Abstract: A bone screw comprising a shaft having a wall, the wall including a minor diameter and at least one thread having an external thread form. The thread form including a first portion comprising a crest of the thread form and a second portion extends between a minor diameter of the thread form and the first portion. The first portion having a solid configuration relative to the second portion. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: A bone fastener comprises a first member defining an implant cavity and a plurality of adjacent grooves. A first band is configured for disposal within the grooves. A second band is configured for disposal within the grooves. A second member is configured to penetrate tissue and includes a head engageable with the first band to provisionally connect the members. The second band is moveable for disposal adjacent the first band to fix connection of the members. Implants, systems, instruments and methods are disclosed.

Abstract: A surgical instrument includes a first member being engageable to an inner surface of a spinal implant. An actuator is connected to a second member such that the second member is translatable relative to the first member for connecting the spinal implant to a bone fixation device. Systems, spinal constructs, implants and methods are disclosed.

Abstract: A surgical instrument comprises a member being engageable to a spinal implant configured for connection to a bone fastener shaft. An actuator is connected to the member. A latch is connected to the actuator and the connection is configured to change between at least one non-locked orientation such that the actuator is movable relative to the member and a locked orientation such that the actuator is fixed relative to the member. Systems, spinal constructs, implants and methods are disclosed.

Abstract: A bone fastener comprises a first member defining a plurality of grooves. A coupling member is disposed with the first member. A first band and a second band are disposable within the grooves. A second member is configured to penetrate tissue and includes a head engageable with the first band to provisionally connect the first member to the second member. The coupling member is engageable with a part to move the part relative to the first member into engagement with the second band to dispose the second band adjacent the first band to connect the first member to the second member. Systems, surgical instruments, implants and methods are disclosed.

Abstract: A surgical instrument includes a first member including an inner surface. A second member is movable relative to the first member and defines a first opening for disposal of a first implant support. The second member is disposable with the inner surface to define a second opening for movement of a second implant support relative to the inner surface and a third opening is configured for movement of a third implant support relative to the inner surface. The first implant support is fixed with the second member. Systems, spinal constructs, implants and methods are disclosed.

Abstract: An implant receiver comprises a body formed by a first manufacturing method, the body including an outer surface and having spaced apart walls defining a cavity configured for disposal of a spinal implant; and at least one layer being formed onto at least a portion of the outer surface by a second manufacturing method. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: A surgical instrument comprises a member being engageable to a spinal implant configured for connection to a bone fastener shaft. An actuator is connected to the member. A latch is connected to the actuator and the connection is configured to change between at least one non-locked orientation such that the actuator is movable relative to the member and a locked orientation such that the actuator is fixed relative to the member. Systems, spinal constructs, implants and methods are disclosed.

Abstract: A bone fastener comprises a first member defining an implant cavity and a plurality of adjacent grooves. A first band is configured for disposal within the grooves. A second band is configured for disposal within the grooves. A second member is configured to penetrate tissue and includes a head engageable with the first band to provisionally connect the members. A first part is engageable with a spinal rod disposed with the implant cavity. A second part is attached with the first part and engageable with the second band to dispose the second band adjacent the first band to fix connection of the members. Implants, systems, instruments and methods are disclosed.

Abstract: A dual-sided rod bender for contouring a rod is disclosed. The rod bender may include a first handle and a second handle pivotably coupled together and extending in a longitudinal direction, respectively, from a proximal end to a distal end. A first side of the rod bender may include a first roller adjacent the distal end, a second roller adjacent the distal end, and a third roller disposed between the first roller and the second roller. A second side of the rod bender may include a fourth roller adjacent the distal end, a fifth roller adjacent the distal end, and a sixth roller disposed between the fourth roller and the fifth roller. The first side may be configured apply a first mechanical advantage to bend a rod and the second side may be configured to apply a second mechanical advantage to bend a rod.

