Abstract: This application describes surgical instruments and implants for building a posterior fixation construct across one or more segments of the spinal column. Extension guides are provided that attach to bone anchors implanted within the spine. The extension guides have a guide channel that align with a rod channel in the anchor to help direct the rod to the anchor. Instruments are provided to aid in insertion and positioning or the rod.

Abstract: Systems and methods for a guide assembly for introducing a bone anchor to an operative target site. The guide includes an outer sleeve and an inner sleeve. The outer sleeve has a distal anchor engaging end, a proximal end, and a central passage extending from the distal end to the proximal end. The inner sleeve may be situated in the central passage of the outer sleeve. The inner sleeve is movable being between a first position and a second position. The first position permits insertion of the bone anchor in the central passage. The second position releasably fixes the bone anchor to the guide assembly.

Abstract: A spinal fixation system suitable for effecting fixation between adjacent vertebral levels within the spine. The spinal fixation system of the present invention includes a pair single axis or “fixed” pedicle screw assemblies, a pair of poly-axial pedicle screw assemblies, a pair of cannulated rod members, and a transverse connector spanning between the pair of cannulated rod members.

Abstract: Systems and methods for a guide assembly for introducing a bone anchor to an operative target site. The guide includes an outer sleeve and an inner sleeve. The outer sleeve has a distal anchor engaging end, a proximal end, and a central passage extending from the distal end to the proximal end. The inner sleeve may be situated in the central passage of the outer sleeve. The inner sleeve is movable being between a first position and a second position. The first position permits insertion of the bone anchor in the central passage. The second position releasably fixes the bone anchor to the guide assembly.

Abstract: A spinal fixation device including two plates and a coupling element for coupling the plates in a fixed manner about adjacent spinous processes of the spine. Each plate is preferably equipped with integral spikes on the inwardly facing surfaces for pressing into the spinal processes and thereby augmenting the purchase between the plates and the spinous processes. Each plate contains a central aperture through which the coupling element passes in order to couple the plates together.

Abstract: The present invention involves a system and method for implanting an interspinous spacer configured to self-distract a stenotic interspinous space. The present system includes, but is not necessarily limited to, an interspinous spacer and insertion instrumentation for assisting in the implantation and positioning of the interspinous spacer within an interspinous space.

Abstract: A dynamic stabilization system including a dynamic rod with a first and second coupler assemblies, a pre-tensioned central cord and a flexible bumper, which are coupled to the bony structures of the spine by way of pedicle screws for use in spinal fixation surgery.

Abstract: A spinal fixation device including two plates and a coupling element for coupling the plates in a fixed manner about adjacent spinous processes of the spine. Each plate is preferably equipped with integral spikes on the inwardly facing surfaces for pressing into the spinal processes and thereby augmenting the purchase between the plates and the spinous processes. Each plate contains a central aperture through which the coupling element passes in order to couple the plates together.

Abstract: A system and methods for performing spinal fixation, including a spinal fixation system with at least rod member having shaped ends, at least two pedicle screws capable of receiving the shaped ends of the rod member, and a system for percutaneously introducing the rod member and pedicle screws to perform spinal fixation.