Abstract: In one embodiment, a medical device includes an elongate member, a first coupler, and a second coupler. The elongate member has a first end portion, a second end portion, and a side portion. The side portion of the elongate member has a first receiving portion and a second receiving portion. The first receiving portion is configured to receive a first support member. The second receiving portion is configured to receive a second support member. The first coupler is coupled to the elongate member and is configured to engage the first support member to help retain the first support member within the first receiving portion. The second coupler is coupled to the elongate member and is configured to engage the second support member to help retain the second support member within the second receiving portion.

Abstract: Methods and devices are disclosed herein that generally involve applying thermal therapy to tissue (e.g., localized cooling or heating of tissue), and in particular applying thermal therapy to the spinal canal, tissue disposed within the spinal canal, and/or nerve roots extending from the spinal canal. In some embodiments, tissue can be cooled or heated by implanting or positioning a thermal device in proximity to the targeted tissue. A number of exemplary thermal devices are disclosed, including bone anchors, inserts for use with bone anchors, K-wires, bone anchor extensions or towers, cross-connectors, spinous process plates, spinal rods, pedicle markers, bone taps, drill bits, bone plugs, bone plates, clamps, interbody or disc implants, thermal pads, and tubing loops. The thermal device can be left in place following surgery to facilitate application of post-surgical thermal therapy. In some embodiments, the thermal device can be removed post-surgery in a minimally- or non-invasive manner.

Abstract: A transverse fixation device is disclosed. The device includes one or more connecting bodies disposed substantially between two elongate rods. Each connecting body includes a receptacle that is capable of engaging with the two elongate rods. A c-ring comprising an outer surface having a spherical curvature is also included. A third rod may be inserted into the c-ring. A clamp included in the connecting bodies may then be disposed about the c-ring and third rod to allow the connecting bodies to slidingly engage with the third rod.

Abstract: An implantable spinal cross connector is provided for connecting one or more spinal fixation devices, and more preferably for connecting two spinal fixation rods that are implanted within a patient's spinal system. In general, an exemplary cross connector in accordance with the present invention includes an elongate body with at least one rod-receiving recess formed therein, and a locking mechanism that is adapted to couple to the elongate body and that is effective to lock a spinal fixation rod within the rod-receiving recess(es). The present invention also provides an inserter tool to facilitate implanting a spinal implant or device, such as a spinal cross connector.

Abstract: A transverse rod connector includes an elongate member having first and second ends and first and second connection members. The first and second connection members are connected with first and second ends, respectively. The first and second connection members are configured for multidirectional positioning with respect to the elongate member. The first and second connection members are each dimensioned to be selectively and releasably secured to a bone anchor. The elongate member is longitudinally adjustable.

Abstract: A spinal connection assembly for use with a posterior spinal connector having a head and a groove adjacent the head for providing a neck and a connector element to treat a spine of a mammalian body is provided. The assembly includes a housing having first and second side portions and a top and a bottom. The first side portion is provided with a bottom-facing first opening adapted for receiving the posterior spinal connector. A capture mechanism is carried by the first side portion for engaging the head of the posterior spinal connector and extends at least partially into the groove so as to capture the head within the first opening. The second side portion is provided with a second opening. A securement mechanism is carried by the second side portion for capturing the connector element within the second opening.

Abstract: A cross connecting device suitable for connecting first and second spinal fixation devices comprises a fixable pivot junction, first and second connection members, and first and second clamps. The fixable pivot junction includes a pivotable joint that is pivotable about a pivot point. The fixable pivot junction also includes a collar configured for fixating the pivot junction. The first and second connection members are connected by the fixable pivot junction such that the fixable pivot junction allows the first and second connection members to be repositioned relative to each other. The first and second clamps are connected to respective ones of the first and second connection members at distal ends of the connection members relative to the fixable pivot junction. The first and second clamps allow the cross connecting device to be clamped on to spinal fixation devices, such as pedicle screws or hooks.

