Abstract: A system for dilating tissue includes a retractor having a pair of retractor blades that are movable towards and away from each other to retract tissue of a patient. The retractor blades have longitudinal guide channels. A first pin is attachable to a first vertebra. The system also includes an interbody spacer insertion device that has a guide channel for slidably engaging the longitudinal channel guide and is releasably attachable to an interbody spacer. The interbody spacer insertion device is configured to guide the interbody spacer into a space between adjacent vertebrae. A method for using the system includes advancing the retractor blades towards first and second vertebrae. The first retractor blade is attached to the first vertebra using the first pin and the retractor blades are moved away from each other. The interbody spacer insertion device is translated towards the vertebrae to position the interbody spacer between the vertebrae.

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 method of manufacturing a surgical implant includes simultaneously forming a first component and a second component of the surgical implant. Formation of the first and second components includes depositing a first quantity of material to a building platform and fusing the first quantity of material to form a first layer of the first and second components. The method of manufacturing also includes depositing a second quantity of material over the first layer of the first and second components and fusing the second quantity of material to form a second layer of the first and second components. The surgical implant is fully assembled upon the completion of the formation of the first and second components.

Abstract: A surgical access system includes a connector including an arm, a coupling element, a rod, and a ridged slider. The arm includes first and second notched sections disposed in opposed lateral sides thereof. The coupling element includes a body section defining an opening therethrough, and opposed tabs protruding therefrom that are configured to receive the second notched section therebetween such that the arm is pivotably coupled to the coupling element. The rod includes a shaft having a plurality of angled grooves defined partially along a length thereof. The rod extends through the opening of the coupling element and the first notched section of the arm. The ridged slider includes a first surface having a plurality of ridges extending along a partial length thereof. The ridged slider extends through the coupling element with the plurality of ridges operably engaged with the plurality of angled grooves of the rod.

Abstract: Systems and methods for performing surgery based on an analysis of images captured in at least two different planes are disclosed. According to some embodiments, a first X-ray image of a spine in a first plane and a second X-ray image of the spine in a second plane are obtained, and a curve is drawn on the first and second X-ray images so that the curve tracks the vertebral bodies of the spine. The coordinates of the curve in the first and second X-ray images are determined by performing image processing to detect the curve in the X-ray images. A three-dimensional model of the spine is constructed based on the coordinates. The model is analyzed based on medical data relating to the spine and models of other spines to determine parameters of a spinal device. The spinal device is constructed and deployed in the spine based on the parameters.

Abstract: A transverse connector includes a cross member assembly, a first connector assembly, and a second connector assembly. The cross member assembly includes a cross member, a first ring, and a second ring. The cross member has a first end portion and a second end portion. The first ring is receivable on the first end portion of the cross member and the second ring is receivable on the second end portion of the cross member. The first and second connector assemblies are coupled to the first and second rings of the cross member assembly, respectively, to support the cross member between the first and second connector assemblies. The first and second connector assemblies are configured to selectively and releasably secure to bone anchors.

Abstract: A surgical implant assembly includes a surgical implant, a bone plate, and fixation devices. The surgical implant includes a top surface, a bottom surface disposed in opposed relation relative to the top surface, first and second surfaces interconnecting the top and bottom surfaces, and a front surface. First ends of the first and second side surfaces define a back surface extending across a first end of the surgical implant, and the front surface extends across a second end of the surgical implant and interconnects second ends of the first and second side surfaces. At least one cavity is defined in the surgical implant. The bone plate includes an elongate body extending between first and second end portions. The elongate body is positionable adjacent the front surface of the surgical implant. The fixation devices are configured to secure the surgical implant or the bone plate to osseous tissue.

Abstract: A screw insertion instrument includes a handle, a driving assembly, and a stylet. The driving assembly extends distally from the handle and includes a knob, a tubular body extending distally from the knob, and a driver including an elongated body extending through the knob and the tubular body. The elongated body has a proximal region operably coupled to the handle and a distal region extending distally beyond the tubular body and engageable with a pedicle screw. The stylet includes an elongated body positionable through first and second longitudinal bores defined through the handle and the driver, respectively. A proximal portion of the stylet is positionable adjacent the handle and a distal portion of the stylet extends distally beyond the driver and is positionable through a third longitudinal bore defined through the pedicle screw such that the distal portion of the stylet extends distally beyond the pedicle screw.

Abstract: A screw insertion instrument includes a housing, a knob, a drive shaft, and a screw alignment post. The housing includes a proximal portion and a distal portion, and the proximal portion includes a proximal body portion defining a channel extending longitudinally therethrough along a longitudinal axis of the housing. The knob is coupled to the proximal portion of the housing and defines an aperture therethrough that is aligned with the longitudinal axis of the housing. The drive shaft extends through the aperture of the knob and the proximal portion of the housing. The screw alignment post is coupled to the distal portion of the housing and is aligned with the longitudinal axis of the housing.

Abstract: A system for augmenting spinal vertebrae utilizing a system that increases the bone density of adjacent vertebral bodies is disclosed. This system may be placed in the cranial and/or caudal end positions of the spinal construct to address potential adjacent level failure.

