Abstract: Methods and apparatus provide for coupling a spinous process plate to one lateral side of a spinous process of a spine of a patient; coupling a laminar plate to a laminar on the one lateral side of the spinous process of the spine; engaging a sub-laminar hook to the laminar on the one lateral side of the spinous process; and (iv) extending a rod toward a pedicle on the one lateral side of the spinous process of the spine of the patient, where the rod prohibits movement of bone associated with a fracture in a pars interarticularis of a vertebral arch on the one lateral side of the spinous process of the spine.

Abstract: A tissue retractor having a spring loaded retractor blade that provides constant downward pressure on the spine to eliminate/reduce tissue from creeping underneath the tips of the blades during use, which decreases operation time and reduces patient risk.

Abstract: A monoblock implant for fusing a cervical motion segment includes (a) an interbody portion configured to be positioned between superior and inferior vertebral bodies, of the cervical motion segment, with a first side of the interbody portion facing a first uncinate joint of the cervical motion segment and a second side of the interbody portion facing a second uncinate joint of the cervical motion segment, (b) a first wing extending away from the first side to extend into the first uncinate joint, and (c) a second wing extending away from the second side to extend into the second uncinate joint.

Abstract: An intervertebral implant includes a body formed as an open lattice structure by a plurality of struts. Some of the struts of the plurality of struts intersect at nodes. The nodes can include an enlarged contact member that extends over the node and at least a portion of the width of some of the struts. Enlarged contact members may have an asymmetrical shape with respect to the intersection of struts. The enlarged contact members can provide improved bone contact for the implant. The plurality of struts can have a cross-sectional shape that includes a flattened portion. The flattened portion of the plurality of struts can provide improved bone contact for the implant. An additive manufacturing process can be used to build the implant in a substantially vertical direction.

Abstract: A band tensioner includes a shank, a head, and a tensioning mechanism disposed within the head. The shank is configured to secure the band tensioner to a first bony element and the head is secured to an end of the shank. The tensioning mechanism is configured to lengthen and shorten a flexible implant relative to the head of the band tensioner.

Abstract: An expandable interbody spacer that is delivered in the anterior approach with adjustable height and end plate angulation (lordosis). The expandable interbody spacer is configured to have an initial collapsed state having a first height suitable for being inserted into an intervertebral space defined by a pair of adjacent vertebrae, and an expanded state having a second height that is greater than the first height. The expandable interbody spacer may be expanded from the initial collapsed state to the expanded state in-situ. The expanded state increases the distance between the adjacent vertebrae and provides support to the adjacent vertebrae while bone fusion occurs and also provides rigid support between the adjacent vertebrae that withstands compressive forces.

Abstract: The invention relates to the intramedullar nail fixation (13) of the femoral bone that is used in the field of orthopedics and traumatology, in particular, in the pediatric orthopedics field; Its features include the follows; Removal of many negativities in the treatments of femoral proximal area fractures seen in the child age group, young and old bone rotation surgeries, malunion, nonunion and deformities, and in order to make positive contribution to the healing processes of patients, the proximal femoral de-rotation nail (13), by which location can be fixed by turning in an angular way, and by which the operator can perform rotation as much as necessary by fixing rotation angle, and which is formed with the proximal component (1) and the distal component (2), which can perform rotational movement on each other and can fix its location, was developed.

Abstract: The apparatus, systems and methods disclosed herein generally relate to the surgical repair or alteration of bone. More particularly, certain of the disclosed apparatus, systems and methods of the present disclosure relate to the use of a directionally-reinforced composite material to emulate anisotropic structural characteristics of an original anatomic trabecular structure. The directionally-reinforced composite material may generally include a scaffold set in a composite matrix, wherein the scaffold determines the anisotropic structural characteristics of the materials. In some of the embodiments, a scaffold may include at least a first plurality of struts which are generally aligned in a first direction and a second plurality of struts aligned in a second direction.

Abstract: A femoral nail includes a proximal section, a distal section remote from the proximal section, and an intermediate section disposed between the proximal section and distal section and having first and second curved portions. The first curved portion is positioned closer to the proximal section than the second curved portion. The second curved portion is curved in a first plane, and the first curved portion is curved in the first plane and a second and third plane.

Abstract: Surgical support instruments are described herein that can couple to, e.g., an implanted anchor and provide a platform for coupling other surgical implements thereto. In one embodiment, an instrument can include an elongate body having opposed projections extending laterally from a distal portion thereof that can at least partially surround a shank of an implantable anchor such that a longitudinal axis of the elongate body is laterally offset from a longitudinal axis of the anchor. The instrument can further include a lock configured to exert a drag force on a head of the anchor to control polyaxial movement of the instrument relative to the anchor. Further, a proximal portion of the elongate body can be configured to receive a retractor assembly including a plurality of tissue manipulating implements and selectively lock the retractor assembly at any of a plurality of positions along a length of the elongate body.

