Abstract: A cannula assembly for providing percutaneous access in minimally invasive spinal surgeries, includes an outer cannula, a nerve probe dilator and a multistage dilator system comprising a first dilator, a second dilator, a third dilator and a fourth dilator. The outer cannula and the dilators are slidable relative to each other and are arranged sequentially so that the fourth dilator surrounds the nerve probe dilator, the third dilator slides over a surface of the fourth dilator, the second dilator slides over a surface of the third dilator, the first dilator slides over a surface of the second dilator, and the outer cannula surrounds the first dilator.

Abstract: A spinal stabilization implant assembly includes a first cervical stabilization plate comprising an elongated body having a top portion and a bottom portion, and a second cervical stabilization plate comprising an elongated body having a top portion and a bottom portion. The bottom portion of the first cervical stabilization plate is attached to a first vertebra and the top portion of the second stabilization plate is stacked end-to-end below the bottom portion of the first cervical stabilization plate and is attached to the same first vertebra. The top portion of the first cervical stabilization plate is attached to a second vertebra, and the bottom portion of the second stabilization plate is attached to a third vertebra. The second vertebra is superior to the first vertebra, and the third vertebra is inferior to the first vertebra.

Abstract: A spinal screw assembly includes a bone-anchoring member, a washer, and a seat. The bone-anchoring member includes a main shaft, a washer head, and a spherical head. The spherical head extends upward from the top end of the main shaft and the washer head extends laterally from a location of the main shaft between the main shaft's top end and bottom end. The washer is polyaxially rotatable and positionable around the washer head and is configured to be placed at a first angle relative to the main shaft. The seat is polyaxially rotatable and positionable around the spherical head independent from the washer and is configured to be placed at a second angle relative to the main shaft, wherein the second angle is independent from the first angle.

Abstract: An interbody spinal fusion assembly includes an interbody cage, planar metal pins and bone fasteners. The interbody cage includes a metal cage and a PEEK insert. The PEEK insert is inserted into a slot of the metal cage and is secured to the metal cage with a pin. The assembled interbody cage is inserted in the space between two adjacent vertebras and is secured in placed with the planar metal pins and the bone fasteners.

Abstract: A spinal fixation element includes a screw and a washer. The screw comprises an elongated body of a first diameter and the body includes a threaded portion at a distal end and a semispherical head of a second diameter at a proximal end. The second diameter is larger than the first diameter. The washer comprises a semispherical through opening of a third diameter at the top, of a fourth diameter in the middle and of a fifth diameter at the bottom. The third diameter is slightly smaller than the second diameter, the fourth diameter is slightly larger than the second diameter and the fifth diameter is smaller than the second diameter. The washer surrounds the semispherical head, is non-removably attached to the semispherical head and is rotatable and positionable at an angle relative to the elongated body.

Abstract: An implantable cervical plate assembly includes a cervical plate, one or more bone fasteners and a driver tool. The cervical plate comprises an elongated asymmetric body having one or more through-openings extending from the front surface to the back surface of the elongated asymmetric body. The one or more bone fasteners are configured to be inserted through the one or more through-openings, respectively. The bone fasteners comprise a threaded main body and a head that includes one or more flexible structures configured to be flexed and inserted into a groove and then unflex and remain captured within the groove. The driver tool includes an elongated shaft, a handle and a bone fastener-engaging. The bone fastener-engaging component comprises one or more structures that complement and engage at least one of grooves and lobes of the bone fastener opening.

Abstract: An implantable spinous process fixation device includes an elongated component, top and bottom pivoting wing components, arranged opposite and parallel to the elongated component and separated from it by a spacer. First and second spinous processes of first and second adjacent vertebras are clamped between a top portion of the elongated component and the top pivoting wing and between a bottom portion of the elongated component and the bottom pivoting wing, respectively, by pivoting the top and bottom pivoting wings toward the top and bottom portions of the elongated component. The clamping of the spinous processes stabilizes the positions of the adjacent vertebras and prevents them from moving relative to each other.

Abstract: A surgical tool includes first and second K-wire components that are configured to pivot relative to each other and their relative position can be securely locked. The locking mechanism may be a sleeve, a retention ring or a collet.

Abstract: A method for spinal rod insertion includes providing a U-shaped hook tool comprising first and second legs, and inserting the first leg into a first location of a first vertebra and then pushing the hook tool along an arc-shaped path until the first leg exits through a second location of an adjacent second vertebra. Next, providing a spinal stabilization rod and a folded flexible wire comprising first and second open ends at the front end and a closed loop end. The closed loop end is attached to a first end of the spinal stabilization rod and the first and second open ends of the folded flexible wire are inserted into an open end of the second leg of the hook, and the folded flexible wire is threaded through the U-shaped hook and the first and second open ends of the flexible wire exit through an open end of the first leg.

