Abstract: Systems, instruments, and methods for operating a surgical instrument are disclosed. The instrument may include a drive shaft axially aligned with a central axis of the surgical instrument. The drive shaft may include a first mating end and be rotatably supported within a drive housing having a contoured interior supporting the first mating end. The instrument may include an outer shaft having an outer receiver interface configured to selectively couple and uncouple to a connecting portion of a receiver. The instrument may also include a plunger that is axially aligned with the central axis and having a second mating end disposed within the contoured interior of the drive housing. In various embodiments, the second mating end may be axially aligned with and in contact with the first mating end. In various embodiments, the plunger may be configured to linearly translate along the central axis upon rotation of the drive shaft.

Abstract: A spinal construct includes a body defining a transverse axis. The body includes a wall disposed between a first implant cavity and a second implant cavity. The body further defines a first opening communicating with the first implant cavity and a second opening communicating with the second implant cavity. The first opening defines a first axis and the second opening defines a second axis. At least one of the first axis and the second axis are disposed in a substantially non-perpendicular orientation relative to the transverse axis. Systems, surgical instruments, implants 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: Systems, instruments, and methods for operating a surgical instrument. The methods comprising: receiving at least a portion of an external object in a recess of a hollow shank; rotating a first shaft disposed within the hollow shank; using rotation of the first shaft to cause translational movement of a second shaft of the surgical instrument in a first direction away from the first shaft and along a central axis of the surgical instrument; applying a pushing force on the external object using the second shaft that is experiencing the translational movement; and causing translational movement of the second shaft in a second direction opposed from the first direction after the pushing force has been applied to the external object.

Abstract: A surgical system includes a plurality of alternate engaging surfaces. A first member is connectable with an engaging surface such that the first member is interchangeable with the plurality of engaging surfaces. A second member is connectable with an engaging surface such that the second member is interchangeable with the plurality of engaging surfaces. The members are relatively movable to distract and/or compress vertebral tissue. Surgical instruments, constructs, implants and methods are disclosed.

Abstract: Disclosed implants may include a first implant receiver and a second implant receiver each having an upper portion and a lower portion connected together by an arm portion, for example. In various embodiments, the upper and lower portions may define a longitudinal passageway extending through the upper and lower portions in a longitudinal direction of each implant receiver, and the arm portions may each define a rod passageway extending in a lateral direction, for example. In various embodiments, each receiver may include a crown having an outside thread pattern threadably engaged within the longitudinal passageway and for mating with a corresponding nut having a similar interior thread pattern. In various embodiments, a rod may extend in the lateral direction through the rod passageways In various embodiments, in a non-tightened position, the rod may freely move and in a tightened position, the arms constrain the rod from moving.

Abstract: Systems and method of using a surgical driver instrument are provided. The driver instrument includes a driver shank having a proximal end including a head connector for a bone construct. The instrument includes an inner sleeve having a length and configured to receive the driver shank therein and a handle member having a first end and a second end. The inner sleeve and the driver shank have a non-threaded connection. The instrument includes an outer sleeve connected to the second end and concentric with the inner sleeve and a sleeve actuator assembly coupled to the handle member. The sleeve actuator assembly includes a first position where a portion of the length of the inner sleeve extends out from the handle member and a second position where the portion of the length of the inner sleeve that is extended from the handle member is retracted into the handle member.

Abstract: A surgical retractor includes a part defining a longitudinal axis. A first radiolucent blade is connected with the part. A second radiolucent blade is connected with the part. The blades are independently translatable relative to the part. At least one of the blades includes spaced apart arms that are connected via a member. The member and the arms are relatively disposed in a configuration to guide at least one surgical instrument in a selected orientation relative to a surgical site. Surgical systems, instruments, constructs, implants and methods are disclosed.

Abstract: A surgical instrument comprises a first portion defining a cavity configured for disposal of a first implant support member. A second portion defines at least one passageway aligned with the cavity and including a guide engageable with a second implant support member to orient the second implant support member with the at least one passageway such that the second implant support member is connectable with the first implant support member. Systems, spinal constructs, spinal implants and methods are disclosed.

Abstract: A spinal-surgery system having a rod receiver and/or a cap having a generally cylindrical body, a set of opposing splay-resisting flanges, and a set of opposing rotation-preventing/rotation-resisting wings. Each wing has a lateral rotation-preventing portion and a lateral rotation-resisting portion. A receiver proximal end forms a wing-receiving cavity having a lateral rotation-preventing side and a lateral rotation-resisting side. Each flange has a proximal-facing splay-resist surface, and a distal-facing pop-on surface. Each receiver proximal protrusion has a proximal-facing sloped receiver pop-on surface, and a distal-facing sloped receiver splay-resist surface. Each rotation-preventing portion contacts a corresponding rotation-preventing side and each rotation-resisting portion contacts a corresponding rotation-resisting sides when the cap is popped on. The rotation-preventing portions contacting the rotation-preventing sides prevents cap rotation in a first direction.

Abstract: Systems and method of using a surgical driver instrument are provided. The driver instrument includes a driver shank having a proximal end including a head connector for a bone construct. The instrument includes an inner sleeve having a length and configured to receive the driver shank therein and a handle member having a first end and a second end. The inner sleeve and the driver shank have a non-threaded connection. The instrument includes an outer sleeve connected to the second end and concentric with the inner sleeve and a sleeve actuator assembly coupled to the handle member. The sleeve actuator assembly includes a first position where a portion of the length of the inner sleeve extends out from the handle member and a second position where the portion of the length of the inner sleeve that is extended from the handle member is retracted into the handle member.

