Abstract: A bone plate assembly includes a plate, at least one bushing, and at least one bone screw. The bushing is positioned within a through hole of the plate. The bushing and screw are configured to engage each other to inhibit the screw from backing out. The screw includes a visual indicator surface that is visible to the operator during insertion of the screw through the bushing and plate. The bushing is configured to cover at least a portion of the visual indicator surface to show when the bushing and screw are properly engaged to inhibit backout of the screw.

Abstract: Data processing delay is reduced during data processing, using compiler optimization. Blocks of code are scanned in an order from blocks recurring most often to blocks recurring least often. In an order from blocks recurring most often to block recurring least often, shifts are inserted before arithmetic references, such that a previous use of the arithmetic reference does not require a shift, shifts are inserted after each memory use such that the next use of the memory does not require a shift, and shifts are inserted after each arithmetic reference such that the next use of the arithmetic reference requires no shift. In addition, if there is a mismatch between the last shifted amount of any one block and the required initial shifted amount in any of its successors, shifts are inserted to make up for the mismatch.

Abstract: Shared memory and sockets are used to protect shared resources in an environment where multiple operating systems execute concurrently on the same hardware. Rather than using spinlocks for serializing access to the shared resources, when a thread is unable to acquire a shared resource because that resource is already held by another thread, the thread that was unable to acquire the resource creates a socket with which it will wait to be notified that the shared resource has been released. The sockets may be network sockets or in-memory sockets that are accessible across the multiple operating systems; if sockets are not available in a particular implementation, communication technology that provides analogous services between operating systems may be used instead. In an optional aspect, fault tolerance is provided to address socket failures, in which case one or more threads may fall back (at least temporarily) to using spinlocks.

Abstract: The present invention provides spinous process implant and associated methods. In one aspect of the invention the implant limits the maximum spacing between the spinous processes. In another aspect of the invention, a spacer has at least one transverse opening to facilitate tissue in-growth. In another aspect of the invention, an implant includes a spacer and separate extensions engageable with the spacer. The spacer is provided in a variety of lengths and superior to inferior surface spacings. In another aspect of the invention, an implant includes a spacer and a cerclage element offset from the midline of the spacer in use so that the spacer defines a fulcrum and the cerclage element is operative to impart a moment to the vertebrae about the spacer. In another aspect of the invention, instrumentation for inserting the implant is provided. In other aspects of the invention, methods for treating spine disease are provided.

Abstract: The cross connecting device includes a bar arm coupled to one of a pair of posterior rods or spinal fixation rods and a rod arm coupled to the other of the pair of the rods. The bar arm and rod arm are coupled together by a connector or coupling device. The coupling device has a shank extending through a bore in the bar arm and a connector bore through which a protrusion on the bar arm extends. The bar arm is rotationally movable in the connector bore. The shank is rotationally and translationally movable in the bar arm bore. The coupling device is vertically movable through the bore. The protrusion is rotationally and translationally movable in the connector bore. The cross connecting devices are coupled to the rods by a pair of opposing surface to surface contacts formed by a surface of a hook end and a surface of a pad.

Abstract: An intervertebral disc device is provided to support or repair one or both of the disc annulus and the disc nucleus. The intervertebral disc device includes an annulus support and an elongated member to support the disc nucleus. The disc annulus support has an elongated wire and an annulus closure. The disc nucleus has an elongated member that is expandable. Any of the devices can be loaded with biologics. Moreover, any of the devices may include a scarring factor to promote fibrous growth.

Abstract: There is disclosed an interspinous attachment system for providing support between adjacent spinal levels. In an embodiment, an interspinous attachment system provides support between adjacent spinal levels and includes a crosslink, a first crosslink connector and a second crosslink connector each selectively attachable to spinal fixation rods, and an interspinous attachment device having a crosslink attachment portion and a spinous process attachment portion. In another embodiment, there is provided a method of attaching a crosslink to a pair of spinal fixation rods. The method includes tightening a set screw in a housing of each of the crosslink connectors to engage a crosslink, rotate the crosslink connectors with the set screw tightening, and engage the rods with the cross link through the rotation, wherein the tightening the set screw fixedly connects the ends of the crosslink and the rods together.

Abstract: A pedicle screw stabilization device comprises a superior and inferior pedicle screw anchor with a shaped memory alloy spacer therebetween.

Abstract: Spinous process implants and associated methods are shown and described. In one aspect, the implant limits the maximum spacing between the spinous processes. In another aspect, a spacer has at least one transverse opening to facilitate tissue in-growth. In another aspect, an implant includes a spacer and separate extensions engageable with the spacer. The spacer is provided in a variety of lengths and superior to inferior surface spacings. In another aspect, an implant includes a spacer and a cerclage element offset from the midline of the spacer in use so that the spacer defines a fulcrum and the cerclage element is operative to impart a moment to the vertebrae about the spacer. In another aspect, instrumentation for inserting the implant is provided. In other aspects, methods for treating spine disease are provided.

