Abstract: A bone anchoring device includes a receiving part with a head receiving portion defining a seat for pivotably receiving a head of a bone anchor, and a rod receiving portion defining a recess for receiving a rod, the recess forming two legs each having an engagement surface for engaging a locking device to lock the rod in the recess, and an expansion limiting member having a surface configured to engage a portion of the receiving part spaced apart from the engagement surfaces of the legs. When the legs are urged radially outwardly, the head receiving portion is urged radially inwardly to compress and lock the head. The expansion limiting member is adjustable from a first configuration relative to the receiving part where the head receiving portion is expandable to permit the insertion of the head, to a second configuration where expansion of the head receiving portion is restricted.

Abstract: Spinal correction surgical techniques and methodologies for correction of scoliosis using non fusion anterior scoliosis correction, including soft tissue releases, unique correction techniques such as de-rotation, and unique single and dual anchor screw/cord applications.

Abstract: Described here are devices, systems, and methods for moving and/or supporting an internal organ or other tissue, such as during minimally-invasive surgery. Generally, a system for moving and/or supporting tissue may comprise a magnetic control component and a retractor having at least one magnetic portion. The retractor may have a first low-profile configuration for passing through an incision into a surgical site within a patient and a second expansive configuration for engaging tissue. The magnetic control component may be placed over the surgical site external to the patient and generate a magnetic field to manipulate the retractor and engaged tissue.

Abstract: A pivotal bone anchor assembly includes a bone anchor having a capture portion and an anchor portion opposite the capture portion, and a receiver assembly in a pre-assembled configuration that includes a receiver, a retainer, and a pressure insert. The receiver has a central bore configured to receive the capture portion through a bottom opening, with a lower portion of the central bore including a narrower engagement portion adjacent the bottom opening and a wider expansion portion above the narrower engagement portion. The pre-assembled retainer is configured to widen within the wider expansion portion to receive the capture portion of the bone anchor during its uploading through the bottom opening, then to close around and secure the capture portion while providing for pivotal motion of the bone anchor relative to the receiver.

Abstract: Devices and methods for placing an implant between two bone portions are disclosed. In some embodiments, a method comprises disposing a portion of a flexible member through a first bone portion, through an aperture in a trial implant, and through a second bone portion. The trial implant can be withdrawn to enable an implant to be coupled to the flexible member. The method includes applying tension to the flexible member to urge the implant into the space between two bone portions. In some embodiments, the two bone portions are facets.

Abstract: A surgical system comprises at least one implant support including a first implant support that is engageable with a receiver of a first fastener having a shaft fixed with vertebral tissue. At least one adaptor includes a first adaptor extending longitudinally along and being engageable with the first implant support. The first adaptor is rotatable relative to the first implant support to connect the first implant support with a surgical instrument to manipulate the vertebral tissue. Surgical instruments, constructs, implants and methods are disclosed.

Abstract: A locking device (5) of a bone screw (3) for an external fixator (1) for bone fractures is described herein, wherein the external fixator (1) comprises at least one support pin (202). The locking device (5) comprises a locking element (501) of the bone screw (3); a locking pin (502), which is configured to support the locking element (501), the locking element (501) being configured to rotate around the blocking pin in a bone screw positioning step; a coupling element (503), which is provided with a respective coupling seat (503b) configured to receive the support pin (202) by snap-fit coupling and to allow, during the bone screw (3) positioning step, a rotation of the locking device (5) around the support pin (202) and a sliding of the locking device (5) along the support pin.

Abstract: Provided herein are implants and methods for producing implants. In at least one embodiment, the implants include sheet-based, triply periodic, minimal surface (TPMS) portions. According to one embodiment, the TPMS portions include a gyroid architecture that provides for improved osseointegration and mechanical performance over previous implants due to novel ratios of porosity to compressive strength, among other features. In one or more embodiments, the gyroid architecture is organized into unit cells that demonstrate anisotropic mechanical performance along an insertion direction. In various embodiments, the present methods include novel selective laser melting (SLM) techniques for forming the TPMS portions of implants in a manner that reduces defect formation, thereby improving compressive performance and other implant properties.

Abstract: A pedicle screw for spinal fixation having a bone fastener portion a permanent rod coupling, a breakaway portion connected to the permanent rod coupling and a temporary rod coupling. A permanent rod can be positioned in the permanent rod coupling and a temporary rod can be positioned in the temporary rod coupling and when the temporary rod is not needed the temporary rod coupling can be removed by separation at a breakaway portion.

Abstract: Modular devices, assemblies, and methods for coupling one or more fixation elements, such as bone fasteners and/or elongate rods. The device includes at least one coupling element having a body portion for receiving a bone fastener and an extension portion extending transversely from the body portion. A locking assembly is received in the coupling element and includes a locking member, a clamp portion, and a ring portion, wherein the locking member is configured to contact an upper portion of the clamp portion and the ring portion is configured to at least partially surround a lower portion of the clamp portion. When unlocked, the bone fastener is moveable within the clamp portion to allow for polyaxial movement of bone fastener relative to the coupling element, and when locked, the bone fastener is fixed relative to the coupling element.

