An expandable intervertebral implant including a first wall comprised of a male portion and a female portion in telescoping engagement with each other and a second wall comprised of a plurality of links, wherein the first wall and second wall are coupled to each other by hinges at each of the leading and trailing ends of the implant. The expandable implant is configured to be inserted into a disc space in a collapsed, narrow profile configuration and then unilaterally expanded in an anterior or posterior direction to a fully expanded, larger foot print configuration.

The invention concerns an expandable intersomatic cage (1) intended to be implanted between a first and second vertebral bodies of a patient, comprising: a cage body (2), comprising a bearing surface (6A) intended to be positioned so as to bear against the first vertebral body (4), an expansion cap (3) mounted on the cage body (2) so as to be able to pivot relative to the bearing surface (6A), said expansion cap (3) comprising an element (3A) for bearing against the second vertebral body (5), a means (16) for controlling the inclination of the expansion cap (3). said cage (1) being characterized in that the body (2) comprises at least one fastening orifice (41) forming an oblique well (42) capable of receiving and guiding from the outside of said cage (1) a means for fastening the cage (1) to the first and/or to the second vertebral body. Surgical implants.

A spinal cage includes a first support plate pivotally connected to a second support plate by a hinge, and a plate mover actuated by an actuator and located between the first and second support plates. The plate mover is arranged to slide against an inclined surface on the first support plate. A hinge is journaled in an elongate aperture formed in a hinge housing protruding from first support plate, the hinge being free to translate and rotate in the elongate aperture.

A system and method for detecting and measuring changes in angular position with respect to a reference plane is useful in surgical procedures for orienting various instruments, prosthesis, and implants with respect to anatomical landmarks. One embodiment of the device uses dual orientation devices of a type capable of measuring angular position changes from a reference position. One such device provides information as to changes in position of an anatomical landmark relative to a reference position. The second device provides information as to changes in position of a surgical instrument and/or prosthesis relative to the reference position.

Disclosed herein are aspects of expandable interbody devices having an unobstructed graft material containment space. Such expandable interbody devices have a structure in which an overall plan view area of the graft material containment space is devoid of elements of the expandable interbody device enabling adjustment of the expandable interbody devices between a collapsed configuration and displaced configuration (e.g., an expanded configuration and/or a tilted configuration). In this manner, expandable interbody devices configured in accordance with embodiments of the disclosures made herein do not have obstructions within the graft material containment space thereof that limit the available volume of graft material and associated bony material growth that may be contained within the graft material containment space.

Expandable fusion devices, systems, and methods. The expandable fusion device includes one or more integrated deployable retention spikes configured to resist expulsion of the device when installed in the intervertebral disc space. The implant may include upper and lower main endplates, an actuator assembly configured to cause an expansion in height of the upper and lower main endplates, and a sidecar assembly including a sidecar carrier, an upper carrier endplate engaged with an upper spike, and a lower carrier endplate engaged with a lower spike such that forward translation of the sidecar carrier pushes against the upper and lower carrier endplates, thereby deploying the upper and lower spikes.

A device is provided including a distal nail portion and a proximal nail portion that can be connected to each other to attain a rigid configuration. The device is to be placed internally within the medullary cavities of bones. The device is placed intramedullarily in order to minimize incision size, excessive bone resection and post-operative tendon damage and tenderness. Additionally, one particular method for using the device is provided that includes placing and affixing the distal nail in bone, placing the proximal nail in bone, connecting the distal nail to the proximal nail, doing the desired geometrical adjustments, affixing the proximal nail to the distal nail by tightening the connection and affixing the proximal nail to attain a rigid configuration.

An expandable medical implant that includes a lower lifting plate, an upper lifting plat, a distal lifting block, a proximal lifting block, a rotational block, a lifting screw, and a locking nut, and related methods of use. Also, an expandable medical implant that includes a lower lifting plate having a proximal lower angled lifting portion, an upper lifting plate having a proximal upper angled lifting portion, a center fork block, a lifting lobe, a distal screw, and a proximal nut, and related methods of use.

Disclosed is an assembly and method for implant installation between adjacent vertebral bodies of a patient. The implant has a support body and a rotatable insert therein and the support body is curved for installation between adjacent vertebral bodies transforaminally. An installation instrument is also disclosed for removable attachment to implant and engagement with the rotatable insert to selectively permit rotation between the insert and the support body. The installation instrument extends along a longitudinal tool axis and when the installation instrument is in a first position the insert is rotationally fixed with respect to the support body and when the installation instrument is in a second position the support body may rotate with respect to the insert.

A vertebral body shaver assembly may include a shaver inserter and a shaver instrument. The shaver inserter may be used to insert the shaver instrument into an intradiscal space between vertebral body endplates in a non-expanded condition with a footprint area A1. The shaver instrument may then be adjusted into a to an expanded condition with a footprint area A2that is greater than footprint area A1. As the shaver instrument is adjusted into the expanded condition, at least one blade may shave osteochondral material off at least one of the first vertebral body endplates.