Abstract: A connector for engaging two or more rods is disclosed. The connector includes a main body, at least two medial bodies and a compression mechanism. Generally, the connector provides for easy “snap-fit” lateral insertion of the rods into rod openings defined between the medial bodies and the main body. The snap-fit is achieved through a spring bias exerted by the compression mechanism. The compression mechanism may also be configured to lock the rods within the openings, such as through the use of a fastener.

Abstract: A cross connector for attachment between two spinal implants comprises a first element having one end and an opposite end configured for engaging one of the two spinal implants, a second element having one end and an opposite end configured for engaging the other of the two spinal implants, an engagement mechanism between the one end of each of the first and second elements, and a locking element for locking the two elements together at the respective one end. The engagement mechanism includes an interface configured to permit relative pivoting between the first element and the second element about at least two non-parallel axes.

Abstract: This equipment comprises at least one connecting bar and at least one sacrum anchor assembly (1-3, 5). According to the invention, each sacrum anchor assembly comprises two sacral anchor screws (1,2), a link assembly (3) including: a sacral connecting part (10) assembled to a sacral anchor plate (11) with polyaxiality, i.e. having possible multi-directional tilting relative to the said first screw (1), and possible pivot relative to the said sacral anchor plate (11); two nuts (5) able to be screwed onto the said shanks (9) of the said first and second screws (1, 2), a first nut (5) is able to clamp this part (10) against a bearing surface (8) formed in the said first screw (1), for tilt and pivot immobilisation of this part (10) relative to the said sacral anchor plate (11).

Abstract: A transverse connector system having a first and a second locking head, and a transverse rod that is secured by the first and second locking heads. The first and second locking heads are provided with a first and second pivot arm for engaging and securing first and second elongated rods. The first and second locking heads each simultaneously engage and secure the transverse and elongated rods separately.

Abstract: Exemplary spinal fixation devices, systems, and method are provided for stabilizing vertebrae in a patient's spine. In one exemplary embodiment, methods and devices are provided for coupling one or more bone anchors, such as hooks, screws, etc., and/or one or more spinal fixation elements, such as spinal rods, cables, plates, etc. In certain exemplary embodiments, a cross connector is provided for connecting and stabilizing two bone anchors, a bone anchor and a spinal fixation element, or a bone anchor and bone.

Abstract: The present disclosure provides a transverse connector having first and second spinal rod connecting members disposed on opposing ends of a cross member. Each spinal rod connecting member is configured to connect to a spinal rod. The first and second spinal rod connecting members are configured for multidirectional articulation relative to the cross member.

Abstract: Methods of correcting a spinal deformity include securing a first rod on a first side of a spine, securing an anchor on a second side of a spine, securing a lateral coupling between the rod and the anchor, translating and derotating the spine to correct the spinal deformity by adjusting an effective length of the lateral coupling, and securing a second rod on a second side of the spine to provide secondary stabilization to the spine.

Abstract: Exemplary spinal fixation devices, systems, and method are provided for stabilizing vertebrae in a patient's spine. In one exemplary embodiment, methods and devices are provided for coupling one or more bone anchors, such as hooks, screws, etc., and/or one or more spinal fixation elements, such as spinal rods, cables, plates, etc. In certain exemplary embodiments, a cross connector is provided for connecting and stabilizing two bone anchors, a bone anchor and a spinal fixation element, or a bone anchor and bone.

Abstract: An implant support comprises a first member including a first portion and a second portion configured to engage a bone fastener. The second portion extends in a transverse orientation from the first portion. The members define a longitudinal axis. The second member includes a first portion and a second portion configured to engage the bone fastener. The second portion of the second member extends in a transverse orientation from the first portion. At least one of the members is movable relative to the longitudinal axis between a first configuration and a second configuration such that the longitudinal axis is offset relative to an axis of the bone fastener. Systems and methods are disclosed.

Abstract: Methods of correcting a spinal deformity, including securing a first rod on a first side of a spine, securing an anchor on a second side of a spine, securing a lateral coupling between the rod and the anchor, translating and/or derotating the spine and securing a second rod on a second side of the spine to provide secondary stabilization to the spine.

