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.

A fusion implant which already has a cephalad anchor blade and a caudal anchor blade which are both held in a non-deployed position for delivery between a cephalad vertebra and a caudal vertebra. Positioning the fusion implant between the cephalad vertebra and the caudal vertebra while the cephalad anchor blade and the caudal anchor blade are both held in the non-deployed position. Advancing the anchor blades to engage the vertebrae. Using a cephalad locking cam to lock the cephalad anchor blade in the deployed position and using a caudal locking cam to lock the caudal anchor blade in the deployed position.

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.

A prosthetic intervertebral disc joint assembly for replacing at least a portion of an intervertebral disc between first and second adjacent vertebrae comprising: a first component 20, 120 for engaging a first vertebra, the first component having an intervertebral portion 20a, 120a insertable between adjacent vertebrae and having a bone-engaging side for engaging an endplate of the first vertebra and an inner side opposite the bone-engaging side, the inner side of the intervertebral portion 20a, 120a having an articulating surface 22, 122 comprising a generally convex surface; a second component 30, 130 for engaging a second vertebra, the second component having an intervertebral portion 30a, 130a insertable between adjacent vertebrae and having a bone-engaging side for engaging an endplate of the second vertebra and an inner side opposite the bone-engaging side, the inner side of the intervertebral portion 30a, 130a having an articulating surface 32, 132 comprising a generally concave surface; wherein the convex articulating surface 22, 122 of the first component is sized and shaped to pivot in the concave articulating surface 32, 132 of the second component, and wherein the first component 20, 120 further comprises a fixation portion 20b, 120b for securing the first component to the anterior side of the first vertebra, said fixation portion 20b, 120b extending from the trailing end of the intervertebral portion 20a, 120a of the first component and wherein the second component 30, 130 further comprises a fixation portion 30b, 130b for securing the second component to the anterior side of the second vertebra, said fixation portion 30b, 130b extending from the trailing end of the intervertebral portion 30a, 130a of the second component.

A femoral trialling kit and method for assessing acetabular cup orientation during a left hip joint surgical procedure and a right hip joint surgical procedure are described. The kit includes a trial femoral head (104, 414, 514, 614, 814) having an inner wall defining a cavity extending along a head axis and a visual alignment guide on an outer surface of the trial femoral head and a trial femoral neck (126, 412, 512, 612, 812) having a taper at a free end, the taper being receivable within the cavity. One of the taper and the inner wall has a first anti-rotation feature (684, 698) and a second anti-rotation feature (686, 700), the first anti-rotation feature and the second anti-rotation feature being inclined, and the other of the taper and the inner wall has a third anti-rotation feature (702). The trial femoral head is attachable to the trial femoral neck in a first angular configuration corresponding to a right hip joint, in which the third anti-rotation feature and the first anti-rotation feature engage, and a second angular configuration corresponding to a left hip joint, wherein the third anti-rotation feature and the second anti-rotation feature engage.

Provided is an artificial spinal disc including an upper disc formed in a plate shape with top coupled to an upper vertebra, a protruding joint portion protruding from a lower surface of the upper disc, and a lower disc formed in a plate shape with bottom coupled to a lower vertebra wherein the protruding joint portion is seated on an upper surface of the lower disc. According to the foregoing description, the artificial disc is implanted through the lateral or anterolateral approach to the spine, rather than the anterior approach, and such lateral implantation is straightforward.

Orthopedic implants, systems, instruments, and methods. A bi-portal lumbar interbody fusion system may include an expandable interbody implant and minimally invasive pedicle-based intradiscal fixation implants. The interbody and intradiscal implants may be installed with intelligent instrumentation capable of repeatably providing precision placement of the implants. The bi-portal system may be robotically-enabled to guide the instruments and implants along desired access trajectories to the surgical area.

A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube may be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.

An expandable implant includes a lower support; an upper support pivotally coupled to the lower support and including a control channel; and a control assembly. The control assembly includes a control shaft coupled to the lower support and a control member coupled to the control shaft and configured to move along the control shaft. The control member includes a base member and a pivot member pivotally coupled to the base member, the pivot member configured to move within the control channel. Movement of the control member along the control shaft causes the pivot member to pivot relative to the base member, and the upper support to pivot relative to the lower support.

A device includes a core defining first and second female threads. A first member includes a first body and a first drive screw coupled to the first body, the first drive screw being configured to engage the first female thread. A second member includes a second body and a second drive screw coupled to the second body, the second drive screw being configured to engage the second female thread. A first plate is coupled to the core and the first body. The first plate includes a first vertebral engaging surface. A second plate is coupled to the core and the second body. The second plate includes a second vertebral engaging surface. The drive screws are configured to independently rotate relative to the core to pivot the first plate relative to the core and to alter a distance between the first vertebral engaging surface and the second vertebral engaging surface.