Abstract: A bone fastener comprises a first member including an inner surface defining an implant cavity and a wall defining a groove. A first element is disposed within the groove. A second member is configured to penetrate tissue and engageable with the first element to dispose the first element in a capture orientation within the groove to connect the members. A second element is engageable with the first element to urge the first element to the capture orientation. 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 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 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 bone fastener comprises a first member including an inner surface defining an implant cavity and a wall defining a groove. A first element is disposed within the groove. A second member is configured to penetrate tissue and engageable with the first element to dispose the first element in a capture orientation within the groove to connect the members. A second element is engageable with the first element to urge the first element to the capture orientation. Systems, instruments and methods are disclosed.

Abstract: The surgical instrument includes a first arm that is connectable with a fastener. A second arm is connectable with the fastener. The arms are relatively rotatable between a first position and a second dosed position. A lock is engageable with the arms in the dosed position to fix the fastener with the arms. Systems 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 implant driver includes a member that defines a longitudinal axis and includes a first mating surface and a second mating surface spaced from the first mating surface.

Abstract: The surgical instrument includes a first implant support being connectable with a fastener. A second implant support is connectable with a fastener. A track is disposed at a selected trajectory to orient translation of at least one of the implant supports along the trajectory.

Abstract: A surgical instrument includes a first member defining a longitudinal axis. A second member is disposed with the first member and is axially translatable relative to the first member. A first body is connected to the first member and is translatable along an arcuate path relative to the first member. The first body is connected to a first implant support. A second body is connected to the second member and is translatable along an arcuate path relative to the second member. The second body is connected to a second implant support. Systems and methods of use 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 spinal implant system comprises a plurality of alternate first members including at least one first member. The first member comprises an inner surface defining an implant cavity, and a first part being non-rotatable relative to the inner surface and a second part movable relative to the first part. A second member includes a mating element engageable with a first member such that the second member is interchangeable with the plurality of first members. The first member is rotatable relative to the second member in a first plane of a body and the second part defines a portion of the implant cavity and is movable relative to the first part in a second plane of the body. Fasteners, 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: An implant support comprises a first member including a first portion and a second portion configured to engage a bone fastener. The second portion extends in a transverse orientation from the first portion. The members define a longitudinal axis. The second member includes a first portion and a second portion configured to engage the bone fastener. The second portion of the second member extends in a transverse orientation from the first portion. At least one of the members is movable relative to the longitudinal axis between a first configuration and a second configuration such that the longitudinal axis is offset relative to an axis of the bone fastener. 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: An implant support comprises a first member including a first portion and a second portion configured to engage a bone fastener. The second portion extends in a transverse orientation from the first portion. The members define a longitudinal axis. The second member includes a first portion and a second portion configured to engage the bone fastener. The second portion of the second member extends in a transverse orientation from the first portion. At least one of the members is movable relative to the longitudinal axis between a first configuration and a second configuration such that the longitudinal axis is offset relative to an axis of the bone fastener. Systems and methods are disclosed.

Abstract: Devices and methods for anchoring one or more elongate connecting members along the spinal column include a transverse linking member positionable through a spinous process in a generally orthogonal orientation to the sagittal plane. At least one coupling assembly is engageable about an end of the linking member extending from the spinous process. The elongate connecting member is engaged to the coupling assembly in a transverse orientation to the transverse linking member.

Abstract: An instrument and method for reducing a vertebral rod into an anchor attached to a vertebral member. The instrument may include a gripper configured to attach to an anchor, an elongated shaft extending along a longitudinal axis between opposing jaws of the gripper, and a reducing element disposed at least partially outside the first and second jaws of the gripper and configured to engage with the vertebral rod. A release device may also be disposed about the elongated shaft and may be movable relative thereto such that the release device may be selectively engaged with a threaded outer surface of the elongated shaft. The reducing element may therefore be alternatively slidable relative to the gripper or threadably movable relative to the gripper by interaction with the elongated shaft, depending on a position of the release device.

Abstract: Apparatus for applying sustained tension on tether in treatment site includes a positioning mechanism, gripping mechanism and pressurized fluid actuated mechanism. The positioning mechanism is operable to position the pressurized fluid actuated mechanism at a fixed distance relative to treatment site, and to engage a target at treatment site and secure the tether proximate to the target. The gripping mechanism is operable to selectively grip the tether and maintain tether when tether is held in tension. The pressurized fluid actuated mechanism is selectively operable to apply desired pulling force on gripping mechanism directed away from treatment site so as to transmit and apply in a sustained manner the desired pulling force on the tether independently from the tether displacement and place it under desired level of tension while the tether is being secured.