Abstract: Embodiments described herein provide tools and methods for spinal fusion procedures. One embodiment of a tool can be a pedicle access tool that performs the functions of targeting needle, cannula, tap and awl. The cannula of the tool can be used to guide various tools and bone graft or fusion promoting material to a surgical site for a spinal fusion procedure, such as a posterolateral procedure. In other embodiments, a k-wire can be used as the guide.

Abstract: Embodiments described herein provide systems and methods for vertebral reduction using sleeves detachably coupled to collars of bone fasteners. The reduction can be performed during a minimally invasive procedure for implanting spinal stabilization systems. A sleeve can include internal threads that match threads on the respective collar to form a continuous set of threads. Threads on a closure member can be engaged with the threads on the sleeve and the closure member turned to translate the closure member along the sleeve. The closure member can be used to push a rod relative to the collar to which the sleeve is attached to cause a vertebral body to move.

Abstract: Embodiments described herein provide systems and methods for inserting a spinal stabilization rod. A rod insertion tool can include a body defining a passage, a pivot rod disposed in the passage and a rod retaining member. Movement of the pivot rod can cause the rod retaining member to rotate and consequently the spinal stabilization rod to rotate. The rod insertion tool can be sized to fit through channels in sleeves used during implantation of a spinal stabilization system.

Abstract: Embodiments disclosed herein provide a combination compressor/distractor useful for fitting a spinal stabilization system in a patient through minimally invasive surgery. The spinal stabilization system may comprise screws anchored in vertebrae. The vertebrae may need to be compressed or distracted. One embodiment of an instrument disclosed herein may comprise a shaft for engaging one of the screws through an extender sleeve. A driver may engage another screw through an opening of the instrument. Through this engagement, a surgeon may use the rack and pinion of the instrument to compress or distract one or more levels of the vertebrae in a parallel motion, which can be advantageous clinically in certain situations.

Abstract: The invention relates to an intervertebral implant comprising a spacer constituted by first and second parts (12, 14), said parts being provided with mutual assembly means comprising first clip-fastener means (54, 56) secured to one of said parts, second clip-fastener means (49, 50) secured to the other part and suitable for cooperating with the first clip-fastener means to achieve releasable clip-fastening between the two parts, and guide means for guiding the two parts (12, 14) during clip-fastening, said guide means being distinct from the clip-fastening means and comprising: a substantially non-deformable first guide assembly (42, 44) secured to one of said parts; and a substantially non-deformable second guide assembly (46, 48) secured to the other part to co-operate with the first guide assembly.

Abstract: A device and system for applying rotational impact to screws implanted in bony tissues. Specifically, embodiments of the present disclosure may provide medical professionals the ability to apply impact forces and torques to a threaded member in a rotational plane such that the surrounding tissues are not damaged from an axial impact or excessive rotational forces. The rotary impact driver may be used with thin and flexible shafts for percutaneous procedures.

Abstract: The invention relates to an intervertebral implant comprising a spacer constituted by first and second parts (12, 14), said parts being provided with mutual assembly means comprising first clip-fastener means (54, 56) secured to one of said parts, second clip-fastener means (49, 50) secured to the other part and suitable for co-operating with the first clip-fastener means to achieve releasable clip-fastening between the two parts, and guide means for guiding the two parts (12, 14) during clip-fastening, said guide means being distinct from the clip-fastening means and comprising: a substantially non-deformable first guide assembly (42, 44) secured to one of said parts; and a substantially non-deformable second guide assembly (46, 48) secured to the other part to co-operate with the first guide assembly.

Abstract: A spinal stabilization system may be formed in a patient. In some embodiments, a minimally invasive procedure may be used to form a spinal stabilization system in a patient. Bone fastener assemblies may be coupled to vertebrae. Each bone fastener assembly may include a bone fastener and a collar. The collar may be rotated and/or angulated relative to the bone fastener. Detachable members may be coupled to the collar to allow for formation of the spinal stabilization system through a small skin incision. The detachable members may allow for alignment of the collars to facilitate insertion of an elongated member in the collars. An elongated member may be positioned in the collars and a closure member may be used to secure the elongated member to the collars.