Anchoring devices for rachidian implants, implants, surgical instruments, and surgical systems and methods are disclosed. In some embodiments, an anchor comprises a stiff plate with a longitudinal axis, configured for penetration of its anterior end into a vertebral surface while its posterior end remains engaged with the implant. An implant may include a locking mechanism for the anchor. An anchor may include an abutment configured to abut a complementary abutment of an implant. In some configurations, inserting an anchor in a passage of an implant may displace a locking mechanism, which may resile and lock the anchor in the implant with complementary abutments of the anchor and implant abutting.

The present invention relates to a cage apparatus for minimal invasive surgery. The cage apparatus includes: a first main body inserted between a first vertebra and a second vertebra adjacent to the first vertebra; a second main body inserted between the first vertebra and the second vertebra to face the first main body; a torsion prevention unit fixed to each of both edges of each of the first and second main bodies and disposed between the first and second main bodies; and a locking unit forwardly/reversely rotatably mounted between the first and second main bodies to suppress movement of the torsion prevention unit between the first and second main bodies. Thus, when the surgery is performed, the cage apparatus may be easily inserted between a vertebra and an adjacent vertebra to previously prevent damage due to torsion from occurring.

The invention relates to an ankle prosthesis (1) comprising a talar implant (2) designed to be implanted in or on the talus (3), a tibial implant (4) designed to be implanted in or on the tibia (5), and an intermediate implant (6) designed to be interposed between the tibial implant and the talar implant, said intermediate implant (6) being designed to be mounted to move relative to said talar implant (2) at a contact interface (7) in order to allow the ankle to move, said ankle prosthesis (1) being characterized in that it is provided with configurable coupling means (10) designed to enable the intermediate implant (6) to be arranged relative to the tibial implant (4) in a specific configuration chosen from among a plurality of possible configurations.

A method of treating a spine includes implanting a spinal implant within a patient. The spinal implant includes a first member having a first wall defining an axial passageway and a first opening, the first opening being in communication with the axial passageway. A second member includes a second wall defining an axial channel having the first member disposed therein, the second wall defining a second opening in communication with the axial channel. Bone graft is injected through the first opening and into the axial passageway and through the second opening and into the axial channel after the spinal implant is implanted within the patient.

A laterally deflectable asymmetric implant for implanting into a body may comprise a deflectable piece having distal and proximal ends and assuming a straightened insertion state. The backbone may abut or interconnect with said deflectable piece at the distal end of the deflectable piece. In a fully deflected state the implant may define an asymmetric shape, e.g. a D-shaped loop, defining an at least partially enclosed volume. The deflectable piece may comprise a sequence of segments interconnected at effective hinges. Longitudinal pressure applied to the proximal end of the deflectable piece (or applied to the backbone in an opposite direction) may cause relative longitudinal movement between the backbone and the proximal end of the deflectable piece and may generate outward horizontal movement of the deflectable piece away from the backbone. In one embodiment, the implant is implanted using lateral access into an anterior zone of a vertebra and deployed posteriorly.

An intervertebral fusion device is disclosed. The intervertebral fusion device comprises a superior component (40), an inferior component (60) and a core component (10). The superior component (40) has a superior component top side and a superior component bottom side and is configured to be received in an intervertebral space between first and second vertebrae whereby the superior component top side abuts against the first vertebra. The inferior component (60) has an inferior component top side and an inferior component bottom side and is configured to be received in the intervertebral space whereby the inferior component bottom side abuts against the second vertebra. The superior component bottom side and the inferior component top side oppose each other when the superior and inferior components (40, 60) are received in the intervertebral space. The core component (10) is configured for insertion between the superior and inferior components (40, 60) whereby a separation between the superior and inferior components is determined. The core component (10) comprises a retention mechanism which moves between a contracted condition and an expanded condition. The core component (10) is insertable between the superior and inferior components (40, 60) when the retention mechanism is in the contracted condition. The retention mechanism inter-engages with the superior component (40) and the inferior component (60) when in the expanded condition and when the core component (10) is received between the superior and inferior components to thereby present resistance to movement of the core component from between the superior and inferior components.

An interbody fusion device includes a base member, a top member, and an expansion mechanism for moving the top member relative to the base member. The expansion mechanism may include a connector drive rod assembly, a gear, a threaded rod, and a support means. The gear ring is coupled to the threaded rod and is rotatable. The expansion mechanism may also include at least one load head coupled to the threaded rod. An alternative interbody fusion device is also disclosed and includes a bottom member, a superior member, and an expansion mechanism for moving the superior member relative to the base member, wherein the expansion mechanism comprises at least one expansion assembly for moving an end of the superior member relative to the bottom member.

Anchor removal instruments and methods for using the instruments are provided. In some embodiments, an intervertebral implant anchor extractor tool comprises a support, a support retainer configured to hold the support fixed with respect to the implant, an extractor having an anchor retainer, and an extractor guide. An embodiment of a method of using this implant anchor extractor tool comprises the steps of obtaining access to an anchor, grasping the anchor, and applying a withdrawal force on the anchor while applying a countervailing force against the implant or a vertebral structure.

A spine stabilization device having an interbody spacer shaped to be inserted between a vertebral body of an upper vertebra and a vertebral body of a lower vertebra. The device further includes a fixation device to be inserted after placement of the interbody spacer, the fixation device having a support portion securing the interbody spacer against escaping from between the vertebral bodies into a ventral direction. The support portion rests against a portion of an anterior surface of the interbody spacer, and includes an anchor. The anchor has an anchoring material portion that is inserted, in a liquid state, into cancellous bone tissue of at least one of the vertebral bodies of the upper and lower vertebra, to thereby infiltrate the cancellous bone tissue, and to harden thereafter so as to fix the support portion to the vertebral body.

An intervertebral implant is provided. The intervertebral implant comprises a first component comprising an outer tissue engaging surface and an inner surface. A second component is connected to the first component, and is relatively moveable therefrom. The second component comprises an outer tissue engaging surface and an inner surface. The second component includes an actuator. A third component is disposed for engagement and is movable relative to the first and second components. The third component comprises at least a first ramp and a second ramp axially spaced apart from the first ramp. The actuator is engageable with the third component to effect axial translation of the wedge such that the ramps engage the inner surface of at least one of the first component and the second component to move the components between a first, collapsed configuration and a second, expanded configuration. Methods of use are disclosed.