| CPC A61F 2/447 (2013.01) [A61F 2/4405 (2013.01); A61F 2/442 (2013.01); A61F 2/4425 (2013.01); A61B 17/7001 (2013.01); A61F 2002/30331 (2013.01); A61F 2002/30563 (2013.01); A61F 2002/30578 (2013.01); A61F 2002/30624 (2013.01); A61F 2002/30652 (2013.01); A61F 2002/30654 (2013.01); A61F 2002/30662 (2013.01); A61F 2002/30884 (2013.01); A61F 2002/448 (2013.01); A61F 2220/0033 (2013.01); A61F 2250/0004 (2013.01); A61F 2310/00796 (2013.01); A61F 2310/00976 (2013.01)] | 13 Claims |

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1. A surgical method for creating a desired lordosis or kyphosis between a first upper vertebrae and a second lower vertebrae, comprising:
removing at least a portion of a natural intervertebral disc from between the upper and lower vertebrae to create a disc space, wherein an endplate of the lower vertebra has a generally planar natural endplate surface;
removing a first wedge of bony material from the lower vertebra to create a first modified vertebral surface which is non-parallel to the generally planar natural endplate surface, at least a first portion of the first modified vertebral surface cutting completely through a posterior cortical bone surface of the endplate and a posterior cortical ring of the lower vertebra without completely removing an anterior cortical bone surface of the endplate of the lower vertebra;
removing at least a portion of a natural pedicle of the lower vertebrae to create a first modified pedicle surface which extends along a remaining portion of the natural pedicle;
inserting a lower portion of a first arthroplasty device at least partially into the disc space, the lower portion of the first arthroplasty device including an upward facing articulation surface, a first lower surface adapted to engage with the first modified vertebral surface and a bridge portion having a first surface for engaging with the first modified pedicle surface outside of the disc space; and
attaching the first arthroplasty device to the lower vertebrae with a bone fastener.
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