Abstract: A spinal implant for connecting to an elongated rod is disclosed. The spinal implant includes a yoke having a first end and a second end, the first end having a first and second rod engaging portion and a channel between the first and second rod engaging portions for encompassing a first bone anchor, and the second end being spaced apart from the first end. An extension rod is also provided which extends from the second end of the yoke parallel to the elongated rod. The first and second rod engaging portions are configured and dimensioned to receive first and second securing member for securing the elongated rod.

Abstract: A transverse connector system having a first and a second locking element. The present invention also provides transverse rod having opposing first and second ends, the first end being retained within a portion of the first locking element and the second end being retained within a portion of the second locking element. The first locking element is configured with a connector body for engaging and capturing an elongated rod and a transverse rod simultaneously.

Abstract: Various methods and devices are provided for connecting spinal fixation elements, such as spinal rods, implanted in a patient's spinal column. In particular, various spinal cross connectors are provided for connecting to one or more spinal fixation elements implanted in a patient's spine. The cross connectors can have a variety of configurations, including a fixed or adjustable length, as well as various features that allow certain portions of the cross connectors to be angularly oriented.

Abstract: A clamp for attaching a cross connecting device to a spinal fixation system comprising an outer body and an inner body. The outer body defines an internally threaded bore and an outer body cavity, and the inner body defines an inner body cavity. The inner body is at least partially disposed within the outer body. A pin is provided for connecting the inner and outer bodies to each other, while allowing for a limited amount of movement therebetween. A set screw suitable for being driven into the internally threaded bore is provided for securing the inner body to the spinal fixation system.

Abstract: A rod connector for transversely connecting two vertebral column rods has two clamps and a transverse bridge that fixes the clamps to each other. The clamps have a spring device with a spring force that is low enough to allow the clamp to be manually snapped onto the vertebral column rod, to be slid onto the same in the installed state, and to be released from same. An attaching device for the clamp, which is independent of the spring device, generates a retaining force that is high enough to solidly attach the clamp on the vertebral column rod in the installed state. The transverse bridge has a connection part with a frame for receiving a first branch connected to one clamp and with a ball rotatably mounted in the frame and having a second branch pass therethrough that connects to another clamp.

Abstract: A transverse connector system having a first and a second locking head, and a transverse rod that is secured by the first and second locking heads. The first and second locking heads are provided with a first and second pivot arm for engaging and securing first and second elongated rods. The first and second locking heads each simultaneously engage and secure the transverse and elongated rods separately.

Abstract: The present invention provides a dynamic stabilization device positionable about a portion of a spinal column. The stabilization device may generally include a first component and a second component, where the first and second components are movably coupled to one another to define an arcuate path of motion. The stabilization device may also include one or more adjustment elements positionable within first and second adjustment openings to affect the path of motion between the first and second components and/or the behavior and characteristics of the movement. In addition, one or more resistive elements may be adjustably positionable within either and/or both of the first and second adjustment openings to provide resistance and/or dampening of the forces experienced as the first and second components move relative to one another. The stabilization device may further define a joint having three degrees of freedom to adapt to movement of a spinal column.

Abstract: An implantable apparatus for use in the correction of skeletal deformities comprising a rod, a pair of spaced apart attachment members, each of the attachment members being attachable to a bone. At least one of the attachment member mounts a rod receiving member, the rod being slidable along a predetermined path with respect to the rod receiving member.

Abstract: A percutaneous spinal cross link system for interconnecting a spinal fusion construct on one side of the longitudinal axis of the spine with a spinal fusion construct on the other side of the longitudinal axis may include a cross bar connected at each end by a respective connector to a respective spinal fusion rod of each of the spinal fusion constructs. The connector may include a rod receiving portion adapted to receive one of the spinal fusion rods and a cross bar receiving portion adapted receive the cross bar in an orientation generally perpendicular to the spinal fusion rod. A cannula defined by two spaced apart blades may be connected to the connector for defining a minimally invasive pathway through body tissue for introduction of the cross bar to the connector. Other tools for use with the system are also disclosed.

