Abstract: A system for providing access to a surgical site includes a first dilator; a second dilator slidably couplable to a first side of the first dilator and including a first interface portion; a plurality of additional dilators slidably couplable to a second side of the first dilator in a nested manner; and at least one retractor member including a second interface portion removably couplable to the first interface portion. When the first interface portion is coupled to the second interface portion, and the second dilator and the plurality of additional dilators are coupled to the first dilator, the second dilator and the at least one retractor member form a retractor wall extending about the first dilator and the plurality of additional dilators.

Abstract: A retractor assembly includes a base; a first side arm assembly coupled to a first side of the base and configured to translate relative to the base along a first direction; a second side arm assembly coupled to a second side of the base and configured to translate relative to the base along the first direction independent from the first side arm assembly; and a central arm assembly coupled to a center portion of the base and configured to translate relative to the base along a second direction different from the first direction.

Abstract: A directional sequential dilation system includes a dilation tube assembly having a plurality of cylindrical, nesting directional dilation tubes including an initial cylindrical dilation tube that provides a passage for neuro-monitoring. Subsequent cylindrical directional dilation tubes sequentially increase in size including the increase in diameter. Each tube is configured to nest onto a previous cylindrical directional dilation tube via an off-centered structure formed in each of the subsequent cylindrical directional dilation tubes. The off-centered cutouts allow the subsequent cylindrical dilation tubes to dilate the soft tissue while at the same time sequentially migrate the incision dilation in a particular direction and distance from the initial cylindrical dilation tube insertion point (i.e. the initial neuro-monitoring insertion point). The directional sequential dilation system is particularly useful in spinal surgery.

Abstract: A three-blade spinal retractor utilizes adjustable and lockable translating arms with angulating blades to provide triangulated medial/lateral and cephalad/caudal tissue retraction for spinal surgeries via the adjustably lockable translating arms. A medial/lateral translating arm with an angularly adjustable retraction blade co-acts and cooperates with angularly adjacent first and second cephalad/caudal translating arms with angularly adjustable retraction blades for tissue retraction and surgical site access. A plate having a medial/lateral adjustment system adjustably holds the medial/lateral translating arm, a first cephalad/caudal adjustment system adjustably holding the first cephalad/caudal translating arm and a second cephalad/caudal adjustment system adjustably holding the second cephalad/caudal translating arm. The translating arms each have a blade holder that provides angular adjustment of the blade.

Abstract: A spinal implant has a mechanism for inhibiting a bone screw used in attaching the spinal implant to the spine from backing out from the spinal implant once the bone screw has been received in the spinal implant. The spinal implant has a bone screw bore defining a bore wall in which is disposed a resilient closed curve band or ring. The resilient closed curve band has a plurality of resilient segments that extend into the bore. Each one of the plurality of resilient segments form a spring that allows a head of a bone screw to ingress there through but prevents the head of the bone screw from egress there from. The resilient closed curve band forms a retention ring that is received in one or more slots, channels, grooves or the like in the bore hole wall. The plurality of resilient segments are formed as arcs, curves and/or configured arcs/curves that extend radially inward from outer arced or curved portions of the retention ring.

Abstract: A retractor assembly includes a base; a first side arm assembly coupled to a first side of the base and configured to translate relative to the base along a first direction; a second side arm assembly coupled to a second side of the base and configured to translate relative to the base along the first direction independent from the first side arm assembly; and a central arm assembly coupled to a center portion of the base and configured to translate relative to the base along a second direction different from the first direction.

Abstract: A device for insertion into a spinal (intervertebral or intravertebral) space is expandable and contractable. The device includes a body assembly, a top member configured to fit within a gap in the body assembly, a drive gear disposed within the body assembly at a distal end of the body assembly, a proximal gear assembly, and a distal gear assembly. The drive gear includes a receiver accessible from outside the body assembly and configured to be rotated in order to rotate the drive gear. Each gear assembly is attached to the top member. The distal gear assembly engages the drive gear. Rotation of the drive gear in a first direction causes the gear assemblies to translate the top member away from the body assembly, and rotation of the drive gear in a second direction causes the gear assemblies to translate the top member towards the body assembly.

