An expandable interbody device for implantation within an intervertebral space is provided, together with methods and tools for use therewith. The interbody devices of the present invention include upper and lower bearing members configured to expand via an expansion mechanism configured to allow the insertion of osteoconductive materials and other structures into the interior of the interbody device before and after implantation, and before and after expansion of the interbody device. The insertion tool is configured expand the interbody device and to allow insertion of materials into the interbody device through a protected pathway.

A low profile intervertebral implant for implantation in an intervertebral disc space between adjacent vertebral bodies of a quadruped. The intervertebral implant includes a plate and a spacer that extends from the plate. The intervertebral implant can define geometries that nest with complementary geometries of the vertebral bodies. Further, the plate can include fixation holes that extend along trajectories such that screws inserted through the fixation holes and driven into the respective vertebral bodies can purchase with dense cortical bone.

Apparatus and methods for treating a spinal body having an interior. The method may include augmenting a height of the spinal body by radially expanding a first mesh cage in the interior. The method may include removing the first cage from the interior. The method may include supporting the spinal body in an elevated position by radially expanding a second mesh cage in the interior. The method may also include surgically enclosing the second cage in the interior.

A surgical access device including a frame, first and second supports, and first and second retractor blades releasably coupled with the first and second supports, respectively. The frame has first and second arms. The first support is releasably coupled with the first and second arms. The second support is slidably mounted on the first and second arms. The second support is movable between a first position with the retractor blades in close cooperative position and a spaced apart position with respect to the first support. The first and second retractor blades each have a distal end portion configured and adapted to engage a vertebral body. In one method of use, the retractor is inserted through an incision in first orientation with the blades in close approximation and rotated approximately 90°, before spreading the retractor blades to retract tissue.

A wrist endoprosthesis (2) for functional replacement of the human wrist, containing a radius component (4) that has a shaft (10) for anchoring in the radius, a head (12), and a first joint surface (16), which is implemented on a distal head face (14), and a carpal component (6) that has a proximal carpal face (22), a distal carpal face (20) and a second joint surface (24) which is formed on the proximal carpal face (22) and interacts with the first joint surface (169) of the radius component (4), characterized in that the carpal component (6) is substantially trough-shaped, in order to at least partially surround the carpal bones. Also, a wrist endoprosthesis (2) that has anti-luxation protection (8), a method for producing wrist endoprostheses (2) and a computer program product.

An interbody spinal implant for implantation in a disc space between adjacent vertebral bodies, and an insertion instrument facilitating such implantation is provided. The spinal implant includes a body portion and an extended end portion, where at least the body portion can include a biconvex upper and lower surfaces. And the insertion instrument is engageable to a proximal end portion of the interbody spinal implant to facilitate insertion of the interbody spinal implant into the disc space.

An intervertebral implant with a support portion (1.1) and a proximal contact portion (1.3) adjoined thereto in the longitudinal direction, is better adapted, as an intervertebral implant, to the contours of the lower and upper sides of the vertebrae that are spaced apart by the implant. An upper side (1.6) and a lower side (1.7) of the implant are configured symmetrically relative to a horizontal center plane (L-Q). In particular a height of the support portion between the transition (U) thereof to the contact portion (1.3) and a distal end face (1.2) facing away from the contact portion (1.3) are greater than the height at the transition (U) and at the distal end face (1.2).

Disclosed herein are expanding spinal fusion cage embodiments including an expandable cage assembly configured to expand from a collapsed state to an expanded state in an intervertebral space when inflated with a material. The assembly can include an inflatable section defining an interior volume configured to receive the material and expand the interior volume in response to a pressure from the received material to cause the expandable cage assembly to transition from the collapsed state to the expanded state, and a stabilization section configured to restrain the inflatable section during inflation.

An interbody spinal implant for implantation in a disc space between adjacent vertebral bodies, and an insertion instrument facilitating such implantation is provided. The spinal implant includes a body portion and an extended end portion, where at least the body portion can include a biconvex upper and lower surfaces. And the insertion instrument is engageable to a proximal end portion of the interbody spinal implant to facilitate insertion of the interbody spinal implant into the disc space.

The device for maintaining an intervertebral space is capable of being accommodated inside the disc, in place of the core. Natural anchoring is ensured by promoting the regrowth of fibre around at least part of the device. The possibility of ejection of the residual core is limited in order to avoid a renewed hernia, and mobility of the vertebral column is ensured. To this end, a subject of the invention is a device having at least two non-expansible concentric rings which between them form a free space and which are connected to each other via two junction summits.