Abstract: An implantable device may be provided. The implantable device may comprise an upper assembly comprising a ramped base and a pair of opposing windows. The pair of opposing windows may extend upward from either lateral side of the ramped base. A gripping assembly may be disposed in each window. The implantable device may further comprise a lower assembly comprising a ramped base and a pair of opposing windows. The pair of opposing windows may extend down from either lateral side of the ramped base. A gripping assembly is disposed in each window. The implantable device may further comprise a ramped actuator assembly disposed between the upper assembly and the lower assembly. The ramped actuator may be configured to transition the implantable device from a collapsed form having a first height to an expanded form having a second height and wherein the second height is greater than the first height.

Abstract: Systems, devices, and associated methods for correcting and stabilizing spinal column deformities that promote ease of use and surgical technique, help minimize attachment anchor sites, facilitate use of straight or contoured rods, and/or help promote a more natural, physiologic motion of the spinal column during and/or after correction.

Abstract: A modular interspinous fixation system and method are shown. The system and method comprise a first plate, a second plate and a locking cross bar for locking the first and second plates together and into locked engagement with a first spinous process and a second spinous process. A bridge is mounted or received on the locking cross bar so that it becomes locked onto the locking cross bar when the locking cross bar is in locked engagement. The bridge and locking cross bar are adapted so that the bridge does not rotate about its axis while on the locking cross bar. Various other embodiments are shown illustrating various bridges of different shapes and sizes, integral and non-integral locking cross bars and even a ramped locking cross bar for facilitating preventing separation of the first and second plates after they are mounted to the first and second spinous processes.

Abstract: In some embodiments, a method includes disposing a flexible band through an aperture of a support member, the support member having a fixation portion configured to secure the support member to a first bone portion. The method includes advancing a portion of the flexible band through an attachment portion of the flexible band until the flexible band is secured to a second bone portion. The method includes advancing a portion of the fixation portion of the support member into the first bone portion until the support member is secured to the first bone portion.

Abstract: The present invention relates to an interspinous implant (1), intended to be implanted between two adjacent dorsal spines (EI,ES), each including an upper edge (E2), a lower edge (E3) and two opposed lateral faces (E4, E5), wherein the implant (1) includes at least one body (10) with dimensions arranged so as to maintain or restore a distance between the adjacent edges (E2, E3) of the two spinous processes (EI, ES) and including at least two wings (11, 12) extending so that at least a part of each wing (11, 12) lies along at least a part of one lateral face (E4, E5) of one of the two spinous processes (EI, ES) and, additionally, at least one retainer (2, 3, 4, 7, 111, 121, 221, 24, 28, 29, L, 90) for the implant, designed to retain the body (10) of the implant between the two spinous processes and to be inserted from the same lateral face as the body (10).

Abstract: The present invention relates to an interspinous implant, intended to be implanted between two adjacent dorsal spines, each including an upper edge, a lower edge and two opposed lateral faces, wherein the implant includes at least one body with dimensions arranged so as to maintain or restore a distance between the adjacent edges of the two spinous processes and including at least two wings extending so that at least a part of each wing lies along at least a part of one lateral face of one of the two spinous processes and, additionally, at least one retainer for the implant, designed to retain the body of the implant between the two spinous processes and to be inserted from the same lateral face as the body.

Abstract: An implantable device may be provided. The implantable device may comprise an upper assembly comprising a ramped base and a pair of opposing windows. The pair of opposing windows may extend upward from either lateral side of the ramped base. A gripping assembly may be disposed in each window. The implantable device may further comprise a lower assembly comprising a ramped base and a pair of opposing windows. The pair of opposing windows may extend down from either lateral side of the ramped base. A gripping assembly is disposed in each window. The implantable device may further comprise a ramped actuator assembly disposed between the upper assembly and the lower assembly. The ramped actuator may be configured to transition the implantable device from a collapsed form having a first height to an expanded form having a second height and wherein the second height is greater than the first height.

