Abstract: A retaining mechanism for use in affixing a stratum to bone is disclosed. The mechanism comprises a stratum comprising a first surface, a second surface, and a hole extending between the two surfaces. The hole has a central longitudinal axis extending substantially perpendicular to the two surfaces. The retaining element comprises a first position that permits a fastener to be passed through the hole, a second position that at least partially overlaps the hole, and a spring element. The spring element is configured to engage the stratum, configured to move in a direction substantially perpendicular to the central longitudinal axis of the hole when the retaining element moves between its first and second positions, and configured to engage the retaining element to help maintain the retaining element in its second position to help prevent inadvertent backing out of the fastener after it has been fully inserted into the hole.

Abstract: A surgical guide comprises a member including an inner surface defining at least one cavity configured for disposal of at least one surgical tool and at least one part movable relative to the member and including a lock element engageable with a lock element of a spinal implant. Systems and methods are disclosed.

Abstract: A retaining mechanism for use in affixing a stratum to bone is disclosed. The mechanism comprises a stratum comprising a first surface, a second surface, and a hole extending between the two surfaces. The hole has a central longitudinal axis extending substantially perpendicular to the two surfaces. The retaining element comprises a first position that permits a fastener to be passed through the hole, a second position that at least partially overlaps the hole, and a spring element. The spring element is configured to engage the stratum, configured to move in a direction substantially perpendicular to the central longitudinal axis of the hole when the retaining element moves between its first and second positions, and configured to engage the retaining clement to help maintain the retaining element in its second position to help prevent inadvertent backing out of the fastener after it has been fully inserted into the hole.

Abstract: A retaining mechanism for use in affixing a stratum to bone is disclosed. The mechanism comprises a stratum comprising a first surface, a second surface, and a hole extending between the two surfaces. The hole has a central longitudinal axis extending substantially perpendicular to the two surfaces. The retaining element comprises a first position that permits a fastener to be passed through the hole, a second position that at least partially overlaps the hole, and a spring element. The spring element is configured to engage the stratum, configured to move in a direction substantially perpendicular to the central longitudinal axis of the hole when the retaining element moves between its first and second positions, and configured to engage the retaining element to help maintain the retaining element in its second position to help prevent inadvertent backing out of the fastener after it has been fully inserted into the hole.

Abstract: A spinal implant comprises a wall extending between a first end and a second end and defining a longitudinal axis. The wall has a first surface and a second surface configured to engage tissue. The wall defines at least one opening configured for disposal of a bone fastener. The first end includes an inner surface comprising a first linear side and a second linear side. The linear sides are disposed in substantial alignment with the axis. The inner surface further comprises an arcuate side connected to the linear sides to define a cavity configured for disposal of a fastener. Systems and methods are disclosed.

Abstract: A surgical guide comprises a member including an inner surface defining at least one cavity configured for disposal of at least one surgical tool and at least one part movable relative to the member and including a lock element engageable with a lock element of a spinal implant. Systems and methods are disclosed.

Abstract: A retaining mechanism for use in affixing a stratum to bone is disclosed. The mechanism comprises a stratum comprising a first surface, a second surface, and a hole extending between the two surfaces. The hole has a central longitudinal axis extending substantially perpendicular to the two surfaces. The retaining element comprises a first position that permits a fastener to be passed through the hole, a second position that at least partially overlaps the hole, and a spring element. The spring element is configured to engage the stratum, configured to move in a direction substantially perpendicular to the central longitudinal axis of the hole when the retaining element moves between its first and second positions, and configured to engage the retaining element to help maintain the retaining element in its second position to help prevent inadvertent backing out of the fastener after it has been fully inserted into the hole.

Abstract: A spinal implant comprises a wall extending between a first end and a second end and defining a longitudinal axis. The wall has a first surface and a second surface configured to engage tissue. The wall defines at least one opening configured for disposal of a bone fastener. The first end includes an inner surface comprising a first linear side and a second linear side. The linear sides are disposed in substantial alignment with the axis. The inner surface further comprises an arcuate side connected to the linear sides to define a cavity configured for disposal of a fastener. Systems and methods are disclosed.

Abstract: A retaining mechanism for use in affixing a stratum to bone is disclosed. The mechanism comprises a stratum comprising a first surface, a second surface, and a hole extending between the two surfaces. The hole has a central longitudinal axis extending substantially perpendicular to the two surfaces. The retaining element comprises a first position that permits a fastener to be passed through the hole, a second position that at least partially overlaps the hole, and a spring element. The spring element is configured to engage the stratum, configured to move in a direction substantially perpendicular to the central longitudinal axis of the hole when the retaining element moves between its first and second positions, and configured to engage the retaining element to help maintain the retaining element in its second position to help prevent inadvertent backing out of the fastener after it has been fully inserted into the hole.

Abstract: A surgical fastener comprises a head including a wall and a drive interface oriented in a first axial direction. At least one tissue penetrating element extends from the wall in a second axial direction. The at least one element is provisionally disposed with tissue and the wall overlaps a surface of an implant to selectively position and orient the implant relative to tissue. Systems and methods are disclosed.

Abstract: A retaining mechanism for use in affixing a stratum to bone is disclosed. The mechanism comprises a stratum comprising a first surface, a second surface, and a hole extending between the two surfaces. The hole has a central longitudinal axis extending substantially perpendicular to the two surfaces. The retaining element comprises a first position that permits a fastener to be passed through the hole, a second position that at least partially overlaps the hole, and a spring element. The spring element is configured to engage the stratum, configured to move in a direction substantially perpendicular to the central longitudinal axis of the hole when the retaining element moves between its first and second positions, and configured to engage the retaining element to help maintain the retaining element in its second position to help prevent inadvertent backing out of the fastener after it has been fully inserted into the hole.

Abstract: A surgical implant driver includes a member defining a longitudinal axis and including an engagement portion. The engagement portion includes a first surface and a second surface disposed in a serial configuration along the longitudinal axis. The first surface includes a drive interface engageable with a first surface of an implant fastener and the second surface includes at least a retention interface engageable with a second surface of the implant fastener. Systems and methods are disclosed.

Abstract: A retaining mechanism for use in affixing a stratum to bone is disclosed. The retaining mechanism comprises a stratum, a shoulder element and a retaining element. The stratum comprises a first surface, a second surface, and at least one hole extending between the first surface and the second surface, wherein the second surface is configured to engage at least a portion of the bone. The shoulder element is configured to engage the stratum and configured to at least partially overlap the at least one hole. The retaining element is configured to engage the stratum and configured to at least partially overlap the shoulder element such that the shoulder element helps prevent inadvertent backing out of a fastener after the fastener has been fully inserted into the at least one hole.

Abstract: A retaining mechanism for use in affixing a stratum to bone is disclosed. The retaining mechanism comprises a stratum, a shoulder element and a retaining element. The stratum comprises a first surface, a second surface, and at least one hole extending between the first surface and the second surface, wherein the second surface is configured to engage at least a portion of the bone. The shoulder element is configured to engage the stratum and configured to at least partially overlap the at least one hole. The retaining element is configured to engage the stratum and configured to at least partially overlap the shoulder element such that the shoulder element helps prevent inadvertent backing out of a fastener after the fastener has been fully inserted into the at least one hole.