Abstract: Systems, methods, and kits incorporate a fusion member for vertebral processes. The fusion member may be unitary or modular. The fusion member comprises extensions configured to be crimped to vertebral processes. The extensions may comprise tabs configured to be deformed to further penetrate the vertebral processes. The tabs may also lock together modular components of the fusion member. The fusion member may comprise fasteners extending between the extensions. The fusion member may comprise a cage with a movable cover or a graft retention feature.

Abstract: A system for contouring a locking plate includes a locking plate and at least one bender. The locking plate includes a plurality of threaded screw holes connected to one another by one or more ribs. The at least one bender includes a threaded tip configured to threadably engage one or more of the plurality of threaded screw holes and a shoulder operable to transmit mechanical force to the locking plate once the threaded tip is threadably engaged with one of the plurality of threaded screw holes.

Abstract: Systems for trauma and/or joint fusion implants and instruments include transarticular screw and intra-articular washer, polyaxial screw and plate, single- and multi-level polyaxial bone clamps, and minimally invasive adaptations.

Abstract: A surgical instrument includes a clamp having a handle with a pair of substantially parallel prongs or tines extending from the handle, all formed as a unitary body or article of manufacture. The handle and prongs define a channel to receive a knife. The knife includes a handle, a scalpel, and an extension arm coupling the scalpel to the handle. The clamp defines a minor image about a central axis. In this way, the surgeon need not concern himself with whether the knife is oriented properly within the channel. Also, the extension arm of the knife includes graduations to assist the surgeon in predetermining precisely the distance of cut in using the instrument. The upper prong of the clamp includes a downwardly extending capture pad having a bottom surface substantially parallel to the inner surface of the lower prong.

Abstract: A plate for securing bones together includes an elongate spine having at least one groove spanning along a length of the spine parallel to a central axis of the spine, and a plurality of arms extending laterally from the spine, the plurality of arms comprising at least one arm on a first side of the spine and at least one arm on a second side of the spine.

Abstract: A system for fracture reduction includes a reduction plate for reducing a fracture between a first bone segment and a second bone segment. The reduction plate includes, on a first side of the reduction plate, a travel slot and a screw hole. The travel slot is configured to slidably engage a first positioning element that extends into the first bone segment through the travel slot and the first screw hole is configured to affix the first side of the reduction plate to the first bone segment. The reduction plate includes, on a second side of the reduction plate, an adjustment hole and a second screw hole. The adjustment hole is configured to engage a second positioning element that extends into the second bone segment through the adjustment hole and the second screw hole is configured to affix the second side of the reduction plate to the second bone segment.

Abstract: A bone plate assembly including at least one bone plate, polyaxially adjustable fixation elements and a polyaxially adjustable locking mechanism. A first plate includes at least one polyaxial element for lockable connection with a fixation pad, and a connection feature which allows the plate to translate and polyaxially rotate relative to the locking mechanism. A second plate includes at least one polyaxial element for connection with a fixation pad and a connection feature for non-rotatable connection with the locking mechanism. The locking mechanism allows translation and polyaxial adjustment of the first plate relative to the second plate and locks the first and second plates via a taper lock. The fixation pad includes a deflectable spacer configured to prevent premature locking of the pad. Methods for implantation of the bone plate assembly between bone structures are disclosed. Instrumentation for implantation, compression and locking of the bone plate assembly is disclosed.

Abstract: A screw system includes a screw and a washer assembly captive to the screw. The washer assembly is polyaxially pivotable relative to the screw. The screw may be freely rotated in one direction relative to the washer assembly, but frictionally binds with the washer assembly when rotated in a second direction. A cannula insertion system includes an instrument and a cannula. The instrument may include a dilator. The cannula insertion system may have a locked setting in which the dilator is fixed relative to the cannula, and an unlocked setting in which the dilator is slidable relative to the cannula. A surgical method uses the cannula insertion system to implant the screw system.