Abstract: An anti-torsion spine fixation device includes an elongated member spanning from one vertebra to another and connected to each vertebra. The anti-torsion spine fixation device may span more than one vertebral level, but is fixed bilaterally to the most cephalad and caudad vertebrae.

Abstract: A spinal fixation system includes a bone screw assembly, a low profile bone screw assembly, and a spinal rod. The bone screw assembly may include a separate locking structure. A laminar hook may be coupled to the rod. The spinal rod is operatively connected to the bone screw assembly and the low profile bone screw assembly.

Abstract: An artificial disk replacement device includes opposing plate members with a pivoting assembly disposed therebetween. The pivoting assembly allows the plate members to pivot relative to each other in a first direction, but inhibit movement of the plate members in a second direction. The plate members may be installed prior to installing the pivoting assembly. An installation tool for use with the artificial disk replacement device is also disclosed.

Abstract: A bone screw apparatus adapted to replace a breached pedicle screw includes a proximal end and a distal end. The bone screw apparatus also includes an unthreaded eccentric portion and a threaded proximal portion and a threaded distal portion. The threaded proximal portion extends from the proximal end to the unthreaded eccentric portion. The threaded distal portion extends from the unthreaded eccentric portion to the distal end of the bone screw. In addition, the proximal portion and the distal portion each have a major diameter and a minor diameter.

Abstract: An intervertebral instrument includes a shaft having distal and proximal ends. The proximal end of the shaft includes an attaching feature connected to handle. The shaft defines a pair tracks disposed along a portion of the surface thereof. The distal end includes a pair of wings. Each track guides instruments and implants along the intervertebral instrument. The implants are configured to receive bone graft or bone enhancers. The distal end of the shaft may include a removably attachable tip configured to engage the implants. The implants and the removably attachable tip form an implantable intervertebral disk. An intervertebral instrument and implant kit is also disclosed. A method of inserting intervertebral implants is also disclosed.

Abstract: A device, system and method for orthopedic spine surgery using a screw-based retractor are disclosed herein and allows for access to the spine through a minimally or less invasive approach. The retractor device is designed to be coupled to a pedicle screw and then to have opposed arms of the retractor spread apart to open the wound proximally. The retractor is removed by pulling it out of the wound whereby the retractor is separated along an asymmetric stress riser to pass over the pedicle screw head. The retractor is intended to be made of a flexible metal material, sterile packaged and disposable after one use. A system and method for using the retractor and performing a minimally invasive spine surgical procedure are also disclosed.

Abstract: A retraction device comprises a base and at least one retracting blade. The base has at least one tab. The retracting blade has a slotted distal end for receiving the tab of the base.

Abstract: A device, system and method for orthopedic spine surgery using a novel screw-based retractor, disclosed herein, that allows for access to the spine through a minimally or less invasive approach. The retractor device is designed as an integrally formed part of the tulip of a pedicle screw assembly with opposed arms of the retractor spread apart to open the wound proximally. The arms are removed by separating the arms from the tulip and pulling it out of the wound. The retractor device is intended to be made of a stiff material, sterile packaged and disposable after one use. A system and method for using the retractor and performing a minimally invasive spine surgical procedure are also disclosed.

Abstract: A retraction device comprises at least one retracting blade and a pedicle screw. The retracting blade has a distal end having at least one projection with a passage for engaging a retention pin. The pedicle screw has a threaded body and a movable head. The movable head has at least one recess with a channel that can be aligned with the passage of the projection.

Abstract: A device, system and method for orthopedic spine surgery using a novel screw-based retractor, disclosed herein, that allows for access to the spine through a minimally or less invasive approach. The retractor device is designed as a co-molded part of the tulip of a pedicle screw assembly with opposed arms of the retractor spread apart to open the wound proximally. The arms are removed by separating the arms from the tulip and removing them from the incision. The retractor device is intended to be made of a relatively stiff material, sterile packaged and disposable after one use. A system and method for using the retractor and performing a minimally invasive spine surgical procedure are also disclosed.

