Abstract: A spinal construct includes a coupling member including a first mating surface engageable with an existing fastener implant. The existing fastener implant defines a cavity configured for disposal of an existing spinal rod implant. A connector is engageable with the existing fastener implant and has a rod extending therefrom. A locking member is engageable with a second mating surface of the coupling member. Systems, surgical instruments, implants and methods are disclosed.

Abstract: A method includes providing first and second instruments. First and second fasteners are attached with vertebrae. First fasteners are connected with first and second constructs. Second fasteners are connected with a third and fourth constructs. The first construct is connected with a body of the first instrument and the second construct is connected with another body of the first instrument. The third construct is connected with a body of the second instrument and the fourth construct is connected with another body of the second instrument. Joints of the instruments are tightened. At least one of the instruments is selectively distracted. At least one of the instruments is selectively compressed. The spinal constructs are removed from the fasteners. The first fasteners are connected with a first spinal rod. The second fasteners are connected with a second spinal rod. In some embodiments, spinal constructs, implants, systems and kits are disclosed.

Abstract: Methods for surgically adjusting a curvature of a spine are disclosed. The methods provide for controlling the alignment of bony structures, such as vertebral bodies or portions thereof, as they are moved relative to one another during a surgical procedure. An intrabody implant disclosed and methods of use are also disclosed. The implant has an inclined surface, forming a wedge or other shape having, for example, an acute angle adapted to be placed between at least two separated portions of a single bony structure (such as a vertebral body). In some embodiments, the implant may be used to support portions of a vertebral body that have been separated surgically as part of a pedicle subtraction osteotomy and to orient the portions at a more predictable lordotic angle.

Abstract: A spinal construct comprises a first member engageable with a receiver of a first fastener having a shaft fixed with tissue. A second member is engageable with a receiver of a second fastener having a shaft fixed with the tissue. A longitudinal element connects the members. At least one of the members includes a mating element that is releasably engageable with a surgical instrument to manipulate the tissue such that movement of the receivers relative to the shafts is resisted and/or prevented. Surgical instruments, implants, systems and methods are disclosed.

Abstract: A surgical instrument comprises a first arm connected with a longitudinal element and a first spinal construct. The first arm is connected with the longitudinal element and includes a body engageable with a first spinal construct and rotatable relative to the first arm in a first orientation and a second orientation. A second arm is axially translatable relative to the first arm and includes a body engageable with a second spinal construct and is rotatable relative to the second arm in a first orientation and a second orientation. The bodies include locks. In some embodiments, spinal constructs, implants, systems and methods are disclosed.

Abstract: A surgical assembly includes a tensioner having a first end and a second end. A tension member extends from the first end of the tensioner. A mounting member is connected to the second end of the tensioner. An arm extends from the first end of the tensioner and includes a series of relatively moveable links that define an axial bore configured for disposal of the tension member. Each link defines a first mating surface and a second mating surface disposed in a configuration such that tensioning of the tension member interlocks the first mating surface with the second mating surface of an adjacent link in the series to selectively fix the links in a selected orientation.

Abstract: A surgical assembly includes a tensioner having a first end and a second end. A tension member extends from the first end of the tensioner. A mounting member is connected to the second end of the tensioner. An arm extends from the first end of the tensioner and includes a series of relatively moveable links that define an axial bore configured for disposal of the tension member. Each link defines a first mating surface and a second mating surface disposed in a configuration such that tensioning of the tension member interlocks the first mating surface with the second mating surface of an adjacent link in the series to selectively fix the links in a selected orientation.

Abstract: A system and method for measuring a surgical rod are disclosed. The system includes a processor, a probe in communication with the processor and configured to trace along a surface of the implant, a tracking system in communication with the processor and the probe for generating first data representing at least one of linear and rotational movement of the probe during a first trace along the surface of the implant, wherein the processor is configured to receive the first data and generate a first graphical representation of the implant based on the first data, and a display in communication with said processor for displaying the graphical representation of the implant based on the first data. Various methods are also disclosed.

Abstract: A navigation system generally determines a location of a portion of a first medical instrument relative to a patient. The navigation system generally includes a multi-configuration tracking array that extends from the first medical instrument. A plurality of tracking devices can be positioned on the multi-configuration tracking array. At least one of the tracking devices changes to define at least a first condition and a second condition. A tracking system detects the tracking devices and relates a change between the first condition and the second condition with a change between at least a first instrument configuration and a second instrument configuration.

Abstract: A retractor includes a first wall extending from the base. The first wall has a longitudinal axis and extends between a first end and a second end. The first wall includes at least a portion of a longitudinal cavity. A rotatable shaft includes an outer surface that defines a groove. At least a portion of the shaft is disposed in the longitudinal cavity. A blade is disposed for movement along the longitudinal cavity. A post is connected with the blade and is disposed with the groove such that rotation of the shaft causes axial translation of the blade relative to the first wall between a first orientation and a second orientation. Methods of use are disclosed.

