Abstract: Various methods and devices are provided for tensioning a tether. In one embodiment, a tether tensioning device is provided and includes a tensioning mechanism adapted to couple to a tether extending along a path between at least two bone anchors implanted in adjacent vertebrae. The tensioning mechanism can be adapted to apply a tensioning force to the tether along the path of the tether to thereby move the tether along the path. The device further includes an actuation mechanism movably coupled to the tensioning mechanism such that the actuation mechanism is adapted to effect movement of the tensioning mechanism to control the tensioning force applied to the tether.

Abstract: An S-shaped interspinous spacer having a pair of hooks that, upon lateral insertion between opposed spinous process, bear upon the opposed spinous processes.

Abstract: The present invention generally provides a polyaxial fixation device having a shank with a spherical head formed on a proximal end thereof, and a receiver member having an axial passage formed therein that is adapted to polyaxially seat the spherical head of the shank. The polyaxial bone screw further includes an engagement member that is adapted to provide sufficient friction between the spherical head and the receiver member to enable the shank to be maintained in a desired angular orientation before locking the spherical head within the receiver member.

Abstract: The present invention relates to a dynamic stabilization system (DSS) having at least one rod having a ring formed therein (“the spring”) and a pair of pedicle screws adapted for fixation to separate vertebrae.

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: System of intervertebral disc prostheses which includes standard prostheses and corrective prostheses. The corrective prostheses serve to compensate for a ventro-dorsal offset. They are characterized in that, on one of their cover plates, the surface via which it cooperates in a matching manner with the prosthesis core is offset ventrodorsally relative to the contact surface by comparison with the standard prostheses.

Abstract: An instrument for insertion and placement of dynamic spinal fixation plates is provided. In general, the instrument is a clip that holds the plate at its maximum extension for implantation.

Abstract: Disclosed herein are various tools and devices for use in spinal surgery. In one embodiment, a spinal guide device is provided having a guide member with a positioning element that is adapted to engage a portion of a vertebra to position the guide member relative to the vertebra. The guide member can also include a retractor guide that is adapted to guide a retractor therethrough to retract tissue adjacent to the distal end of the guide member. Various tissue retractors, bone preparation tools, and spinal implants are also disclosed.

Abstract: The present invention includes pin guides and methods for placing pins in adjacent vertebrae. The present invention also includes methods for placing pins in adjacent vertebrae using the pin guides described herein. The present invention also includes an intervertebral implant insertion and alignment instrument, a distraction instrument, an intervertebral implant insertion guide, and methods for inserting an implant into an intervertebral space. Despite existing tools and techniques, present positioning of implants in intervertebral spaces and pins in adjacent vertebrae often depend on a surgeon's skill, experience and technique. Practice of the present invention can aide in the placement of an implant into an intervertebral space and placement of pins in adjacent vertebrae, e.g., midline to the coronal plane spine and/or parallel to vertebral endplates that abut the intervertebral space.

Abstract: This invention relates to an intervertebral motion disc having two opposing endplates, a central articulating core, and a peripheral helical shock absorber.

Abstract: Various exemplary instruments for introducing an implant using a posterolateral approach are also provided, as well as various exemplary methods for using such instruments. In general, the instruments are configured to interconnect to an implant and/or to a guide member such that the components are all docked relative to one another. This allows the various components of a multi-piece implant to be mated intraoperatively within the disc space, and in particular to be guided into alignment with one another.

Abstract: Methods and devices for locking a fastener in a thru-bore are provided herein. In one exemplary embodiment, a spinal anchor is provided that includes a bone engaging fastener, an anti-backout mechanism, and a locking mechanism. The anti-backout mechanism can be movable between a retracted position in which it is disposed within the fastener and a deployed position in which is extends from the bone engaging fastener. The locking mechanism can be matable to the bone engaging fastener and can be configured to move the anti-backout mechanism from the retracted position to the deployed position. In the deployed position, the anti-backout mechanism can prevent the bone engaging fastener from backing out of a thru-bore in a spinal plate.