Abstract: A device, system and method for orthopedic spine surgery using a screw-based retractor, are disclosed herein and allows for access to the spine through a minimally or less invasive approach. The retractor device is designed to be coupled to a pedicle screw and then to have opposed arms of the retractor spread apart to open the wound proximally. The retractor is removed by separating the opposed blades to allow the retractor portions to be pulled out of the wound. The retractor is intended to be made of a flexible metal material, sterile packaged and disposable after one use. A system and method for using the retractor and performing a minimally invasive spine surgical procedure are also disclosed.

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 expandable cage supports adjacent vertebra in spine surgery. The expandable cage includes a first supporting member configured to engage tissue and a second supporting member operatively associated with the first supporting member. The first and second supporting members are movable relative to each other. The expandable cage further includes a cam lock mechanism configured to maintain the first and second supporting members in a fixed relative position. In another embodiment, the expandable cage includes a ring plate lock mechanism in lieu of the cam lock mechanism. The ring plate lock mechanism is adapted to maintain the first and second supporting members in a fixed relative position.

Abstract: An insertion tool for inserting a spinal rod into a patient is provided. The insertion tool includes an upper body portion defining a first longitudinal axis, a handle assembly extending from the upper body portion, an elbow member connected to a distal end of the body portion, a lower body portion defining a second longitudinal axis, and a drive mechanism extending between the handle assembly and the lower body portion for controlling the selective engagement of the spinal rod. The lower body portion extends from the elbow and is configured to selectively engage a spinal rod.

Abstract: A spinal fixation device is provided. The spinal fixation device includes first and second fixation members. Each of the fixation members include an anchor portion configured for rigid fixation to a vertebral body, an endplate member configured to engage a surface of a vertebral body, and a connecting portion connecting the anchor portion and the endplate member.

Abstract: An implantable device includes a spacing member and an elongate member. The elongate member includes a body portion having a first end coupled to the spacing member and a second end having a retention member. In a system for maintaining disc space between adjacent vertebrae, the implantable device is used in conjunction with a spine fixation member. The spine fixation member includes bone anchors and a spinal rod for releasably securing the retention member of the elongate member thereto in order to prevent expulsion of the spacing member from the disc space. Methods of using the system include unilaterally and bilaterally replacing diseased or damaged intervertebral discs from a posterior or transformational approach.

Abstract: A spinal device generally includes a spacing member and a fixing member. The spacing member is configured to maintain a space between adjacent vertebrae. The fixing member is adapted to maintain a position of the spacing member relative to the adjacent vertebrae. In addition, the fixing member includes a bendable portion releasably connected to the spacing member.

Abstract: A connecting apparatus includes a first grasping member adapted to hold a first elongated member and a second grasping member adapted to hold a second elongated member. The second grasping member is operatively connected to the first grasping member so that the first and second grasping members are movable relative to each other. The apparatus further includes a first rotatable rod disposed in mechanical cooperation with the first grasping member, a second rotatable rod disposed in mechanical cooperation with the second grasping member, a first engaging member operatively connected to the first rotatable rod, and a second engaging member operatively connected to the second rotatable rod. The first engaging member is adapted to engage at least a portion of a first pedicle screw. The second engaging member is adapted to engage at least a portion of a second pedicle screw.

Abstract: A percutaneous interspinous process device for treating spinal conditions includes a first section, a second section, and a locking mechanism. The first section defines a first lateral surface, a first medial surface and a first lumen extending from the first lateral surface to the first medial surface. The second section defines a second lateral surface, a second medial surface and a second lumen extending from the second lateral surface. The locking mechanism includes an elongate member protruding from the first medial surface of the first section and a medial recess defined in the second medial surface of the second section. The medial recess is configured for securely receiving at least a portion of the elongate member. The elongate member is configured to define a space between adjacent spinous processes and maintain a predetermined distance between adjacent spinous processes.

Abstract: Devices, systems and methods for minimally open orthopedic spine surgery are disclosed. A first flexible screw-based retractor is designed to be coupled to each pedicle screw inserted into adjacent vertebral bodies. A retractor system is provided in which a first retractor blade is mounted to one of the screws and a second movable retractor blade is moved away from the first blade, in a medial direction, to create a working channel through which the disc space may be accessed for passing instruments and implants. Light may be incorporated into the device to illuminate the surgical field. One or all of the retractor blades may be made of a sterilizable plastic or metal and be disposable or reusable.