Abstract: A system for fixating a dysfunctional sacroiliac joint for SI joint fusion, the system including a sacroiliac joint implant and a delivery tool configured for approaching a sacroiliac joint. The system may include an implant having a porous 3D matrix structure and may be manufactured by laser or electron beam additive manufacturing. The delivery tool may include a radiolucent material. The SI fusion system may further include custom sacroiliac joint implants, anchors, alignment tools or targeting arms manufactured for a particular patient. Pre-surgical imaging studies, including 3D rendering, and their interpretation may assist in planning desired trajectories, anchor dimensions and implant dimensions and may provide details specific to the manufacture of particular sacroiliac joint tools or implants and their implantation into the sacroiliac joint. The system may be configured for use with surgical robots and may include an integrated nerve monitoring and stimulation system.

Abstract: An orthopedic anchoring system for attaching a spinal stabilization system and concomitantly fusing a sacroiliac joint is disclosed that includes a delivery tool and an implant assembly for insertion into a joint space of a sacroiliac joint. The implant assembly may be secured using anchors inserted through bores within the implant body and into the underlying sacrum and/or ilium. The implant body may also include an attachment fitting reversibly attached to a guide to provide attachment fittings for elements of the spinal stabilization system. The implant assembly may be releasably coupled to an implant arm of the delivery tool such that the implant arm is substantially aligned with the insertion element of the implant assembly. An anchor arm used to insert the anchor may be coupled to the implant arm in a fixed and nonadjustable arrangement such that the anchor is generally aligned with a bore within the implant assembly.

Abstract: A system for performing a fusion procedure on a sacroiliac joint defined between a sacrum and an ilium. The system may include a working cannula including a proximal end, a distal end, a tubular body extending between the proximal and distal ends, a cannula passageway defined within the tubular body and having a cannula axis extending there through, a pair of prongs coupled to the tubular body and extending distally there from, an anchor arm engagement structure coupled to the tubular body, and a pin guide coupled to the tubular body and defining a pin passageway having a guidance axis there through that is generally parallel with the cannula axis.

Abstract: Systems and methods for treating musculo skeletal disorders of the spinopelvic anatomy including treating spinal deformities by spinopelvic fixation including fusion of the sacroiliac joint at the base of long spinal fusion construct cases. The system may include implants designed to be used as an adjunct to long spinal fusions to further the immobilization and stabilization of the sacroiliac joint. The implants may be designed to augment an S2AI screw and an S1 screw in order to improve durability of the foundation of the spinal construct. The implants may have a triangular cross section.

Abstract: A method of treating a sacroiliac joint at a sacroiliac joint region having a sacrum, an ilium and a sacroiliac joint space therebetween, the method comprising: a) delivering a joint implant into the sacroiliac joint region, the joint implant comprising a body including a length extending between a proximal end and a distal end, an external surface extending the length, and a fixation member receiving channel extending the length and disposed in the external surface; and b) delivering a fixation member into the fixation member receiving channel thereby forming a joint implant assembly, the fixation member slidingly and matingly engaging the fixation member receiving channel in a grooved arrangement, wherein, when the fixation member is received into the fixation member receiving channel, the fixation member extends outward from the external surface of the joint implant and extends a portion of the length.

Abstract: A spinal stabilization system and method are provided for treating a patient's spinal column, for maintaining preselected spacing and movement between adjacent vertebrae in a spinal column, and for providing overall stability thereto. The system includes an interlaminar member positioned in the space intermediate a first vertebra and the vertebrae positioned immediately below and adjacent to the first vertebra. The interlaminar member is operatively connected to an adjustable support structure and cooperates therewith to maintain the preselected spacing between adjacent vertebrae and to provide overall stability to the spinal column.

Abstract: A method of surgically preparing a sacroiliac joint comprising: a) approaching a sacroiliac joint space with a joint preparation tool comprising a cutting element including an exterior having an asymmetric cutting band such that the first side includes a first surface having a first texture and the second side includes a second surface having a second texture, the first and second textures being different such that the first texture is substantially smoother than the second texture; and b) delivering at least a portion of the cutting element non-transversely into the sacroiliac joint space for decortication, the cutting element being oriented in the sacroiliac joint space such that the first surface opposes the generally softer sacrum and the second surface opposes the generally harder ilium in order to more aggressively prepare the surface of the ilium while not over-preparing the sacrum to provide a robust biologic environment for intra-articular fusion.