Abstract: An instrument for manipulating a spinal fixation element relative to a bone anchor includes a bone anchor grasping mechanism, a first adjustment mechanism, and a second adjustment mechanism. The bone anchor grasping mechanism includes a first arm having a distal end configured to engage an opening provided in the bone anchor. The first adjustment mechanism includes a second arm pivotally connected to the first arm. The second arm has a distal end configured to engage an opening provided in the bone anchor and is operable to adjust a spinal fixation element in a first direction upon pivoting relative to the first arm. The second adjustment mechanism is removably and replaceably coupled to the bone anchor grasping mechanism and is movable relative to the bone anchor grasping mechanism to adjust the spinal fixation element in a second direction, perpendicular to the first direction, relative to the bone anchor.

Abstract: Minimally invasive methods and devices for introducing a spinal fixation element into a surgical site in a patient's spinal column are provided. In one embodiment, a dissection tool is provided for separating muscles along a muscle plane without causing damage to the muscles. The dissection tool can also include a lumen extending therethrough for receiving a guide wire. The tool allows the guide wire to be positioned relative to a vertebra, and once properly positioned, the tool can be removed to allow a spinal anchor to be delivered along the guide wire and implanted into the vertebra.

Abstract: A bone preparation device for preparing a bone surface for receiving an implant is disclosed, as is a method of using the device, wherein the device contains a gripping element for gripping a first bone surface and a abrading element for abrading an opposing bone surface.

Abstract: Methods and devices for treating spinal deformities are provided. In one exemplary embodiment, a low-profile spinal anchoring device is provided for receiving a spinal fixation element, such as a tether, therethrough. The device generally includes a staple body that is adapted to seat a spinal fixation element, a fastening element for fixing the staple body to bone, and a locking assembly for coupling a spinal fixation element to the staple body. In one embodiment, the locking assembly includes a washer that is adapted to couple to the staple body such that the spinal fixation is disposed therebetween, and a locking nut that is adapted to engage the staple body to mate the washer to the staple body.

Abstract: The present invention relates to administering autologous uncultured cells into a diseased intervertebral disc.

Abstract: Various spinal implants and methods for stabilizing the spine are provided. In one exemplary embodiment, a spinal implant is provided having an expandable container with an interior volume that is selectively expandable between a compressed condition and an expanded condition. The expandable container is coupled to a superior endplate member having a bone-contacting surface and an engagement surface effective to mate with a superior surface of the expandable container, and an inferior endplate member having a bone-contacting surface and an engagement surface effective to mate with an inferior surface of the expandable container. In addition, at least one inlet port is formed in the expandable container and is effective to communicate a fluid to at least one cavity disposed within the interior volume of the expandable container.

Abstract: Various devices and methods are provided for spinal augmentation. In particular, the device can includes a connector element having a superior portion and an inferior portion that is adapted to support adjacent superior and inferior vertebrae and a first superior seating member and a second superior seating member associated with the connector element. The first seating member can be adapted to receive a portion of a lamina of the superior vertebra and the second seating member can be adapted to receive a portion of the lamina of the inferior vertebra. The device can have a variety of configurations, including the connector element and the first and second seating members being unitary and the first and second seating members being separately secured to the connector element.

Abstract: An implant comprises a photocatalytic layer on at least one surface and is adapted to act as a sensor. In some embodiments, the photocatalytic layer is a semiconductor oxide that is doped. According to some embodiments, the implant comprises a wave guide. According to some embodiments the implant comprises a light port. According to some embodiments, the implant comprises a reflective material on a surface of the waveguide. According to some embodiments the implant comprises a composite material comprising a first material that has a transmissivity when exposed to a predetermined wavelength of light and a second material that has photocatalytic activity when exposed to the predetermined wavelength of light. According to some embodiments the implant comprises a light source adapted to irradiate the photocatalytic surface.