Abstract: A bone anchoring device includes an anchoring element having a shaft for anchoring in the bone and a head, a receiving part formed in one piece, and a pressure element formed in one piece. The receiving part has a seat for receiving the head and an outer channel for receiving a rod to be connected to the anchoring element, which is pivotable with respect to the receiving part and can be fixed at an angle by exerting pressure via the pressure element onto the head. The pressure element is movable in the receiving part and includes an inner channel for receiving the rod and a spring element that engages a portion of the receiving part via a detent connection so that the pressure element can be held in a position that allows pivoting of the anchoring element. The spring element is formed by at least a first portion of one of two side walls forming the inner channel, the first portion being spaced apart from a second portion of the one side wall by a slot.

Abstract: Instruments for use with a bone anchoring assembly having plug member are disclosed that allow introduction of the plug member and bone cement or other liquid or pasty material into the bone anchor. The bone anchor includes a shaft having a first end and a second end, a channel extending from the first end to the second end, and a plug member which is insertable into the channel and guidable through the channel for closing the channel at the second end. The bone anchor is suitable for minimally invasive surgery in such a way a guide wire can be guided through the bone anchor and after the bone anchor has been anchored in the bone the plug member is inserted to close the open end of the bone anchor.

Abstract: A polyaxial bone anchoring device includes an anchoring element having a shank and a head, a receiving part having a first end and a second end, a central axis, and an accommodation space for accommodating the head, the accommodation space having an opening at the second end, a sleeve-like insert piece configured to be arranged around a portion of the head and to be arranged in and to pivot in the accommodation space, and a pressure member including a portion configured to exert pressure onto the head, wherein the anchoring element and insert piece are pivotable with respect to the receiving part such that respective angles formed by a central axis of the insert piece with the central axis of the receiving part and a central axis of the anchoring element are adjustable, and can be locked by exerting pressure with the pressure member onto the head.

Abstract: A bone anchoring device includes an anchoring element having a shaft for anchoring in the bone and a head, a receiving part formed in one piece, and a pressure element formed in one piece. The receiving part has a seat for receiving the head and an outer channel for receiving a rod to be connected to the anchoring element, which is pivotable with respect to the receiving part and can be fixed at an angle by exerting pressure via the pressure element onto the head. The pressure element is movable in the receiving part and includes an inner channel for receiving the rod and a spring element that engages a portion of the receiving part via a detent connection so that the pressure element can be held in a position that allows pivoting of the anchoring element. The spring element is formed by at least a first portion of one of two side walls forming the inner channel, the first portion being spaced apart from a second portion of the one side wall by a slot.

Abstract: A polyaxial bone anchoring system includes a receiving part having an accommodation space, a first anchoring element having a first head, a sleeve-like insert piece configured to be arranged around a portion of the first head and to be arranged in the accommodation space, a second anchoring element having a second head, and a pressure member configured to exert pressure onto the first head or the second head, wherein when one of the first anchoring element or the second anchoring element is connected to the receiving part, the connected anchoring element is pivotable relative to the receiving part and can be locked at an angle relative to the receiving part by exerting pressure with the pressure member onto the respective head of the connected anchoring element, and wherein the first bone anchoring element and the second bone anchoring element are configured to be interchangeably connectable to the receiving part.

Abstract: A bone anchoring device includes an anchoring element having a shaft for anchoring in the bone and a head, a receiving part formed in one piece, and a pressure element formed in one piece. The receiving part has a seat for receiving the head and an outer channel for receiving a rod to be connected to the anchoring element, which is pivotable with respect to the receiving part and can be fixed at an angle by exerting pressure via the pressure element onto the head. The pressure element is movable in the receiving part and includes an inner channel for receiving the rod and a spring element that engages a portion of the receiving part via a detent connection so that the pressure element can be held in a position that allows pivoting of the anchoring element. The spring element is formed by at least a first portion of one of two side walls forming the inner channel, the first portion being spaced apart from a second portion of the one side wall by a slot.

Abstract: A polyaxial bone anchoring device includes an anchoring element having a shank and a head, a receiving part having a first end and a second end, a central axis, and an accommodation space for accommodating the head, the accommodation space having an opening at the second end, a sleeve-like insert piece configured to be arranged around a portion of the head and to be arranged in and to pivot in the accommodation space, and a pressure member including a portion configured to exert pressure onto the head, wherein the anchoring element and insert piece are pivotable with respect to the receiving part such that respective angles formed by a central axis of the insert piece with the central axis of the receiving part and a central axis of the anchoring element are adjustable, and can be locked by exerting pressure with the pressure member onto the head.

Abstract: A polyaxial bone anchoring device includes a bone anchoring element having a head and a shaft, a receiving part having a head receiving portion, a rod receiving portion, and a bore having a bore axis, and a pressure member movable in the bore and having a first surface for engaging the head, wherein the pressure member is movable to a first position where friction between the first surface and the head generates a preload on the head to maintain the shaft at a temporary angular position relative to the receiving part, and wherein the pressure member is configured to engage the receiving part to generate a holding force for holding the pressure member at the first position without a positive lock, and wherein the pressure member is movable in and out of the first position by applying an axial force on the pressure member greater than the holding force.

Abstract: An implant for stabilizing bones or vertebrae is provided, the implant comprising an implant body (1, 100, 100?) which can be fixed by at least one screw (2) to the bone or a vertebra, wherein the implant body comprises at least one hole (9a, 9b, 9c, 9a?, 9b?, 900a, 900b?) which has a threaded portion (91) with an internal thread for cooperating with the screw thread, characterized in that a guiding member (11,11?,11?,111) is provided in the hole which guides the screw when the screw is screwed through the threaded portion (91).

