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 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: 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: 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 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: 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: 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 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.

Abstract: A surgical fixation assembly includes a shank having an outer surface. The outer surface of the shank includes a threaded portion. The surgical fixation assembly includes a first cupped washer supported on the shank, a sleeve, and a nut threadably engaged with the threaded portion of the shank. The nut is positioned to slide the sleeve axially along the shank to deform the first cupped washer and enable the first cupped washer to penetrate osseous tissue for securing the shank to osseous tissue.

Abstract: An interbody spacer is provided including 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 interbody spacer includes first orifices defined through the top surface. The first orifices include orifices having first and second cross-sectional configurations and the first orifices are arranged in rows extending along the longitudinal axis.

Abstract: Growth directed correction of a spine via apical vertebral control includes securing a correction system to a first vertebra and a second vertebra of the spine, the correction system defining a correction axis extending between the first and second vertebra and securing the correction system to a third vertebra intermediate the first and second vertebra, the correction system securing the third vertebra at a fixed distance from the correction axis. The correction system is secured to the first and second vertebra such that the first and second vertebra are able to grow away from one another in a direction substantially parallel to the correction axis.

Abstract: A package including at least one bumper having an elliptical shape that extends from a first end to a second end along a first plane and having a protrusion that extends from a first front along a second plane; and a first tray having a first cavity that extends from a second front along the second plane, wherein the first cavity includes at least one groove configured and dimensioned to receive the at least one bumper.

Abstract: A spinal stabilization system including 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 set screw configured to secure the connecting rod in the slot. The head portion includes a pair of radially opposing walls defining the slot therebetween. The head portion includes a trailing end and a leading end. The trailing end includes a guide member defining an aperture configured and dimensioned to receive the set screw therethrough. The aperture is in communication with the slot. In particular, the guide member interconnects the pair of radially opposing walls.

Abstract: A fixation device includes an outer member, a retaining member, and an inner member. The outer member includes an elongated body portion defining a central bore through at least a portion thereof that extends along a central longitudinal axis. The elongated body portion includes a slot defined therethrough. The retaining member is disposed within the outer member when in an initial position and extends through the slot of the outer member when in a deployed position. The inner member includes a cam shaft body disposed within the central bore of the outer member. The cam shaft body is coupled to the retaining member such that rotation of the inner member moves the retaining member between the initial and deployed positions.

Abstract: A retractor system includes a retractor device and a blade assembly. The retractor device includes a support and first and second arms. The retractor blade assembly includes first and second blades. Each of the first and second blades includes an elongate portion and a tubular portion. The elongate portion includes an engaging portion releasably coupled with the retractor device. The tubular portion extends distally from the elongate portion. The tubular portion defines a bore dimensioned to receive a housing of a bone screw. The tubular portion includes a clip deflectable radially outward. The clip is deflectable between a first state, in which, the clip is deflected radially outward such that the clip disengages the housing of the bone screw positioned in the tubular portion, and a second state, in which, the clip engages the housing of the bone screw positioned in the tubular portion.

Abstract: A compressor/distractor system for operating on a spine is disclosed. The system includes two rod reducers which each advance a spinal rod into the shoulder portion of a pedicle screw. Each rod reducer includes an inner member, an outer member, and a pair of gripping members. Each outer member receives and advances the spinal rod into the pedicle screw. The outer member also includes a through slot which receives the proximal end of each of the pair of gripping members which may limit the longitudinal translation of the outer member with respect to the inner member. The compressor/distractor system may include a compressor/distractor device which has a compressing, a distracting, and a neutral configuration. A method for using the minimally invasive rod reducers with the compressor/distractor system to secure at least two pedicle screws in desired positions on a spinal rod is also disclosed.