Abstract: A blade extending tower is provided for setting blade depth on retractors having telescoping or extending blades. The blade extending tower features a base, a column extending from the base, and mating features on the column configured to engage the blades of a retractor to extend the blades to a desired blade depth. Blade depth of the retractor is set buy sliding the retractor onto the blade extending tower such that the mating features of the blade extending tower engage the blades or the retractor, stopping the blades progression while the rest of the retractor continues along the length of the column. Thus the blades of the retractor are extended from the retractor to a depth determined by the configuration of the blade extending tower.

Abstract: The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a body portion, a first endplate, and a second endplate, the first and second endplates capable of being moved in a direction away from the body portion into an expanded configuration or capable of being moved towards the body portion into an unexpanded configuration. The fusion device is capable of being deployed and installed in both configurations.

Abstract: Implementations of the present disclosure provide a snap fit rod and fastener system including one or more fasteners for securing one or more rods to secure a spine or other anatomical structure. The fasteners include a fixation shaft, a clamp and a connector. The fixation shaft (for example a pedicle screw) is configured to frictionally engage a bone (vertebra) or other workpiece. The clamp has a pressure responsive portion that defines an opening configured to receive a rod. The connector is configured to connect the clamp to the fixation shaft and exert pressure on the clamp to modify the opening and secure the rod. A bias mechanism, such as a washer spring may be included to urge against the pressure responsive portion and which can be overcome by pressure on the rod for the “snap fit” effect. For additional adjustability, the clamp may be pivotally mounted on the fixation shaft.

Abstract: An expandable implant (210, 410) includes top and bottom plates (220, 250, 420, 450) having angled inner surfaces (222, 252, 422, 452) that interact with expansion members (300, 302, 500, 502). The expansion members (300, 302, 500, 502) may be situated on an actuator (280, 480), and may include at least one vertical projection (312, 314, 512, 514) for interacting with a recess (230, 430) in the plates (220, 250, 420, 450). In some instances, rotation of the actuator (280, 480) in opposing directions about a longitudinal axis may cause the expansion members (300, 302, 500, 502) to move toward or away from one another, thereby resulting in separation or collapse of the top and bottom plates (220, 250, 420, 450). Pins (316, 516) may also be associated with the expansion members (300, 302, 500, 502) and received in respective slots (318, 518) in the plates (220, 250, 420, 450).

Abstract: A retractor system includes a retractor blade that is securable to a portion of a patient's anatomy during a surgical procedure. The retractor system includes a manipulator that is releasably securable to the retractor blade for positioning and securing the retractor blade. The retractor system includes a flexible securement arm that movably secures the retractor blade to a frame, wherein a proximal end of the retractor blade is non-rigidly constrained. The securement arm is secured to the retractor blade proximate to one end of the securement arm, and is secured to a retractor frame proximate to another end of the securement arm.

Abstract: A spinal buttress plate includes a body having a top surface and a bottom surface and including an annular lip, a ledge, and a pair of teeth. The annular lip defines an opening. The annular lip and the opening are adapted to engage a screw for facilitating the securement of the buttress plate to one or more vertebrae. The ledge defines an aperture. The ledge and aperture are adapted to engage an instrument for positioning the buttress plate adjacent a spinal bone graft. The teeth are disposed in spaced-apart relation on the bottom surface of the body and are positionable within the one or more vertebrae.

Abstract: The present invention is directed an anchor assembly for use in spinal fixation to interconnect a longitudinal spinal rod with a patient's vertebra. The anchor assembly preferably includes a bone anchor (10), a body (20) with a rod-receiving channel, an insert member (40) (preferably a bushing), and a locking cap with a saddle (70). The anchor assembly preferably enables in-situ assembly where the bone anchor may be secured to the patient's vertebra prior to being received within the body of the bone anchor assembly. Accordingly, the anchor assembly enables a surgeon to implant the bone anchor without the body to maximize visibility and access around the anchoring site. Once the bone anchor has been secured to the patient's vertebra, the body may be snapped onto the bone anchor and a spinal rod may be inserted into the rod-receiving channel.

Abstract: A bone anchoring device includes a bone anchoring element including a shaft and a head, a receiving part for coupling a rod to the bone anchoring element, the receiving part including a rod receiving portion having a channel with a bottom for receiving a rod, and a head receiving portion to allow introduction and clamping of the head, and a locking ring including at least one projection, wherein the rod receiving portion has at least one cutout, wherein when the head is not locked, the projection is configured to extend through the cutout and into the channel, and wherein a first engagement portion is provided on the locking ring for engaging a second engagement portion at an inner wall of the cutout to hold the locking ring in a first position where the head is pivotable in the head receiving portion but is prevented from removal therefrom.

Abstract: Methods and devices are provided for retracting tissue. In one exemplary embodiment, a retractor is provided that includes a base and a plurality of blades configured to removably and replaceably mate to the base. One or more of the plurality of blades can be configured to mate to the base in one of a plurality of available positions. In use, one or more adjustment mechanisms can be actuated to move one or more of the blades, thereby forming a pathway through tissue. The retractor can be formed from one or more radiolucent materials.