Abstract: Devices and methods are disclosed for treating the vertebral column. One embodiment provides a transverse connector for vertebral fixation systems comprising a first connector body comprising a first engaging member for engaging a first elongate member and a first locking member, a second connector body comprising a second engaging member for engaging a second elongate member, and a transverse rod coupled to the first connector body and the second connector body, thereby forming an articulation between a first end of the transverse rod and the first connector body, wherein the first locking member is configured to secure both the articulation and the first elongate member to the first connector body.

Abstract: A vertebral stabilization device operable for stabilizing and/or decompressing a portion of the spine, including: a first frame member; a second frame member; a first connector member engaged to the first frame member for securing the first frame member to a first structure of the spine; and a second connector member engaged to the second frame member for securing the second frame member to a second structure of the spine; wherein the first frame member and the second frame member are in a telescoping relationship with each other. The first and second structures of the spine may include spinous processes, laminae, sacral structures, or any other suitable structures. Preferably, the first connector member and the second connector member are substantially arcuate in shape, and may face towards each other, away from each other, or in the same direction.

Abstract: A cross connector for connecting elongated fixation elements, such as spinal fixation rods, includes a central body and one or more actuators. The rod to rod connector may include a first lever and a second lever coupled to the central body. The first lever may include a free end separated from the central body by a first channel. The second lever may include a free end separated from the central body by a second channel. The one or more actuators may be operable to pivot the first and second levers into a relatively closed position. When the first and second levers are in the relatively closed position, the free ends of the first and second levers are moved toward one another and toward the central body to contract the first and second channels.

Abstract: A spinal implant includes a first rod, a second rod, and connector. The first rod has a first end configured to be connected to a first bone, a second end opposed to the first end, and a longitudinal axis that passes through the first and second ends. The second rod has a first end configured to be connected to the second bone, a second end opposed to the first end. The second rod is parallel to the longitudinal axis and non-coaxial with the first rod, and at least a portion of the second end of the second rod overlaps the second end of the first rod. The connector connects the second end of the first rod to the second end of the second rod, and is configured to urge the first rod and the second rod in opposed directions that are parallel to the longitudinal axis.

Abstract: A transconnector for joining adjacent longitudinal spinal rods. The transconnector preferably includes a bridge member and a pair of bone fixation coupling elements, the bridge member is preferably sized and configured to span a distance between the pair of bone fixation coupling elements. The bone fixation coupling elements are preferably sized and configured to engage the bridge member and sized and configured to receive one of the bone fixation elements. The bone fixation coupling elements are preferably sized and configured to engage the body portion of the bone fixation element. The bone fixation coupling elements may include a locking cap having a first set of threads for threadably engaging the bone fixation element.

Abstract: An anti-displacement coil spring-type spine stabilization device includes: a coil spring member made of a spiral spring wire having multiple continuous loops, the coil spring member having the form of an elongated bar; two connection members securely connected with two ends of the coil spring member, opposite end faces of the two connection members being respectively formed with two axially extending sockets; and at least one elastic bar disposed in the coil spring member and axially extending through the coil spring member with two ends of the elastic bar respectively extending into the sockets of the connection members. The coil spring member is made of the spiral spring wire so that two ends of the coil spring member are naturally formed with threads, which can be directly screwed on the connection members without further mechanically processing. This simplifies the manufacturing process to lower the manufacturing cost.

Abstract: The present invention includes the steps for creating an access path to the posterior portion of the spine, positioning a first and second elongate rod longitudinally on opposing portions of the spine, piercing a portion of the interspinous ligament with a third elongate rod, and positioning the third elongate rod connecting the first and second elongated rods in a cross connection assembly. The cross connection assembly includes a one-piece connecting body comprising a receptacle facing outwards towards the first rod and away from the second rod and a clamp, and a set screw selectively positioned to securely hold the connecting body to the first rod. The connecting body is disposed substantially between the first and second elongate rods. The clamp allows the connecting body to slidingly engage with the third rod.

Abstract: A rod to rod connector includes at least one clamping assembly for receiving a first spinal rod. The clamping assembly may include a polyaxial articulation element. The articulation element may include a hollow body forming an opening. The clamping body may further include a pivot element configured to clamp the first spinal rod between the pivot element and a channel wall in the clamping assembly. The rod to rod connector may also include a connector member for connecting the clamping assembly to a second spinal rod. The connector member may include a socket configured to receive the polyaxial articulation element of the clamping assembly, with the articulation element polyaxially rotatable relative to the axis of the socket.

