Abstract: A spinal construct includes a body defining a transverse axis. The body includes a wall disposed between a first implant cavity and a second implant cavity. The body further defines a first opening communicating with the first implant cavity and a second opening communicating with the second implant cavity. The first opening defines a first axis and the second opening defines a second axis. At least one of the first axis and the second axis are disposed in a substantially non-perpendicular orientation relative to the transverse axis. Systems, surgical instruments, implants and methods are disclosed.

Abstract: A spinal implant includes a receiver having a first arm connected to a first extension and a second arm connected to a second extension. The arms are connected to the extensions via a break away surface. The arms include a proximal most end surface and the receiver includes an implant receiving surface. The proximal most end surface and the implant receiving surface defining an implant cavity. The break away surface is disposed within the implant cavity. In some embodiments, systems, spinal constructs and methods are disclosed.

Abstract: A spinal construct includes a body defining a transverse axis. The body includes a wall disposed between a first implant cavity and a second implant cavity. The body further defines a first opening communicating with the first implant cavity and a second opening communicating with the second implant cavity. The first opening defines a first axis and the second opening defines a second axis. At least one of the first axis and the second axis are disposed in a substantially non-perpendicular orientation relative to the transverse axis. Systems, surgical instruments, implants and methods are disclosed.

Abstract: A spinal construct includes a body defining a transverse axis. The body includes a wall disposed between a first implant cavity and a second implant cavity. The body further defines a first opening communicating with the first implant cavity and a second opening communicating with the second implant cavity. The first opening defines a first axis and the second opening defines a second axis. At least one of the first axis and the second axis are disposed in a substantially non-perpendicular orientation relative to the transverse axis. Systems, surgical instruments, implants and methods are disclosed.

Abstract: A spinal construct includes a body defining a transverse axis. The body includes a wall disposed between a first implant cavity and a second implant cavity. The body further defines a first opening communicating with the first implant cavity and a second opening communicating with the second implant cavity. The first opening defines a first axis and the second opening defines a second axis. At least one of the first axis and the second axis are disposed in a substantially non-perpendicular orientation relative to the transverse axis. Systems, surgical instruments, implants and methods are disclosed.

Abstract: A bone screw extender reattachment system including an elongated reattachment rod having a proximal and a distal end. The distal end of the elongated reattachment rod includes a tip configured to attach to a head of a bone screw. The elongated reattachment rod is configured so that a screw extender assembly having an inner sleeve, an outer housing and an extender head can slide over the reattachment rod. The bone screw extender reattachment system also includes a tension plunger having a plunger-type head and an elongated shaft configured to slide over the reattachment rod so as to communicate with the screw extender assembly.

Abstract: A bone screw extender reattachment system including an elongated reattachment rod having a proximal and a distal end. The distal end of the elongated reattachment rod includes a tip configured to attach to a head of a bone screw. The elongated reattachment rod is configured so that a screw extender assembly having an inner sleeve, an outer housing and an extender head can slide over the reattachment rod. The bone screw extender reattachment system also includes a tension plunger having a plunger-type heed and an elongated shaft configured to slide over the reattachment rod so as to communicate with the screw extender assembly.

Abstract: A percutaneous revision implant for percutaneously revising an existing implant located in the spine of a patient may include, for example, extending the existing implant construct to span additional portions of the spine of the patient. The percutaneous revision implant comprises a proximal end portion and a distal end portion. The proximal end portion comprises a connector having two opposable walls joined at one end to define a cavity having a first longitudinal axis. The cavity is suitable to receive and engage a rod of the existing implant. The percutaneous revision implant of the invention permits a medical practitioner to extend an existing implant construct without significantly disrupting or removing the existing implant or its component parts. A method of using same is also provided.

Abstract: A surgical instrument includes a first arm engageable with a first spinal construct disposed with a first vertebral surface. A second arm is connected with the first arm via a pivot and being engageable with a second spinal construct disposed with a second vertebral surface. The first arm is movable to rotate the first spinal construct relative to the pivot and/or the second arm is movable to rotate the second spinal construct relative to the pivot such that the first vertebral surface is moved relative to the second vertebral surface. Systems and methods of use are disclosed.

Abstract: A surgical instrument comprises a first member including an inner surface that defines a cavity and an outer surface configured to space tissue. The first member includes a first locking surface. A second member is configured for disposal within the cavity and extends between a first end configured to penetrate tissue and a second end configured to generate a signal representative of a position of the second member. The second member includes a second locking surface. The members are disposable between a first orientation such that the locking surfaces are engaged to resist relative axial translation of the members and a second orientation such that the locking surfaces are disengaged and the second member is axially translatable relative to the first member. Systems and methods are disclosed.

