Abstract: A surgical system includes a bone fastener having a head and a shaft. The head has a drive interface surface including elliptical edges. A surgical instrument includes an inner drive and an outer sleeve that is engageable with an outer surface of the head to dispose the inner drive and the outer sleeve with the head in a co-axial, capture orientation. The inner drive has a drive interface surface including a plurality of spaced apart lobes. Each lobe has an elliptical edge engageable with one of the elliptical edges of the drive interface surface of the head. Spinal constructs, implants and methods are disclosed.

Abstract: A surgical instrument includes a first member that includes a first element engageable with an inner surface of a head of a bone fastener and a second element engageable with an outer surface of the head. The first member defines a first-member longitudinal axis and the bone fastener defines a bone-fastener longitudinal axis. A second member defines a second-member longitudinal axis and is movable relative to the first member and engageable with the second element to dispose the first element and the second element with the head in a co-axial, capture orientation., wherein the first-member, bone-fastener, and second-member longitudinal axes are aligned. Systems, spinal constructs, implants and methods are disclosed.

Abstract: A bone fastener comprises a first member that defines an implant cavity. A part is disposed with the first member. A retainer is connected with the part and the first member, and includes an expandable orientation and a non-expandable orientation. A second member is connectable to the retainer and configured to penetrate tissue. Implants, systems, instruments and methods are disclosed.

Abstract: A bone fastener comprises a first member defining an implant cavity and a plurality of adjacent grooves. A first band is configured for disposal within the grooves. A second band is configured for disposal within the grooves. A second member is configured to penetrate tissue and includes a head engageable with the first band to provisionally connect the members. A first part is engageable with a spinal rod disposed with the implant cavity. A second part is attached with the first part and engageable with the second band to dispose the second band adjacent the first band to fix connection of the members. Implants, systems, instruments and methods are disclosed.

Abstract: A bone fastener comprises a first member defining an implant cavity and a plurality of adjacent grooves. A first band is configured for disposal within the grooves. A second band is configured for disposal within the grooves. A second member is configured to penetrate tissue and includes a head engageable with the first band to provisionally connect the members. The second band is movable for disposal adjacent the first band to fix connection of the members. Implants, systems, instruments and methods are disclosed.

Abstract: A surgical instrument having a first member engageable with a first end of a fastener having a second end configured to penetrate tissue. A second member includes an expandable member configured for engaging the first end. Systems and methods are disclosed.

Abstract: A surgical instrument includes a member defining a longitudinal axis and including an engagement portion. The engagement portion includes at least one element engageable with an implant fastener. The at least one element includes a drive interface and an arcuate surface spaced from the drive interface. The arcuate surface includes at least one interference point engageable with the implant fastener. Implants, systems, constructs and methods are disclosed.

Abstract: A surgical instrument comprises a first member defining a cavity configured for disposal of a plurality of implants and including a distal portion that retains the implants with the first member. An element is configured to urge the implants in a first, release direction and the first member having at least one tab movable to prevent movement of at least one of the implants in a second direction. A second member is engageable with the at least one tab. Systems, spinal implants and methods are disclosed.

Abstract: A spinal construct is provided including a first fastener, a second fastener and a connector. Each fastener includes a first end and a second end configured for penetrating tissue. The connector has two ends. Each end of the connector includes an expandable member. The first end of each fastener is engageable to an expandable member of the connector to fix the fastener to the connector. The first and second ends of the connector are connected by a bridge. The spinal construct also includes securing members for attaching the connector to the fasteners. A method for treating a spinal disorder with the spinal construct is also provided.

Abstract: A method of assembly for a bone fastener is provided. The method includes the steps of: engaging a retainer with an implant receiver in a relatively fixed position; translating the retainer relative to the implant receiver to an expandable orientation; and manually engaging a screw shaft with the retainer to connect the implant receiver with the screw shaft. Implants, systems and instruments are disclosed.

Abstract: A bone fastener comprises a first member that defines an implant cavity. A part is disposed with the first member. A retainer is connected with the part and the first member, and includes an expandable orientation and a non-expandable orientation. A second member is connectable to the retainer and configured to penetrate tissue. Implants, systems, instruments and methods are disclosed.

Abstract: A spinal implant comprises a body including an inner surface that defines a cavity configured for disposal of a member. A locking element is engageable with the member within the cavity to fix the member with the body. The body further includes a wall that defines a bay configured for disposal of a longitudinal element being engageable with the wall to fix the longitudinal element with the body independent of the member. Systems and methods are disclosed.

Abstract: A spinal construct comprises a fastener including a head. A member includes an inner surface defining a cavity configured for disposal of the head and a groove configured for disposal of a band that is engageable with the head to connect the fastener and the member. The member includes a transverse rod. A coupling member is engageable with the inner surface. Implants, systems, instruments and methods are disclosed.

Abstract: A spinal implant comprises a body including an inner surface that defines a cavity configured for disposal of a member. A locking element is engageable with the member within the cavity to fix the member with the body. The body further includes a wall that defines a bay configured for disposal of a longitudinal element being engageable with the wall to fix the longitudinal element with the body independent of the member. Systems and methods are disclosed.

Abstract: An implant support comprises a first portion defining a longitudinal axis and a second portion including at least one arm extending from the first portion. The at least one arm includes a part. An extension is engageable with the at least one arm to move the at least one arm between a first position and a second position such that the part is disposed to releasably engage an implant. A lock is disposed with the first portion and connected with the extension. The lock is biased from a first configuration to a second configuration to engage the first portion and resist disengagement of the at least one arm from the second position. Systems and methods of use are disclosed.

Abstract: A spinal implant includes a first member having an inner surface defining an implant cavity and at least one mating element. A second member includes a head and a shaft configured to penetrate tissue. The head includes at least one mating element engageable with the at least one mating element of the first member and a part. A third member includes an inner surface engageable with the part such that the members comprise a bone fastener having a selected movement. Systems, instruments and methods are disclosed.

Abstract: A surgical instrument comprises a first member including a lateral projection having a locking surface that defines an elongated cavity. The locking surface is engageable with a longitudinal member to fix the longitudinal member with the first member. A second member includes at least one mating element being engageable with a spinal construct. The first member is axially translatable relative to the second member in a first direction to tension the longitudinal member and in a second direction to release tension from the longitudinal member. Systems and methods are disclosed.

Abstract: A spinal construct includes a spinal rod and a reduction member connected with the spinal rod and engageable with a tether connected to the spinal rod. The reduction member is translatable relative to the tether to dispose the spinal rod with a fastener configured for penetrating tissue. Systems and methods are disclosed.

Abstract: A bone fastener comprises a first member defining an implant cavity and a groove configured for disposal of a band. The first member includes a part disposed with the implant cavity and engages with the band to provisionally fix the part relative to the first member. A second member is configured to penetrate tissue and includes a base that moves the part and engages the band to connect the members. Implants, systems, instruments and methods are disclosed.

Abstract: A spinal construct is provided including a first fastener, a second fastener and a connector. Each fastener includes a first end and a second end configured for penetrating tissue. The connector has two ends. Each end of the connector includes an expandable member. The first end of each fastener is engageable to an expandable member of the connector to fix the fastener to the connector. The first and second ends of the connector are connected by a bridge. The spinal construct also includes securing members for attaching the connector to the fasteners. A method for treating a spinal disorder with the spinal construct is also provided.