An apparatus and method is provided for interbody fusion including distracting, in a given direction, and supporting opposing vertebral bodies. A plurality of wafers are consecutively inserted between the vertebral bodies to create a column of wafers. The column of wafers is oriented between the vertebral bodies so as to expand in the given direction as the wafers are consecutively added to the column.

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.

An apparatus and method is provided for interbody fusion including distracting, in a given direction, and supporting opposing vertebral bodies. A plurality of wafers are consecutively inserted between the vertebral bodies to create a column of wafers. The column of wafers is oriented between the vertebral bodies so as to expand in the given direction as the wafers are consecutively added to the column.

A variable angle blade augment including an augment component and a blade component. The blade component includes a buttress portion and a neck portion, with the neck portion having a body segment and a face segment that is contoured for mating engagement with an outer surface of the acetabular shell. The augment component has a first opening sized and shaped to receive insertion of the body segment, and which is also sized to accommodate selective adjustment of, when the body segment is positioned in the first opening, linear and angular orientations of the blade component relative to the augment component. Additionally, the body segment has a length that is sized to facilitate direct contact of the face segment with the acetabular shell when the variable angle blade augment is in an assembled configuration. Further, cement can be injected into the internal cavity to unitize the connection between the acetabular shell and the blade component.

A medial lateral retractor system includes a first medial lateral retractor arm, a second medial lateral retractor arm movably coupled thereto, and a base member coupler coupled to one of the first medial lateral retractor arm and the second medial lateral retractor arm. The base member coupler is configured to couple to a base member to which a rostral refractor blade and caudal retractor blade are coupled. The first medial lateral retractor arm is configured to move relative to the second medial lateral retractor arm in a direction substantially perpendicular to a direction of movement of the rostral retractor blade relative to the caudal retractor blade when the base member coupler is coupled to the base member. In implementations the medial lateral retractor system further includes the base member, the rostral retractor blade and the caudal retractor blade, and the base member is coupled to the base member coupler.

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.

An apparatus and method is provided for interbody fusion including distracting, in a given direction, and supporting opposing vertebral bodies. A plurality of wafers are consecutively inserted between the vertebral bodies to create a column of wafers. The column of wafers is oriented between the vertebral bodies so as to expand in the given direction as the wafers are consecutively added to the column.

A tibial trial insert system includes a bearing component having a superior articulating surface for articulation with a distal femoral surface, a plate component having an inferior fixation surface for fixation to a proximal tibia, and an adjustment arrangement for adjusting a proximal/distal spacing between the bearing component and the plate component. The adjustment arrangement includes an adjustment device having a superior connector element that engages an inferior surface of the bearing component, an inferior base element adapted to be placed upon a superior surface of the plate component, and a telescopic mechanism coupled to the connector element and the base element. The telescopic mechanism can adjust a thickness of the adjustment device. At least one shim is insertable between the superior surface of the plate component and an inferior surface of the base element for adjusting a height level of the adjustment device relative to the plate component.

An implant stabilizes two adjacent bones of a joint, while enabling a natural kinematic relative movement of the bones. Support components are connected to each bone of the joint, and a flexible core is interposed between them. The core and at least one of the support components are provided with a smooth sliding surface upon which the core and support component may slide relative to each other, enabling a corresponding movement of the bones. The surfaces may have a mating curvature, to mimic a natural movement of the joint. The core is resilient, and may bend or compress, enabling the bones to move towards each other, and or to bend relative to each other.

An apparatus and method is provided for interbody fusion including distracting, in a given direction, and supporting opposing vertebral bodies. A plurality of wafers are consecutively inserted between the vertebral bodies to create a column of wafers. The column of wafers is oriented between the vertebral bodies so as to expand in the given direction as the wafers are consecutively added to the column.