Abstract: A percutaneous revision implant for percutaneously revising an existing implant located in the spine of a patient may include, for example, extending the existing implant construct to span additional portions of the spine of the patient. The percutaneous revision implant comprises a proximal end portion and a distal end portion. The proximal end portion comprises a connector having two opposable walls joined at one end to define a cavity having a first longitudinal axis. The cavity is suitable to receive and engage a rod of the existing implant. The percutaneous revision implant of the invention permits a medical practitioner to extend an existing implant construct without significantly disrupting or removing the existing implant or its component parts. A method of using same is also provided.

Abstract: A surgical instrument includes a first arm engageable with a first spinal construct disposed with a first vertebral surface. A second arm is connected with the first arm via a pivot and being engageable with a second spinal construct disposed with a second vertebral surface. The first arm is movable to rotate the first spinal construct relative to the pivot and/or the second arm is movable to rotate the second spinal construct relative to the pivot such that the first vertebral surface is moved relative to the second vertebral surface. Systems and methods of use are disclosed.

Abstract: A method for treating a spine includes disposing a body including vertebrae in a lateral orientation relative to a surgical fixed surface configured for supporting the body; creating an incision in tissue of the body along a substantially transverse plane of the body; spacing the tissue adjacent the incision along a sagittal plane of the body to define a surgical pathway to the vertebrae; and delivering at least one implant adjacent the vertebrae via the surgical pathway. Systems and implants are disclosed.

Abstract: A surgical instrument comprises a first member including a first body connected to at least one second body. The first body is configured for disposal of an implant support having an outer surface. The at least one second body includes a capture element configured to dispose an implant support having an outer surface with the at least one second body such that the outer surfaces are spaced apart and each of the implant supports are engageable with a first implant. A second member is connected with the first member and is engageable with a second implant. The members are relatively movable to dispose the second implant with the implant supports and to align the second implant with at least one of the first implants. Systems and methods are disclosed.

Abstract: A system includes a sleeve including first and second arms each including an outer ramp and an inward projection, each of the arms defining a cavity. First and second extensions are configured for disposal in the cavities. A fastener includes walls defining an implant cavity and a distal portion. The walls each include first and second end surfaces and a locking cavity. The extensions are configured for translation relative to the sleeve between a first orientation such that the extensions engage the respective ramps to fix the projections with a respective locking cavity in a configuration to capture the fastener with the sleeve and a second orientation such that the extensions move out of engagement with the respective ramps so that the projections are movable out of engagement with the locking cavities to release the fastener from the sleeve. Methods of use are disclosed.

Abstract: A spinal implant system includes a first member including at least one wall, which includes a first axial end surface, a second axial end surface and an outer surface including a locking cavity. A second member includes a first extension defining an inner surface and a second extension defining an inner surface, the inner surfaces defining a first cavity therebetween. At least one of the inner surfaces includes a first angled portion and a second angled portion. A third member is disposed in the first cavity, and includes a first arm and a second arm, at least one of the arms includes a protrusion. The third member is configured for axial translation relative between a first orientation and a second orientation. Methods of use are disclosed.

Abstract: A bone screw extender reattachment system including an elongated reattachment rod having a proximal and a distal end. The distal end of the elongated reattachment rod includes a tip configured to attach to a head of a bone screw. The elongated reattachment rod is configured so that a screw extender assembly having an inner sleeve, an outer housing and an extender head can slide over the reattachment rod. The bone screw extender reattachment system also includes a tension plunger having a plunger-type heed and an elongated shaft configured to slide over the reattachment rod so as to communicate with the screw extender assembly.

Abstract: A method comprises the steps of: providing a first surgical instrument comprising a surface having a mating element; connecting the first surgical instrument with a fastener, connecting the fastener with tissue; engaging the mating element with a mating element of at least one of a plurality of alternate second surgical instruments interchangeable with the first surgical instrument; and treating the spine with the first surgical instrument and the at least one second surgical instrument. Instruments and implants are disclosed.

Abstract: A method for treating a spine includes disposing a body including vertebrae in a lateral orientation relative to a surgical fixed surface configured for supporting the body; creating an incision in tissue of the body along a substantially transverse plane of the body; spacing the tissue adjacent the incision along a sagittal plane of the body to define a surgical pathway to the vertebrae; and delivering at least one implant adjacent the vertebrae via the surgical pathway. Systems and implants are disclosed.

Abstract: A bone screw extender reattachment system including an elongated reattachment rod having a proximal and a distal end. The distal end of the elongated reattachment rod includes a tip configured to attach to a head of a bone screw. The elongated reattachment rod is configured so that a screw extender assembly having an inner sleeve, an outer housing and an extender head can slide over the reattachment rod. The bone screw extender reattachment system also includes a tension plunger having a plunger-type head and an elongated shaft configured to slide over the reattachment rod so as to communicate with the screw extender assembly.