Disclosed is an expandable interbody fusion implant that is configured to have an initial configuration having a first footprint width suitable for being inserted into an intervertebral space and an expanded configuration having a second footprint width that is greater than the first footprint width. The implant may include a first body member and a second body member that is pivotally coupled to the first body member. The implant may be expanded using an inflatable balloon. The implant may be expanded bilaterally such that both body members rotate relative to the other or the implant may be expanded unilaterally such that one of the body members rotates relative to the other.

Disclosed is an expandable interbody fusion implant that is configured to have an initial configuration having a first footprint width suitable for being inserted into an intervertebral space and an expanded configuration having a second footprint width that is greater than the first footprint width. The implant may include a first body member and a second body member that is pivotally coupled to the first body member. The implant may be expanded using an inflatable balloon. The implant may be expanded bilaterally such that both body members rotate relative to the other or the implant may be expanded unilaterally such that one of the body members rotates relative to the other.

A distractible intervertebral implant configured to be inserted in an insertion direction into an intervertebral space that is defined between a first vertebral body and a second vertebral body is disclosed. The implant may include a first body and a second body. The first body may define an outer surface that is configured to engage the first vertebral body, and an opposing inner surface that defines a rail. The second body may define an outer surface that is configured to engage the second vertebral body, and an inner surface that defines a recess configured to receive the rail of the first body. The second body moves in a vertical direction toward the second vertebral body as the second body is slid over the first body and the rail is received in the recess.

An intervertebral scaffolding system is provided having a rigid central beam and a laterovertically-expanding frame operable for a reversible collapse from an expanded state into a collapsed state.

A spinal fusion implant has a parallelepiped main body with a rotatably mounted retention plate secured to its distal end. The distal retention plate has a first position co-planar with the main body and a second, deployed position normal to the plane of the main body. The distal retention plate is in the first position when the main body is inserted between adjacent vertebral bodies and is in the second position after the main body is inserted between adjacent vertebral bodies. In further embodiments, a proximal retention plate is permanently deployed in normal relation to the main body or both the distal and proximal retention plates are rotatably mounted and both are deployed co-planar to the main body before insertion and normal to the main body after insertion.

A distractible intervertebral implant configured to be inserted in an insertion direction into an intervertebral space that is defined between a first vertebral body and a second vertebral body is disclosed. The implant may include a first body and a second body. The first body may define an outer surface that is configured to engage the first vertebral body, and an opposing inner surface that defines a rail. The second body may define an outer surface that is configured to engage the second vertebral body, and an inner surface that defines a recess configured to receive the rail of the first body. The second body moves in a vertical direction toward the second vertebral body as the second body is slid over the first body and the rail is received in the recess.

A staged expansion of an intervertebral scaffolding system is provided, and also include a laterovertically-expanding frame operable for a reversible collapse from an expanded state into a collapsed state. The expanded state, for example, can be configured to have an open graft distribution window that at least substantially closes upon the reversible collapse.

The invention relates to an apparatus for inserting a cage between vertebrae, according to the inventive concept, includes a body accommodating an inner rod coupled to the cage, which is to be inserted between vertebrae, a push bar installed in the body to be slid and configured to push one side of the cage as the push bar is moved forwards from the body, a support bar supporting an opposite side of the cage and installed in the body to be slid to move rearwards when the push bar is moved forwards, and an adjustment unit installed in the body to be manipulated and configured to adjust movements of the push bar and the support bar such that a rotation amount of the cage is adjusted according to manipulation by a user.

A device for insertion into a gap between adjacent, spaced apart bony elements includes an adjustable length interconnecting member having a distal and a proximal retention plate secured to opposite ends of the interconnecting member. The distal retention plate has a non-rotated position and a plurality of rotated positions. The non-rotated position aligns the distal retention plate with the gap prior to and during insertion of the distal retention plate into the gap. The distal retention plate is rotated after it has exited the gap on a distal side of the gap to prevent its return into the gap. The proximal retention plate is misaligned with the gap so that it cannot enter into the gap. The rotated distal retention plate cooperates with the proximal retention plate to hold bony elements such as adjacent vertebral bodies in a stable relationship to one another when the interconnecting member is shortened.

A revision knee system has a unique polymeric tibial bearing monobloc defining both a superior condylar articular bearing surface and an inferior tibial bearing face. The inferior tibial bearing face bears directly on tibial cut surface so as to withstand compressive loading force applied to the superior condylar articular bearing surface thereof. The bearing component comprises a polymeric keel extending from the inferior bearing face which engages a higher strength metallic stem inferiorly with respect to the inferior bearing face and which may be configured to engage the stem in a structurally resilient manner despite the lower material strength of polymer as compared to metal.