Abstract: A bone fastener comprises a first member defining a plurality of grooves. A coupling member is disposed with the first member. A first band and a second band are disposable within the grooves. A second member is configured to penetrate tissue and includes a head engageable with the first band to provisionally connect the first member to the second member. The coupling member is engageable with a part to move the part relative to the first member into engagement with the second band to dispose the second band adjacent the first band to connect the first member to the second member. Systems, surgical instruments, implants and methods are disclosed.

Abstract: A method of assembly for a bone fastener is provided. The method includes the steps of: engaging a retainer with an implant receiver in a relatively fixed position; translating the retainer relative to the implant receiver to an expandable orientation; and manually engaging a screw shaft with the retainer to connect the implant receiver with the screw shaft. Implants, systems and instruments are disclosed.

Abstract: A universal surgical instrument includes an elongated member having a first end and a second end, the second end having flexible prongs with a head cavity to hold therebetween a polyaxial head. The universal surgical instrument includes a cuff member at the first end to interface with interchangeable surgical instruments. The universal surgical instrument includes an I-shaped clamp coupled to the elongated member and being configured to unlock and separate the flexible prongs to expand the head cavity for placement of the polyaxial head therein and to lock the head cavity in response to application of a force to slide the I-shaped claim along the elongated member to a locked position. A system of surgical instruments include the universal instrument and interchangeable surgical instruments that can be interchanged in the cuff member of the universal instrument.

Abstract: Disclosed spinal implants may include a rod extending in a horizontal direction and a first implant receiver having a first passageway extending in the horizontal direction and a first threaded passageway extending in a vertical direction, for example. Additionally, the implant may include a second implant receiver having a second passageway extending in the horizontal direction and a second threaded passageway extending in the vertical direction, for example. The implant may include a first set screw having a size and shape corresponding to a size and shape of the first threaded passageway and a second set screw having a size and shape corresponding to a size and shape of the second threaded passageway, for example. In some embodiments, the rod may extend in the horizontal direction through the first and second passageways and may be constrained from moving in the vertical direction by the first and second passageways, for example.

Abstract: Implantable bone compositions are provided. The implantable compositions comprise hydratable bone putties. The hydratable bone putties comprise porous ceramic granules having an average diameter from about 50 ?m to 800 ?m. The porous ceramic granules comprise hydroxyapatite and beta-tricalcium phosphate. The implantable bone compositions further include collagen carriers. In some embodiments, the hydratable bone putty can be hydrated to form a non-settable flowable cohesive cement or gel. Methods of making and using the implantable compositions are also provided.

Abstract: A surgical instrument configured to enable simultaneously driving a bone screw into a boney structure of a patient and delivering of a blade within the patient adjacent the bone screw is disclosed. The surgical instrument may include an elongated outer-sheath extending in a longitudinal direction from a proximal end to a distal end, for example. The elongated outer-sheath may include an interior cavity that defines a centrally disposed longitudinal axis that extends in the longitudinal direction, for example. The surgical tool may include a central-sheath disposed within the interior cavity that extends in the longitudinal direction, for example. The surgical instrument may further include an inner-shaft rotatably supported by the central-sheath that extends in the longitudinal direction, for example. The inner-shaft may include a driver configured to selectively drive a bone screw upon rotation of the inner-shaft about the longitudinal axis, for example.

Abstract: A surgical instrument includes a first member including an inner surface. A second member is movable relative to the first member and defines a first opening for disposal of a first implant support. The second member is disposable with the inner surface to define a second opening for movement of a second implant support relative to the inner surface and a third opening is configured for movement of a third implant support relative to the inner surface. The first implant support is fixed with the second member. Systems, spinal constructs, implants and methods are disclosed.

Abstract: A surgery table includes a patient support structure coupled to a connection assembly and a base structure coupled to the connection assembly. The connection assembly includes an arm and a locking member that engages the arm. The arm includes spaced apart first and second apertures. The locking member includes spaced apart first and second bores. A first key member and a second key member are included.

Abstract: A surgical sterilization system includes a surgical table and a sterilization member disposable with the surgical table and including a dispenser configured for alignment with a selected surface of a body disposed with the surgical table. The surface and the dispenser are relatively movable. In some embodiments, surgical instruments and methods are disclosed.

