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 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: A bone anchoring device includes an anchoring element having a shaft and a head, a receiving part having a coaxial bore and a seat for receiving the head, a pressure element configured to be movable within the bore, and a preload element being positionable between the head and the pressure element. When the head is inserted in the receiving part, the head is pivotable with respect to the receiving part, and can be locked at an angle relative to the receiving part by the pressure element. The pressure element can assume a position relative to the receiving part where the pressure element and the preload element are in direct contact, and where the pressure element exerts a force onto the head via the preload element to maintain one of a plurality of releasable angular positions between the head and the receiving part by friction before locking the head.

Abstract: An implant for stabilizing bones or vertebrae is provided, the implant including an implant body that can be fixed by means of at least a first screw and a second screw to the bone or a vertebra, wherein the implant body includes at least a first hole and a second hole. Each of the first screw and the second screw includes a screw thread. Each of the first hole and the second hole 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 firstscrew 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: 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: 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 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.