Abstract: The present invention provides spinous process implant and associated methods. In one aspect of the invention the implant limits the maximum spacing between the spinous processes. In another aspect of the invention, a spacer has at least one transverse opening to facilitate tissue in-growth. In another aspect of the invention, an implant includes a spacer and separate extensions engageable with the spacer. The spacer is provided in a variety of lengths and superior to inferior surface spacings. In another aspect of the invention, an implant includes a spacer and a cerclage element offset from the midline of the spacer in use so that the spacer defines a fulcrum and the cerclage element is operative to impart a moment to the vertebrae about the spacer. In another aspect of the invention, instrumentation for inserting the implant is provided. In other aspects of the invention, methods for treating spine disease are provided.

Abstract: The present invention provides spinous process implant and associated methods. In one aspect of the invention the implant limits the maximum spacing between the spinous processes. In another aspect of the invention, a spacer has at least one transverse opening to facilitate tissue in-growth. In another aspect of the invention, an implant includes a spacer and separate extensions engageable with the spacer. In another aspect of the invention, instrumentation for inserting the implant is provided. In other aspects of the invention, methods for treating spine disease are provided.

Abstract: The present invention provides a spinous process implant and associated methods. In one aspect of the invention, the implant includes a spacer that is connectable to two extensions. One of the two extensions is connectable to the spacer at a first end and coupled to the spacer by a rotational connection. The other of the two extensions is movably connectable to the second end of the spacer and translatable over the outer surface of the spacer from the second end.

Abstract: An oblique expanding fusion cage device including a body with a superior portion and an inferior portion. The superior portion and the inferior portion have a proximal end and a distal end. The fusion cage device also includes a pathway, an opening, and an expanding member. The pathway travels from the proximal end to the distal end of the device between the superior and inferior portions. The opening in the proximal end of the body enables access to the pathway. The expanding member may be re movably inserted into the opening and is moveable toward the distal end of the body, wherein the expanding member engages the superior portion and the inferior portion as the expanding member moves distally within the pathway.

Abstract: The present invention provides spinous process implants and associated methods. In one aspect of the invention, the implant includes at least one extension with a superior lobe pivotally connected to an inferior lobe, such as by a hinge, to allow unfolding of the at least one extension from a folded position to an unfolded position. In certain aspects, the folding extension may include fasteners to facilitate engagement with the spinous processes to provide both a flexion stop as well as an extension stop. The fasteners may have corresponding bores to allow the fasteners to reside in the bores to provide a compact profile for implantation. In another aspect of the invention, the implant is introduced to the surgical site using a lateral or paramedian approach and associated tools to facilitate the same.

Abstract: The present invention provides spinous process implants and associated methods. In one aspect of the invention, the implant includes at least one extension with a superior lobe pivotally connected to an inferior lobe, such as by a hinge, to allow unfolding of the at least one extension from a folded position to an unfolded position. In certain aspects, the folding extension may include fasteners to facilitate engagement with the spinous processes to provide both a flexion stop as well as an extension stop. The fasteners may have corresponding bores to allow the fasteners to reside in the bores to provide a compact profile for implantation. In another aspect of the invention, the implant is introduced to the surgical site using a lateral or paramedian approach and associated tools to facilitate the same.

Abstract: The described apparatus and method include a bone plating system comprising a plate longitudinally extending between a first plate end and a second plate end, wherein the plate further comprises a first plate surface spaced apart from an opposing second plate surface. Further, the bone plating system further includes a first spacer segment longitudinally extending between a first spacer end and a second spacer end, wherein the first spacer segment is shaped to adapt the plate to conform to an adjacent bone segment surface.

Abstract: The present invention provides spinous process implants and associated methods. In one aspect of the invention, the implant includes at least one extension with a first part and a second part where at least one arm is coupled to each of the first part and the second part. The first part and the second pan are movable from a compact to a distracted state. In another aspect, the present invention provides a second extension that is slidingly coupled to the first and second arms. The second extension further comprises a third part and a fourth part that move with the first and second part.

Abstract: The present invention provides a spinal implant for placement between adjacent processes of the human spine. In some embodiments the spinal implant includes a spacer and one or more retention members. In some embodiments, the retention members are fixed relative to the spacer and in other embodiments the retention members are deployable from a first or compact or stowed position to a second or expanded or deployed position. In some embodiments the spacer is expandable from a first size to a second size. In some embodiments the spacer has a tapered body.

