion system may include an expandable interbody implant and minimally invasive pedicle-based intradiscal fixation implants. The interbody and intradiscal implants may be installed with intelligent instrumentation capable of repeatably providing precision placement of the implants. The bi-portal system may be robotically-enabled to guide the instruments and implants along desired access trajectories to the surgical area.

An expandable vertebral body implant, and methods of assembly and using the implant. The vertebral body implant includes a body with a first end and a second end, a rotating member rotatably coupled to the first end of the body, wherein an end includes a plurality of first notches inset into the rotating member, an extension member moveably coupled to the rotating member, and a locking member positioned on an interior of the body. Methods for assembling and using the vertebral body implant are also disclosed.

A system includes a first implant component and a second implant component. The first implant component is configured to be secured to a bone and includes a plate and a coupler extending upward from the plate and defining a coupler axis. The second implant component is configured to be coupled to the first implant component. The second implant component includes an articulation surface and defines a cavity configured to receive the coupler of the first implant component. The second implant component is couplable to the first implant component at a plurality of rotational orientations about the coupler axis.

An expandable interbody spacer for placement between adjacent vertebrae having two or more upper and lower endplates and lateral expansion wedges configured to couple a drive means to expand both a height and a width of the expandable interbody spacer from a collapsed state to an expanded state.

A cortical shaft bone fixation apparatus includes a housing having a leading portion and a trailing portion, the leading portion configured to fit within a diameter of an affected cortical shaft bone, the leading portion having first and second sections. The apparatus further includes an expansion mechanism adapted to transition the first and second sections from a first position to a second position, the first and second sections providing an outward force against the inside surface of the cortical shaft bone when the first and second sections transition from the first position to the second position, the trailing portion of the housing abutting a leading end of the affected cortical shaft bone. The trailing portion of the housing includes a pair of angled tapers extending inwardly toward each other to a minimum separation distance at an extreme end of the housing.

An expandable, adjustable inter-body fusion device is presented. The inter-body fusion device can have a first plate, a second plate, and an insert positioned substantially therebetween the first plate and the second plate. The first plate, the second plate, and the insert define an interior cavity. Moving the insert longitudinally with respect to the first and second plates increases or decreases the distance of the first plate with respect to the second plate, effectively expanding the inter-body fusion device and increasing the volume of the interior cavity. The angle between the first plate and the second plate is selectively adjustable.

An approach is provided for a three-dimensional (3D) printing method for forming a 3D object. The approach provides for printing a structure of the 3D object by depositing a thermoplastic material, in which the thermoplastic material is radiolucent. The approach provides for printing one or more radio-opaque markers by depositing another material, which includes at least a radio-opaque material. The approach integrates the one or more radio-opaque markers with the structure of the 3D object.

An apparatus includes a body extending from a first end to a second end. The first end is a leading end, and the second end includes a first coupling element configured to couple the body to a first other component. The body includes an external fixation element extending along a length of the first component. The external fixation element is configured to engage bone. Systems and methods are also disclosed.

Provided is a novel joint replacement prosthesis that includes a base component, and one or more modular stems. The base component includes a bone-facing surface including one or more stem connectors configured for receiving and forming connections with the one or more modular stems inserted from the bone-facing surface side.

The present disclosure provides for spinal implants configured for lateral insertion techniques deployable between a contracted position and an expanded position. The spinal implant may include a first endplate and a second endplate, each having a plurality of guide walls and inclined ramps. The spinal implant may further include a moving mechanism having first and second trolleys configured to act against the first and second plurality of ramps. The moving mechanism may further include a first set screw and a second set screw opposite the first set screw. The moving mechanism may be configured to operably adjust a spacing between the first and second endplates upon simultaneous rotation of the first and second set screws along a rotation axis, and may also operably adjust an angle of inclination between the first and second endplates upon rotating the first set screw or second set screw along the rotation axis.