Abstract: One or more tethers for use with fastener assemblies and a method for use of the one or more tethers with the fastener assemblies is provided. The one or more tethers can be attached between a first fastener assembly positioned with respect to a first vertebrae adjacent a first side of a spinous process of a second vertebrae and a second fastener assembly positioned with respect to the vertebrae adjacent a second side of the spinous process of the second vertebrae. The one or more tethers can be tensioned against the spinous process of the second vertebrae to mitigate stresses on an uninstrumented level of the spine.

Abstract: A connector includes a first receiver that defines an implant cavity and includes a mating surface. A second receiver attachable with the first receiver via a flexible element, the second receiver defines an implant cavity and includes a mating surface engageable with the mating surface of the first receiver to fix relative orientation of the receivers. A biasing element is disposed adjacent the mating surfaces to space the mating surfaces such that the first receiver is movable relative to the second receiver in operation of the connector. Systems, surgical instruments, implants, spinal constructs and methods are disclosed.

Abstract: A surgical instrument includes a first member including an inner surface. A second member is movable relative to the first member and defines a first opening for disposal of a first implant support. The second member is disposable with the inner surface to define a second opening for movement of a second implant support relative to the inner surface and a third opening is configured for movement of a third implant support relative to the inner surface. The first implant support is fixed with the second member. Systems, spinal constructs, implants and methods are disclosed.

Abstract: A bone fastener includes a proximal portion including an inner surface defining an implant cavity. A first member is configured for disposal with the proximal portion and includes a wall defining a cavity. A second member is configured for disposal with the cavity. A distal portion includes a first end disposed within the members and a second end configured to penetrate tissue. The proximal portion overlaps the second member to limit movement of the first end of the distal portion. Systems and methods are disclosed.

Abstract: A bone fastener comprises a first member defining a plurality of grooves. A coupling member is disposed with the first member. A first band and a second band are disposable within the grooves. A second member is configured to penetrate tissue and includes a head engageable with the first band to provisionally connect the first member to the second member. The coupling member is engageable with a part to move the part relative to the first member into engagement with the second band to dispose the second band adjacent the first band to connect the first member to the second member. Systems, surgical instruments, implants and methods are disclosed.

Abstract: A bone fastener comprises a first member defining an implant cavity and a plurality of adjacent grooves. A first band is configured for disposal within the grooves. A second band is configured for disposal within the grooves. A second member is configured to penetrate tissue and includes a head engageable with the first band to provisionally connect the members. A first part is engageable with a spinal rod disposed with the implant cavity. A second part is attached with the first part and engageable with the second band to dispose the second band adjacent the first band to fix connection of the members. Implants, systems, instruments and methods are disclosed.

Abstract: A bone screw includes a shaft including at least one thread having an external thread form and an implant receiver. A ring includes a mating surface engageable with the implant receiver and an outer surface, at least a portion of the outer surface having a coarse configuration to promote tissue on-growth with the outer surface. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: A surgical instrument comprises a member being engageable to a spinal implant configured for connection to a bone fastener shaft. An actuator is connected to the member. A latch is connected to the actuator and the connection is configured to change between at least one non-locked orientation such that the actuator is movable relative to the member and a locked orientation such that the actuator is fixed relative to the member. Systems, spinal constructs, implants and methods are disclosed.

Abstract: A surgical instrument includes a first member being engageable to an inner surface of a spinal implant. An actuator is connected to a second member such that the second member is translatable relative to the first member for connecting the spinal implant to a bone fixation device. Systems, spinal constructs, implants and methods are disclosed.

Abstract: A bone fastener comprises a first member comprising a first surface defining an implant cavity. The first member includes a first part being non-rotatable relative to the first surface and a second part including a second surface defining a portion of the implant cavity and a slot. A second member is configured to penetrate tissue and is connectable with the first member. The first member is rotatable relative to the second member in a first plane of a body and the second part is movable relative to the first part in a second plane of the body such that the first part is relatively translatable in the slot. Implants, systems, instruments and methods are disclosed.