Abstract: A spinal implant comprises an implant body extending between an anterior surface and a posterior surface and includes a first vertebral engaging surface and a second vertebral engaging surface. The implant body includes an inner surface that defines at least one cavity that is oriented to implant a fastener oblique relative to a lateral axis of a subject body and adjacent an intervertebral space of the subject body. At least one indicia is disposed with the implant body to facilitate orientation of the implant body with the subject body. Systems and methods are disclosed.

Abstract: A surgical instrument includes a first member defining an axis. A second member is axially translatable relative to the first member. A cutting element is connected with the second member and has a cutting surface. The cutting element is rotatable relative to the second member to transversely move cut tissue. Systems, implants and methods are disclosed.

Abstract: A load sensing assembly for a spinal implant is disclosed. The load sensing assembly may include: a set screw having a drive interface, a lower cavity for receiving a cover, the cover including a protrusion that may engage with an anchoring member. The load sensing assembly may further include an antenna, and at least one sensor having an integrated circuit in communication with the antenna. In some embodiments, the integrated circuit is positioned within a sealed cavity of the set screw. In some embodiments, the antenna comprises a ferrite core and a plurality of windings that are oriented laterally with respect to a longitudinal axis of the set screw. In some embodiments, the sealed cavity of the set screw is hermitically sealed, and the antenna may be mechanically isolated by a bellows or cylindrical can structure.

Abstract: A container for mixing bone material is provided. The container includes an interior surface for receiving the bone material and an exterior surface having a distal end and proximal end. The distal end of the exterior surface includes a locking member configured to enclose the bone material onto the interior surface of the container. The proximal end of the exterior surface of the container contains a port configured to receive fluid to mix the bone material. A method of using the container to mix and/or deliver the bone material is also provided.

Abstract: An implant receiver comprises a body formed by a first manufacturing method, the body including an outer surface and having spaced apart walls defining a cavity configured for disposal of a spinal implant; and at least one layer being formed onto at least a portion of the outer surface by a second manufacturing method. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: A spinal implant includes a first member having an inner surface defining an implant cavity and at least one mating element. A second member includes a head and a shaft configured to penetrate tissue. The head includes at least one mating element engageable with the at least one mating element of the first member and a part. A third member includes an inner surface engageable with the part such that the members comprise a bone fastener having a selected movement. Systems, instruments and methods are disclosed.

Abstract: A surgical instrument comprises a member being engageable to a spinal implant configured for connection to a bone fastener shaft. An actuator is connected to the member. A latch is connected to the actuator and the connection is configured to change between at least one non-locked orientation such that the actuator is movable relative to the member and a locked orientation such that the actuator is fixed relative to the member. Systems, spinal constructs, implants and methods are disclosed.

Abstract: A method for treating a spine is provided. The method includes the steps of: disposing an interbody implant adjacent a posterior portion of an intervertebral disc space; connecting a surgical instrument with at least one fixation element fastened with tissue adjacent the posterior portion; and manipulating the surgical instrument such that tissue adjacent the posterior portion engages the interbody implant and one or more vertebra rotate about the interbody implant. Spinal implants; surgical instruments and systems are disclosed.

Abstract: A unitarily formed expandable spinal implant for insertion in a disc space between two adjacent vertebrae. The unitarily formed expandable spinal implant is moveable from an unexpanded configuration to an expanded configuration, and can be manufactured by a 3-dimensional printer. The unitarily formed expandable spinal implant includes an upper portion, a lower portion, a proximal wall, a first distal wall portion, a second distal wall portion, and a separator connected by at least one point of attachment to the spinal implant. A separation tool breaks the separator free from the at least one point of attachment, and moves the separator within the implant to force expansion thereof from the unexpanded configuration to the expanded configuration.

Abstract: A method of assessing spinal column stability involves receiving image data corresponding to a spinal column of a patient; determining, based on the image data, a material strength of bony anatomy in at least a portion of the spinal column; completing a first stability assessment of the spinal column, based at least in part on the determined material strength; modifying the image data to simulate removal of bony anatomy or soft tissue from the spinal column to yield modified image data; and completing a second stability assessment of the spinal column, based at least in part on the determined material strength and the modified image data.