Abstract: There is disclosed a retractor system to facilitate surgical access to an intervertebral disc between an inferior vertebral body and a superior vertebral body. In an embodiment, the retractor system includes an elongate member having an anchor to attach to a pedicle of an inferior vertebral body with respect to an intervertebral disc. A retractor body has a collar to attach to the elongate member, slides coupled to the retractor body, and a pair of blades mounted to the slides. The blades have a proximal end and a distal end, a distance between the proximal end and the distal end of each one of the blades configured for displacing tissue for access to an intervertebral disc. An attachment portion is adjacent the proximal end of each one of the blades for attaching one of the slides thereto. Geometry of the blade end conforms to anatomy surrounding the pedicle.

Abstract: A dynamic spinal stabilization apparatus comprises a stabilization device such as a rod or a plate. Elongated bores, interfaces, or terminations packed with elastic material provides relative movement between the devices to allow spinal flexion and extension. Initially, relative movement may be constrained by a degradable materials, such as a resorbable material, to allow and screws to fuse to the associated bone.

Abstract: A bone plate assembly includes a plate, at least one bushing, and at least one bone screw. The bushing is positioned within a through hole of the plate. The bushing and screw are configured to engage each other to inhibit the screw from backing out. The screw includes a visual indicator surface that is visible to the operator during insertion of the screw through the bushing and plate. The bushing is configured to cover at least a portion of the visual indicator surface to show when the bushing and screw are properly engaged to inhibit backout of the screw.

Abstract: The present invention provides spinous process implant and associated methods. In one aspect of the invention the implant limits the maximum spacing between the spinous processes. In another aspect of the invention, a spacer has at least one transverse opening to facilitate tissue in-growth. In another aspect of the invention, an implant includes a spacer and separate extensions engageable with the spacer. In another aspect of the invention, instrumentation for inserting the implant is provided. In other aspects of the invention, methods for treating spine disease are provided.

Abstract: A bone plate assembly includes a plate, at least one bone screw, and at least one cap member. The screw extends into a through hole of the plate and a head of the screw seats in the through hole. The plate includes an undercut slot adjacent to the through hole. The cap includes at least one tab member that extends radially outward. The cap is mounted in the through hole with the tab member positioned in the undercut slot to inhibit the screw from backing out of the plate. In some arrangements, the tab member is rotatable within the undercut slot from an unlocked position to a locked position.

Abstract: The present invention provides a stabile construct to facilitate connecting a spinal fixation rod to a plurality of vertebral bodies. The construct or implant comprises a housing and an insert. The housing and insert are shaped to cooperatively engage the bone screw and rod to provide a stable construct that allows for polyaxial orientation between the bone screw and the remainder of the construct.

Abstract: The present invention relates to an aneurysm stent having a base and connector. The base has a vessel facing side and an aneurysm facing side, and is shaped to cover an aneurysm sufficiently. The connector is coupled to the aneurysm facing side of the base such that when deployed the connector is adapted to extend partially into the aneurysm to anchor the base about the aneurysm and alter flow into the aneurysm. Further, the stent can be used as a delivery mechanism to deliver growth factor.

Abstract: The present invention provides an implant to be implanted between a superior vertebra and an inferior vertebra. The implant comprises a main body having a superior surface and an inferior surface with at least one linear surface protrusion residing on at least one of the superior surface or the inferior surface. The protrusion having a substantially flat bone engaging surface and a generally trapezoidal cross-section.

Abstract: The present invention provides spinous process implant and associated methods. In one aspect of the invention the implant limits the maximum spacing between the spinous processes. In another aspect of the invention, a spacer has at least one transverse opening to facilitate tissue in-growth. In another aspect of the invention, an implant includes a spacer and separate extensions engageable with the spacer. The spacer is provided in a variety of lengths and superior to inferior surface spacings. In another aspect of the invention, an implant includes a spacer and a cerclage element offset from the midline of the spacer in use so that the spacer defines a fulcrum and the cerclage element is operative to impart a moment to the vertebrae about the spacer. In another aspect of the invention, instrumentation for inserting the implant is provided. In other aspects of the invention, methods for treating spine disease are provided.

Abstract: The present invention provides a bone fastener assembly useful in constructs for stabilizing bones of a patient. In one aspect of the invention, a bone fastener assembly includes a connecting member, a fastener seat, and a bone fastener. The fastener seat and fastener are receivable in the connecting member and the fastener seat is movable from a first position to a second position to retain the fastener in the connecting member. In another aspect of the invention, a bone fastener assembly includes a rod holder, a fastener seat mounted to the rod holder for rotation about the rod holder axis; and a bone, fastener. The bone fastener is generally “T”-shaped and engages the fastener seat in pivoting relationship such that the bone fastener is able to pivot to vary the angle between the bone fastener and the fastener seat.

Abstract: The present invention provides a spinal implant for placement between adjacent processes of the human spine. In some embodiments the spinal implant includes a spacer and one or more retention members. In some embodiments, the retention members are fixed relative to the spacer and in other embodiments the retention members are deployable from a first or compact or stowed position to a second or expanded or deployed position. In some embodiments the spacer is expandable from a first size to a second size. In some embodiments the spacer has a tapered body.