Abstract: A fasterner and rod fusion device with extensions to support an adjacent vertebral body is provided. The extensions are connected to the fasterner and rod fusion device. The extensions include flexibly connected rods, bands, spacers, or the like to resist extension and/or flexion of the vertebral body(ies) adjacent a fusion site. Alternatively, the extensions may be coupled to a cross link between multiple rods.

Abstract: A spinal rod assembly may be formed by attaching an extension portion onto a spinal rod that extends along a longitudinal axis. The extension portion may include a rod coupler that attaches to the spinal rod with a first coupling that includes a first degree of rotational freedom and a first degree of translational freedom in positioning the rod coupler relative to the spinal rod along the longitudinal axis. The extension portion may further include an extender rod including an elongated rod body that may be secured to the rod coupler using a second coupling that includes at least a second degree of rotational freedom in positioning the extender rod relative to the rod coupler about an axis substantially perpendicular to the longitudinal axis. The extension portion may be assembled in situ to a spinal rod that has been previously secured to vertebral bodies in a patient.

Abstract: One exemplary device includes a main body including a shaft having a longitudinal axis; a first clamping mechanism having first and second jaws configured to clamp a spinous process of a first vertebra, and a second clamping mechanism having third and fourth jaws configured to clamp a spinous process of a second vertebra. The first, second, third and fourth jaws extend transversely from the shaft and at least two of two of the jaws are releasably mounted to the shaft and are mountable to and removable from the shaft by relative movement between the respective jaw and the shaft in a direction normal to a longitudinal axis of the shaft.

Abstract: A transverse connector for coupling between first and second vertebral anchors of a spinal stabilization system. The transverse connector includes a first coupling assembly proximate a first end, a second coupling assembly proximate a second end, a first fastener having external threading configured to threadably engage an internal threaded portion of a housing of the first vertebral anchor, and a second fastener having external threading configured to threadably engage an internal threaded portion of a housing of the second vertebral anchor. Each of the first and second fasteners includes a spherical upper surface, such as a spherically concave upper surface. A spherical surface of each of the first and second coupling assemblies mates with the spherical upper surface of the respective fastener to provide multi-axial rotation of the transverse connector relative to the housings to permit a desired orientation of the transverse connector.

Abstract: A spinal implant has two pairs of mounting plates or “staples,” two rods, and a crosslink. Each mounting plate mounts to a lateral side of a spinous process. Each rod interconnects a pair of mounting plates. The crosslink is disposed through the interspinous space and interconnects the rods. The crosslink hinders movement of the rods away from each other. The rods have a flexural modulus less than the mounting plates. The rod flexibility allows a small amount of relative movement of the vertebrae, which may be helpful in promoting fusion.

Abstract: Apparatus and devices for adding an additional spinal construct in a patient are disclosed. In one arrangement the additional spinal construct extends an existing spinal construct ipsilaterally with an inline rod connector in a minimally invasive or preferably, percutaneous procedure. In another arrangement, the ipsilateral extension of an existing spinal construct uses an offset rod connector for receiving an additional spinal rod that may be placed interiorly or exteriorly of the existing spinal construct.

Abstract: A polyaxial screw connection assembly includes a first longitudinal member comprising a bored fastener channel and a first bulbous body; a second longitudinal member comprising a cylindrical body to fit within the fastener channel, and a second bulbous body; a fastener with a bored cylindrical channel, connected to the first longitudinal member and the cylindrical body and securely couples the first longitudinal member to the second longitudinal member; a first fixation component directly connected to the first bulbous body; a second fixation component directly connected to the second bulbous body; a first pin engaged within the first longitudinal member via a bored first channel and contacting the first bulbous body causing the first bulbous body to outwardly expand; and a second pin engaged within the second longitudinal member via a bored second channel and contacting the second bulbous body causing the second bulbous body to outwardly expand.

