A combination pre-filled and in situ filled implant for the replacement of an intervertebral disc of the spine, including a textile core and a flange with apertures dimensioned to receive screws or other affixation elements. The combination pre-filled and in situ filled implant may also have attached side pockets comprised of extra layers of embroidered fabric. The pockets on the implant may serve a dual purpose: to facilitate insertion and to expand the dimensions of the implant after insertion.