This invention is directed to improved methods and devices to attach
arthroplasty devices, particularly the spine, distract the disc space,
machine the disc space to improve the fit between ADRs and the vertebrae,
to hold and remove ADRs, and to facilitate spinal fusion for a failed ADR
surgery. One aspect of the invention places anchor devices in the spine
during a first operation. Spinal devices are connected to the anchoring
devices during a second procedure. The second procedure is generally
performed months after the insertion of the anchoring devices. The time
between the two procedures allows bone to grow into the anchoring
devices. Minimal forces are exerted on the anchoring devices between the
procedures. Other embodiments are described where a previously implanted
ADR having a pair of opposing endplates is immobilized using a device the
attached to the endplates, fits between the endplates, or both.