Abstract: A radially expandable spinal interbody device for implantation between adjacent vertebrae of a spine is deliverable to an implant area in a radially collapsed state having minimum radial dimensions and once positioned is then radially expandable through and up to maximum radial dimensions. The expanded radially expandable spinal interbody device is configured to closely mimic the anatomical configuration of a vertebral face. The radially expandable spinal interbody device is formed of arced, pivoting linkages that allow transfiguration from the radially collapsed minimum radial dimensions through and up to the radially expanded maximum radial dimensions once deployed at the implant site (i.e. between adjacent vertebrae). The pivoting linkages have ends with locking features that inhibit or prevent overextension of the linkages.

Abstract: A guide assembly includes a spinal screw assembly having a bone screw and a spinal rod holder; and a spinal rod guide having first and second elongated arc portions defining a pair of longitudinal slots extending along the first and second arc portions, each of the first and second arc portions further defining at least one recess extending transversely from each of the longitudinal slots, the at least one recess configured to receive at least a portion of a reduction tool to enable reduction of a spinal rod received within the spinal rod holder.

Abstract: An apparatus for surgical fusion of a cranio-cervical junction includes a plate member, where the plate member includes a bottom portion configured to be secured to a cranium; a top portion including a plurality of perforations extending therethrough configured to promote bone growth, wherein the top portion and the bottom portion define a graft accommodation space; and first and second side portions coupled to the top and bottom portions on first and second sides of the graft accommodation space. The first side portion is configured to receive a first support rod and the second side portion is configured to receive a second support rod.

Abstract: A posterior spinal prosthesis is configured to cover exposed portions of a spinal column especially, but not necessarily, as a result of a medical spinal procedure and particularly, to provide posterior coverage of an exposed spinal cord, soft tissue, Foramen and/or adipose tissue, associated with one or more vertebrae as a result of the removal the spinous processes and/or the spinous process and laminar hoods from the one or more vertebrae of the spine as a result of a spinal decompression procedure or other reason. A plate forming the prosthesis is connectable to spine rod constructs implanted on lateral sides of the vertebrae and projects in the posterior direction relative to the connection. The plate is generally curved in the superior/inferior direction to provide either a lordotic or kyphotic curvature depending on the portion of the spine to which the prosthesis is utilized.

Abstract: A laminoplasty rod and rod system that allows for variable angulation, translation (distraction and/or compression) and rotation of a spinal lamina bone portion associated with a laminoplasty. The laminoplasty rod is used with a polyaxial spinal rod bone screw assembly anchored to the vertebra associated with the laminoplasty, and is attachable to the spinal lamina bone portion. The laminoplasty rod system provides positional attachment of the rod to the spinal components and fixation thereof in various orientations. The laminoplasty rod system includes a configured laminoplasty rod that fits into or onto the head of a polyaxial spinal rod bone screw assembly. A bone screw boss, defining a bone screw attachment configuration, is formed at one end of the laminoplasty rod. Preferably, but not necessarily, the bone screw boss is situated at an angled end of the rod having a pre-defined bend that provides for greater variation in rod orientation.

Abstract: A spinal interbody device includes a base link having a first end and a second end, and a linkage including a first link having a first end and a second end and a second link having a first end and a second end. The first end of the first link is coupled to the first end of the base link at a first hinge, the second end of the first link is coupled to the first end of the second link at a second hinge; and the second end of the second link is coupled to the second end of the base link at a third hinge.

Abstract: A spinal rod cross connector assembly for connection to adjacent spinal rods provides polyaxial positioning of polyaxial heads of the cross connector assembly relative to each spinal rod and which allows adjustment and fixation of the span of a cross connector or arm of the cross connector assembly between the two polyaxial heads through movement of the cross member relative to only one polyaxial head. Each polyaxial head has a clamp that provides attachment to the respective spinal rod and which allows the body of the polyaxial head to rotate relative thereto. Fixation of the orientation of a polyaxial head is achieved through placement and interaction of a set screw in the polyaxial head. The arm is preferably integral with and extends from a lateral side of one of the polyaxial heads. The second one of the polyaxial heads receives the arm and allows length adjustment relative thereto.

