Devices and surgical methods treat various types of adult spinal pathologies, such as degenerative spondylolisthesis, spinal stenosis, degenerative lumbar scoliosis, and kypho-scoliosis. Various types of spinal joint replacement prostheses, surgical procedures for performing spinal joint replacements, and surgical instruments are used to perform the surgical procedures.

Facet arthroplasty devices and methods

A spinal stabilization system may be formed in a patient. In some embodiments, a minimally invasive procedure may be used to form a spinal stabilization system in a patient. Bone fastener assemblies may be coupled to vertebrae. Each bone fastener assembly may include a bone fastener and a collar. The collar may be rotated and/or angulated relative to the bone fastener. Detachable members may be coupled to the collar to allow for formation of the spinal stabilization system through a small skin incision. The detachable members may allow for alignment of the collars to facilitate insertion of an elongated member in the collars. An elongated member may be positioned in the collars and a closure member may be used to secure the elongated member to the collars.

Spinal stabilization systems and methods

The invention relates to an artificial intervertebral disc for placement between adjacent vertebrae. The artificial intervertebral disc is preferably designed to restore disc height and lordosis, allow for a natural range of motion, absorb shock and provide resistance to motion and axial compression. Furthermore, the intervertebral disc (10) may be used in the cervical, the thoracic, or the lumbar regions of the spine. The artificial intervertebral disc may include either singularly or in combination: an interior (19) at least partially filled with a fluid (22); a valve (20) for injecting fluid into the interior of the disk; a central region having a stiffness that is preferably greater than the stiffness of the cuter regions thus enabling the disc to pivot about the central region. The central pivot may be formed by a center opening (108), a central chamber (162), an inner core or a central cable (258).

Intervertebral disc implant

Cephalad and caudal vertebral facet joint prostheses and methods of use are provided. The cephalad prostheses are adapted and configured to be attached to a lamina portion of a vertebra without blocking a pedicle portion of the cephalad vertebra.

Prostheses, systems and methods for replacement of natural facet joints with artificial facet joint surfaces

A method of fabricating a porous or partially porous three-dimensional metal article for use as a tissue ingrowth surface on a prosthesis. The porous article is formed using direct laser remelting in a cross section of a layer of metallic powder on a build platform without fusing thereto. The power, speed, spot size and beam overlap of the scanning laser is coordinated so that a predetermined porosity of the metallic powder can be achieved. Laser factors also vary depending from the thickness of the powder layer, type of metallic powder and size and size distribution of the powder particles. Successive depositing and remelting of individual layers are repeated until the article is fully formed by a layer-by-layer fashion. In an additional embodiment, a first layer of metallic powder may be deposited on a solid base or core and fused thereto.

Laser-produced porous surface

The present application is directed to an orthopedic implant. More specifically, the orthopedic implant is suitable for arthroplasty procedures where optimized multifunctional behavior of the implant is desired. In some embodiments the implant is suitable for the replacement of a spinal disc. In one embodiment, the present application is directed to an orthopedic implant including a first plate a second plate and a flexible support. The flexible support may have a single connection to the first plate and a single connection to the second plate and may vary in cross section. The first plate, the second plate and the flexible support may be unitarily formed. This application is also directed to methods of producing metal articles having microstructure for improved mechanical properties. Such methods may be suitable for the production of medical devices. In one embodiment, the method includes directing a stream including a particulate material in a pattern corresponding to at least a portion of a structure of an orthopedic implant and fusing at least a portion of the particulate material with a laser.

Orthopedic implant and method of making metal articles

Wear resistance and oxidation resistance of bioimplantable polymeric parts is improved by packaging the parts within flexible, gas impermeable containers while subjecting the containers and the parts to a relatively high vacuum force. The containers are heat sealed while subjected to the vacuum force such that, upon sealing, hydrostatic pressure is exerted on the part. Following sealing of the packages, the packages and their contents are irradiated to an extent sufficient to sterilize the parts and to promote crosslinking within the part. Alternatively, the same property enhancements can be imparted to polymeric parts by packaging the part within rigid or flexible containers, minimizing the oxygen content within the containers, pressurizing the containers with an inert gas, or with a mixture of hydrogen and an inert gas, to greater than 1.5 atmospheres, and irradiating the part and the container.

Method for improving wear resistance of polymeric bioimplantable components

A method and tool for inserting a prosthetic stem component in an aligned position into a prepared bone cavity. The bone is prepared by removing bone material from the bone canal and preferably also machining an entry opening of a predetermined shape and desired orientation in the bone, or marking the plane of the joint on the bone end. The tool includes an upper component that engages the top of the prosthesis stem to fix its rotational alignment, and an arm that extends to the opening in the bone and is aligned at its distal end. The upper component rides along the arm, and orients the stem with respect to the bone as the stem is inserted. The tool may include a lower element that engages the machined or marked bone and holds the arm to orient the head of the prosthesis. Optionally, the lower element may guide the distal stem. Alternatively, the guide may include an arm that simply points to, contacts or fastens at the bone end, orienting the prosthesis insertion without sighting errors. In a pointer or pin assembly which extends to an alignment point on the proximal femur, the upper portion may clamp to the femoral component head or neck, and may include a sliding bushing, that allows the guide to remain rigidly coupled as the stem is progressively advanced in the femoral canal. Articulation may be provided by a pivot mounting of the arms and bushing, and the bushing may swivel as it rides along a post, rail or pin, the lower end of which remains pointed to, or driven into, an alignment mark scribed at the medial periphery of the cut surface of the proximal femur. Alternatively, a lower alignment body may fit against a machined bone surface to fix the orientation of a linking arm in one plane, with a sliding coupling to the upper part of the prosthesis to maintain that orientation as the stem is driven down into contact with the prepared bone surface.

Alignment guide for insertion of stem prosthesis

A modular system for hybrid fixation of a joint prosthesis into a bone cavity includes a sleeve having a bore therethrough The sleeve is cementable within the bone cavity A prosthetic component is insertable into the bore of the sleeve The prosthetic component is retained within the sleeve and secured to the bone without cement

Modular prosthesis system with hybrid fixation

An adaptor is provided to convert a bipolar shell trial to and from a unipolar head trial adaptor. A preferred embodiment provides a spring-loaded, snap-in adaptor and a neck length adjusting mechanism for a trial system.

Mark A Manasas

Papers

Orthopedic implant and method of making metal articles

Method for improving wear resistance of polymeric bioimplantable components

Alignment guide for insertion of stem prosthesis

Modular prosthesis system with hybrid fixation

Adjustable bipolar-unipolar adaptor for a head trial