Abstract: A bone screw comprises a shaft defining a longitudinal axis and a minor diameter. The shaft including a core having an angled surface relative to the axis. The angled surface extending from the minor diameter adjacent a proximal portion of the shaft to a distal portion of the shaft, and a wall disposed about the angled surface. The wall including at least one thread having an external thread form. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: A bone fastener comprises a first member defining an implant cavity and a plurality of adjacent grooves. A first band is configured for disposal within the grooves. A second band is configured for disposal within the grooves. A second member is configured to penetrate tissue and includes a head engageable with the first band to provisionally connect the members. The second band is moveable for disposal adjacent the first band to fix connection of the members. Implants, systems, instruments and methods are disclosed.

Abstract: A spinal implant comprises a collar, and a collet including an outer surface and an inner surface. The collet is connectable with a shaft. A crown includes a surface configured for disposal of a spinal rod. The collet is disposed with the collar such that the inner surface frictionally engages the spinal rod to capture the spinal rod with the crown. In some embodiments, implants, systems, instruments and methods are disclosed.

Abstract: A spinal construct includes a first member. The first member includes a proximal portion defining a first cavity and a distal portion defining a second cavity disposed at an angle relative to the first cavity. The distal portion is configured for connecting with a second member. The second member is configured for fixation with vertebral tissue. A crown defines a first opening aligned with the first cavity and a second opening aligned with the second cavity. Implants, systems, instruments and methods are disclosed.

Abstract: A spinal implant comprises a collar, and a collet including an outer surface and an inner surface. The collet is connectable with a shaft. A crown includes a surface configured for disposal of a spinal rod. The collet is disposed with the collar such that the inner surface frictionally engages the spinal rod to capture the spinal rod with the crown. In some embodiments, implants, systems, instruments and methods are disclosed.

Abstract: A bone fastener comprises a first member defining an implant cavity and a plurality of adjacent grooves. A first band is configured for disposal within the grooves. A second band is configured for disposal within the grooves. A second member is configured to penetrate tissue and includes a head engageable with the first band to provisionally connect the members. A first part is engageable with a spinal rod disposed with the implant cavity. A second part is attached with the first part and engageable with the second band to dispose the second band adjacent the first band to fix connection of the members. Implants, systems, instruments and methods are disclosed.

Abstract: Various bone cement guides are disclosed that may connect directly to a fenestrated bone screw or connect to a spinal construct that is coupled to a fenestrated bone screw. In various embodiments, cement guides may include a three-part assembly including a hollow outer sleeve and a hollow inner sleeve with a removable inner rod. In various embodiments, the hollow inner sleeve may be movable between a retracted position and an extended position and in the extended position a distal end of the inner sleeve may splay outward and capture the head portion of a fenestrated bone screw. In other embodiments, a distal end of the outer sleeve may surround and capture tabs of an extended tulip head connector while the inner sleeve couples to an inside surface of the extended tulip head connector.

Abstract: A bone screw comprises a shaft defining a longitudinal axis and a minor diameter. The shaft including a core having an angled surface relative to the axis. The angled surface extending from the minor diameter adjacent a proximal portion of the shaft to a distal portion of the shaft, and a wall disposed about the angled surface. The wall including at least one thread having an external thread form. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: A spinal implant includes a post with a receiver having a first mating surface and a stop. A connector defines an implant cavity. The connector includes a base having a second mating surface being positionable with the first mating surface to attach the connector with the receiver. The base defines a transverse passageway. A securing element is disposable in the passageway and engageable with the stop. In some embodiments, systems, surgical instruments, implants 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 spinal construct includes a bone fastener including a post and a shaft portion engageable with vertebral tissue. The post being movable in one or more axes relative to the shaft portion. A receiver defines a first cavity configured for disposal of the bone fastener and a second open cavity configured for disposal of a spinal rod. A band is disposable in the first cavity. The band being contractible and defining an inner surface that is directly engageable with the post. A nut includes an inner surface being slidably engageable over the post and an end surface engageable with the band such that the band contracts to engage the post. Systems, surgical instruments, implants and methods are disclosed.

Abstract: A method for treating a spinal disorder includes the steps of: disposing an expandable spinal construct in a selected configuration; fixing the spinal construct in the selected configuration with a member; attaching a first end of the spinal construct with tissue; attaching a second end of the spinal construct with tissue; and disengaging the member from the spinal construct to release the spinal construct from the selected configuration. Implants, surgical instruments, systems and methods are disclosed.

Abstract: A spinal construct includes a first member. The first member includes a proximal portion defining a first cavity and a distal portion defining a second cavity disposed at an angle relative to the first cavity. The distal portion is configured for connecting with a second member. The second member is configured for fixation with vertebral tissue. A crown defines a first opening aligned with the first cavity and a second opening aligned with the second cavity. Implants, systems, instruments and methods are disclosed.

Abstract: A spinal construct includes a first member. The first member includes a proximal portion defining a first cavity and a distal portion defining a second cavity disposed at an angle relative to the first cavity. The distal portion is configured for connecting with a second member. The second member is configured for fixation with vertebral tissue. A crown defines a first opening aligned with the first cavity and a second opening aligned with the second cavity. Implants, systems, instruments and methods are disclosed.

Abstract: A spinal implant system includes a first bone fastener including a first head and a first shaft. The first head including a medial rod receiver offset from the first shaft. A second bone fastener is provided including a second head and a second shaft. The second head including a lateral rod receiver offset from the second shaft. The shafts are configured for fixation with vertebral tissue in alignment along a selected trajectory of the vertebral tissue. Surgical instruments, implants and methods are disclosed.

Abstract: A bone fastener includes a head including a first receiver defining an implant cavity and a distal portion defining a plurality of adjacent grooves. The head further includes a second receiver defining an implant cavity. A first resilient member is configured for disposal within the plurality of adjacent grooves and a second resilient member is configured for disposal within the plurality of adjacent grooves. A shaft is aligned with the first receiver and is configured to engage tissue. Systems, surgical instruments, spinal constructs, implants and methods are disclosed.

Abstract: A bone fastener includes a head including a first receiver defining an implant cavity and a distal portion defining a plurality of adjacent grooves. The head further includes a second receiver defining an implant cavity. A first resilient member is configured for disposal within the plurality of adjacent grooves and a second resilient member is configured for disposal within the plurality of adjacent grooves. A shaft is aligned with the first receiver and is configured to engage tissue. Systems, surgical instruments, spinal constructs, implants and methods are disclosed.

Abstract: A method comprises the steps of: imaging a patient anatomy; selecting an implant strategy for at least one bone fastener having a first member; registering the imaging of the patient anatomy with imaging of at least a portion of a robot; engaging the first member with tissue of the patient anatomy via robotic guidance according to the implant strategy; and subsequently, manipulating the patient anatomy. Systems, spinal constructs, implants and surgical instruments are disclosed.

Abstract: A bone screw comprising a shaft having a wall, the wall including a minor diameter and at least one thread having an external thread form. The thread form including a first portion comprising a crest of the thread form and a second portion extends between a minor diameter of the thread form and the first portion. The first portion having a solid configuration relative to the second portion. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: A bone fastener comprises a first member defining an implant cavity and a plurality of adjacent grooves. A first band is configured for disposal within the grooves. A second band is configured for disposal within the grooves. A second member is configured to penetrate tissue and includes a head engageable with the first band to provisionally connect the members. The second band is moveable for disposal adjacent the first band to fix connection of the members. Implants, systems, instruments and methods are disclosed.