Abstract: The present disclosure provides for spinal implants and plates including, for example, expandable plates deployable between a contracted position and an expanded position. The expandable plate may include an expandable body including a first portion and a second portion. The first portion may include a receiving cavity facing the proximal end, and a first through aperture extending in the proximal-to-distal direction. The second portion may include a lower end having a size and shape that corresponds to the receiving cavity, and a second through aperture extending in the proximal-to-distal direction. The expandable plate may include a locking screw and a nut. In at least some embodiments, in a locked position, the locking screw extends through the first through aperture and second through aperture, and is secured to the nut. In various embodiments, in an expanded position the first portion and second portion are farther away from one another relative to a contracted position.

Abstract: The present disclosure provides for spinal implants and plates including, for example, expandable plates deployable between a contracted position and an expanded position. The expandable plate may include an expandable body including a first portion and a second portion. The first portion may include a receiving cavity facing the proximal end, and a first through aperture extending in the proximal-to-distal direction. The second portion may include a lower end having a size and shape that corresponds to the receiving cavity, and a second through aperture extending in the proximal-to-distal direction. The expandable plate may include a locking screw and a nut. In at least some embodiments, in a locked position, the locking screw extends through the first through aperture and second through aperture, and is secured to the nut. In various embodiments, in an expanded position the first portion and second portion are farther away from one another relative to a contracted position.

Abstract: Various surgical tools having a movable handle mechanism including a positioning handle are disclosed. The movable handle mechanism may be configured to move forward and backward in a longitudinal direction along the housing and rotate clockwise and counterclockwise around the housing. In various embodiments, the housing may include a plurality of channels and each channel may have at least one detent. The movable handle mechanism may be configured to securely couple to the housing via one channel of the plurality of channels and one detent of the plurality of detents. At least one surgical tool may include a drill having an angled tip portion and a sleeve configured to protect adjacent structures from lateral edges of the drill bit when the drill bit is rotating. Another surgical tool may include a screwdriver having an elastic retaining clip configured to progressively release a bone screw therein at an extraction force.

Abstract: A surgical instrument includes a member connectable with a longitudinal element of a surgical distractor connected with vertebrae. At least one blade is connected with the member adjacent to an axis oriented transverse to the longitudinal element and being movable to space tissue adjacent the vertebrae. The at least one blade being intra-operatively translatable relative to the member along the axis. Surgical systems, constructs, implants and methods are disclosed.

Abstract: Disclosed screwdrivers may include a rotatable drive shaft having a drive portion disposed at a distal end thereof, and a drive end disposed at a proximal end thereof. Disclosed screwdrivers may include an angled tip portion that is angled with respect to the longitudinal direction, and a mechanism configured to transfer a rotational force applied to the drive portion of the drive shaft through the angled tip portion to the drive end of the drive shaft. Disclosed screwdrivers may include an elastic retaining clip configured to have a bone screw securely attached therein at a clipping force and progressively release the bone screw therein at an extraction force. Disclosed screwdrivers may include at least one spring contacting the elastic retaining clip and the angled tip portion that is configured to facilitate the progressive release of the bone screw.

Abstract: The present disclosure provides for spinal implants and plates including, for example, expandable plates deployable between a contracted position and an expanded position. The expandable plate may include an expandable body including a first portion and a second portion. The first portion may include a receiving cavity facing the proximal end, and a first through aperture extending in the proximal-to-distal direction. The second portion may include a lower end having a size and shape that corresponds to the receiving cavity, and a second through aperture extending in the proximal-to-distal direction. The expandable plate may include a locking screw and a nut. In at least some embodiments, in a locked position, the locking screw extends through the first through aperture and second through aperture, and is secured to the nut. In various embodiments, in an expanded position the first portion and second portion are farther away from one another relative to a contracted position.

Abstract: Disclosed screwdrivers may include a rotatable drive shaft having a drive portion disposed at a distal end thereof, and a drive end disposed at a proximal end thereof. Disclosed screwdrivers may include an angled tip portion that is angled with respect to the longitudinal direction, and a mechanism configured to transfer a rotational force applied to the drive portion of the drive shaft through the angled tip portion to the drive end of the drive shaft. Disclosed screwdrivers may include an elastic retaining clip configured to have a bone screw securely attached therein at a clipping force and progressively release the bone screw therein at an extraction force. Disclosed screwdrivers may include at least one spring contacting the elastic retaining clip and the angled tip portion that is configured to facilitate the progressive release of the bone screw.

