An interbody spacer for the spine is provided. The interbody spacer includes a cage and at least one bone screw configured to anchor the cage between two vertebrae of the spine. The cage includes a lock rotationally movable with respect to the cage between a locked configuration and an unlocked configuration. When in an unlocked configuration, bone screws may be inserted and removed from the cage. When in a locked configuration, the insertion and removal pathway of the bone screw is blocked by the lock, thereby, providing backout protection for the bone screws. The lock is coupled to the cage by a pronged retainer and includes a camming surface to provide for incremental rotation of the lock. The lock includes a space-saving shape providing for maximum bone screw angulation on a laterally smaller anterior platform.

The invention discloses an implantable facet arthroplasty device suitable for treating adjacent level disease. The device is designed for implantation between a first vertebra and a second vertebra. Components of the device include: a crossbar; a first component having a first attachment mechanism adapted to attach to a first location of a spinal fusion device attached to a first vertebra and a second attachment mechanism adapted to attach to the crossbar; and a second component having a second attachment mechanism adapted to attach to a second location of a spinal fusion device attached to the first vertebra and a second attachment mechanism adapted to attach to the crossbar. The first component articulates relative to the second component and the first vertebra articulates relative to the device itself.

An interbody implant comprises one or more elongate members that have superior and inferior surfaces with a height, and medial and lateral surfaces having a width. The height is set so the implant fits into the intervertebral space. The width is less than the height. The interbody implant has a first configuration, a second configuration, and a third configuration. The interbody implant is inserted into the intervertebral space in the first configuration such that medial and lateral surfaces contact the vertebral bodies, and the interbody implant is then actuated into the second configuration such that superior and inferior surfaces engage the vertebral bodies. Actuation of the implant from the first configuration to the second configuration distracts the vertebral bodies. The implant is actuated into the third configuration where the width of the implant is greater than width of the implant in the first or the second configuration.

A prosthesis for spinal surgery includes a spacer adapted to be secured into the bone and attached to one of a plurality of configuration plates. The configuration plates are interchangeable and each one is configured to utilize a different combination of bone screws, anchors or both. The prosthesis may further include a retaining mechanism to prevent bone screws and/or anchors from backing out.

An expandable intervertebral spacer system having a cage formed by a top plate and a bottom plate which are held apart a changeable distance. An expansion mechanism within the cavity is configured to force the top plate apart from the bottom plate a desired distance. One expansion mechanism is an expansion spring that is held in a compressed state with a removable trigger wire that temporarily secures the top and bottom plates together. Once the spacer is implanted in a patient, the trigger wire is removed permitting the expansion spring to relax, in a single motion, to the farthest extent possible in an intervertebral space. The top plate and the bottom plate are locked apart using a locking mechanism made of two saw-toothed posts that cooperate to lock the top plate a desired distance from the bottom plate. The saw-tooth posts are biased against each other with a spring.

An implantable cervical plate assembly includes a cervical plate, one or more bone fasteners. The cervical plate comprises an elongated asymmetric body having one or more through-openings extending from the front surface to the back surface of the elongated asymmetric body. The one or more bone fasteners are configured to be inserted through the one or more through-openings, respectively. The bone fasteners comprise a threaded main body and a head that includes one or more breakable structures configured to be broken when inserted into a groove and then unflex and remain captured within the groove.

The present invention relates to a knee joint endoprosthesis having a tibial component and a femoral component and a hinge joint for coupling the tibial component and the femoral component so as to be pivotal about a rotational axis, which hinge joint comprises a first joint element and a second joint element coupled therewith so as to be rotatable about the rotational axis, wherein a connecting device is provided having at least one first connecting element and at least one second connecting element for connecting the first joint element to the femoral component, which connecting device defines a connecting position, in which the at least one first connecting element and the at least one second connecting element are engaged in a at least one of non-positive- and positive-locking manner, and an assembly position, in which the first joint element and the femoral component are fully separated from each other.

A ligament assembly (2) comprising a resilient element (20) connected to a bone anchor (4) and a ligament (18), the resilient element (20) acting m a cantilever and resisting toads transmitted between the bone anchor (4) and the ligament (18) by virtue of the resistance to bending of the resilient element. The ligament (18) may comprise an artificial ligament (18) which is adapted to replace a human or animal ligament. The resilient element (20) may comprise a spiral spring and may act as a biasing element/shock absorber operatively coupled to the artificial ligament (18) to control the effective stiffness of the artificial ligament (18). Consequently, the resilient element (20) enables an effective stiffness of the artificial ligament (18) to be achieved that more closely approximates the stiffness of a natural ligament.

An implant for performing interbody fusion within a human spine, inserters for such an implant, and associated methodology. The implant is preferably formed in situ from at least two separate but lockable members (a base member and a closure member). The base member may be implanted into an interbody space first, after which the end plates may be finally prepared and the base member packed with fusion promoting substances before engaging and locking the closure member. The closure member provides structural support for the adjacent vertebral bodies (along with the base member) and may be selected after implantation of the base member having a specific length, width, height, taper, etc. . . . to ensure an optimal sizing of the implant for desired restoration of disc height, coronal taper, sagittal taper, etc. . . .

An implant for spinal fusion includes a base member, a closure member, pins, and recesses. The base member includes a U-shaped configuration with an open end defined by first and second free ends of first and second side walls extending away from an end wall. The closure member is configured to form an enclosed interior when coupled with the base member. The closure member includes first and second overlapping portions configured to engage the first and second free ends. First and second pins are embedded in a respective one of the first and second free ends. First and second recesses are formed in a respective one of the first and second overlapping portions. The pins cooperate with the recesses to align and frictionally couple the base member with the closure member.