An adjustable spinal fusion intervertebral implant is provided that can comprise upper and lower body portions that can each have proximal and distal wedge surf aces disposed at proximal and distal ends thereof. An actuator shaft disposed intermediate the upper and lower body portions can be actuated to cause proximal and distal protrusions to converge towards each other and contact the respective ones of the proximal and distal wedge surfaces. Such contact can thereby transfer the longitudinal movement of the proximal and distal protrusions against the proximal and distal wedge surfaces to cause the separation of the upper and lower body portions, thereby expanding the intervertebral implant. The upper and lower body portions can have side portions that help facilitate linear translational movement of the upper body portion relative to the lower body portion.

An expandable interbody implant is expandable from a contracted configuration to an expanded configuration by moving opposing first and second vertebral-engaging surfaces apart from one another. The implant includes a locking system for restraining contraction of the implant. The locking system may have a locked configuration, in which the first and second surfaces are prevented from moving back towards the contracted configuration, and the locking system may have an unlocked configuration, in which the first and second surfaces are permitted to move back towards the contracted configuration. The locking system may be controlled by rotation of one or more pinions. The pinions may, in turn, be controlled by linear movement of a rack. The rack may be configured so as to bias the locking system towards the locked configuration. The implant may also include a stop for constraining the maximum expansion of the implant.

An implant is insertable in the joint space to separate bones of the joint. The implant has two endplates each configured to engage a separate articulating bone of the joint, and a threaded member positioned between the two endplates and configured to increase the space between the two endplates when the threaded member is rotated. A rotatable gear is engaged with the threaded member, and is engageable with a rotating gear of a connected implantation tool, so that rotation of the gear on the tool causes rotation of the threaded member and expansion of the implant to separate the bones. Connector portions on the tool and the implant may be rotated together to securely engage the implant and the tool so that the gears of the tool and the implant can be rotated using an actuator outside of the body, when the implant is inside the body.

A spinal distraction system, according to one aspect, includes an adjustable spinal distraction rod comprising first and second members, the adjustable spinal distraction rod configured for non-invasive elongation of the first and second members. The system includes an anchor rod configured for mounting to a bone of a subject, the anchor rod having one or more spring-biased tabs disposed at one end thereof, and a connector having first end and a second end, the first end having a receiving cup configured for detachable mounting on the anchor rod, wherein the one or more spring-biased tabs are configured to engage with an inner surface of the receiving cup, the connector having a second end operatively coupled to an end of a first member and wherein the second member is configured for mounting to a second bone of a subject.

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes 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.

Intervertebral implant (1) comprising (i) a first elongated implant member (20) with a longitudinal axis (221), an upper surface (222) and a lower surface (223) for apposition to the endplates of two adjacent vertebrae, and with a lateral circumferential surface (224) and (ii) a second elongated implant member (30) with a longitudinal axis (321), an upper surface (322) and a lower surface (323) for apposition to the same endplates and with a lateral circumferential surface (324). Said elongated implant members (20, 30) are rotatably coupled to a central body (10) for rotation in a central plane (101 essentially parallel to said upper and lower surfaces. Further, a) said first and second elongated implant members (.sub.20, 30) comprise each an inner end portion (225;325) which comprises a segment of a toothed wheel (220;320) with gear teeth (23;33) and with an axis of rotation (227;327) essentially orthogonal to the central plane of the intervertebral implant; and a free outer portion (226;326); and whereby said free outer portions (226;3.sub.26) of said first and second elongated implant members (20, 30) are rotatable around the axis of rotation (227;327) of the segment of a toothed wheel (220;320) of their respective inner end portions (225;325).

Expandable implants for engagement between vertebrae generally include an inner member, outer member, and gear member positioned coaxial with respect to each other such that the inner and outer members are moveable relative to each other along an axis. The gear member is axially fixed to the outer member and freely rotatable with respect to the outer member and the gear member threadedly engages a threaded portion of the inner member to translate inner member along the axis. The implant is configured to engage the vertebrae in a predetermined alignment and the gear member includes gear teeth exposed to the exterior and configured to be accessible by a tool member at a plurality of angular positions around the perimeter of the implant device.

A spinal implant comprises a first member and a second member. A rotatable element defines an axis and is engageable to rotate the members about the axis. An actuator is rotatable for translating a part thereof to move the members between a first, contracted configuration and a second, expanded configuration. Systems and methods of use are disclosed.

An expandable implant includes a top support assembly defining an upper surface configured to engage a first portion of vertebral bone; a bottom support assembly defining a lower surface configured to engage a second portion of vertebral bone; and a control assembly coupled to the top support assembly and the bottom support assembly and configured to control relative movement between the top support assembly and the bottom support assembly between a collapsed position and an expanded position. In the collapsed position, the upper surface is generally parallel to the lower surface, and in the expanded position, a portion of the upper surface extends at an acute angle relative to a portion of the lower surface.

A spinal cage with a wall extending in a longitudinal direction defining an interior space is disclosed. There is also provided a deployable element in movable relation to the spinal cage.