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 fastener comprises a first member defining an implant cavity. A part is connectable with the first member. A second member is configured to penetrate tissue and includes a mating surface engageable with the part. The part is engageable to selectively translate the implant cavity relative to the second member. Implants, spinal constructs, systems, instruments and methods are disclosed.

Abstract: A spinal construct is provided including a first fastener, a second fastener and a connector. Each fastener includes a first end and a second end configured for penetrating tissue. The connector has two ends. Each end of the connector includes an expandable member. The first end of each fastener is engageable to an expandable member of the connector to fix the fastener to the connector. The first and second ends of the connector are connected by a bridge. The spinal construct also includes securing members for attaching the connector to the fasteners. A method for treating a spinal disorder with the spinal construct is also provided.

Abstract: A spinal construct comprises a pliable lead. A longitudinal member is flexible relative to the lead. The longitudinal member extends between a first end connected to the lead and a second end defining an opening configured for movement of the lead therethrough and disposal of the longitudinal member such that the longitudinal member is disposed about spinal tissue. Systems and methods are disclosed.

Abstract: A bone fastener comprises a head including a first receiver that defines an implant cavity and a second receiver that defines an implant cavity. The first receiver is connected to the second receiver. A shaft is aligned with the first receiver and configured to engage tissue. A part is disposed within the implant cavity of the second receiver and movable relative thereto in a selected plane of a body. Systems, surgical instruments, spinal constructs, implants and methods are disclosed.

Abstract: A bone fastener comprises a first member defining an implant cavity. A first part is disposed with the implant cavity and engageable with an implant. A second member is configured to penetrate tissue and includes a mating surface engageable with the first member such that the members are expandable. Implants, spinal constructs, systems, instruments and methods are disclosed.

Abstract: A spinal implant system comprises a plurality of alternate first members. Each of the first members includes an inner surface defining an implant cavity. A second member is configured to penetrate tissue and includes a mating element engageable with a first member such that the second member is interchangeable with the plurality of first members. A first member is selected for connection with the second member to comprise a bone fastener having a selected movement. Fasteners, instruments and methods are disclosed.

Abstract: A surgical instrument comprises a first member connected with tissue. A second member is connected with the first member and configured to orient at least one surgical tool along at least one selected path for penetrating tissue. Systems and methods of use are disclosed.

Abstract: A spinal construct includes a coupling member including a first mating surface engageable with an existing fastener implant. The existing fastener implant being connected with an existing spinal rod implant. A connector is engageable with the existing fastener implant and has a rod extending therefrom. A locking member is engageable with a second mating surface of the coupling member. Systems, surgical instruments, implants and methods are disclosed.

Abstract: A spinal implant comprises a first member including a surface that extends between a first portion and a second portion. The first member defines a first implant cavity adjacent the first portion and a second implant cavity adjacent the second portion. The first implant cavity is spaced from the second implant cavity. The surface defines a medial cavity. A second member is movable relative to the first member. The second member includes a first end aligned with the medial cavity and a second end configured to penetrate tissue. Systems and methods are disclosed.

Abstract: A spinal construct comprises a fastener having a head. A member includes an inner surface defining a cavity configured for disposal of the head and a groove configured for disposal of a band. The band is engageable with the head to connect the fastener and the member. A longitudinal element is connectable to the member. A body is disposable with the longitudinal element and defines an implant cavity. A coupling member is engageable with the body. Implants, systems, instruments and methods are disclosed.

Abstract: A spinal construct includes at least one body including a first biasing member engageable with a longitudinal element for translation thereof relative to the body in a first direction. A second biasing member is engageable with a lock. The lock is connected with the longitudinal element to resist and/or prevent translation of the longitudinal element relative to the body in a second direction. Implants, surgical instruments, systems and methods are disclosed.

Abstract: A method for treating a spinal disorder includes the steps of: disposing an expandable spinal construct in a selected configuration; fixing the spinal construct in the selected configuration with a member; attaching a first end of the spinal construct with tissue; attaching a second end of the spinal construct with tissue; and disengaging the member from the spinal construct to release the spinal construct from the selected configuration. Implants, surgical instruments, systems and methods are disclosed.

Abstract: A surgical instrument comprises an arm. A first member is movable relative to the arm and gravity responsive to define a first orientation of the arm. A lock is engageable with the first member. A second member is movable relative to the arm and gravity responsive to measure an angle of a second orientation of the arm relative to the first orientation. Systems and methods of use are disclosed.

Abstract: A spinal construct includes a fastener configured for attachment with sacral and/or pelvic tissue of a body. A connector includes a mating element engageable with the fastener and includes a receiver. A spinal implant is engageable with the receiver between a capture configuration and a removable configuration. A multi-axial fastener is connected with the spinal implant. Systems, implants, instruments and methods of use are disclosed.

Abstract: A spinal construct is provided including a first fastener, a second fastener and a connector. Each fastener includes a first end and a second end configured for penetrating tissue. The connector has two ends. Each end of the connector includes an expandable member. The first end of each fastener is engageable to an expandable member of the connector to fix the fastener to the connector. The first and second ends of the connector are connected by a bridge. The spinal construct also includes securing members for attaching the connector to the fasteners. A method for treating a spinal disorder with the spinal construct is also provided.

Abstract: A bone fastener comprises a first member including an inner surface defining an implant cavity and a wall defining a groove. A first element is disposed within the groove. A second member is configured to penetrate tissue and engageable with the first element to dispose the first element in a capture orientation within the groove to connect the members. A second element is engageable with the first element to urge the first element to the capture orientation. Systems, instruments and methods are disclosed.

Abstract: An implant assembly and a method of assembling the same are provided, the implant assembly including a receiver extending along a central longitudinal axis between a proximal end and an opposite distal end, the receiver including a distal portion defining a receptacle opening at the distal end and a pair of arms extending from the distal portion along the central longitudinal axis on opposite sides of a passage with the passage opening at opposite sides of the receiver, a bone anchor including a distal bone engaging portion and a head at a proximal end of the distal bone engaging portion, the head being positioned in the receptacle with the bone engaging portion in a selected orientation relative to the central longitudinal axis of the receiver and a connector member configured to form a rigid interface between the receiver and the head of the bone anchor thereby providing torque transfer throughout the implant assembly.

Abstract: Connector assemblies are provided to couple an elongate member extending along the spinal column to a bone engaging implant engaged to the spinal column. The connector assembly includes a coupler having an implant coupling portion and an elongate member coupling portion. The positioning and orientation of the coupler relative to the implant and elongate member can be adjusted to facilitate engagement of the connector assembly between the implant and elongate member.