Abstract: A method for preparing a sacroiliac joint for stabilization which may include approaching a posterior aspect of the sacroiliac joint inferior to a PSIS with a defect-creating tool assembly, creating a defect in the sacrum and the ilium defined by at least one noncircular cross-sectional shape, delivering an implant having a body with a length extending between proximal and distal ends, the body including at least one cylindrical body with a longitudinal axis and an opening at the proximal end aligned with the longitudinal axis of the cylindrical body, a pattern of openings spaced along the cylindrical body and a planar member coupled with and extending along the cylindrical body. The implant may be implanted with the length generally following a plane of the sacroiliac joint such that it is advanced from a generally posterior to anterior approach while the body of the implant bridges the joint.

Abstract: A method of treating a sacroiliac joint at a sacroiliac joint region having a sacrum, an ilium and a sacroiliac joint space therebetween, the method comprising: a) delivering a joint implant into the sacroiliac joint region, the joint implant comprising a body including a length extending between a proximal end and a distal end, an external surface extending the length, and a fixation member receiving channel extending the length and disposed in the external surface; and b) delivering a fixation member into the fixation member receiving channel thereby forming a joint implant assembly, the fixation member slidingly and matingly engaging the fixation member receiving channel in a grooved arrangement, wherein, when the fixation member is received into the fixation member receiving channel, the fixation member extends outward from the external surface of the joint implant and extends a portion of the length.

Abstract: A sacroiliac joint fusion system that provides a method of fixation and fusion of the sacroiliac joint and sacroiliac fixation fusion implant which upon placement facilitates stability and fusion of the sacroiliac joint.

Abstract: A method of treating a sacroiliac joint including: approaching the sacroiliac joint with an implant including a sensor supported by a body; delivering the implant either a) non-transversely into the sacroiliac joint, b) transversely across the sacroiliac joint, or c) up to the sacroiliac joint without insertion therein, the sensor providing a signal that indicates a present condition of the sacroiliac joint; receiving an input from a sensory indicator based on the signal from the sensor, the sensory indicator being in communication with the sensor, and wherein the input from the sensory indicator provides data associated with the signal; and, treating an ailment of the sacroiliac joint based at least in part on the input.

Abstract: A method of surgically preparing a sacroiliac joint comprising: a) approaching a sacroiliac joint space with a joint preparation tool comprising a cutting element including an exterior having an asymmetric cutting band such that the first side includes a first surface having a first texture and the second side includes a second surface having a second texture, the first and second textures being different such that the first texture is substantially smoother than the second texture; and b) delivering at least a portion of the cutting element non-transversely into the sacroiliac joint space for decortication, the cutting element being oriented in the sacroiliac joint space such that the first surface opposes the generally softer sacrum and the second surface opposes the generally harder ilium in order to more aggressively prepare the surface of the ilium while not over-preparing the sacrum to provide a robust biologic environment for intra-articular fusion.

Abstract: A method of fusing a sacroiliac joint including a sacrum, an ilium, and a sacroiliac joint space defined therebetween. The method may include: approaching a posterior aspect of the sacroiliac joint space with a joint implant including a body extending a length between a distal end and a proximal end; and delivering the joint implant into the sacroiliac joint space such that the joint implant passes through an access region defined between the posterior superior iliac spine and the posterior inferior iliac spine. The joint implant may be oriented in the sacroiliac joint space such that a portion of the body of the joint implant is positioned within a joint plane of the sacroiliac joint space, and such that the distal end of the joint implant is positioned posteriorly of an anterior boundary of the sacroiliac joint space.