Abstract: The present invention provides spinous process implants and associated methods. In one aspect of the invention, the implant includes at least one extension with a first part and a second part where at least one arm is coupled to each of the first part and the second part. The first part and the second part are movable from a compact to a distracted state. In another aspect, the present invention provides a second extension that is slidingly coupled to the first and second arms. The second extension further comprises a third part and a fourth part that move with the first and second part.

Abstract: A spine rod connector includes a base member and a plurality of set screws. The base member includes multiple apertures or bores arranged in different relative orientations. The spine rod connector is configured to couple at least two non aligned rods to each other.

Abstract: The present disclosure provides a single insertion and compression instrument to facilitate the implantation of a spinous process implant, such as a spinous process fixation device, between and about adjacent spinous processes. The instrument has a first leg and a second leg, each with a handle and implant engaging portions. The implant engaging portions releasably couple to the spinous process implant and have compression pads to facilitate compression of fasteners on the plates into bone.

Abstract: The present invention provides a bone fastener assembly useful in constructs for stabilizing bones of a patient. In one aspect of the invention, a bone fastener assembly includes a connecting member, a fastener seat, and a bone fastener. The fastener seat and fastener are receivable in the connecting member and the fastener seat is movable from a first position to a second position to retain the fastener in the connecting member. In another aspect of the invention, a bone fastener assembly includes a rod holder, a fastener seat mounted to the rod holder for rotation about the rod holder axis; and a bone, fastener. The bone fastener is generally “T”-shaped and engages the fastener seat in pivoting relationship such that the bone fastener is able to pivot to vary the angle between the bone fastener and the fastener seat.

Abstract: Various spinal fixation assemblies are presented that include a separator installable in relation to a coupler attached to the head of an anchor device, and disposable between the head of the anchor device and a cross member. The separators may be implemented in a variety of forms.

Abstract: An angled instrument assembly includes an angled sleeve, a driver shaft, and a tool bit. The angled sleeve includes a straight passage segment that meets an angled passage segment at a junction. The junction includes an inner elbow and an outer elbow. Material is removed from the inner surface of the inner elbow in order to improve the ease with which the driver shaft can be moved in and out of the angled sleeve. The assembly can also include drafted female or male engagement bodies for facilitating the engagement and disengagement of the tool bit with a tool bit engagement assembly located at the distal end of the driver shaft.

Abstract: The present invention provides spinous process implants and associated methods. In one aspect of the invention, the implant includes at least one extension with a first part and a second part where at least one arm is coupled to each of the first part and the second part. The first part and the second pan are movable from a compact to a distracted state. In another aspect, the present invention provides a second extension that is slidingly coupled to the first and second arms. The second extension further comprises a third part and a fourth part that move with the first and second part.

Abstract: The present application provides a tool for minimally invasive surgical procedures. The tool includes a first and second portion where each portion has an outer blade and an inner blade that is slidable along the outer blade. A removable connector connects the first and second portions. When removed, the first and second portions are separated by a gap extending the length of the tool.

Abstract: This disclosure describes systems and methods for providing a novel delivery system for implantation in a patient. Further, this disclosure describes a delivery system including a carrier that is made of at least one monolithic bone tissue for retaining one or more substances.

Abstract: The present disclosure provides a single insertion and compression instrument to facilitate the implantation of a spinous process implant, such as a spinous process fixation device, between and about adjacent spinous processes. The instrument has a first leg and a second leg, each with a handle and implant engaging portions. The implant engaging portions releasably couple to the spinous process implant and have compression pads to facilitate compression of fasteners on the plates into bone.

Abstract: A cervical plate having backout or reverse threading protection is provided. The cervical plate has one screw bores through which at least one screw extends to anchor the cervical plate to a vertebra. The plate further has at least one channel with at least one engaging edge. A cover plate has a cover plate that extends over a portion of a screw head of the screw. The cover plate also has a locking extension with at least one locking edge at a distal end. The locking extension is inserted into the channel such that the engaging edge and the locking edge engage and hold the cover plate such that the cover plate edge is substantially adjacent the portion of the screw head preventing the screw from backing out.