Abstract: An adjustable spinous process implant configured with one or more flexible members that extend from the implant and are further attachable to anchors implanted in adjacent vertebrae. The adjustable spinous process implant comprises a spacer that is shaped to fit between two adjacent spinal processes. The flexible members extend from one or more points on the adjustable spinous process implant and attach the anchors to provide tension and stability to the overall implant construct. The anchors are configured with a tensioning mechanism that enables the flexible members to be tensioned within the anchor.

Abstract: A bone fracture fixation system including reference pins inserted into bone fragments of a patient in a first configuration and an image capture device configured to capture an image of the reference pins, and the bone fragments. The system includes a processor configured to receive and pre-process the captured image data. The processor pre-processes the image data by virtually re-positioning the reference pins in the first configuration into a second configuration, wherein the re-positioning virtually re-positions the bone fragments into normal alignment; and virtually generating a support device. The system includes a point-of-care production apparatus that produces a three-dimensional model of the virtually generated support device in a form that can be applied to the patient.

Abstract: An implantable tissue retractor for treatment of a breathing disorder and related methods. The implantable tissue retractor comprises a shaft sized for insertion into a soft tissue located in a patient's oral cavity or pharynx. The implantable tissue retractor also comprises a retractor member at or near a first end of the shaft. The implantable tissue retractor also comprises a removable coupler connected at or near a second end of the shaft. At least one of a portion of the shaft or the retractor member is positionable on a surface of the soft tissue. At least one of the shaft, retractor member, or removable coupler is adjustable to vary a force to prevent a deformation of at least a portion of the soft tissue to prevent obstruction of the patient's airway.

Abstract: A surgical port is disclosed. The surgical port has a cannular channel. The surgical port also has one or more suture slots in communication with the cannular channel. The surgical port further has a pair of cam grips for each of the one or more suture slots, each pair of cam grips comprising opposing gripping arms configured to allow suture to be pulled through the opposing gripping arms in a direction away from the cannular channel and to resist suture movement in a direction towards the cannular channel.

Abstract: Disclosed implants may include a first implant receiver and a second implant receiver each having an upper portion and a lower portion connected together by an arm portion, for example. In various embodiments, the upper and lower portions may define a longitudinal passageway extending through the upper and lower portions in a longitudinal direction of each implant receiver, and the arm portions may each define a rod passageway extending in a lateral direction, for example. In various embodiments, each receiver may include a crown having an outside thread pattern threadably engaged within the longitudinal passageway and for mating with a corresponding nut having a similar interior thread pattern. In various embodiments, a rod may extend in the lateral direction through the rod passageways In various embodiments, in a non-tightened position, the rod may freely move and in a tightened position, the arms constrain the rod from moving.

Abstract: Expandable fusion devices, systems, and methods. The expandable fusion device includes one or more integrated deployable retention spikes configured to resist expulsion of the device when installed in the intervertebral disc space. The implant may include upper and lower main endplates, an actuator assembly configured to cause an expansion in height of the upper and lower main endplates, and a sidecar assembly including a sidecar carrier, an upper carrier endplate pivotably coupled to an upper spike, and a lower carrier endplate pivotably coupled to a lower spike such that forward translation of the sidecar carrier pushes against the upper and lower carrier endplates, thereby deploying the upper and lower spikes.

Abstract: A method for securing an elongate rod to a bone anchor with a receiver and a threaded plug. The receiver includes a channel configured to receive the elongate rod, and a helically wound receiver guide and advancement structure formed into the interior surfaces of the receiver. The threaded plug is configured for positioning within the channel to secure the elongate rod to the receiver in a locked configuration, with the threaded plug having an outer surface with a mating continuous helically wound guide and advancement structure configured for rotatable engagement with the receiver guide and advancement structure.

Abstract: A spinal fixation device is provided. The spinal fixation device includes a body portion including a stud portion defining a first annular groove. An outer housing is positionable on the stud portion of the body portion. An inner housing defines a second annular groove and is positionable between the outer housing and the stud portion. A ring member is positionable within each of the first and second annular grooves of the respective stud portion and inner housing to lock the inner housing to the body portion and to fixedly couple the outer housing to the stud portion.

Abstract: An intervertebral implant for spondylolisthesis correction includes a superior side with serrations angled superiorly and toward the implant insertion direction, an inferior side with serrations angled inferiorly and opposite the implant insertion direction, and an instrument connection feature. An instrument for connection to the implant includes an implant connection feature movable between unlocked and locked states, and a friction-reducing feature movable between disengaged and engaged states. The instrument has a first state, in which the implant connection feature is in the unlocked state and the friction-reducing feature is in the disengaged state; a second state, in which the implant connection feature is in the locked state and the friction-reducing feature is in the engaged state; and a third state, in which the implant connection feature is in the locked state and the friction-reducing feature is in the disengaged state. Methods of apparatus assembly and surgery are disclosed.

Abstract: Unintended current flow or plasma discharge has been observed in known illuminated electrosurgical devices having a metallic tubular heat sink surrounding a conductive electrode and an illumination element, and having a distal outer edge that abuts against the light emitting element. An insulating, shielding or other isolating element that prevents or discourages unintended plasma formation between the distal outer edge and nearby patient tissue can reduce the potential for tissue damage to a patient or injury to a surgeon.