Abstract: A surgical instrument assembly includes an inserter instrument and a driving instrument to engage an implant to a bony structure in a patient. The inserter instrument is positionable in a patient with the implant engaged thereto to position the implant at an operative site in the patient. A driving instrument is engageable to the inserter instrument to engage the implant to bony structure at the operative site. A template is provided and engageable by the driving instrument to facilitate preparation of the bony structure to receive the implant.

Abstract: Stabilization systems for stabilizing one or more vertebral levels are provided. The systems include anchors engageable to the vertebrae and at least one connecting member that includes a window to receive the anchors and mounting portions extending from opposite ends of the connecting member into the window for engagement with the anchors. The connecting member can flex in response to spinal loading to provide dynamic stabilization, although rigid engagement relationships are also contemplated.

Abstract: Devices and methods for spinal stabilization include first and second anchors engageable to respective ones of first and second vertebrae and a connector assembly engageable with the anchors to provide a desired stabilization effect. The connector assembly can include a connecting element and a bumper element engageable to the first and second anchors.

Abstract: Methods and devices for performing percutaneous surgery in a patient are provided. A retractor includes a working channel formed by a first portion coupled to a second portion. The first and second portions are movable relative to one another from an unexpanded configuration to an expanded configuration to increase the size of the working channel along the length of the working channel while minimizing trauma to skin and tissue.

Abstract: A molding device is disclosed and can include a first mold component and a second mold component substantially opposite the first mold component. The first mold component and the second mold component can fit around a superior spinous process and an inferior spinous process.

Abstract: A system for flexibly stabilizing a vertebral motion segment by connecting a first vertebra and a second vertebra is disclosed. The system includes a bumper with a resilient central member. The system is designed such that the resilient central member is compressed in both compression and extension of the bumper or vertebral motion segment. The system includes first and second means for connecting the bumper to the vertebrae.

Abstract: An interspinous process brace is disclosed and can include a superior component and an inferior component. The superior component can include a superior spinous process bracket that can engage a superior spinous process. The inferior component can include an inferior spinous process bracket that can engage an inferior spinous process. Further, the interspinous process brace can be moved between a bent configuration and a straight configuration. In the bent configuration, an overall height of the interspinous process brace can be minimized to facilitate installation between the superior spinous process and the inferior spinous process.

Abstract: An expandable interspinous process implant is disclosed and can include a body and an injection tube extending from the body. The expandable interspinous process implant can be moved from a relaxed configuration to an expanded configuration in which the body is at least partially inflated around a superior spinous process and an inferior spinous process.

Abstract: An implant is disclosed and can include a body and a plurality of pellets disposed within the body. The implant can be moved between an unmolded, relaxed configuration wherein the body is not conformed to a bone and a molded, relaxed configuration wherein the body is at least partially conformed to the bone.

Abstract: An adjustable interspinous process brace is disclosed and can include a superior component. The superior component can include a superior spinous process bracket that can engage a superior spinous process. Further, the adjustable interspinous process brace can include an inferior component. The inferior component can include an inferior spinous process bracket that can engage an inferior spinous process. Further, the inferior component can be movably engaged with the superior component from a retracted position to an extended position. In the extended position, a distance between the superior spinous process bracket and the inferior spinous process bracket can be increased.

Abstract: An intervertebral process brace is disclosed and can include a frame that can support a first vertebral process and a second vertebral process. The intervertebral process brace can also include a first vertebral process support strap that can span a first portion of the frame. The first vertebral process support strap can engage the first vertebral process and bind the first vertebral process between the first vertebral process support strap and the first portion of the frame.

Abstract: Devices and methods to restore the disc height between adjacent vertebral members. The methods use a variety of different spacers that are each positionable between a first orientation having a reduced height and a second orientation having an enlarged height. The spacer is initially placed within the disc space in the first orientation. The spacer is then expanded to the second enlarged orientation to restore the disc height. While the spacer is expanded or while it is expanding, the material is inserted into the disc space. In one embodiment, the material is initially in a first flowable form that fills the disc space. After the material is inserted, it becomes more viscous to support the vertebral members. At this time, the spacer is returned to the first orientation and removed from the disc space. The material remains within the disc space to permanently maintain the disc height.

