Abstract: A bone screw assembly includes a screw, an outer housing, and an inner housing. The screw includes a shank and a head. The outer housing has a proximal end, a distal end, and a passageway extending longitudinally therethrough. The outer housing defines a saddle at the proximal end thereof for receiving at least a portion of a rod therein. The inner housing is positionable within the passageway of the outer housing. The inner housing has a recessed distal portion for receiving the head of the screw therein. The inner housing also includes a proximal surface defining a substantially V-shaped configuration for receiving rods of different diameters therein.

Abstract: Provided is a surgical instrument having an adjustable distal end that can securely engage an interbody for introduction of the interbody into an intervertebral space, can be adjusted before and during the surgical procedure to vary the angle of the distal end of the device and the angle of introduction of the interbody, and after positioning that interbody at the surgical site, can be easily disengaged and removed.

Abstract: An interbody spacer includes a connecting portion and a pair of leg portions extending from the connecting portion. The connecting portion and the pair of leg portions define top and bottom surfaces configured and adapted to engage first and second vertebral bodies, respectively, and inner and outer sidewalls extending between the top and bottom surfaces. In particular, the top and bottom surfaces of the leg portions include first projections defining a first angle with the respective top and bottom surfaces of the leg portions. The top and bottom surfaces of the connecting portion include second projections defining a second angle with the respective top and bottom surfaces of the connecting portion. The first and second angles are different.

Abstract: Systems, devices, and associated methods for correcting spinal column deformities that help minimize a number of attachment anchors utilized for correction, facilitate use of straight or contoured rods, and/or help promote a more natural, physiologic motion of the spinal column.

Abstract: A bone fixation device adapted to be coupled to bone anchors that allows movement of rods to permit a screw-rod construct to lengthen in response to bone growth without necessitating post surgical installation adjustment of the device. The bone fixation device includes a locking mechanism that is operably associated with a housing to allow relative movement of a rod and a housing in a first direction and inhibiting relative movement of the rod and the housing in a second direction.

Abstract: An axial spinal rod connector includes a central connector and first and second portions. The first and second portions are each integrally formed with the central connector to define a longitudinal axis. Each of the first and second portions includes an outer end portion and a set screw. The outer end portion defines a passage about the longitudinal axis and defines a blind hole orthogonal to the longitudinal axis. The blind hole extends into the passage. The passage is sized and configured to slidably receive a spinal rod. The set screw is sized and configured to engage the blind hole. The set screw at lease partially interfering with the passage when engaged with the blind hole to fix a spinal rod relative to the spinal rod connector.

Abstract: A spinal correction system for implantation in a patient, the system including a reciprocating adjuster and/or a resistance adjuster coupled to a stabilizing member, for example. The resistance adjuster includes a potential energy drive, a slide unit, and a resistance unit. The reciprocating adjuster includes a piston unit, a transfer unit coupled to the piston unit, and a return mechanism.

Abstract: A spinal buttress plate includes a body having a top surface and a bottom surface and including an annular lip, a ledge, and a pair of teeth. The annular lip defines an opening. The annular lip and the opening are adapted to engage a screw for facilitating the securement of the buttress plate to one or more vertebrae. The ledge defines an aperture. The ledge and aperture are adapted to engage an instrument for positioning the buttress plate adjacent a spinal bone graft. The teeth are disposed in spaced-apart relation on the bottom surface of the body and are positionable within the one or more vertebrae.

Abstract: A spinal stabilization system includes a connecting rod, a rod bending device, and a plurality of bone screws. The connecting rod includes an elongate round portion, an elongate head portion and a neck portion connecting the elongate round portion with the elongate head portion. The rod bending device includes an elongate body defining an aperture configured and dimensioned to receive the connecting rod therethrough in a single orientation. The bone screws include a housing portion and a screw shaft distally extending from the housing portion. The housing portion includes an inner housing and an outer housing slidably surrounding at least a portion of the inner housing. The inner housing defines a slot configured and dimensioned to releasably secure the elongate round portion of the connecting rod therein. The outer housing is movable relative to the inner housing between an unlocked state and a locked state.

Abstract: An endplate for an intervertebral prosthesis includes an inner domed region and a peripheral rim wherein the inner domed region has a non-circular plan and has an area that is at least 50% of the area of the endplate. A surgical instrument for milling a recess in a vertebral endplate includes a cutting tool having a drive shaft with a positioning collar, a guard frame, and a pair of guide plates attached to the guard frame and spaced to confine the positioning collar and having guide slots for the drive shaft.

