A joint spacer has first and second endplates, with each having a bone engaging surface, and at least two cams with an inclined cam surface positioned on an opposite side. First and second slides, each having ramps with an inclined surface are engaged with the cams of the endplate. The first slide has an angled portion at an end, and the second slide has a hinge portion. A threaded shaft has a hinge portion connected to the slide hinge portion, connecting the shaft to the slide, enabling the shaft to pivot. A nut is threaded to the shaft, and can contact and interfere with the angled portion of the first slide to drive the first slide with respect to the second slide. This results in engagement of the cams and ramps to drive the endplates apart to increase the spacer height.

An expandable vertebral body device, system, instrument, and methods of assembly and using the device, system, and instrument are disclosed. The vertebral body device includes a body with a first end and a second end, a first rotating member rotatably coupled to the first end, a second rotating member rotatably coupled to the second end, a first extension member moveably coupled to the first end, and a second extension member moveably coupled to the second end. The expandable cage system comprises a vertebral body device and an insertion instrument. Methods for assembling and using the vertebral body device and instrument are also disclosed.

A spinal interbody implant includes a two-component cage and expander. The two-component cage, when assembled, accepts the expander through a reverse dovetail configuration between the assembled cage and the expander. The expander has a pair of legs that move within and along lateral channels formed by and between the two cage components for increasing the height of the two cage components relative to one another. The amount of expansion of the cage is determined by the height of the pair of expander legs. The cage accepts different expanders each having pairs of legs of different heights in order to provide different amounts of cage expansion and thus the interbody implant. The front of each expander leg is arch shaped for reception in the lateral channels of the assembled cage and to progressively expand the two cage components relative to one another as the expander is received by the assembled cage.

A method and system for performing bone fusion and/or securing one or more bones, such as adjacent vertebra, are disclosed.

A method of implanting a unicompartmental orthopedic knee implant may include positioning a tibial tray onto a resected patient's tibia, the tibial tray including a body having a joint-facing side opposite a bone-facing side, and inserting a tibial anchor guide into the body of the tibial tray, wherein the tibial anchor guide includes a slot. The method may further include forming a tibia channel in the patient's tibia by inserting a cutting device into the slot of the tibial anchor guide, removing the cutting device from the tibial anchor guide, and inserting a fixation element into the tibia channel, wherein compression is created between the bone-facing side of the body of the tibial tray and the tibia when the fixation element is inserted.

An intervertebral implant for implantation between an upper vertebral body and a lower vertebral body is disclosed. The intervertebral implant includes a body portion through which a first and a second pathway pass. A first straight anchor is movable in a straight path through the first pathway and a second straight anchor is movable in a straight path through the second pathway. A locking member is movable between an open position and a closed position to either block or allow the withdrawal of the first and second straight anchors.

A spinal interbody fusion device for use in a plurality of surgical approaches includes a cage, a top end, a bottom end, and at least a first side representing the width of the cage and at least a second side representing a length of the cage. The cage includes fixation holes and inserter holes, with each fixation hole being configured for accepting a screw or anchor and each inserter hole being accessible for one or more surgical approaches for performing a spinal fusion. Also included are methods for selecting a size of an intervertebral implant and methods of surgically approaching a spine of a patient for spinal surgical procedures.

Expandable vertebral body implants, systems, instruments, and methods of assembly and using the implants, systems, and instruments are disclosed. The vertebral body implant includes a body with a first end and a second end, a first rotating member rotatably coupled to the first end, wherein an end includes a plurality of first notches inset into the first rotating member, a second rotating member rotatably coupled to the second end, wherein an end includes a plurality of second notches inset into the second rotating member, a first extension member moveably coupled to the first end, and a second extension member moveably coupled to the second end. The expandable cage system comprises a vertebral body implant and an insertion instrument. Methods for assembling and using the vertebral body implants and instruments are also disclosed.

An implant includes a first plate and a second plate, a first wedge member and a second wedge member spaced from the first wedge member that couple the first and second plates together. The first and second wedge members configured to translate along the first and second plates from a first contracted configuration into a second separated configuration. The implant includes an actuation member coupled to the first wedge member and the second wedge member. The actuating member defines a flange extending toward the first and second plates. The actuation member configured to move the first and second wedge members from the first contracted configuration into the second separated configuration so that the first and second plates separate from each other.

A surgical instrument for implanting a semi-rigid medical implant. The surgical instrument includes a shaft, an accessory shaft, an actuation mechanism and an implant engagement mechanism. The shaft has a channel formed therein. The shaft has a proximal end and a distal end. The accessory shaft is slidably mounted in the channel. The accessory shaft has a proximal end and a distal end. The actuation mechanism is mounted to the shaft proximate the proximal end thereof. The actuation mechanism is capable of causing the accessory shaft to slide with respect to the shaft. The implant engagement mechanism is attached to the distal end of the accessory shaft. The implant engagement mechanism is capable of engaging a semi-rigid surgical implant.