Abstract: Methods and devices for performing percutaneous surgery in a patient are provided. A retractor includes a working channel formed by a first portion coupled to a second portion. The first and second portions are movable relative to one another from an unexpanded configuration to an expanded configuration to increase the size of the working channel along the length of the working channel while minimizing trauma to skin and tissue.

Abstract: Stabilization systems for stabilizing one or more vertebral levels are provided. The systems include anchors engageable to the vertebrae and an elongate connecting member system that maintains distraction between the vertebrae while allowing at least limited vertebral motion of the stabilized vertebral levels. The stabilization systems can be employed alone in non-fusion procedure or in conjunction interbody fusion and/or postero-lateral fusion procedures. The connecting members are structured to maintain a constant or slightly variable distance between the anchors to which the connecting members are connected while the connections of the connecting members with the anchors allow motion.

Abstract: A method for implanting a prosthetic spinal disc nucleus in an intervertebral disc nucleus space includes: (a) providing a disc nucleus implant instrument having a passageway for passing a prosthetic disc nucleus, and a dilator for dilating an opening in a disc annulus; (b) providing a prosthetic disc nucleus having a first configuration and a second configuration, where the first configuration presents a first cross-sectional size and said second configuration presents a second cross-sectional size, with the first cross-sectional size being larger than the second cross-sectional size; (c) making a hole in the annulus of a disc receiving the prosthetic disc nucleus, with the hole having an undilated size that is smaller than the first cross-sectional size of said prosthetic disc nucleus; (d) providing the prosthetic disc nucleus in its second configuration in the passageway of said disc nucleus implant instrument; (e) introducing the dilator of the disc nucleus implant instrument into the hole in the disc ann

Abstract: A spinal implant device used for the surgical treatment of a spinal disorder. The implant device may be a static device or a dynamic device. In one embodiment, the implant device is constructed of a radiolucent material with attached radiopaque markers. The markers may be constructed of the same radiolucent material and a radiopaque additive. In one embodiment, the implant device is constructed of a carbon nanostructure reinforced polymer. In one embodiment, the implant device has a porous bone interface surface. The pore density of the bone interface surface may vary up to a larger value in areas where the bone interface surface contacts a cortical bone portion of a vertebra.

Abstract: An implant inserter is releasably engageable to an implant to facilitate placement of the implant in a minimally invasive approach to space between adjacent spinous processes. The implant inserter can engage the implant in a first configuration for insertion and thereafter remotely release the implant for engagement with the spinous processes in the patient.

Abstract: Methods and devices for performing percutaneous surgery in a patient are provided. A retractor includes a working channel formed by a first portion coupled to a second portion. The first and second portions are movable relative to one another from an unexpanded configuration to an expanded configuration to increase the size of the working channel along the length of the working channel while minimizing trauma to skin and tissue.

Abstract: A method for implanting a prosthetic spinal disc nucleus in an intervertebral disc nucleus space generally includes: (a) making a hole in the annulus of a disc, with the hole having an undilated size that is smaller than the cross-sectional size of a folded prosthetic disc nucleus; (b) using an implant instrument to dilate the hole in the disc annulus; (c) using the implant instrument to pass a straightened prosthetic disc nucleus through the dilated hole and into the disc nucleus space; (d) withdrawing the implant instrument and allowing the hole in the disc annulus to return to a size smaller that its dilated size; and (e) causing or allowing the prosthetic disc nucleus to assume a folded configuration with a cross-sectional size that is larger than its straightened size. A device for use in the method is also disclosed.

Abstract: An instrument is provided for use in orthopedic surgery, such as for reduction of spinal rods. In one embodiment, a shaft is pivotably connected to a plate with an aperture, and a sleeve is slidable over the shaft and plate. A base member can be provided for ease in handling the instrument, which may include a ratchet mechanism connected to the sleeve. The plate is moved so that its aperture is oriented to allow an orthopedic implant, such as a Schanz-type screw, to be inserted into the aperture. After insertion, the shaft is moved so as to pivot the plate so that the plate grips or holds the implant. The sleeve is then slid over the shaft, plate and implant in contact with an elongated member, such as a spinal rod, or other implanted device or tissue. Further sliding the sleeve forces the elongated member toward or past the implant.