Abstract: A cannula assembly for providing percutaneous access in minimally invasive spinal surgeries, includes an outer cannula, a nerve probe dilator and a multistage dilator system comprising a first dilator, a second dilator, a third dilator and a fourth dilator. The outer cannula and the dilators are slidable relative to each other and are arranged sequentially so that the fourth dilator surrounds the nerve probe dilator, the third dilator slides over a surface of the fourth dilator, the second dilator slides over a surface of the third dilator, the first dilator slides over a surface of the second dilator, and the outer cannula surrounds the first dilator.

Abstract: An improved spinous process fixation implant assembly 50 includes a spinous process fixation implant 100 and an interspinous spacer implant 200. The spinous process fixation implant 100 includes elongated first and second components 110, 120, that are arranged opposite and parallel to each other. First and second spinous processes 90a, 90b of first and second adjacent vertebrae 80a, 80b are clamped between the first and second components 110, 120, respectively, and are separated by the interspinous spacer implant 200. The interspinous spacer implant 200 may be inserted between the spinous processes of adjacent vertebrae from two different directions.

Abstract: A spinal fixation element includes a screw and a washer. The screw comprises an elongated body of a first diameter and the body includes a threaded portion at a distal end and a semispherical head of a second diameter at a proximal end. The second diameter is larger than the first diameter. The washer comprises a semispherical through opening of a third diameter at the top, of a fourth diameter in the middle and of a fifth diameter at the bottom. The third diameter is slightly smaller than the second diameter, the fourth diameter is slightly larger than the second diameter and the fifth diameter is smaller than the second diameter. The washer surrounds the semispherical head, is non-removably attached to the semispherical head and is rotatable and positionable at an angle relative to the elongated body.

Abstract: An implantable assembly for stabilization of two adjacent spinous processes in a spinal column includes an elongated first component extending along a first axis, an elongated second component extending along a second axis, a hub spacer, means for inserting and securing the hub spacer transversely through the interspinous ligament separating the first and second spinous processes and means for clamping and securing first and second spinous processes of first and second adjacent vertebras, respectively, between the first and second components. The first and second components are arranged opposite and parallel to each other and are separated by the hub spacer.

Abstract: A spinal fixation and fusion assembly includes a bone anchoring member, a cylindrical rod and a cap. The bone anchoring member comprises an elongated body that is made entirely of bone type material. The elongated body includes a main shaft, a conical shaped distal end, a flared out proximal end, and a through-opening extending along an axis from the proximal end to the distal end. The cylindrical rod is shaped and dimensioned to be received within the through-opening and is made entirely of metal. The cap is made entirely of metal and is attached to a proximal end of the cylindrical rod.

Abstract: A bone screw assembly includes a tulip-shaped seat, a bone fixation device, a ring-shaped washer, a rod and a cap. The tulip-shaped seat comprises a through opening dimensioned to receive the bone fixation device and a horizontal channel dimensioned to receive the rod. The washer is placed into the seat on top of the bone fixation device head and comprises first and second side tabs and a first pair of upward extending projections separated by a first gap and a second pair of upward extending projections separated by a second gap. The side tabs interface with a groove formed in the bottom portion of the seat. The rod is placed within the channel and positioned within a groove formed on the top surface of the washer. The cap includes first and second projections extending downward from its bottom surface and each of the first and second downward projections comprises first and second sidewise extending ridges.

Abstract: A system for attaching first and second fixation elements at a predetermined angle relative to each other to first and second locations of a vertebra, respectively includes a first guide wire configured to be inserted into the first location of the vertebra, an angular guide system comprising first and second guide arms configured to be set at the predetermined angle relative to each other and the first guide arm is configured to be inserted over the first guide wire and a second guide wire configured to be inserted through the second guide arm into the second location of the vertebra. The second guide wire includes first and second members configured to pivot relative to each other.

Abstract: A spinal screw assembly includes a bone-anchoring member, a washer, and a seat. The bone-anchoring member includes a main shaft, a washer head, and a spherical head. The spherical head extends upward from the top end of the main shaft and the washer head extends laterally from a location of the main shaft between the main shaft's top end and bottom end. The washer is polyaxially rotatable and positionable around the washer head and is configured to be placed at a first angle relative to the main shaft. The seat is polyaxially rotatable and positionable around the spherical head independent from the washer and is configured to be placed at a second angle relative to the main shaft, wherein the second angle is independent from the first angle.

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.

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.