Abstract: A system and a method for providing minimally invasive access to the spine of a patient and implanting spinal stabilization devices. The system utilizes one or more post-type access devices. The post-type access device includes a cage with an aperture and two or more posts extending from the cage and being removably attached to the cage. The posts are supported at the top of the access device by a support ring structure. A pedicle screw is inserted into the access device and through the cage aperture and the screw-access device assembly is inserted into an opening of the patient's body. The base aperture is dimensioned to securely support the head of the screw. Side openings between the posts allow the insertion and placement of stabilization devices, such as rods, wires, or plates from almost any direction.

Abstract: A posterior spinal fusion system may include a plurality of cannulas that mate with cages polyaxially coupled to pedicle screws. The cannulas maintain access to the pedicle screws to facilitate percutaneous insertion of a fusion rod into engagement with the cages. Each cannula has a pair of blades that may be held together by an abutment member that at least partially encircles the blades. Each abutment member abuts the skin to define a variable subcutaneous length of the corresponding cannula. Each abutment members is also lockably removable from the corresponding blades to enable the blades to pivot with respect to the connecting element to a position in which they can be withdrawn from the connecting element. The blades of each cannula are spaced apart to provide first and second slots of each cannula, through which the fusion rod can be percutaneously inserted.

Abstract: A spinal implant assembly for replacing intervertebral elements between a first spinal vertebra and an adjacent second spinal vertebra includes an intervertebral implant for inserting between the first and second spinal vertebrae and a first kinematic retaining plate. The intervertebral implant comprises a body having a top surface, a bottom surface, and a first appendage extending from the top surface of the intervertebral implant. The first appendage is adapted to fit within and form a tongue and groove attachment with a first opening formed in the first spinal vertebra. The first kinematic retaining plate is attached to the first spinal vertebra so that it secures the first appendage in the first opening. The intervertebral implant further comprises a second appendage extending from the bottom surface and the second appendage is adapted to fit within and form a tongue and groove attachment with a second opening formed in the second spinal vertebra.

Abstract: A multi-axial screw assembly with a spherical landing surface is disclosed. The multi-axial screw assembly 100 includes a bone anchor 150, a head 130 with a spherical outer surface and an extension member 160 extending from the top of the head 130. The multi-axial screw is designed to attach a planar or semispherical end member of a plate to a vertebra. The plate is part of a spine fixation or stabilization assembly. The multi-axial screw provides multi-axial pivoting of the screw relative to the plate.

Abstract: A device for use as a portal in percutaneous minimally invasive surgery performed within a patient's body cavity includes a first elongated hollow tube having a length adjusted with a self-contained mechanism. The first elongated tube includes an inner hollow tube and an outer hollow tube and the inner tube is adapted to slide within the outer tube thereby providing the self-contained length adjusting mechanism. This length-adjustment feature is advantageous for percutaneous access surgery in any body cavity. Two or more elongated tubes with adjustable lengths can be placed into two or more adjacent body cavities, respectively. Paths are opened within the tissue areas between the two or more body cavities, and are used to transfer devices and tools between the adjacent body cavities.