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.

Systems and methods are described for correcting sagittal imbalance in a spine including instruments for performing the controlled release of the anterior longitudinal ligament through a lateral access corridor and hyper-lordotic lateral implants.

Embodiments of the present invention provides systems and methods for deploying implants and anchors to treat one or more bony segments. A system may enable a User to insert an implant between adjacent bony segments and advance one or more bony anchors thereafter via the same system. Other embodiments may be described and claimed.

Embodiments of mammalian bony anchor(s) 10 for treating mammalian bony segments such as in conjunction with other system(s) to encourage bony fusion, stabilize, maintain spacing between, or couple the bony segments. Other embodiments may be described and claimed.

An expandable fusion device is capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. The fusion device may include a body portion, a first endplate, and a second endplate, the first and second endplates capable of being moved in a direction away from the body portion into an expanded configuration or capable of being moved towards the body portion into an unexpanded configuration. The fusion device is capable of being deployed and installed in both configurations.

An expandable interbody spacer for placement between adjacent vertebrae having two or more upper and lower endplates having compound-angle linear rods coupled to compound-angle bores configured to couple with the compound-angle linear rods a drive means having corresponding compound-angle slots, ramps or rails configured to slidingly engage the compound-angle slots, ramps or rails of the two or more upper and lower endplates, wherein movement of the drive means in a first direction moves the two or more upper and lower endplates away from each other both vertically and horizontally to expand both a height and a width of the expandable interbody spacer from a collapsed state to an expanded state.

An expandable implant may include a superior endplate and an inferior endplate. The superior endplate may have at least one track extending in a proximal-to-distal direction and an inferior endplate may have at least one track extending in the proximal-to-distal direction. An adjusting shim may be disposed within the at least one track to adjust a spacing and angle of inclination of the implant. Some embodiments may include a plurality of tracks for adjusting a spacing and an angle of inclination between the superior endplate and the inferior endplate. Some embodiments may be configured to adjust an orientation of the implant relative to a disc space in both the sagittal plane and the coronal plane. Various embodiments disclosed herein may be used in an Anterior lumbar interbody fusion (ALIF), Transforaminal lumbar interbody fusion (TLIF), or a lateral Lumbar Interbody Fusion (LLIF) procedure, for example.

The present disclosure provides a surgical implant device, including: a solid surface; and a lattice structure disposed adjacent to the solid surface, wherein the lattice structure includes a first plurality of struts that define a first plurality of voids adjacent to the solid surface and a second plurality of struts that define a second plurality of voids remote from the solid surface. Each of the first plurality of struts has an average cross-sectional diameter that is smaller than an average cross-sectional diameter of each of the second plurality of struts. Each of the first plurality of voids has an average internal diameter that is smaller than an average internal diameter of each of the second plurality of voids. The surgical implant device also includes a needle-populated porous surface disposed adjacent to the solid surface opposite the lattice structure.

Improved bone plate systems are described herein. In some instances, a bone plate system can include a base plate, at least one retainer plate, and at least one spacer. The at least one retainer plate is configured to reside on the base plate in a free floating manner and can receive at least one fastener to secure the retainer plate to the at least one spacer, thereby providing a plate system that attaches to a spacer. In other instances, a bone plate system can include a base plate having one or more push plates that can engage at least one spacer.

A method of joining adjacent bone includes providing a medical device having a first implant portion, a second implant portion attached to the first implant portion, and a driver assembly having an instrument adapted to form an opening in bone. The driver assembly is integrally connected to and removably attached to the second implant portion at a connection, distal from the first implant portion. The driver assembly further has a wire driver extending therefrom, distal from the first implant portion. The method further includes inserting the wire driver into a wire driver tool; placing the first implant portion against a first bone structure; inserting the first implant portion into the first bone structure; removing the second implant portion from the driver assembly; using the driver assembly to form an opening in a second bone structure, adjacent to the first bone structure; and inserting the second implant portion into the opening.