Abstract: An implant for stabilizing spinous processes of adjacent vertebral bodies can include first and second contact elements. The first contact element is placed onto a first side of the spinous processes and the second contact element is placed onto a second side of the spinous processes. The implant includes at least one clamping element which couples to the first contact element, can be moved relative to the second contact element, and extends through the intervertebral space between the spinous processes and the second contact element. The implant also includes at least one fixing element on the second contact element which can be brought into engagement with the at least one clamping element to clamp the second contact element in the direction of the first contact element along the at least one clamping element. The first contact element is movable relative to the at least one clamping element.

Abstract: An implantable spacer for placement between adjacent spinous processes in a spinal motion segment is provided. The spacer includes a body defining a longitudinal axis and passageway. A first arm and a second arm are connected to the body. Each arm has a pair of extensions and a saddle defining a U-shaped configuration for seating a spinous process therein. Each arm has a proximal earning surface and is capable of rotation with respect to the body. An actuator assembly is disposed inside the passageway and connected to the body. When advanced, a threaded shaft of the actuator assembly contacts the earning surfaces of arms to rotate them from an undeployed configuration to a deployed configuration. In the deployed configuration, the distracted adjacent spinous processes are seated in the U-shaped portion of the arms.

Abstract: An implantable spacer for placement between adjacent spinous processes in a spinal motion segment is provided. The spacer includes a body defining a longitudinal axis and passageway. A first arm and a second arm are connected to the body. Each arm has a pair of extensions and a saddle defining a U-shaped configuration for seating a spinous process therein. Each arm has a proximal caming surface and is capable of rotation with respect to the body. An actuator assembly is disposed inside the passageway and connected to the body. When advanced, a threaded shaft of the actuator assembly contacts the caming surfaces of arms to rotate them from an undeployed configuration to a deployed configuration. In the deployed configuration, the distracted adjacent spinous processes are seated in the U-shaped portion of the arms.

Abstract: An improved flexible component used for dynamic stabilization of spinal segments for the treatment of vertebrae deformities and injuries and for the replacement of a complete or segment of the body of a vertebra in the spine is described. The flexible component is comprised of a solid, suitable implant material with a longitudinal bore the entire length and an appropriately formed slot which extends spirally around the shaft either continuously or segmentally. The flexible component may be encapsulated, fully or partially, in a suitable implant grade elastomeric resilient material. When used for a dynamic stabilization device, the component is attached to the vertebral bodies by pedicle screws know to those in the art. When used as a vertebral replacement device, attached to the component's opposite ends are members for attachment to the adjacent vertebra that allow for height and angular adjustment.

Abstract: A composite bone plate comprising: (a) a rigid ring that defines an internal opening and the outline of a bone plate; and, (b) a deformable material mounted to the rigid ring and at least partially spanning the internal opening, the deformable material including at least one through opening that is concurrently circumscribed by the rigid ring.

Abstract: An implantable device may be provided. The implantable device may comprise an upper assembly comprising a ramped base and a pair of opposing windows. The pair of opposing windows may extend upward from either lateral side of the ramped base. A gripping assembly may be disposed in each window. The implantable device may further comprise a lower assembly comprising a ramped base and a pair of opposing windows. The pair of opposing windows may extend down from either lateral side of the ramped base. A gripping assembly is disposed in each window. The implantable device may further comprise a ramped actuator assembly disposed between the upper assembly and the lower assembly. The ramped actuator may be configured to transition the implantable device from a collapsed form having a first height to an expanded form having a second height and wherein the second height is greater than the first height.

Abstract: Devices, systems and methods for dynamically stabilizing the spine are provided. The devices include an expandable spacer having an undeployed configuration and a deployed configuration, wherein the spacer has axial and radial dimensions for positioning between the spinous processes of adjacent vertebrae. The systems include one or more spacers and a mechanical actuation means for delivering and deploying the spacer. The methods involve the implantation of one or more spacers within the interspinous space.