Abstract: A rod reducer includes a shaft, a sleeve assembly defining a bore dimensioned to receive the shaft therethrough, a housing defining a bore dimensioned to receive the shaft, arm members operatively associated with the housing, and an anvil operatively coupled with the shaft. The sleeve assembly includes a locking tab. The housing includes a groove configured to selectively receive the locking tab of the sleeve assembly. The housing includes a locking ledge portion in registration with the groove. The anvil is transitionable between a proximal position, in which, the arm members are spaced apart, and a distal position, in which, the arm members are in an approximated position. The sleeve assembly is rotatable between an engaged state in which, the locking ledge portion inhibits relative axial displacement of the sleeve assembly with the housing, and a disengaged state in which, the sleeve assembly is axially movable relative to the housing.

Abstract: In some embodiments, a spinal implant (10, 110, 210, 310, 400) is provided and includes a body portion defining a longitudinal axis. The body portion includes a distal end portion, a proximal end portion, opposed side surfaces that extend between the distal and proximal end portions, and top and bottom surfaces configured and adapted to engage vertebral bodies. The top and bottom surfaces have a surface roughness between 3-4 ?m. A cavity extends through the top and bottom surfaces defining a surface area that is at least 25% of a surface area of the top surface or the bottom surface. First orifices (24, 124, 224, 324, 426a) are defined through the top surface and second orifices (34, 134, 234, 334, 426b) are defined through the bottom surface. The second orifices are connected to the first orifices by a plurality of channels.

Abstract: Disclosed herein are systems and methods for dilating tissue for placement of a pedicle screw without the use of guide wires. The tissue dilation system includes, generally, a stylet and trocar which are used for the initial placement of the tissue dilation system. A second dilator is passed over the first. A second dilator is passed over the first dilator, and further includes a serrated edge for engaging with a target surface. The second dilator may be secured to the target surface by the serrated edge alone, or may additional be secured using one or more temporary fixation pins, which operably couple to the second dilator.

Abstract: Orthopedic implants constructs include one or two rigid monolithic plates and a core that is integrally formed within an interior space within a rigid monolithic plate. An exemplary construct that includes two plates between which is a core that is interengaged with each plate, the two plates thereby forming a generally disc-like shaped construct with opposing tissue contacting surfaces. The constructs are suitable, for example for spinal interbody fusion and artificial disc applications.

Abstract: A spinal fixation device includes an inner housing, an outer housing, a screw, and a pivot inhibitor. The outer housing is circumferentially disposed around at least a portion of the inner housing, wherein the outer and inner housings are translatable relative to one another to cause transitioning of the spinal fixation device between a locked configuration and an unlocked configuration. The screw including a screw head pivotably coupled to a lower portion of the inner housing and a shaft extending from the screw head. The pivot inhibitor is coupled to one of the inner housing or screw, such that pivoting of the inner housing about the screw head is inhibited in a direction of the pivot inhibitor.

Abstract: A fixation assembly includes an anchor, a cam, and a shaft. The anchor defines a longitudinal axis and includes a spine that extends along the longitudinal axis. The spine has a first projection and a second projection that extend from the spine in a direction transverse to a longitudinal axis. The anchor defines a slot between the first and second projections. The cam is disposed with the slot and is positioned to rotate about the longitudinal axis between first and second positions to enable the first and second projections and the cam to secure the anchor to osseous tissue. The shaft is rotatably disposed within the anchor and positioned to rotate the cam between the first and second positions. In the first position, the cam is aligned with the first and second projections, and in the second position, the cam is misaligned with the first and second projections.

Abstract: Disclosed are systems and methods for rapid generation of simulations of a patient's spinal morphology that enable pre-operative viewing of a patient's condition and to assist surgeons in determining the best corrective procedure and with any of the selection, augmentation or manufacture of spinal devices based on the patient specific simulated condition. The simulation is generated by morphing a generic spine model with a three-dimensional curve representation of the patient's particular spinal morphology derived from existing images of the patient's condition. Other anatomical structures in the patient's skeletal system are likewise simulated by morphing a generic normal skeletal model, as applicable, particularly those skeletal entities that are connected directly or indirectly to the spinal column.

Abstract: Disclosed are systems and methods for rapid generation of simulations of a patient's spinal morphology that enable pre-operative viewing of a patient's condition and to assist surgeons in determining the best corrective procedure and with any of the selection, augmentation or manufacture of spinal devices based on the patient specific simulated condition. The simulation is generated by morphing a generic spine model with a three-dimensional curve representation of the patient's particular spinal morphology derived from existing images of the patient's condition.

Abstract: A system for mounting a retractor tube to a spine without a guidewire is disclosed. The system includes an awl, a first dilator configured to be advanced over the awl, a retractor tube configured to be advanced over the first dilator, wherein an outer surface of the retractor tube defines a plurality of channels, and a plurality of pins adapted to be received within the plurality of channels, wherein the plurality of pins secure the retractor tube to the at least one vertebral body of the spine. A method for selectively mounting a retractor tube to a spine without a guidewire is also disclosed.

Abstract: A spinal correction system includes a tensioning member and a fulcrum tensioner device including a housing defining a chamber having a biasing member therein and a camming pin operatively coupled with the biasing member. The tensioning member is configured to be received in the biasing member and looped around the camming pin, such that a first end of the tensioning member is oriented in a first direction and a second end of the tensioning member is oriented in a second direction. The camming pin is transitionable between an extended position in which the biasing member applies tension to the tensioning member and a retracted position in which the biasing member is compressed to inhibit application of tension to the tensioning member.