Abstract: A method is provided for determining the shape of a surgical linking device that is to be attached to a bony body structure such as the spinal column based on digitized locations of a plurality of attachment elements engaged to the bony structure. The method is implemented by a computer system through a GUI to generate an initial bend curve to mate with the plurality of attachment elements. The initial bend curve may be simplified based on user input to the GUI to reduce the number of bends necessary to produce a well-fitting linking device and may be altered to help obtain the goals of the surgery.

Abstract: A surgical access system including a tissue distraction assembly and a tissue refraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.

Abstract: The present invention involves systems and related methods for performing surgical procedures and assessments, including the use of neurophysiology-based monitoring to: (a) determine nerve proximity and nerve direction to surgical instruments employed in accessing a surgical target site; (b) assess the pathology (health or status) of a nerve or nerve root before, during, or after a surgical procedure; and/or (c) assess pedicle integrity before, during or after pedicle screw placement, all in an automated, easy to use, and easy to interpret fashion so as to provide a surgeon-driven system.

Abstract: Instruments and methods for creating an operative corridor to the spine are described. The instruments include, for example, a retractor assembly with at least one retractor blade that may be releasably coupled to a bone anchors via a hoop shim. The hoop shim includes a shim portion that may slidably engage the retractor blade and a hoop portion extending from the shim portion that includes an aperture that receives the bone anchor. The hoop portion may have an unlocked configuration that allows passage of the bone anchor and a locked position which prevents passage of the bone anchor to releasably couple the hoop shim to the bone anchor. The hoop shim may be configured to couple to the bone anchor such that the hoop shim may angulate relative to the bone anchor.

Abstract: A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.

Abstract: A surgical access system including a tissue distraction assembly and a tissue refraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.

Abstract: A surgical access system including a tissue distraction assembly and a tissue refraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.

Abstract: A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.

Abstract: A posted anchor and connector-based system including a splined shank headless anchor, various width adjustable connectors for use in open or minimally invasive thoracolumbar spine surgery. The connectors have a high degree of coronal, vertical, as well as sagittal adaptability. In one example, each plane of motion is individually secured for maximum versatility.

Abstract: The present invention relates generally to systems and algorithms aimed at neurophysiology monitoring, and more particularly to a system capable of quickly finding stimulation thresholds over multiple channels of a neurophysiology monitoring system. For example, the neurophysiology monitoring system may be configured to omit stimulation pulses when the neuromuscular response is predictable.

Abstract: A surgical access system including a tissue distraction assembly and a tissue refraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.

Abstract: An expandable tip cannula system, comprising: a hollow cannula shaft having a proximal end and a distal end; and an expandable tip mounted at the distal end of the hollow cannula shaft, the expandable tip comprising a plurality of generally-triangular shaped petals held together in a radially-inwardly tapered arrangement between adjacent petals, each petal comprising a nerve sensing electrode disposed therein.

Abstract: Methods for determining structural integrity of a bone within the spine of a patient, the bone having a first aspect and a second aspect, wherein the second aspect separated from the first aspect by a width and located adjacent to a spinal nerve. The methods involve (a) applying an electrical stimulus to the first aspect of the bone; (b) electrically monitoring a muscle myotome associated with the spinal nerve to detect if an onset neuro-muscular response occurs in response to the application of the electrical stimulus to the first aspect of the bone; (c) automatically increasing the magnitude of the electrical stimulus to until the onset neuro-muscular response is detected; and (d) communicating to a user via at least one of visual and audible means information representing the magnitude of the electrical stimulus which caused the onset neuro-muscular response.

Abstract: A spinal fixation system suitable for effecting fixation between adjacent vertebral levels within the spine. The spinal fixation system of the present invention includes a pair single axis or “fixed” pedicle screw assemblies, a pair of poly-axial pedicle screw assemblies, a pair of cannulated rod members, and a transverse connector spanning between the pair of cannulated rod members.

Abstract: A method for distracting two tissue surfaces away from one another within a spine. In one embodiment, the method involves the steps of: (a) providing a plurality of biocompatible and generally rectangular spinal inserts having a generally planar top surface having a leading edge and a trailing edge, a generally planar bottom surface disposed generally parallel to the top surface and including a leading edge and a trailing edge, and a beveled surface extending from at least one of the leading edge of the planar top surface and the leading edge of the planar bottom surface; and (b) successively introducing into a spine the plurality of spinal inserts such that the generally planar top and bottom surfaces are generally parallel to the two tissue surfaces, wherein the beveled surface are configured to allow a currently inserted spinal insert to be positioned at least one of above and below a previously introduced spinal insert to distract the two tissue surfaces.

Abstract: A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.

Abstract: A bone implant comprising cancellous bone that is essentially free of blood cells, and which has been treated with at least a loosening agent, such as collagenase and/or a digestive enzyme, for a time and at a concentration to loosen the osteogenic cells in the cancellous bone matrix. The osteogenic cells in the matrix are viable cells. The treatment of the cancellous bone with at least one loosening agent enables the osteogenic cells to be more available for carrying our their osteogenic function and to provide for an increased rate of bone formation.

Abstract: A system for distracting two tissue surfaces away from one another within a spine, involving a plurality of biocompatible and generally rectangular spinal inserts configured to be successively stacked within a spine to distract the two tissues surfaces away from one another. Each spinal insert has a generally planar top surface having a leading edge and a trailing edge, a generally planar bottom surface disposed generally parallel to the top surface and including a leading edge and a trailing edge, and a beveled surface extending from at least one of the leading edge of the planar top surface and the leading edge of the planar bottom surface. The beveled surface is configured to allow a currently inserted spinal insert to be positioned at least one of above and below a previously introduced spinal insert to distract the two tissue surfaces.

Abstract: A surgical access system including a tissue distraction assembly and a tissue refraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.