Abstract: Systems and methods for stabilizing or adjusting the position of at least one spinal motion segment, such as a posterior element distraction system. The system includes an implantable member having at least one of a lateral member and a transverse member. The lateral member may be expandable in at least one dimension, for example, in a direction along the axis of the spine. The expandable member may be an inflatable balloon, expandable scaffolding, strut, or combination thereof and may provide stability and anchoring to the implantable member. The transverse member is configured to engage the spinous process and may extend from the lateral member or may extend between two laterally-opposed members. For example, the transverse members may be configured to engage an outer surface of the spinous process, and as such, act as a saddle or cradle.

Abstract: The present application is directed to devices and methods for correcting a spinal deformity. A spacer is positioned between processes that extend outward from a pair of vertebral members. A force applicator is operatively connected to apply a force to the vertebral members. The spacer then acts as a fulcrum with the force causing the vertebral members to pivot about the spacer and become aligned in a more desired orientation to eliminate or reduce the deformity.

Abstract: There is provided a spinal implant device for placement between adjacent spinous processes and a pair of opposing facet joints. The spinal implant device includes a fusion cage, first and second fixation plates and a connector for connecting the cage to the plates. The fusion cage includes a superficial face, a deep face, superior and inferior saddle portions, and opposing cage ends. Each cage end defining a facet fusion surface sized and configured to respectively contact the opposing facet joints. The first and second fixation plate are sized and configured to extend along and in contact with the adjacent spinous processes. A method of implanting the device is provided. In another embodiment the device includes the fusion cage.

Abstract: The invention concerns a distance-keeping inter-process implant with a body ending in its posterior part with two opposite-situated resistance protrusions. In the anterior part of the body there are situated at least two wings, at least one of which is a mobile wing connected with the body by an articulated joint. Each wing is provided with at least one guide of the tensioning band. The articulated joint between the mobile wing and the body is formed by the mutually collaborating shaped surface of the. wing (and the shaped surface of the body and is usefully secured by the pin that constitutes the axis of rotation of the mobile wing. In an alternative version of the implementation of the implant, the mobile wing connected with the body is provided with at least one arm situated with respect to the wing at the angle ? amounting to from 30° to 150°.

Abstract: Devices, tools and methods for minimally invasive implantation and distraction between spinous processes for treatment of spinous disorders. An interspinous implant device for distracting at least one pair of adjacent spinous processes includes a main body including a shaft having a longitudinal axis; and first and second arms extending transversely from the main body, wherein at least one of the first and second arms is slidably mounted with respect to the shaft. The arms are configured and dimensioned to extend laterally from both sides of the spinous processes when implanted therebetween and to be inserted between the spinous processes laterally from a single side thereof. The arms are variably positionable between a closed configuration, to facilitate insertion of the arms between the adjacent spinous processes, and an open configuration, in which the arms are separated from one another.

Abstract: The present disclosure generally relates to a device for positioning and immobilizing at least two adjacent vertebrae. In particular, in one or more embodiments, the present disclosure relates to spinous process fusion devices that distract and immobilize the spinous processes of adjacent vertebrae.

Abstract: An implant for stabilizing spinous processes of adjacent vertebral bodies can include first and second contact elements. The first contact element is placed onto a first side of the spinous processes and the second contact element is placed onto a second side of the spinous processes. The implant includes at least one clamping element which couples to the first contact element, can be moved relative to the second contact element, and extends through the intervertebral space between the spinous processes and the second contact element. The implant also includes at least one fixing element on the second contact element which can be brought into engagement with the at least one clamping element to clamp the second contact element in the direction of the first contact element along the at least one clamping element. The first contact element is movable relative to the at least one clamping element.

Abstract: The present invention relates to an interspinous spacer (10, 10?, 10?, 10??, 10??, 10???) for implantation between adjacent spinous process (SP) to treat spinal stenosis. The interspinous spacer preferably includes a W-shaped or S-shaped leaf spring body member (21) for insertion between adjacent spinous processes and one or more wire straps (42) extending from the body to attach the spacer to the adjacent spinous processes. The wire straps are preferably sized and configured to extend from one side of the leaf spring, along one side of a spinous process, over or under the spinous process to the other side wherein the wire strap can be coupled to the leaf spring. Alternatively, the spacer may include one or more hooks (60) for engaging one or both of the adjacent spinous processes.