Abstract: Systems, assemblies, components and methods for correcting alignment of one or more vertebrae of a spine are provided. A first elongate derotator member includes a first elongate element having a first proximal end portion and a first distal end portion. The first distal end portion is releasably engageable with a first implant implanted in one of the vertebrae. A second elongate derotator member comprising a second elongate element is releasably engageable with a second implant implanted in the same vertebra. A transverse member is engageable with the first and second elongate elements.

Abstract: Methods and techniques for adding an additional spinal construct in a patient are disclosed. In one arrangement the additional spinal construct extends an existing spinal construct ipsilaterally with an inline rod connector in a minimally invasive or preferably, percutaneous procedure. In another arrangement, the ipsilateral extension of an existing spinal construct uses an offset rod connector for receiving an additional spinal rod that may be placed interiorly or exteriorly of the existing spinal construct.

Abstract: A fastener assembly for a spinal fixation system that is particularly useful in treatment of pediatric and small-statured patients includes a fastener, an attachment member, and a locking member. The fastener has a lower portion for contacting a bone and an upper portion integral with the lower portion. The upper portion has two open channels. Each channel is configured and dimensioned to receive a portion of a longitudinal or connecting member along its circumference. The attachment member is positionable on the fastener and at least partially covers the channel that receives the longitudinal or connecting member. The locking member is operatively associated with the upper portion of the fastener and secures the attachment member and the longitudinal or connecting member to the fastener.

Abstract: A spinal stabilization system includes an implant and instrumentation for stabilizing the spine. In one embodiment, the system includes a plate having a side rail and a channel extending adjacent the side rail. A pedicle screw assembly is positioned in the channel in releasable engagement with the side rail. The pedicle screw assembly includes a polyaxial screw seated in a lower housing having a lower locking flange. An upper housing having an upper locking flange secures the plate to the lower housing. The side rail of the plate is releasably engaged between the upper locking flange and the lower locking flange. The upper and lower housings include on-board locking mechanisms for fixing components in the screw assembly. The screw assembly and plate are inserted and oriented by remote manipulation. Minimally invasive techniques for inserting the implant are performed with the instrumentation, and cause minimal disturbance to surrounding tissue.

Abstract: An adjustable spinal implant device, comprising: a sliding portion provided with a tongue; and, a non-sliding portion provided with a slot adapted for receipt of the tongue; wherein the tongue is slidably and rotatably positioned within the slot.

Abstract: A transverse fixation device is disclosed. The device includes one or more connecting bodies disposed substantially between two elongate rods. Each connecting body includes a receptacle that is capable of engaging with the two elongate rods. A c-ring comprising an outer surface having a spherical curvature is also included. A third rod may be inserted into the c-ring. A clamp included in the connecting bodies may then be disposed about the c-ring and third rod to allow the connecting bodies to slidingly engage with the third rod.

Abstract: Exemplary spinal fixation devices, systems, and method are provided for stabilizing vertebrae in a patient's spine. In one exemplary embodiment, methods and devices are provided for coupling one or more bone anchors, such as hooks, screws, etc., and/or one or more spinal fixation elements, such as spinal rods, cables, plates, etc. In certain exemplary embodiments, a cross connector is provided for connecting and stabilizing two bone anchors, a bone anchor and a spinal fixation element, or a bone anchor and bone.

Abstract: Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.

Abstract: An external fixation connection rod that allows for rapid and gradual length adjustment. In some embodiments, the fixation connection rod includes an inner sleeve received within a telescopic rod to allow for rapid adjustment of an overall length of the fixation connection rod. In some embodiments, the fixation connection rod includes an adjustment mechanism to allow for gradual adjustment of the overall length of the fixation connection rod by lengthening or shortening a threaded elongated member within the inner sleeve, and the adjustment mechanism includes a first rotation member, a second rotation member, and a spring. Distal translation of the first rotation member relative to the second rotation member allows the adjustment mechanism to move from a first, locked position to a second, unlocked position, allowing the first rotation member and the second rotation member to rotate about the inner sleeve and the threaded elongated member during gradual adjustment.