Abstract: A polyaxial bone anchoring device includes a bone anchoring element having a head and a shaft, a receiving part having a head receiving portion, a rod receiving portion, and a bore having a bore axis, and a pressure member movable in the bore and having a first surface for engaging the head, wherein the pressure member is movable to a first position where friction between the first surface and the head generates a preload on the head to maintain the shaft at a temporary angular position relative to the receiving part, and wherein the pressure member is configured to engage the receiving part to generate a holding force for holding the pressure member at the first position without a positive lock, and wherein the pressure member is movable in and out of the first position by applying an axial force on the pressure member greater than the holding force.

Abstract: A polyaxial bone anchoring device includes a receiving part configured to be pivotably connected to a head of an anchoring element, the receiving part having a channel for receiving a rod and an accommodation space having an opening for accommodating the head, and a sleeve-like insert piece having a sleeve axis and a spherical segment-shaped outer surface portion. The insert piece is configured to be positioned around a portion of the head in the receiving part and to pivot in the receiving part, and includes a first part and a separable second part configured to be connected with the first part by a connection structure configured to permit translational movement between the first part and the second part in a direction transverse to the sleeve axis, while preventing movement between the first part and the second part in a direction parallel to the sleeve axis.

Abstract: Instruments for use with a bone anchoring assembly having plug member are disclosed that allow introduction of the plug member and bone cement or other liquid or pasty material into the bone anchor. The bone anchor includes a shaft having a first end and a second end, a channel extending from the first end to the second end, and a plug member which is insertable into the channel and guidable through the channel for closing the channel at the second end. The bone anchor is suitable for minimally invasive surgery in such a way a guide wire can be guided through the bone anchor and after the bone anchor has been anchored in the bone the plug member is inserted to close the open end of the bone anchor.

Abstract: Instruments for use with a bone anchoring assembly having plug member are disclosed that allow introduction of the plug member and bone cement or other liquid or pasty material into the bone anchor. The bone anchor includes a shaft having a first end and a second end, a channel extending from the first end to the second end, and a plug member which is insertable into the channel and guidable through the channel for closing the channel at the second end. The bone anchor is suitable for minimally invasive surgery in such a way a guide wire can be guided through the bone anchor and after the bone anchor has been anchored in the bone the plug member is inserted to close the open end of the bone anchor.

Abstract: An implant for stabilizing bones or vertebrae is provided, the implant comprising an implant body (1, 100, 100?) which can be fixed by means of at least one screw (2) to the bone or a vertebra, wherein the implant body comprises at least one hole (9a, 9b, 9c, 9a?, 9b?, 900a, 900b?) which has a threaded portion (91) with an internal thread for cooperating with the screw thread, characterized in that a guiding member (11,11?,11?,111) is provided in the hole which guides the screw when the screw is screwed through the threaded portion (91).

Abstract: A polyaxial bone anchoring system includes a receiving part having an accommodation space, a first anchoring element having a first head, a sleeve-like insert piece configured to be arranged around a portion of the first head and to be arranged in the accommodation space, a second anchoring element having a second head, and a pressure member configured to exert pressure onto the first head or the second head, wherein when one of the first anchoring element or the second anchoring element is connected to the receiving part, the connected anchoring element is pivotable relative to the receiving part and can be locked at an angle relative to the receiving part by exerting pressure with the pressure member onto the respective head of the connected anchoring element, and wherein the first bone anchoring element and the second bone anchoring element are configured to be interchangeably connectable to the receiving part.

Abstract: A polyaxial bone anchoring device includes an anchoring element having a shank and a head, a receiving part having a first end and a second end, a central axis, and an accommodation space for accommodating the head, the accommodation space having an opening at the second end, a sleeve-like insert piece configured to be arranged around a portion of the head and to be arranged in and to pivot in the accommodation space, and a pressure member including a portion configured to exert pressure onto the head, wherein the anchoring element and insert piece are pivotable with respect to the receiving part such that respective angles formed by a central axis of the insert piece with the central axis of the receiving part and a central axis of the anchoring element are adjustable, and can be locked by exerting pressure with the pressure member onto the head.

Abstract: An implant for stabilizing bones or vertebrae includes an implant body with at least a first hole and a second hole that can be fixed by a first screw and a second screw. Each of the screws includes a screw thread. Each of the holes has a threaded portion with an internal thread for cooperating with the screw thread, wherein the threaded portion of at least the first hole is formed of a flexible material. A guiding member that is a separate part is insertable into the implant body such that it is arranged at least partially within the first hole. The guiding member is configured to guide the first screw when the first screw is screwed through the threaded portion of the first hole. The second screw is spaced apart from the guiding member when the second screw is screwed through the threaded portion of the second hole.

Abstract: An intervertebral expandable spacer having a pair of co-axial annuluses locked together by an engagement member having i) a set screw and ii) a pressure plate having an outer face contacting the set screw and an inner face having teeth adapted to mate with the ratchet notches of the second member.

Abstract: An instrument set for an intervertebral expandable spacer having a pair of co-axial annuluses locked together by an engagement member, the set including an inserter/expander having both a rapid expansion mechanism and a fine tuning expansion mechanism.

Abstract: An instrument set for an intervertebral expandable spacer having a pair of co-axial annuluses locked together by an engagement member, the set including an inserter/expander having both a rapid expansion mechanism and a fine tuning expansion mechanism.