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: An interspinous spacer device for the treatment of high-grade spinal disorders is disclosed herein. The interspinous spacer device includes a sliding rod and a base that contains a curved internal track that limits the range of motion and center of rotation of the spinal segments stabilized using the device to the physiological levels of a nondegraded spinal segment.

Abstract: Systems, methods, and kits incorporating a clamp for securing to bone tissue. The clamp includes gripping members to secure the clamp to the bone tissue without the use of screws. The clamp may be used to treat spinal conditions, and may be secured to the spinous process of vertebrae. Systems, methods and kits can incorporate a fusion member configured to fuse between adjacent spinous processes.

Abstract: A modular interspinous fixation system and method are shown. The system and method comprise a first plate, a second plate and a locking cross bar for locking the first and second plates together and into locked engagement with a first spinous process and a second spinous process. A bridge is mounted or received on the locking cross bar so that it becomes locked onto the locking cross bar when the locking cross bar is in locked engagement. The bridge and locking cross bar are adapted so that the bridge does not rotate about its axis while on the locking cross bar. Various other embodiments are shown illustrating various bridges of different shapes and sizes, integral and non-integral locking cross bars and even a ramped locking cross bar for facilitating preventing separation of the first and second plates after they are mounted to the first and second spinous processes.

Abstract: This invention relates to an improved structure for an interspinous stabilization device that more evenly distributes loads throughout the adjacent vertebrae than known interspinous stabilization devices, and further readily compensates for graft settling so as to maintain continued axial loading of the graft. More specifically, this invention relates to a medical device that helps in performing a spinal fusion procedure by holding the bone graft in place and stabilizing the facet screw by a plate that is attached to it. The invention also performs a dynamic function that compensates for settling of the bone graft over time. This dynamic function may, if desired, be enhanced by a movement-limiting mechanism that allows extension but not flexion such that the bone graft fusion remains in contact and fusion takes place.

Abstract: A method for evaluating dosing from an implanted infusion system that includes receiving input regarding the identity of a therapeutic agent into an external device. The method further includes displaying on the external device a predetermined set of symptoms associated with the therapeutic agent; receiving input into the external device regarding with which of the symptoms the patient presents; and determining whether the therapeutic agent is being delivered, or has been delivered, at an appropriate dose based on the input identity of the therapeutic agent and the input symptoms.

Abstract: A modular interspinous fixation system and method are shown. The system and method comprise a first plate, a second plate and a locking cross bar for locking the first and second plates together and into locked engagement with a first spinous process and a second spinous process. A bridge is mounted or received on the locking cross bar so that it becomes locked onto the locking cross bar when the locking cross bar is in locked engagement. The bridge and locking cross bar are adapted so that the bridge does not rotate about its axis while on the locking cross bar. Various other embodiments are shown illustrating various bridges of different shapes and sizes, integral and non-integral locking cross bars and even a ramped locking cross bar for facilitating preventing separation of the first and second plates after they are mounted to the first and second spinous processes.

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: Devices and methods for the treatment of abnormal spinal stability and stenosis of the spinal canal by the implantation of orthopedic devices between skeletal segments. In one embodiment, a device is disclosed to rigidly fixate the spinous processes of two vertebral bones relative one another. A first member of the device is advanced across an interspinous space, rotated, and/or advanced onto the contralateral side of the spinous processes. A second member of the device is also advanced onto the ipsilateral side of the spinous processes and forcibly captures the spinous processes between the first and second members. A protrusion extends from the first and/or second devices configured to embed into the bone of the spinous processes thereby increasing the immobilization strength of the device. The implant may be further configured to contain a bone forming material to form a fusion between the first and the second vertebral bones.