Abstract: A device, system and method for dilating a patient during a minimally invasive surgical procedure is disclosed. A surgical dilation system includes a dilator having an outer tubular member and an inner tubular member sized to be movably received within an inside diameter of the outer tubular member. The outer tubular member includes a vertical slot running through a side of the outer tubular member. The inner tubular member has an upper portion and a lower portion. The retractor has a proximal end including at least one mounting member protruding outwardly from a side surface of the retractor and a distal end including at least one fanned blade protruding outwardly from the side surface.

Abstract: A retractor includes a first wall extending from the base. The first wall has a longitudinal axis and extends between a first end and a second end. The first wall includes at least a portion of a longitudinal cavity. A rotatable shaft includes an outer surface that defines a groove. At least a portion of the shaft is disposed in the longitudinal cavity. A blade is disposed for movement along the longitudinal cavity. A post is connected with the blade and is disposed with the groove such that rotation of the shaft causes axial translation of the blade relative to the first wall between a first orientation and a second orientation. Methods of use are disclosed.

Abstract: A system and method for measuring a surgical rod are disclosed. The system includes a processor, a probe in communication with the processor and configured to trace along a surface of the implant, a tracking system in communication with the processor and the probe for generating first data representing at least one of linear and rotational movement of the probe during a first trace along the surface of the implant, wherein the processor is configured to receive the first data and generate a first graphical representation of the implant based on the first data, and a display in communication with said processor for displaying the graphical representation of the implant based on the first data. Various methods are also disclosed.

Abstract: Devices, systems and methods for dilating tissue of a patient during a minimally invasive surgical procedure is disclosed. A surgical dilation system includes a dilator having an elongated, non-cannulated cylindrical body extending between a first end and an opposite second end. The first end includes a first beveled configuration and the second end includes a second, different beveled configuration. The beveled ends can include surface features to provide tissue removal and to enhance engagement with bony tissue.

Abstract: A method and apparatus for percutaneous and/or minimally invasive implantation of a construct. The construct may be implanted using a navigation system for planning and execution of a procedure. A plurality of portions of the construct may be interconnected using locations and paths determined and navigated with the navigation system.

Abstract: A device, system and method for dilating a patient during a minimally invasive surgical procedure is disclosed. A surgical dilation system includes a dilator having an outer tubular member and an inner tubular member sized to be movably received within an inside diameter of the outer tubular member. The outer tubular member includes a vertical slot running through a side of the outer tubular member. The inner tubular member has an upper portion and a lower portion. The retractor has a proximal end including at least one mounting member protruding outwardly from a side surface of the retractor and a distal end including at least one fanned blade protruding outwardly from the side surface.

Abstract: A device, system and method for dilating a patient during a minimally invasive surgical procedure is disclosed. A surgical dilation system includes a dilator having an outer tubular member and an inner tubular member sized to be movably received within an inside diameter of the outer tubular member. The outer tubular member includes a vertical slot running through a side of the outer tubular member. The inner tubular member has an upper portion and a lower portion. The retractor has a proximal end including at least one mounting member protruding outwardly from a side surface of the retractor and a distal end including at least one fanned blade protruding outwardly from the side surface.

Abstract: A method and apparatus to perform a procedure that can include a processor assisted surgical procedure. During the procedure patient space and image space can be registered to allow for tracking of various tracking sensors. A dynamic reference frame can be used to maintain localization of the patient space with the image space. The dynamic reference frame can be fixedly interconnected with a bone portion of the anatomy.

Abstract: A dilator includes a first portion and a second portion movable between a first position and a second position. The first portion includes a first wall that defines a first cross section and a first cavity. The second portion includes a second wall that defines a second cross section, which is less than the first cross section, and a second cavity. The second portion dilates and/or dissects tissue adjacent a surgical site. In the first position, the second cavity provides direct visualization of the surgical site and the first cavity supports an instrument. In the second position, the second cavity is expandable such that the instrument is movable along the longitudinal axis in the second cavity. Methods of use are disclosed.

Abstract: A surgical assembly includes an actuator. A linking member is connected to and extending from the actuator. The linking member includes a series of at least two interconnected inner links that are relatively movable such that the linking member is disposable between a flexible configuration and a rigid configuration. An arm extends from the actuator and includes a series of relatively moveable outer links that define an axial bore configured for disposal of the linking member. Each outer link defines a first mating surface and a second mating surface disposed in a configuration such that the actuator is engageable to move the linking member from the flexible configuration to the rigid configuration to selectively fix the arm in a selected orientation. Methods of use are disclosed.