The invention discloses an improved wedging cage within the sacroiliac (SI) joint and fixation screw(s). The wedging cage is adapted to be positioned between the sacrum and the lilac bone (e.g., the sacroiliac joint), and the wedging cage is effective to receive one or more fixation or axial screws to fasten the wedging cage and secure the wedging cage to the adjacent pelvic bones to provide a combination effect of fusion and/or fixation. Accordingly, the improved fixation screw assemblies promote flexibility and adaptability due to the adjustable head being movable to a locked and unlocked position relative to the screw body when implanted onto a substrate.

An expandable vertebral body replacement is presented. The device has an inner and outer housing longitudinally moveable on one-another which locks in place using a retention member. This can be locked or fortified by several described options. Also presented is a method for expanding said device embodiments and a system for an expandable vertebral body replacement.

An intervertebral cage structure that comprises a shell main body, with the shell main body may be configured to receive and substantially encapsulate a main body. The shell main body may be configured in a clam-shell shape that include a first plate and a second plate that are connected by a bridge portion, wherein the first and second plates may comprise a surface pattern.

Intervertebral spacer assemblies, systems, and methods thereof. A method of insertion include inserting an intervertebral spacer and plate together using an insertion tool and, upon removal of the insertion tool, the intervertebral spacer and plate are no longer considered connected/coupled and act as separate components.

An intervertebral implant for insertion into an intervertebral disc space between adjacent vertebral bodies or between two bone portions. The implant includes a spacer portion, a plate portion operatively coupled to the spacer portion and one or more blades for securing the implant to the adjacent vertebral bodies. The blades preferably include superior and inferior cylindrical pins for engaging the adjacent vertebral bodies. The implant may be configured to be inserted via a direct lateral trans-psoas approach. Alternatively, the implant may be configured for insertion via an anterior approach.

An implant includes a first plate and a second plate, a first wedge member and a second wedge member spaced from the first wedge member that couple the first and second plates together. The first and second wedge members configured to translate along the first and second plates from a first contracted configuration into a second separated configuration. The implant includes an actuation member coupled to the first wedge member and the second wedge member. The actuating member defines a flange extending toward the first and second plates. The actuation member configured to move the first and second wedge members from the first contracted configuration into the second separated configuration so that the first and second plates separate from each other.

A distractor includes a first plate and a second plate. The first plate includes an outer surface having a surface irregularity provided thereon and an inner surface having a protrusion provided thereon. The second plate includes an outer surface having a surface irregularity provided thereon and an inner surface having a recess provided thereon. The protrusion engages with the recess in a ball and socket configuration that permits relative movement of the first and second plates.

Intervertebral implants for implanting into an intervertebral space are provided. The implants can comprise one or more layers that are operably attached to one another. An implant can comprise a first layer having a first mating surface that mates with a second mating surface of a second layer. The first mating surface and the second mating surface can have features that allow them to complement each other. The implants can include one or more bore holes for receiving a fixation member. The bore holes can be horizontal, vertical or diagonal. In some cases, the bore holes will be blind bore holes.

A placeholder for vertebrae or vertebral discs includes a tubular body, which along its jacket surface has a plurality of breakthroughs or openings for over-growth with adjacent tissue. The placeholder includes at least a second tubular body provided with a plurality of breakthroughs and openings at least partially inside the first tubular body. The first and second tubular bodies can have different cross-sectional shapes, can be are arranged inside one another by press fit or force fit or can be connected to each other via connecting pins and arranged side by side to one another in the first body.

A tool for insertion of an intervertebral insert into an intervertebral space is provided. The tool includes a shaft having a proximal end and a distal end. The distal end of the shaft is configured to be coupled to the intervertebral insert. The tool includes a tapered section located at the distal end of the shaft, the tapered section tapering toward the longitudinal axis of the shaft and away from the proximal end of the shaft. The tool further includes a recess formed in the tapered section, the recess configured to receive the intervertebral insert such that at least a portion of the intervertebral insert is located within the recess when the intervertebral insert is coupled to the shaft.