Abstract: A bone screw extension assembly for use in placing a connecting rod percutaneously into tissue of a patient comprises a multi-axial bone screw and a screw extension releasably coupled to yoke of the bone screw. The screw extension includes coaxially disposed outer sleeve and inner sleeves that are rotatable relative to each other. A screw engaging member projects radially from the distal end of the inner sleeve and is configured to engage an extension coupling surface on the outer sleeve upon relative rotation of the inner and outer sleeves. A securement member including cooperative surfaces is defined adjacent the distal end of the inner and outer sleeves that is operable upon relative rotation of the inner sleeve and outer sleeve to radially secure the sleeves together to thereby maintain the engagement of the screw engaging member and the bone screw.

Abstract: A bone screw extension assembly for use in placing a connecting rod percutaneously into tissue of a patient comprises a multi-axial bone screw and a screw extension releasably coupled to yoke of the bone screw. The screw extension includes coaxially disposed outer sleeve and inner sleeves that are rotatable relative to each other. A screw engaging member projects radially from the distal end of the inner sleeve and is configured to engage an extension coupling surface on the outer sleeve upon relative rotation of the inner and outer sleeves. A securement member including cooperative surfaces is defined adjacent the distal end of the inner and outer sleeves that is operable upon relative rotation of the inner sleeve and outer sleeve to radially secure the sleeves together to thereby maintain the engagement of the screw engaging member and the bone screw.

Abstract: A bone screw extension assembly for use in placing a connecting rod percutaneously into tissue of a patient comprises a multi-axial bone screw and a screw extension releasably coupled to yoke of the bone screw. The screw extension includes coaxially disposed outer sleeve and inner sleeves that are rotatable relative to each other. A screw engaging member projects radially from the distal end of the inner sleeve and is configured to engage an extension coupling surface on the outer sleeve upon relative rotation of the inner and outer sleeves. A securement member including cooperative surfaces is defined adjacent the distal end of the inner and outer sleeves that is operable upon relative rotation of the inner sleeve and outer sleeve to radially secure the sleeves together to thereby maintain the engagement of the screw engaging member and the bone screw.

Abstract: A bone screw extension assembly for use in placing a connecting rod percutaneously into tissue of a patient comprises a multi-axial bone screw and a screw extension releasably coupled to yoke of the bone screw. The screw extension includes coaxially disposed outer sleeve and inner sleeves that are rotatable relative to each other. A screw engaging member projects radially from the distal end of the inner sleeve and is configured to engage an extension coupling surface on the outer sleeve upon relative rotation of the inner and outer sleeves. A securement member including cooperative surfaces is defined adjacent the distal end of the inner and outer sleeves that is operable upon relative rotation of the inner sleeve and outer sleeve to radially secure the sleeves together to thereby maintain the engagement of the screw engaging member and the bone screw.

Abstract: A bone screw extension assembly for use in placing a connecting rod percutaneously into tissue of a patient comprises a multi-axial bone screw and a screw extension releasably coupled to yoke of the bone screw. The screw extension includes coaxially disposed outer sleeve and inner sleeves that are rotatable relative to each other. A screw engaging member projects radially from the distal end of the inner sleeve and is configured to engage an extension coupling surface on the outer sleeve upon relative rotation of the inner and outer sleeves. A securement member including cooperative surfaces is defined adjacent the distal end of the inner and outer sleeves that is operable upon relative rotation of the inner sleeve and outer sleeve to radially secure the sleeves together to thereby maintain the engagement of the screw engaging member and the bone screw.

Abstract: A bone screw extension assembly for use in placing a connecting rod percutaneously into tissue of a patient comprises a multi-axial bone screw and a screw extension releasably coupled to yoke of the bone screw. The screw extension includes coaxially disposed outer sleeve and inner sleeves that are rotatable relative to each other. A screw engaging member projects radially from the distal end of the inner sleeve and is configured to engage an extension coupling surface on the outer sleeve upon relative rotation of the inner and outer sleeves. A securement member including cooperative surfaces is defined adjacent the distal end of the inner and outer sleeves that is operable upon relative rotation of the inner sleeve and outer sleeve to radially secure the sleeves together to thereby maintain the engagement of the screw engaging member and the bone screw.

Abstract: A bone screw extension assembly for use in placing a connecting rod percutaneously into tissue of a patient comprises a multi-axial bone screw and a screw extension releasably coupled to yoke of the bone screw. The screw extension includes coaxially disposed outer sleeve and inner sleeves that are rotatable relative to each other. A screw engaging member projects radially from the distal end of the inner sleeve and is configured to engage an extension coupling surface on the outer sleeve upon relative rotation of the inner and outer sleeves. A securement member including cooperative surfaces is defined adjacent the distal end of the inner and outer sleeves that is operable upon relative rotation of the inner sleeve and outer sleeve to radially secure the sleeves together to thereby maintain the engagement of the screw engaging member and the bone screw.

