A delivery device for inserting an interbody implant into an intervertebral space in a patient has an elongate tube with a channel and is sized to fit in an intervertebral space. The elongate tube has a proximal portion, a distal portion, a longitudinal axis, and a window with a longitudinal axis. The window is disposed adjacent the distal portion of the elongate tube and the longitudinal axis of the window is offset from the longitudinal axis of the elongate tube. The channel is sized to receive the interbody implant, and also the channel is configured such that the interbody implant is advanced therealong from the proximal region toward the distal region. The interbody implant is deployed into the intervertebral space from the window.

An implantation instrument for an expandable intervertebral fusion implant that includes a base piece and a cover piece that are configured to bear on a facing end plate of one of two adjacent vertebrae, the cover piece being adjustable in height with respect to the base piece, and a ratchet mechanism being provided between the base piece and the cover piece to effect a stepped adjustment of height and secure an adopted height again reversal, the implantation instrument being configured for expanding the intervertebral fusion implant and comprising a force measurer that interacts with a displacement measurer to indicate an expansion attained by a particular actuating force.

A surgical instrument and method are provided for removal of a spinal implant from the intervertebral disc space. The instrument includes a carriage body for interfacing with the implant, a housing for interfacing with the vertebrae, and a handle portion having a first portion rotatably coupled with a proximal end of the housing and a second portion rotatably engageable with a proximal attachment portion of the carriage body. A central passage of the housing extends between the proximal end and a distal engagement surface of the housing. The central passage is dimensioned to mate with the carriage body. Rotation of the handle portion about an axis causes translational movement of the carriage body along the axis. A modular inserter/distractor apparatus and method and an anchor remover and method are also provided.

Devices, systems and methods for surgical treatment of mid-foot disorders such as osteoarthritis, spacing disorders, or alignment disorders, including mid-foot arthroplasty devices and systems for the 2.sup.nd and 3.sup.rd tarsometatarsal (TMT) joint, implants for post-osteotomy spacing and+ realignment, arthroplasty articular implants, dowel grafts for TMT arthrodesis or fusion, dowel grafts for navicular cuneiform (NC) arthrodesis, dowel grafts for intercuneiform arthrodesis, and/or locking dowels for joint fusion.

An implant for use in a spine includes a body and a plurality of structural members. The plurality of structural members includes outer members that are arranged to contact a vertebra upon implantation and support members that provide reinforcement and stability to the outer members. The outer members may have sections with a generalized helical geometry. The generalized helical geometry provides distal and proximal outwardly facing surface regions and creates a series of protected fusion zones along the superior and inferior surfaces of the implant to foster adjacent bone growth.

An implant for therapeutically separating bones of a joint has two endplates each having an opening through the endplate, and at least one ramped surface on a side opposite a bone engaging side. A frame is slideably connected to the endplates to enable the endplates to move relative to each other at an angle with respect to the longitudinal axis of the implant, in sliding connection with the frame. An actuator screw is rotatably connected to the frame. A carriage forms an open area aligned with the openings in the endplates. The openings in the endplates pass through the carriage to form an unimpeded passage from bone to bone of the joint. The carriage has ramps which mate with the ramped surfaces of the endplates, wherein when the carriage is moved by rotation of the actuator screw, the endplates move closer or farther apart.

A delivery device for inserting an interbody implant into an intervertebral space in a patient has an elongate tube with a channel and is sized to fit in an intervertebral space. The elongate tube has a proximal portion, a distal portion, a longitudinal axis, and a window with a longitudinal axis. The window is disposed adjacent the distal portion of the elongate tube and the longitudinal axis of the window is offset from the longitudinal axis of the elongate tube. The channel is sized to receive the interbody implant, and also the channel is configured such that the interbody implant is advanced therealong from the proximal region toward the distal region. The interbody implant is deployed into the intervertebral space from the window.

An elbow prosthesis includes a stem structure and an articulating component. The stem structure is operable to be positioned in a bone of a joint and includes a stem portion and a C-shaped body portion. The stem portion is operable to be positioned in the bone. The C-shaped body portion includes a first articulating surface bound by a medial wall and a lateral wall. The medial and lateral walls are separated by a first distance. The articulating component includes a second articulating surface positioned between a medial side surface and a lateral side surface. The medial and lateral side surfaces are separated by a second distance that is less than the first distance. The second articulating surface is configured to slidably communicate in a medial/lateral direction along the first articulating surface of the C-shaped body portion.

A system for spinal surgery includes a prosthesis comprising a plurality of bone anchors which engage an intervertebral construct for fusion or motion preservation. The fusion construct comprises a spacer optionally encircled by a jacket. The motion preservation construct may comprise an articulating disc assembly or an elastomeric disc assembly. Any of the constructs may occupy the intervertebral disc space between adjacent vertebrae after removal of an intervertebral disc. The anchors slidingly engage the construct to securely fix the prosthesis to the vertebrae. The anchors and jacket of the fusion construct provide a continuous load path across opposite sides of the prosthesis so as to resist antagonistic motions of the spine.

A surgical instrument and method are provided for removal of a spinal implant from the intervertebral disc space. The instrument includes a carriage body for interfacing with the implant, a housing for interfacing with the vertebrae, and a handle portion having a first portion rotatably coupled with a proximal end of the housing and a second portion rotatably engageable with a proximal attachment portion of the carriage body. A central passage of the housing extends between the proximal end and a distal engagement surface of the housing. The central passage is dimensioned to mate with the carriage body. Rotation of the handle portion about an axis causes translational movement of the carriage body along the axis. A modular inserter/distractor apparatus and method and an anchor remover and method are also provided.