Abstract: An orthopedic anchoring system for attaching a spinal stabilization system and concomitantly fusing a sacroiliac joint is disclosed that includes a delivery tool and an implant assembly for insertion into a joint space of a sacroiliac joint. The implant assembly may be secured using anchors inserted through bores within the implant body and into the underlying sacrum and/or ilium. The implant body may also include an attachment fitting reversibly attached to a guide to provide attachment fittings for elements of the spinal stabilization system. The implant assembly may be releasably coupled to an implant arm of the delivery tool such that the implant arm is substantially aligned with the insertion element of the implant assembly. An anchor arm used to insert the anchor may be coupled to the implant arm in a fixed and nonadjustable arrangement such that the anchor is generally aligned with a bore within the implant assembly.

Abstract: An orthopedic anchoring system for attaching a spinal stabilization system and concomitantly fusing a sacroiliac joint is disclosed that includes a delivery tool and an implant assembly for insertion into a joint space of a sacroiliac joint. The implant assembly may be secured using anchors inserted through bores within the implant body and into the underlying sacrum and/or ilium. The implant body may also include an attachment fitting reversibly attached to a guide to provide attachment fittings for elements of the spinal stabilization system. The implant assembly may be releasably coupled to an implant arm of the delivery tool such that the implant arm is substantially aligned with the insertion element of the implant assembly. An anchor arm used to insert the anchor may be coupled to the implant arm in a fixed and nonadjustable arrangement such that the anchor is generally aligned with a bore within the implant assembly.

Abstract: A method of fusing a dysfunctional sacroiliac joint with an additively manufactured joint implant comprising a plurality of openings extending from a top surface into an inner portion of the joint implant via a plurality of channels, and an orifice extending from an exterior surface of the proximal end into the inner portion, wherein the orifice is in fluid communication with the plurality of channels via the inner portion; delivering the joint implant into the sacroiliac joint space through an access region and injecting an amount of biocompatible material at an initial stage of an injection process into the inner portion via the orifice and with a delivery tool; and, at a subsequent stage of the injection process the amount of biocompatible material moves from the inner portion through the plurality of channel via a second path and into the sacroiliac joint space immediately adjacent a top surface.

Abstract: A method of diagnosing and treating a sacroiliac joint of a patient involving delivering a first member into the ilium via a first posterior approach, delivering a second member into the sacrum via a second posterior approach, coupling the first and second members to a pliers, and manipulating the first member relative to the second member via the pliers to determine an ailment of the sacroiliac joint.

Abstract: Methods for performing orthopedic surgical procedures to treat a patient are presented herein. A method may include: positioning an implant assembly at the pelvic region, the implant assembly including an implant body including at least a portion of a locking element, an implant outer layer, and a fastener including a longitudinal axis and an attachment feature configured to mechanically interlock with the locking element in an interference mechanical engagement, the attachment feature comprising a distal end and a contracted neck region; delivering the implant outer layer into the ilium, across the sacroiliac joint, and into the sacrum such that a fastener opening of the implant outer lay resides within the sacrum; delivering the fastener through a posterior surface of the sacrum such that the distal end of the attachment feature is received within the implant outer layer; and interlocking the locking element and the attachment feature with each other.

Abstract: An adjustable spinal stabilization system for maintaining preselected spacing and movement between adjacent vertebrae in a spinal column and for providing overall stability thereto. The system includes at least one interlaminar member positioned in the spaces intermediate a first vertebra and the vertebrae positioned immediately above or immediately below and adjacent to the first vertebra. The interlaminar member is operatively connected to an adjustable support structure and cooperates therewith to maintain the preselected spacing between adjacent vertebrae and to provide overall stability to the spinal column.

Abstract: One implementation of the present disclosure may include a method of sacroiliac joint fusion involving a joint implant and a delivery tool. The joint implant includes at least one integral anchor configured to move relative to a body of the implant when being brought into anchoring engagement with bone defining a sacroiliac joint space in which the body of the implant is located. In certain embodiments, the anchor extends distally and laterally relative to a body of the implant or the anchor rotates relative to the body of the implant via a center axle when being brought into anchoring engagement with the bone. The delivery tool may be configured to support the implant and to cause the displacement of the at least one anchor relative to the implant body so as to cause the at least one anchor to be brought into anchoring engagement with the bone.