The invention herein described is an endoprosthesis intended to replace a resected portion of bone and joint. The invention can be non-invasively, manually operated to lengthen a patient's limb both intraoperatively and postoperatively. It includes bone anchoring components for anchoring to a first and second long bone, a joint to replace the function of an orthopedic joint, and a purely mechanical lengthening mechanism which can be located and operated manually by an operator by pressing on skin of a patient without requiring a surgical incision. An alternative embodiment of the invention describes a similar extendable endoprosthesis which is unlocked by an operator by pressing on skin of a patient and the limb is subsequently pulled or pushed by the operator to change its length. The invention does not need or include any magnets, electric motors, electric current, application of heat or a fluid displacement (hydraulic) system.

An expandable spinal implant is provided having first and second endplates hinged along one end and an expansion mechanism disposed therebetween configured to expand the first and second endplates from each other to provide a lordotic angle of up to 60 degrees. Various implants, systems and methods are disclosed.

An expandable intervertebral implant is provided for insertion into an intervertebral space defined by adjacent vertebrae. The expandable intervertebral implant includes a pair of outer sleeve portions and an inner core disposed between the outer sleeve portions. Movement of the inner core relative to the outer sleeve portions causes the outers sleeve portions to deflect away from each other, thereby engaging the expandable intervertebral implant with the vertebrae and adjusting the height of the intervertebral space.

An intervertebral implant is configured to be implanted in an intervertebral space in a first initial configuration. Subsequently, an actuator is configured to be driven in an actuation direction such that the actuator urges the implant to expand along a first expansion direction. Once the implant has been fully expanded along the first expansion direction, the actuator is configured to be further driven in the actuation direction so as to expand the implant in a second expansion direction that is perpendicular to the first expansion direction.

An expandable intervertebral fusion implant, including an inferior component, including a first top surface, a first bottom surface, a first end, a second end, and a first hole including a first portion and a second portion, a superior component, including a second top surface, a second bottom surface, a third end, and a fourth end, and an expansion mechanism including a flexible shaft arranged in the first hole, the flexible shaft including a fifth end, a sixth end connected to the first bottom surface, and a first plurality of teeth.

The present disclosure provides adjustable spinal devices, instruments for implanting the spinal devices, methods for adjusting the height and/or lordosis angles of the spinal devices and methods for implanting such devices. An adjustable spinal fusion device includes an upper plate having an outer surface for placement against a first vertebral body and a lower plate having an outer surface for placement against a second vertebral body. The device further includes a first translation member configured to move longitudinally relative to the upper and lower plates to adjust a distance between the upper and lower plates and a second translation member configured to move longitudinally relative to the upper and lower plates to adjust an angle between the upper and lower plates.

A spinal joint distraction system for treating a facet joint including articular surfaces having a contour is disclosed and may include a delivery device including a generally tubular structure adapted to engage a facet joint, an implant adapted to be delivered through the delivery device and into the facet joint, the implant comprising two members arranged in opposed position, and an implant distractor comprising a generally elongate member adapted to advance between the two members of the implant causing separation of the members and distraction of the facet joint, wherein the implant is adapted to conform to the shape of the implant distractor and/or the articular surfaces of the facet upon being delivered to the facet joint. Several embodiments of a system, several embodiments of an implant, and several methods are disclosed including a method for interbody fusion.

A bone fusion method, system and device for insertion between bones that are to be fused together in order to replace degenerated discs and/or bones, for example, the vertebrae of a spinal column. The bone fusion device comprises a frame and one or more extendable plates that are able to be angled, rotatable, adjustable, and have top profiles designed to correct and/or match the replaced discs/bones. The bone fusion device is able to be inserted between or replace the vertebrae by using a minimally invasive procedure wherein the dimensions and/or other characteristics of the bone fusion device are selectable based on the type of minimally invasive procedure.

Systems, methods and devices for spinal fusion are disclosed. In particular, certain disclosed embodiments are configured to permit the addition of lordosis to a spinal fusion cage after implantation through the use of various expansion mechanisms to spread arms of the spinal fusion cage. Disclosed embodiments may include the use of a threaded wedge to expand the arms, the use of a keel within a series of detents, the use of supplemental fixation screws, and the use of a rotating cam.

A vertebral insert may include a first linkage, a second linkage, and a third linkage. The first, second, and third linkages may at least partially defining a cavity. The insert may be movable between a collapsed configuration and an expanded configuration, and the movement of the first and second linkages with respect to one another may be configured to reciprocally move the insert between the collapsed and expanded configurations.