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 bone fastener comprises a first end and a second end defining a longitudinal axis and being configured to penetrate tissue. The second end has a first portion having a thread diameter and a core diameter. The second portion has a core diameter less than the core diameter of the first portion. The second portion includes a threaded surface and a substantially even surface. Systems and methods are disclosed.

Abstract: A spinal construct comprises a longitudinal member extending between a first end and a second end. A reduction member is connected with the second end and defines at least one opening configured for disposal of the longitudinal member. The reduction member includes an outer surface engageable with a spinal implant and is translatable relative to the longitudinal member. Systems and methods are disclosed.

Abstract: A spinal construct comprises at least one spinal implant connected with vertebrae and a member extending between a first end including, at least one part configured for connection to tissue of a rib cage and a second end configured for connection with the at least one spinal implant. Systems and methods are disclosed.

Abstract: A spinal construct comprises a longitudinal element including at least one part configured for connecting to tissue of a rib cage. A member is connected with the longitudinal element and configured for connection with a spinal implant fixed with vertebrae. 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 vertebral rod connector includes a first portion configured to engage a fastener construct and define a first longitudinal axis. A second portion is configured to engage a vertebral rod and define a second longitudinal axis disposed transverse to the first longitudinal axis. A flexible linking portion is disposed for connecting the first portion with the second portion. The linking portion has a bifurcated configuration oriented transverse to the first longitudinal axis. Methods of use are disclosed.

Abstract: A surgical instrument adaptor comprises a member that defines a longitudinal axis. The member is configured for connection to an image guide that is configured to generate a signal representative of a position of a surgical instrument. The member extends between a first end and a second end. The first end includes a first mating part configured for releasable engagement with a mating part of an actuator. The second end includes a second mating part configured for releasable engagement with a mating part of the surgical instrument. Systems and methods are described.

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 bone fastener comprises a first end and a second end defining a longitudinal axis and being configured to penetrate tissue. The second end has a first portion having a thread diameter and a core diameter. The second portion has a core diameter less than the core diameter of the first portion. The second portion includes a threaded surface and a substantially even surface. Systems and methods are disclosed.

Abstract: A spinal construct comprises a pliable lead. A longitudinal member is flexible relative to the lead. The longitudinal member extends between a first end connected to the lead and a second end defining an opening configured for movement of the lead therethrough and disposal of the longitudinal member such that the longitudinal member is disposed about spinal tissue. Systems and methods are disclosed.

Abstract: A bone fastener includes a shaft extending from a first end to a second end and defines a longitudinal axis. The shaft includes an inner surface that defines an axially extending cavity. The bone fastener further includes a body disposed within the cavity and in fixed engagement with the inner surface. The body includes a rigid element positioned within only a subregion of the cavity to form a stiffened zone exclusively in an adjacent portion of the shaft. Methods of use are disclosed.

Abstract: The system includes a pair of elongate connecting elements positionable along two or more vertebrae of a spinal column segment. Also included is a crosslink device which is structured to form a mechanical connection between the two connecting elements and is capable of spanning a range of distances separating the two connecting elements to accommodate medial-lateral separation of the connecting elements as the spinal column segment grows over time.

Abstract: A vertebral rod connector includes a first portion configured to engage a fastener construct and define a first longitudinal axis. A second portion is configured to engage a vertebral rod and define a second longitudinal axis disposed transverse to the first longitudinal axis. A flexible linking portion is disposed for connecting the first portion with the second portion. The linking portion has a bifurcated configuration oriented transverse to the first longitudinal axis. Methods of use are disclosed.