Abstract: A protected drill is disclosed. The drill may include a housing, and a drill bit disposed at a distal end of the drill. The drill may have a rotatable drive shaft that is configured for coupling to a driver and a main shaft portion extending in a longitudinal direction through the housing. The drill may further include an angled tip portion disposed at a distal end of the drill, and the angled tip portion may be angled with respect to the longitudinal direction and define a drilling axis of the drill bit. The drill may further include a mechanism configured to transfer a rotational force applied to drive shaft through the angled tip portion to the drill bit. The drill may further include a sleeve configured to protect adjacent structures from lateral edges of the drill bit when the drill bit is rotating.

Abstract: Various surgical tools having a movable handle mechanism including a positioning handle are disclosed. The movable handle mechanism may be configured to move forward and backward in a longitudinal direction along the housing and rotate clockwise and counterclockwise around the housing. In various embodiments, the housing may include a plurality of channels and each channel may have at least one detent. The movable handle mechanism may be configured to securely couple to the housing via one channel of the plurality of channels and one detent of the plurality of detents. At least one surgical tool may include a drill having an angled tip portion and a sleeve configured to protect adjacent structures from lateral edges of the drill bit when the drill bit is rotating. Another surgical tool may include a screwdriver having an elastic retaining clip configured to progressively release a bone screw therein at an extraction force.

Abstract: A surgical instrument includes a member. A first arm extends from the member and includes a capture element. A second arm extends from the member and includes a capture element. The capture elements are engageable with a spinal plate. The arms define a perimeter of a passageway. Systems, implants and methods are disclosed.

Abstract: A spinal implant includes a wall that defines at least one opening and includes at least one part extending within the opening for disposal with a groove surface of a fastener. The fastener defines an axis. The groove surface is disposed between a head and a tissue penetrating shaft of the fastener. The at least one part is engageable with the groove surface to resist and/or prevent axial movement of the fastener relative to the wall. Systems and methods are disclosed.

Abstract: Systems, methods, devices and instruments for adjusting the relative positioning of bones or bony tissues, such as two or more vertebrae, are provided. More particularly, in one form, an instrument includes first and second end members that are freely movable relative to one another in a first configuration of the instrument, while in a second configuration the first and second end members are only movable relative to one another upon rotation of a displacement member. In one aspect of this and/or other forms, the first and second end members include hook portions that are selectively rotatable relative to one another such that the instrument can be used for compression or distraction of the bones or bony tissues. In another form, techniques for adjusting the relative positioning of bones or bony tissues are provided.

Abstract: Systems, methods, devices and instruments for adjusting the relative positioning of bones or bony tissues, such as two or more vertebrae, are provided. More particularly, in one form, an instrument includes first and second end members that are freely movable relative to one another in a first configuration of the instrument, while in a second configuration the first and second end members are only movable relative to one another upon rotation of a displacement member. In one aspect of this and/or other forms, the first and second end members include hook portions that are selectively rotatable relative to one another such that the instrument can be used for compression or distraction of the bones or bony tissues. In another form, techniques for adjusting the relative positioning of bones or bony tissues are provided.

Abstract: A bone anchor compatible for use with a neural integrity monitoring system. The bone anchor includes a bone engaging portion configured for anchoring to bone and has at least one insulated region coated with a bone growth promoting material and at least one conductive region contiguous with the insulated region and having reduced electrical resistance relative to the insulated region.

Abstract: A system and method for anchoring a connector to a bony portion of a spinal column is provided. The connector is engaged to the spinal column with an anchor. The connector receives an elongate connecting element that extends along two or more vertebrae of the spinal column. The connector includes an eyelet portion that houses a retaining member through which the anchor extends. The retaining member allows movement of the connector relative to the anchor prior to engagement of the connecting element to the connector. When the connecting element is engaged to the connector, the connector is fixed relative to the anchor and the retaining member.

Abstract: A system and method for anchoring a connector to a bony portion of a spinal column is provided. The connector is engaged to the spinal column with an anchor. The connector receives an elongate connecting element that extends along two or more vertebrae of the spinal column. The connector includes an eyelet portion that houses a retaining member through which the anchor extends. The retaining member allows movement of the connector relative to the anchor prior to engagement of the connecting element to the connector. When the connecting element is engaged to the connector, the connector is fixed relative to the anchor and the retaining member.

Abstract: Provided herein is a surgical tool for performing a distraction or compression procedure that includes a first member and a second member pivotally connected together at a pivot point and configured to be moved between a first position and a second position about a common axis defined by the pivot point. The surgical tool further includes a first leg connected to the first member and a second leg connected to the second member, the first leg and the second leg extending from the pivot point and terminating at respective distal ends, wherein the first leg comprises a first portion that is displaceable between a first position and a second position independent of the position of the first member and the second member.