Abstract: A guide assembly includes a spinal screw assembly having a bone screw and a spinal rod holder; and a spinal rod guide having first and second elongated arc portions defining a pair of longitudinal slots extending along the first and second arc portions, each of the first and second arc portions further defining at least one recess extending transversely from each of the longitudinal slots, the at least one recess configured to receive at least a portion of a reduction tool to enable reduction of a spinal rod received within the spinal rod holder.

Abstract: A foot bone plate provides both fixation of two bones or bone portions and compression across their juncture. The foot bone plate has a plurality of bone screw bores positioned to receive and hold a bone screw on both sides of the two bones/bone portions (i.e. fixation), and a lateral flange positioned to receive and hold a bone screw across the foot bones/foot bone portions juncture (i.e. compression). The foot bone plate has an elongate body having a plurality of bores along its length configured to receive and hold a bone screw generally perpendicular to the foot bone plate and into the two foot bone portions. A flange is positioned at a side of the plate and includes a bore to receive and hold a bone screw. The flange and flange bore positions and holds the bone screw such that it extends through the juncture of the two bones/bone portions.

Abstract: A wedge-shaped bone implant, particularly but not necessarily, for fixing bones of the foot is provided. The implant has bone screw bores that are each configured to hold a bone screw at a particular angle for receipt in a foot bone, eliminating the need to also use a plate. The implant can include an opening that extends through the implant body from one tapered side thereof to the other tapered side thereof. This opening allows the introduction and retention of bone graft material to promote bone fusion. One or both tapered sides of the body may also have teeth, serrations or the like. The implant body may include a hole or the like in the distal aspect thereof. This allows for the insertion of a metallic component (e.g. titanium or tantalum) to allow for the visibility of the extent of the implant body in radiography, x-ray, or the like.

Abstract: A spinal implant for immobilizing the C1 vertebra with respect to the C2 vertebra of the spine provides controlled coupling between the C1 and C2 vertebrae, and includes a C1 component attachable to the C1 vertebra, two C2 components attachable to the C2 vertebra, and a transverse element. The C1 component has two wings each of which retains a rod holder that rotates and translate for capturing a C2 component rod. Each C2 component has a hook for connection with a side of the C2 vertebra lamina and a rod for attachment to one of the rod holders of the C1 component. Each C2 component receives and secures the transverse connector which holds position of the C2 components relative to one another. Each C2 component may include a plate configured for compression against the C2 vertebra spinous process, with each plate including spikes to aid in preventing construct migration.

Abstract: A spinal clip for creating a potential space within the spinal canal and thus stabilizing the spine without the need for additional spinal components is embodied in different forms. The spinal clips are configured to provide a clamping or holding force against and/or to the spinous processes, transverse processes and/or the lamina of adjacent vertebrae. In one form, the spinous process clips utilize pivoting to effect clamping or holding. In another form, the spinous process clips utilize rotation to effect clamping or holding. Such rotation may be between clamping or holding members or via a screw system. In yet another form, the spinous process clips utilize ratcheting to effect clamping or holding. In a still further form, the spinous process clips utilize expansion to effect clamping or holding.

Abstract: A device for insertion into a spinal (intervertebral or intravertebral) space is expandable from a first circumference to a second circumference through axial compression of segments of the device, particularly once the device has been properly situated within a vertebral space. The interbody/intravertebral body device is characterized by a plurality of axially stacked, individual segments that are provided on a central insertion and deployment rod. Each segment includes a central plate or body to which are pivotally attached plate or leaf structures. Pivoting of the structures provides a collapsed or unexpanded position of the first circumference and an open or expanded position of the second circumference.