Abstract: A system for surgically coupling the spinous processes includes a first plate, a second plate, a pair of semi-rigid guide members, and a coupler. The first plate engages with a first lateral side of the spinous processes. The pair of semi-rigid guide members attaches to the first plate for inserting the first plate between the spinous processes. The second plate includes a pair of apertures that slide over the pair of semi-rigid guide members engage a second lateral side of the spinous processes. The coupler couples the first plate and the second plate together.

Abstract: An orthopedic device is adapted to fixate the spinous processes of vertebral bones. The device includes at least one bone engagement member. When implanted, a bone engagement member is located on each side of a spinous process and adapted to forcibly abut the side of each spinous process.

Abstract: Devices, systems and methods for dynamically stabilizing the spine are provided. The devices include an expandable spacer or member having an unexpanded configuration and an expanded configuration, wherein the expandable member in an expanded configuration has a size, volume and/or shape configured for positioning between the spinous processes of adjacent vertebrae in order to distract the vertebrae relative to each other. The systems include one or more expandable members and an expansion medium for injection within or for filling the interior of the expandable member via the port. The methods involve the implantation of one or more devices or expandable spacers.

Abstract: Systems and method in accordance with an embodiment of the present invention can includes an implant comprising a first wing, a spacer extending from the first wing, and a distraction guide. The distraction guide is arranged in a first configuration to pierce and/or distract tissue associated with adjacent spinous processes extending from vertebrae of a targeted motion segment. The implant can be positioned between the adjacent spinous processes and once positioned, the implant can be arranged in a second configuration. When arranged in a second configuration, the distraction guide can act as a second wing. The first wing and the second wing can limit or block movement of the implant along a longitudinal axis of the implant.

Abstract: The present application discloses a device for positioning and immobilizing at least two adjacent vertebrae. In particular, in one or more embodiments, the spinous process fusion devices can distract and immobilize the spinous processes of adjacent vertebrae. The spinous process fusion devices can include a rod, a first wing, and a second wing. The rod may include one or more ratchet receivers in the form of proturbances that interact with ratchets on the second wing.

Abstract: A bone clamping system includes a shaft (3), a first plate (1) integrally attached to the shaft and a second, movable plate (20), wherein a locking leaf (22, 23), penetrating into the shaft (3) or not, locks the second plate (20) on the shaft (3).

Abstract: Disclosed are devices and methods for the controlled movement of neighboring vertebrae and the delivery of an orthopedic implant between adjacent spinous processes. The methods are especially adapted to be performed using minimally invasive surgery or in a percutaneous manner. An exemplary method comprises advancing a first segment of a threaded first distraction screw into a bony surface of a spinous process of the first vertebral bone, coupling a first segment of a second distraction screw onto a segment of a second vertebral bone, positioning an orthopedic implant at a desired target site, and removing one of the first and second distraction screws.

Abstract: An implantable spacer for placement between adjacent spinous processes in a spinal motion segment is provided. The spacer includes a body defining a longitudinal passageway. A first arm and a second arm are connected to the body. Each arm has a pair of extensions and a saddle defining a receiving portion configured for seating a spinous process of a scoliotic spine or a spine with misaligned spinous processes. Each arm has a proximal caming surface and is capable of rotation with respect to the body. An actuator assembly is disposed inside the longitudinal passageway and connected to the body. When advanced, a threaded shaft of the actuator assembly contacts the caming surfaces of arms to rotate them from an undeployed configuration to a deployed configuration. In the deployed configuration, the distracted adjacent spinous processes are seated in the superior and inferior arms of the spacer.

Abstract: Medical devices and kits for dynamically stabilizing or preserving motion in a spine and limiting adjacent, non-adjacent, or isolated segment degeneration of the spine while providing a controlled, determinable range of motion at the treated site, as well as methods for surgical use of the system.

Abstract: Interspinous process implants are disclosed. Also disclosed are systems and kits including such implants, methods of inserting such implants, and methods of alleviating pain or discomfort associated with the spinal column.