Abstract: Disclosed is an apparatus for forming an arcuate channel in one or more segments of a bone, bony structure or adjacent vertebrae of a spine. The apparatus includes, inter alia, a base member which is positioned proximate to the surgical site, a support arm extending proximally from the base member, an arcuate guide member and a drill assembly. The arcuate guide member is slidably mounted to the support arm. The drill assembly is operatively coupled to the support arm and includes a drill bit attached to the distal end of a flexible drive cable. The flexible drive cable extends axially along the support arm and is axially and rotationally movable with respect thereto. The drill bit is operatively coupled to an end of the arcuate guide member such that when the drill assembly is moved distally, the arcuate guide member slides with respect to the support arm and forces the drill bit to traverse an arcuate path.

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.

Abstract: A surgical hook insertion device includes an elongate body defining a lumen therethrough and an actuation assembly. The elongate body has a retaining portion configured and dimensioned to releasably retain a laminar hook therein. The actuation assembly includes an actuation rod and an actuator member. The actuation rod is slideably disposed within the lumen of the elongate body. The actuator member is operatively coupled with the actuation rod and is slideably mounted on the elongate body, wherein the actuation assembly is transitionable between a first position in which a portion of the actuation rod engages the laminar hook releasably disposed in the retaining portion and a second position in which the actuation rod disengages the laminar hook.

Abstract: A rod reduction device includes a housing defining a longitudinal axis. The housing has first and second arms extending distally therefrom. The distal ends of the arms are configured to releasably attach to a bone anchor. An anvil is operatively associated with the first and second arms of the housing and translatable along the longitudinal axis for facilitating the insertion of a spinal rod into the bone anchor. The anvil and each arm are positionable between an open position and a closed position.

Abstract: A distraction device includes a cage distractor, two distractor blades, an inserter positioner, and a clip inserter. The cage distractor is selectively securable to the two distractor blades and includes two distractor housings moveable relative to one another. The inserter positioner is selectively securable to the two distractor blades and include a center member that is centered between the distractor blades when the inserter positioner is secured to the two distractor blades. The clip inserter is configured to secure a clip to a distal end thereof and is slidable through the center member to secure the clip to a cage distracted by the movement of the two distractor housings away from one another. The clip maintaining the distraction of the cage.

Abstract: A surgical access device including a frame, first and second supports, and first and second retractor blades releasably coupled with the first and second supports, respectively. The frame has first and second arms. The first support is releasably coupled with the first and second arms. The second support is slidably mounted on the first and second arms. The second support is movable between a first position with the retractor blades in close cooperative position and a spaced apart position with respect to the first support. The first and second retractor blades each have a distal end portion configured and adapted to engage a vertebral body. In one method of use, the retractor is inserted through an incision in first orientation with the blades in close approximation and rotated approximately 90°, before spreading the retractor blades to retract tissue.

Abstract: A surgical access device including a frame, first and second supports, and first and second retractor blades releasably coupled with the first and second supports, respectively. The frame has first and second arms. The first support is releasably coupled with the first and second arms. The second support is slidably mounted on the first and second arms. The second support is movable between a first position with the retractor blades in close cooperative position and a spaced apart position with respect to the first support. The first and second retractor blades each have a distal end portion configured and adapted to engage a vertebral body. In one method of use, the retractor is inserted through an incision in first orientation with the blades in close approximation and rotated approximately 90°, before spreading the retractor blades to retract tissue.

Abstract: A surgical access device including a frame, first and second supports, and first and second retractor blades releasably coupled with the first and second supports, respectively. The frame has first and second arms. The first support is releasably coupled with the first and second arms. The second support is slidably mounted on the first and second arms. The second support is movable between a first position with the retractor blades in close cooperative position and a spaced apart position with respect to the first support. The first and second retractor blades each have a distal end portion configured and adapted to engage a vertebral body. In one method of use, the retractor is inserted through an incision in first orientation with the blades in close approximation and rotated approximately 90°, before spreading the retractor blades to retract tissue.

Abstract: A spinal stabilization system includes a connecting rod and a bone screw. The connecting rod includes an elongate rounded section, an elongate head portion, and a neck portion connecting the elongate rounded section with the elongate head portion. The bone screw includes a head portion defining a slot, a shank extending longitudinally from the head portion, and a cap. The slot includes a leading end portion configured to receive the elongate rounded section of the connecting rod and a trailing end portion defining a planar surface. The cap is configured to enclose the planar surface of the trailing end portion of the slot and secure the connecting rod in the slot to the bone screw.

Abstract: Some embodiments relate to systems, devices, and associated methods for correcting spinal column deformities that help minimize a number of attachment anchors utilized for correction, facilitate use of straight or contoured rods, and/or help promote a more natural, physiologic motion of the spinal column.