Abstract: The present disclosure relates generally to surgical instruments for spinal surgery. More specifically, the present disclosure relates to a bi-planar rod persuader for urging a spinal rod into a screw, and methods regarding the same. The bi-planar rod persuader may include an implant holder, which may also include a holding sleeve. A securing foot may be attached to the distal end of the holding sleeve, and the holding sleeve may also include a threaded opening at the proximal end for receiving a stem that drives the securing foot between a first position and second position. The implant holder may also include a threaded part to engage a reduction knob. A handle assembly may also be provided, which may include two pivotally attached arms. A rod hook may be connected to one of the arms and a guide attached to the other of the arms.

Abstract: The present disclosure includes bone screws and assemblies thereof for surgical procedures of the spine including but not limited to posterior spinal fixation procedures.

Abstract: A low profile rod-to-rod cross-connector formed from an outer bar member having a first end forming a receptacle and a second end available for coupling to a first spinal rod. An inner bar having a unidirectional insertion end is slidably insertable into the receptacle, and a second end is available for coupling to a second spinal rod; the insertion end having a centrally disposed slot bifurcating the insertion end. A locking member is positioned in the centrally disposed slot, wherein placement of the locking member in the first position permits movement of the insertion end within the receptacle, and placement of the locking member in the second position results in splaying the left arm and right arm to frictionally engage an inner sidewall of the receptacle.

Abstract: A bone fastener comprises a first member comprising a first surface defining an implant cavity. The first member includes a first part being non-rotatable relative to the first surface and a second part including a second surface defining a portion of the implant cavity and a slot. A second member is configured to penetrate tissue and is connectable with the first member. The first member is rotatable relative to the second member in a first plane of a body and the second part is movable relative to the first part in a second plane of the body such that the first part is relatively translatable in the slot. Implants, systems, instruments and methods are disclosed.

Abstract: Surgical access devices having wound closure features incorporated as part of the device are provided. The devices allow suture to be inserted directly into the device and operated to close an opening through which the device is disposed as or shortly after the device is removed from the surgical site. Further, the wound closure features allow for various orientations of wound closure to be achieved by adjusting an angle at which the suture enters tissue surrounding the opening to be closed. Some of the wound closure features provided for include openings formed in both the housing and cannula of the surgical access device, multiple openings formed in one or both the housing and cannula, locations of the openings being adjustable or otherwise movable, and various flexible seals. Other features, as well as methods of closing an opening through which the surgical access device was disposed, are also provided.

Abstract: A reconfigurable bone adjustment device (1, 101, 201) includes a first member (10,110, 210, 1010) configured for attachment to a first bone fragment, a second member (20, 130, 230, 1030) configured for attachment to a second bone fragment and a reconfiguration assembly (2, 102, 401, 501, 601, 701, 801, 901, 1020) configured to move the second member relative to the first member. The reconfiguration assembly includes a drive mechanism (50, 150, 250, 440, 540, 640, 740, 840, 940, 1050) and a threaded rod (70, 170, 245, 470, 570, 670, 770, 870, 970, 1070, 1170) operatively coupled to the drive mechanism so that rotation of the drive mechanism rotates the threaded rod. The reconfiguration assembly operates to reduces stresses, forces, bending moments and/or eccentric moments on a junction and/or by configuring the junction in a manner whereby one of more of the forces, is isolated away from the junction.

Abstract: Configurations are described for conducting minimally invasive medical interventions utilizing elongate instruments and assemblies thereof to stabilize and/or fixate a sacro-iliac joint. In one embodiment, a tool assembly may be advanced from a posterior approach into the SI junction and configured to create a defect defined at least in part by portions of both the sacrum and the ilium, the defect having a three dimensional shape defined in part by at least one noncircular cross sectional shape in a plane substantially perpendicular to the longitudinal axis of the tool assembly. After a defect is created, the tool assembly may be retracted and a prosthesis deployed into the defect.

Abstract: A method of assembling a surgical construct includes installing a fastener within a bone of a patient. A connector rod is positioned on the fastener and an interference or press fit is created between the fastener and the rod, with very little effort required on the surgeon's part. No additional steps are necessary or desirable; the surgeon can simply position the rod over the fastener, and very quickly and accurately couple the two one to another. A securing device can be used to couple the fastener and the rod, and a different device can be used to uncouple the fastener from the rod. The securing device engages the fastener and the rod, and pushes the rod over the fastener as the surgeon activates the gripping mechanism.

Abstract: A rod connector device includes a first clamp having, on one side thereof, a first grip groove and a first grip expansion groove sequentially connected to each other, a second clamp contacting the first clamp, the second clamp having, on another side thereof, a second grip groove and a second grip expansion groove sequentially connected to each other, a grip applying a binding force to a first rod and a second rod, when the first and second clamps are connected to each other so that the first and second grip expansion grooves communicate with each other, and the first and second rods are grip-secured in the first and second grip grooves.

Abstract: An implant system for use in orthopaedic surgery for fixation of bone includes an intramedullary nail and a coupling member. The intramedullary nail includes a proximal portion defining a longitudinal axis. The proximal portion includes an axial bore defining an axis substantially parallel to the longitudinal axis of the proximal portion and a transverse bore configured to receive a bone fastener. The coupling member includes a through hole and is movably arranged within the axial bore of the proximal portion. Further, the coupling member includes a drive portion and a bone fastener engagement portion. The drive portion is in one variant non-rotatably coupled to the bone fastener engagement portion. The bone fastener engagement portion is configured to engage the bone fastener penetrating the transverse bore. In one variant the engagement is realized via an extended contact region.