Abstract: A screwdriver for driving a multi-axial its distal end for engaging the head of the bone screw for joint rotational movement. The screw driver includes an outer retention sleeve within which the inner shaft rotates freely. The outer retention sleeve releasably attaches to the yoke of the bone screw. In another configuration, the screwdriver comprises a screw engagement member affixed to the shaft for joint rotational movement therewith, the screw engagement member comprising a stop sized to seat within a slot of the bone screw yoke, the stop being configured to rotate the yoke upon rotation shaft. A releasable retention member is provided on the screw engagement member for releasably attaching the screwdriver to the bone screw.

Abstract: A system for percutaneously fixing a connecting rod to vertebrae comprises first and second bone screws, each with a corresponding hollow bone screw extension mounted thereto, and a connecting rod of length sized for subcutaneous receipt in the yokes of the bone screws. A rod introducer is provided for inserting the connecting rod into slots of the screw extensions and into the yokes of the bone screws. A rod persuader may also be provided that is attachable to at least one of the screw extensions, the rod persuader being operable to engage the connecting rod and urge the rod into the slot of the yoke of the corresponding bone screws. A rod detector may also be provided for insertion one of the screw extensions, the rod detector having an indicator sensing the presence of a rod in the slot of the yoke of at least one of the bone screws.

Abstract: A system for percutaneously fixing a connecting rod to vertebrae comprises first and second bone screws, each with a corresponding hollow bone screw extension mounted thereto, and a connecting rod of length sized for simultaneous receipt in the yokes of the bone screws. A rod introducer is provided for inserting the connecting rod into slots of the screw extensions and into the yokes of the bone screws. A rod persuader may also be provided that is attachable to at least one of the screw extensions, the rod persuader being operable to engage the connecting rod and urge the rod into the slot of the yoke of the corresponding bone screws. A rod detector may also be provided for insertion one of the screw extensions, the rod detector having an indicator sensing the presence of a rod in the slot of the yoke of at least one of the bone screws.

Abstract: A screwdriver for driving a multi-axial bone screw into a vertebra of the spine in one configuration includes an elongate shaft defining a driving tip at its distal end for engaging the head of the bone screw for joint rotational movement. The screw driver also includes an outer sleeve within which the inner shaft rotates freely. The outer retention sleeve releasably attaches to the yoke of the bone screw. Rotation of the inner shaft enables rotation of the bone screw threaded shank while the outer sleeve and yoke remain fixed. In another configuration, instead of the outer retention sleeve the screwdriver comprises a screw engagement member affixed to the shaft for joint rotational movement therewith, the screw engagement member comprising a stop sized to seat within a slot of the bone screw yoke, the stop being configured to rotate the yoke upon rotation shaft. A releasable retention member is provided on the screw engagement member for releasably attaching the screwdriver to the bone screw.

Abstract: A bone screw extension assembly for use in placing a connecting rod percutaneously into tissue of a patient comprises a multi-axial bone screw and a screw extension releasably coupled to yoke of the bone screw. The screw extension includes coaxially disposed outer sleeve and inner sleeves that are rotatable relative to each other. A screw engaging member projects radially from the distal end the inner sleeve and is configured to engage an extension coupling surface on the outer sleeve upon relative. A securement member including cooperative surfaces is defined adjacent the distal end of the inner and outer sleeves that is operable upon relative radially secure the sleeves together to thereby maintain the engagement of the screw engaging member and the bone screw.

Abstract: A unitary acetabular cup prosthesis for a deficient acetabulum of a hip bone having a cup portion and a pair of adjacent screw retaining members extending from the cup and oriented in a cooperative with one another. A second pair of screw retaining members are preferably provided, with the first and second pair of screw retaining members oriented such that the prosthesis can be used in either a left or a right acetabulum of the patient. The screw retaining members may be formed on a single flange. The screw retaining members are fixedly inclined and offset relative to the rim of the cup. Each screw retaining member has a threaded hole inclined relative to the rim such that an axis of the threaded hole converges toward the axis of the cup portion in one dimension and is oblique to the axis of the cup portion in a second dimension.

Abstract: A guide clamp for clamping a femur and guiding placement of a guide wire relative to the femur. The guide clamp includes a body supporting a pair of clamping surfaces at the end of a pair of clamping arms that are spring-biased to move with respect to each other into a closed position to grip the femur. Defined by the body is a guide opening that guides insertion of the guide pin once the femur has been gripped. One of the clamping arms of the guide clamp may have proximal and distal portions that are slidably adjustable with respect to each other to allow a controlled repositioning of the guide opening with respect to the femur. The guide clamp may also include an engagement member which is supported by the body of the clamp and is capable of advancing into abutting contact with the head of the femur.