Abstract: A spinal stabilization system is provided for maintaining preselected spacing and movement between adjacent vertebrae in a spinal column and for providing overall stability thereto. The system includes interlaminar members positioned in the spaces intermediate a first vertebra and the vertebrae positioned immediately above and immediately below and adjacent to the first vertebra. The interlaminar members are operatively connected to one another by an adjustable support structure and cooperate therewith to maintain the preselected spacing between adjacent vertebrae and to provide overall stability to the spinal column.

Abstract: Disclosed are embodiments of a dynamic stabilizer system for dynamically stabilizing the sacrum and at least lumbar vertebra L5. The dynamic stabilizer system may comprise two anchoring members that can be implanted at distinct locations in the sacrum, a mechanical fastener element having two ends and a flexible portion that can be securely fastened on the spinous process of a lumbar vertebra, and two distinct rods, each securing onto the anchoring members and the mechanical fastener element. In some embodiments, the dynamic stabilizer system may further comprise one or more spacers, each interposed between two spinous processes. The mechanical fastener element further comprises features for securing the one or more spacers.

Abstract: A spinal implant device includes a spacer region and an attachment region. The spacer region is adapted to be positioned between first and second spinous processes of first and second vertebral bodies to limit movement of the first spinous process and the second spinous process toward one another. The attachment region attaches to the first spinous process via a fastener that extends substantially along a long axis of the spinous process.

Abstract: In some embodiments, a method comprises forming a lumen in a first bone portion and forming a lumen in a second bone portion. The method further includes inserting a portion of a flexible fastening band through the lumen in the first bone portion and through the lumen in the second bone portion, and inserting the portion of the flexible fastening band into a fastener mechanism monolithically formed with the flexible fastening band. The method further includes advancing the portion of the flexible fastening band through the fastener mechanism until the first bone portion and the second bone portion are stabilized.

Abstract: This invention relates generally to spine surgery and, in particular, to methods and apparatus for treating spinal stenosis.

Abstract: A surgical instrument system comprises surgical instruments for use with an implantable interspinous device having at least one pair of wings for securing the implantable device to a spinous process. The instrument system may include a surgical instrument for expanding or spreading the pair of wings to accommodate the spinous process. Further, a surgical instrument may be provided for crimping or compressing the pair of wings against the spinous process for secure attachment of the device to a vertebra. The surgical instruments may be configured similar to pliers and apply force to the pair of wings within a predetermined range so as to avoid damage, weakening or breakage of the pair of wings. The surgical instrument system may also include interspinous devices of differing sizes.

Abstract: The present invention relates generally to various integrated Inter-Spinous Process Decompression, IPD, devices and methods for implantation thereof for treating spinal stenosis. Generally, in accordance with an exemplary embodiment of the present invention, the disclosed IPD system comprises an IPD tusk-shaped needle, an IPD tusk-shaped sizer, an IPD tusk-shaped implant tool, and an IPD implant. Preferably, in accordance with an exemplary embodiment of the present invention, each of the IPD tusk-shaped needle, the IPD tusk-shaped sizer, the IPD tusk-shaped implant tool, and IPD implant are suitably configured for percutaneous insertion between a patient's spinous process. Most preferably, in accordance with an exemplary embodiment of the present invention, either the IPD tusk-shaped sizer or the IPD tusk-shaped implant tool is configured to be reversibly coupled to an IPD implant.

Abstract: A spine distraction implant alleviates pain associated with spinal stenosis and facet arthropathy by expanding the volume in the spine canal and/or neural foramen. The implant provides a spinal extension stop while allowing freedom of spinal flexion.

Abstract: A spinous process implant with two plates that are connected together with a post. The implant is configured for each plate to be positioned on outer lateral sides of spinous processes with the post extending through the interspinous space. One or both plates may be movable along the length of the post to accommodate different anatomies such as for relatively wide or thin spinous processes. The post includes an enlarged head at a first end to prevent the first plate from disassociating from the post in a first direction. The post also includes a boss at a second end to prevent the second plate from disassociating from the post in a second direction. Methods of attaching the implants to the spinous processes are also disclosed.