Spinal implant having a transverse aperture

1. An interbody spinal implant, comprising:

a body generally oval-shaped in transverse cross-section having a top surface, a bottom surface, opposing lateral sides, opposing anterior and posterior portions, and a substantially hollow center, the opposing lateral sides defining a length of the body and the opposing anterior and posterior portions defining a width of the body;

at least one transverse aperture located on one or more of the posterior portion, the anterior portion, and at least one of the opposing lateral sides, positioned substantially centrally between the top surface and the bottom surface, extending through the width or the length of the body, and in communication with the substantially hollow center;

a single vertical aperture extending from the top surface to the bottom surface and defining a transverse rim with a varying thickness on the top surface and on the bottom surface having an anterior section, a posterior section, opposing lateral sections, and a maximum width at its center;

generally rounded, blunt, and radiused intersections defined along the entire lengths between the top and bottom surfaces and the lateral sides, and the top and bottom surfaces and the posterior portion;

a roughened surface topography, without teeth, adapted to grip bone and inhibit migration of the implant on at least a portion of the top surface, the bottom surface, or both the top and bottom surfaces that is not generally rounded and blunt; and

at least one sharp edge between the top and bottom surfaces and the anterior portion to resist pullout.

2. The interbody spinal implant of claim 1 , wherein the implant comprises at least one transverse aperture on the posterior portion, and at least one transverse aperture on the anterior portion.

3. The interbody spinal implant of claim 2 , wherein the at least one transverse aperture on the posterior portion and the at least one transverse aperture on the anterior portion extend into the substantially hollow center.

4. The interbody spinal implant of claim 3 , wherein the at least one transverse aperture on the posterior portion and the at least one transverse aperture on the anterior portion each comprise a notch.

5. The interbody spinal implant of claim 1 , wherein the implant comprises at least one transverse aperture on each of the opposing lateral sides, wherein the implant does not have a transverse aperture on the anterior portion, and wherein the anterior portion has an opening for engaging a delivery device.

6. The interbody spinal implant of claim 5 , wherein the implant comprises at least one transverse aperture on the posterior portion.

7. The interbody spinal implant of claim 5 , wherein the at least one transverse aperture on each of the opposing lateral sides extends into the substantially hollow center.

8. The interbody spinal implant of claim 5 , wherein the at least one transverse aperture on each of the opposing lateral sides comprises a notch.

9. The interbody spinal implant of claim 1 , wherein the implant comprises at least one transverse aperture on the posterior portion, on the anterior portion, and on each of the opposing lateral sides.

10. The interbody spinal implant of claim 9 , wherein the at least one transverse aperture on the posterior portion, on the anterior portion, and on each of the opposing lateral sides extends into the substantially hollow center.

11. The interbody spinal implant of claim 9 , wherein the at least one transverse aperture on the posterior portion, on the anterior portion, and on each of the opposing lateral sides comprises a notch.

12. The interbody spinal implant of claim 9 , wherein the implant comprises a plurality of transverse apertures on the posterior portion, on the anterior portion, and on each of the opposing lateral sides, and wherein each of the plurality of transverse apertures extends into the substantially hollow center.

13. The interbody spinal implant of claim 1 , wherein the implant comprises at least one transverse aperture on each of the opposing lateral sides, wherein the implant does not have a transverse aperture on the posterior portion, and wherein the posterior portion has an opening for engaging a delivery device.

14. The interbody spinal implant of claim 13 , wherein the at least one transverse aperture on each of the opposing lateral sides extends into the substantially hollow center.

15. The interbody spinal implant of claim 13 wherein the at least one transverse aperture on each of the opposing lateral sides comprises a notch.

16. The interbody spinal implant of claim 1 , further comprising bone graft material disposed in the at least one transverse aperture, optionally also disposed in the substantially hollow center of the body, and optionally also disposed in the vertical aperture.

17. The interbody spinal implant of claim 16 , wherein the bone graft material is cancellous autograft bone, allograft bone, demineralized bone matrix (DBM), porous synthetic bone graft substitute, bone morphogenic protein (BMP), or a combination thereof.

18. The interbody spinal implant of claim 1 , further comprising a lordotic angle adapted to facilitate alignment of the spine.

19. The interbody spinal implant of claim 1 , wherein the at least one transverse aperture is in the form of a notch on one or more of the posterior portion, the anterior portion, and at least one of the opposing lateral sides, to define a pedestal that supports the top surface and the bottom surface.

20. The interbody spinal implant of claim 1 , wherein the at least one transverse aperture is circular in shape.

21. The interbody spinal implant of claim 1 , wherein the at least one transverse aperture is quadrilateral in shape.

22. The interbody spinal implant of claim 1 further comprising bone graft material disposed in the at least one transverse aperture, in the substantially hollow center of the body, and in the vertical aperture.

23. An interbody spinal implant, comprising:

a body generally rectangular-shaped in transverse cross-section having a top surface, a bottom surface, opposing lateral sides, opposing anterior and posterior portions, and a substantially hollow center, the opposing lateral sides defining a width of the body and the opposing anterior and posterior portions defining a length of the body;

at least one transverse aperture located on one or more of the posterior portion, the anterior portion, and at least one of the opposing lateral sides and positioned between the top surface and the bottom surface, extending through the width or the length of the body, and in communication with the substantially hollow center;

a single vertical aperture extending from the top surface to the bottom surface and defining a transverse rim with a varying thickness on the top surface and on the bottom surface having an anterior section, a posterior section, opposing lateral sections, a maximum width at its center, the transverse rim having a generally rounded, blunt, and radiused portion defined along top and the lateral sides along the entire lengths between the top and bottom surfaces of each lateral side and the top and bottom surfaces and the anterior portion, wherein the entire portion of the transverse rim that is not blunt and radiused has a roughened surface topography, without teeth, adapted to grip bone and inhibit migration of the implant; and

at least one sharp edge between the to and bottom surfaces and the posterior portion to resist pullout.

24. An interbody spinal implant, comprising:

a body generally curve-shaped in transverse cross section having a top surface, a bottom surface, opposing lateral sides, opposing anterior and posterior portions, and a substantially hollow center, the opposing lateral sides defining a width of the body and the opposing anterior and posterior portions defining a length of the body;

at least one transverse aperture located on one or more of the posterior portion, the anterior portion, and at least one of the opposing lateral sides, positioned between the top surface and the bottom surface, and extending through the width or the length of the body, and in communication with the substantially hollow center;

a single vertical aperture extending from the top surface to the bottom surface and defining a transverse rim with a varying thickness on the top surface and on the bottom surface having an anterior section, a posterior section, opposing lateral sections, and a maximum width at its center, the transverse rim having a generally rounded, blunt, and radiused intersections defined along the top and bottom surfaces and each lateral side and the top and bottom surfaces and the anterior portion, wherein the entire portion of the transverse rim that is not blunt and radiused has a roughened surface topography adapted to grip bone and inhibit migration of the implant; and

at least one sharp edge between the top and bottom surfaces and the anterior portion or the posterior portion to resist pullout.