Abstract: A spinal-surgery system having a rod receiver and/or a cap. The cap has a cylindrical body, opposing splay-resisting flanges, and an opposing rotation-preventing/rotation-resisting wings, each wing having a lateral rotation-preventing surface and a lateral rotation-resisting surface. A receiver proximal end forms a wing-receiving cavity having a lateral rotation-preventing side and a lateral rotation-resisting side. Each flange has a proximal-facing cap splay-resist surface, and a distal-facing cap pop-on surface. Each receiver proximal protrusion has a proximal-facing sloped receiver pop-on surface, and a distal-facing sloped receiver splay-resist surface. Each rotation-preventing surface contacts a corresponding rotation-preventing side and each rotation-resisting surface contacts a corresponding rotation-resisting sides when the cap is popped on. The rotation-preventing surfaces contacting the rotation-preventing sides prevents cap rotation in a first direction.

Abstract: Disclosed implants may include a first implant receiver and a second implant receiver each having an upper portion and a lower portion connected together by an arm portion, for example. In various embodiments, the upper and lower portions may define a longitudinal passageway extending through the upper and lower portions in a longitudinal direction of each implant receiver, and the arm portions may each define a rod passageway extending in a lateral direction, for example. In various embodiments, each receiver may include a crown having an outside thread pattern threadably engaged within the longitudinal passageway and for mating with a corresponding nut having a similar interior thread pattern. In various embodiments, a rod may extend in the lateral direction through the rod passageways In various embodiments, in a non-tightened position, the rod may freely move and in a tightened position, the arms constrain the rod from moving.

Abstract: A spinal-surgery system having a rod receiver and/or a cap. The cap has a cylindrical body, opposing splay-resisting flanges, and an opposing rotation-preventing/rotation-resisting wings, each wing having a lateral rotation-preventing surface and a lateral rotation-resisting surface. A receiver proximal end forms a wing-receiving cavity having a lateral rotation-preventing side and a lateral rotation-resisting side. Each flange has a proximal-facing cap splay-resist surface, and a distal-facing cap pop-on surface. Each receiver proximal protrusion has a proximal-facing sloped receiver pop-on surface, and a distal-facing sloped receiver splay-resist surface. Each rotation-preventing surface contacts a corresponding rotation-preventing side and each rotation-resisting surface contacts a corresponding rotation-resisting sides when the cap is popped on. The rotation-preventing surfaces contacting the rotation-preventing sides prevents cap rotation in a first direction.

Abstract: A spinal-surgery system having a rod receiver and/or a cap having a generally cylindrical body, a set of opposing splay-resisting flanges, and a set of opposing rotation-preventing/rotation-resisting wings. Each wing has a lateral rotation-preventing portion and a lateral rotation-resisting portion. A receiver proximal end forms a wing-receiving cavity having a lateral rotation-preventing side and a lateral rotation-resisting side. Each flange has a proximal-facing splay-resist surface, and a distal-facing pop-on surface. Each receiver proximal protrusion has a proximal-facing sloped receiver pop-on surface, and a distal-facing sloped receiver splay-resist surface. Each rotation-preventing portion contacts a corresponding rotation-preventing side and each rotation-resisting portion contacts a corresponding rotation-resisting sides when the cap is popped on. The rotation-preventing portions contacting the rotation-preventing sides prevents cap rotation in a first direction.

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: An anti-splaying system having a base, first and second arms, first and second locking channels. Each of the first and second locking channels is formed in a respective one of the arms, from a proximal opening to a proximal bottom at or adjacent a proximal beginning of an inner thread in the arm. The system can instead or also include a set screw having a driving portion, a body portion, external threads extending from the body portion, and an intermediate locking component connected rotatably to the body portion. The intermediate locking component and the channels are configured such that the locking component can, in operation of the system, be moved into a securing position in the locking channels and, when in the secured position, fixes the two arms from splaying away from each other. The technology also includes methods for making the system or components thereof.

Abstract: A surgical device includes at least one retractor blade. Each retractor blade includes a blade body having a lateral side, a medial side opposite the lateral side and a bottom end. The bottom end has an inverted-arch curvature. The inverted-arch curvature includes a lowest point in proximity to a midline of the blade body. Each retractor blade includes a connector integrated into a mid-section on the medial side of the blade body and a leg interface configured to mate and/or pair with a leg of a distractor. The at least one retractor blade may include two retractor blades configured as mirror images of each other. Each blade is configured to pair with a respective one distractor.

Abstract: A construct may include a connector having a first body portion and a second body portion rotatably coupled to another. A first implant cavity may be defined, at least partly, by at least two threaded arm portions defining a first axis between the at least two threaded arm portions. The first implant cavity may include a first receiving cavity configured to adjustably orient a first rod in a plane substantially perpendicular to the first axis, and the second implant cavity may include a second receiving cavity configured to orient a second rod. In some embodiments, the threaded arm portions are configured to receive a first set screw such that when the first set screw is fully tightened along the first axis the first rod is fixed relative to the first body portion in a direction extending substantially parallel with the plane.

Abstract: An anti-splaying system having a base, first and second arms, first and second locking channels. Each of the first and second locking channels is formed in a respective one of the arms, from a proximal opening to a proximal bottom at or adjacent a proximal beginning of an inner thread in the arm. The system can instead or also include a set screw having a driving portion, a body portion, external threads extending from the body portion, and an intermediate locking component connected rotatably to the body portion. The intermediate locking component and the channels are configured such that the locking component can, in operation of the system, be moved into a securing position in the locking channels and, when in the secured position, fixes the two arms from splaying away from each other. The technology also includes methods for making the system or components thereof.