Abstract: A multi-axial screw assembly comprises a receiver, a base member, and a crown. The receiver comprises a channel for receiving a rod and an aperture extending from a bottom portion of the receiver. The base member comprises an aperture extending through the base member and an opening on a bottom portion of the base member. The base member is configured to couple to the receiver such that the aperture of the receiver is generally aligned with the aperture of the base member. The base member is rotatable relative to the receiver. The crown is received in the receiver and configured to mate to the base member. The crown has a mating feature configured to couple to the base member such that the crown rotates the base member when the crown is rotated.

Abstract: A prosthetic intervertebral disc includes an upper plate and a lower plate and employs congruent stepped features to provide limited articulating motion between the plates. The stepped features can be used to provide articulating motion of a rocking type rather than a rubbing or translating type of motion provided in many artificial discs. Each of two parts of the intervertebral disc includes two or more stepped bearing surfaces, having curved or flat shapes, which mate with one another to provide the articulation to the disc. The stepped features can be designed to restrict motion in flexion-extension or lateral bending to less than a predetermined angle. The stepped design can be modified to either allow or prevent rotational motion between the plates. The limited motion disc substantially prevents translation, however some limited translation can be provided by modification of the relative sizes of the stepped features.

Abstract: A process for introducing a stabilizing element into a vertebral column, in which the stabilizing element is introduced in such a manner that the stabilizing element connects two adjacent vertebral bodies to one another.

Abstract: A cable tensioning apparatus and method are provided for positioning and tensioning a surgical cable to skeletal tissue or to implants. The invention is most applicable for securing surgical cable and/or orthopedic implants to bone in orthopedic surgery. A linearly translated drive rod attached to cable is driven by a friction drive to create tension on the surgical cable.

Abstract: The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a body portion, a first endplate, and a second endplate, the first and second endplates capable of being moved in a direction away from the body portion into an expanded configuration or capable of being moved towards the body portion into an unexpanded configuration. The fusion device is capable of being deployed and installed in both configurations.

Abstract: A tensioning tool and method for tensioning a conformable ligature of a bone fixing system are disclosed. The ends of a conformable ligature can be passed around bones, bone grafts, tendons, plates, rods, fasteners, or other anatomical or implanted structures, and the like to form a loop. Another portion of the conformable ligature can be coupled to a tensioning tool. The tensioning tool can include a first portion and a second portion in threaded engagement with each other. Rotation of one portion relative to the other can cause tensioning of the conformable ligature through translation of a tensioning member.

Abstract: A tensioning tool and method for tensioning a conformable ligature of a bone fixing system are disclosed. The ends of a conformable ligature can be passed around bones, bone grafts, tendons, plates, rods, fasteners, or other anatomical or implanted structures, and the like to form a loop. Another portion of the conformable ligature can be coupled to a tensioning tool. The tensioning tool can include a first portion and a second portion in threaded engagement with each other. Rotation of one portion relative to the other can cause tensioning of the conformable ligature through translation of a tensioning member.

Abstract: The present disclosure relates to an intervertebral disc prostheses or implant, and more particularly to an intervertebral disc prosthesis that can be surgically introduced between adjacent vertebral bodies and adjusted or expanded in situ to occupy an optimal or desired space between the vertebral bodies. The implant is preferably inserted into the evacuated disc space obliquely and then oriented so as to extend laterally across the anterior adjacent vertebrae bodies occupying the disc space with the outer ends of the implant being supported by the cortical rims on the opposite sides of the vertebrae bodies. The outer convex surfaces of the two body members conform anatomically to the shape of the disc space contacting the endplates. The implant has two body members that are movable relative to one another so as to vary the space between the members.

Abstract: A growing spinal rod system is configured to grow in response to the growth of a patient. The growing spinal rod system includes a housing, a spacer, and a sliding spinal rod. The housing includes a stepped passage therethrough. The spacer is disposed within the stepped passage and defines a through hole. The spacer includes a plurality of ribs biased inwards and into the through hole. The sliding spinal rod is slidably inserted through the through hole of the spacer. The sliding spinal rod moves the plurality of ribs outwards. The plurality of ribs permits the sliding spinal rod to extend from the housing and inhibit the sliding spinal rod from retracting into the housing.

Abstract: The invention is directed to a laterally inserted spinous process plating device and a method for installing the device using a minimally invasive procedure. The device includes a partially threaded bolt as well as a contralateral and ipsilateral fixation plates, a deployment nut, a lag nut and a locking nut. Each fixation plate includes a pair of wing portions that are pivotally connected to one another to facilitate installation. The each of the fixation plates includes anchoring elements.

Abstract: The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a body portion, a first endplate, and a second endplate, the first and second endplates capable of being moved in a direction away from the body portion into an expanded configuration or capable of being moved towards the body portion into an unexpanded configuration. The fusion device is capable of being deployed and installed in both configurations.