Abstract: A pivotal bone screw assembly includes a receiver having a central bore with a bottom opening and a channel for receiving an elongate rod, with the central bore including a partial spherical internal surface adjacent the bottom opening and a horizontally-extending recess with a cylindrical sidewall surface. The assembly also includes a shank with a capture structure for positioning within the central bore and an anchor portion for attachment to the bone, with the capture structure having a partial spherical lower surface configured to slidably engage the internal surface of the central bore to provide for pivotal motion of the shank with respect to the receiver, together with an insert with a rod seating surface and an outwardly-projecting radiused structure, with the insert being downwardly displaceable within the central bore until the radiused structure snaps into the recess to prevent upward movement of the insert with respect to the receiver.

Abstract: A surgical tool for positioning a surgical device includes a gripping portion; a rod protruding from the gripping portion; and a coupling system. The coupling system comprises an axial retention assembly comprising, at a free end of the rod, two opposite semispherical portions, wherein respective flat surfaces are separated from each other by an axial notch made partially along the rod, and a central clutch movable between a locking position and a disengagement position. In the locking position, the central clutch approaches the free end of the rod and is interposed between the two semispherical portions, preventing reciprocal approach thereof so as to block the two semispherical portions within a seat of said surgical device. In the disengagement position, the central clutch moves away from the free end such that the two semispherical portions can approach to allow the tool to come out of the surgical device.

Abstract: A spinal construct includes a coupling member including a first mating surface engageable with an existing fastener implant. The existing fastener implant defines a cavity configured for disposal of 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: Connector assemblies, systems, and methods thereof. A connector has a first end that clamps to a first rod in an existing construct and a second end, connected to the first end, that clamps to a second rod in a new construct such that the new construct can be extended from the existing construct at an adjacent level as the existing construct.

Abstract: A spinal fixation device is provided having first and second elongate members that are angularly adjustable relative to one another. Each elongate member can include a connecting feature formed on a terminal end thereof, and each connecting feature can be coupled to one another to allow angular movement of the first and second elongate members. The device can also include a locking mechanism that is adapted to couple to the connecting feature on each of the first and second elongate members to lock the elongate members in a fixed position relative to one another.

Abstract: Articulating implant connectors and related methods are disclosed herein. Exemplary connectors can include first and second bodies that are rotatable relative to one another about a rotation axis and selectively lockable to resist or prevent such rotation. Each of the bodies can be configured to couple to a rod or other fixation component, and the connector can be used to lock first and second rods together even when the rods are obliquely angled with respect to one another.

Abstract: A rod system, in particular, for the spine, includes a first rod, a second rod, and a connector for connecting the first rod and the second rod. The connector includes a main body defining a first rod seat configured to hold the first rod in a fixed manner and a second rod seat configured to accommodate a second rod, and a fixation member and a closure member that are interchangeably mountable to the main body. When the fixation member is mounted to the main body, the fixation member is engageable with the portion of the second rod to hold the second rod in a fixed manner relative to the main bod, while when the closure member is mounted to the main body, the closure member is configured to hold the second rod to the main body in a slidable manner.

Abstract: A system is utilized, which comprises a cross connector for use in spinal fixation, further comprising multiple connection features configured to accommodate for direct attachment to multiple rods. Teachings are directed to a device that not only provides increased construct stiffness in flexion, extension and lateral bending, but also in torsion. The system adds stiffness in standard constructs. Joining multiple adjacent constructs with varying rod sizes for load distribution are also benefits of the system.

Abstract: A device for spinal correction includes a stabilizer assembly including a hinge including a first rod-bearing leaf; a second rod-bearing leaf rotatably coupled to the first rod-bearing leaf to provide coronal or sagittal freedom of movement, or both, of the stabilizer assembly; a locking mechanism to lock the first and second rod-bearing leaves at a desired angle; a first stabilizing rod coupled to the first rod-bearing leaf; a second stabilizing rod coupled to the second rod-bearing leaf; and a plurality of monoaxial or polyaxial links, wherein each monoaxial or polyaxial link is movably coupled to the first or second stabilizing rod and is movably couplable to a first spinal rod or a second spinal rod fixed to the spine; wherein the stabilizer assembly is couplable to the first or second spinal rod to stabilize the spine to prevent compression, distraction, or translation of the spinal cord during a spinal correction.

Abstract: Implant connectors and related methods are disclosed herein. In some embodiments, a connector can include a low-profile portion to facilitate use of the connector in surgical applications where space is limited. In some embodiments, a connector can include a biased rod-pusher to allow the connector to “snap” onto a rod and/or to “drag” against the rod, e.g., for provisional positioning of the connector prior to locking.

Abstract: A spinal construct comprises a fastener including a first portion defining an implant cavity and a second portion configured to penetrate tissue. A member defines a cavity configured for disposal of at least a portion of the first portion. The member includes an implant engaging surface fixable within the implant cavity and connected to a connecting element fixable adjacent the first portion. Systems and methods of use are disclosed.

Abstract: Connector assemblies, systems, and methods thereof. A modular connector has a first end that clamps to a first rod in an existing construct and a second end having a modular connection point configured to connect a second rod in a new construct such that the new construct can be extended from the existing construct.

Abstract: The present invention provides a spinous process implant and associated methods. In one aspect of the invention, the implant includes a spacer that is connectable to two extensions. One of the two extensions is connectable to the spacer at a first end and coupled to the spacer by a rotational connection. The other of the two extensions is movably connectable to the second end of the spacer and translatable over the outer surface of the spacer from the second end.

Abstract: A low profile rod-to-rod cross-connector formed from an outer bar member having a first end forming a receptacle and a second end available for coupling to a first spinal rod. An inner bar having a unidirectional insertion end is slidably insertable into the receptacle, and a second end is available for coupling to a second spinal rod; the insertion end having a centrally disposed slot bifurcating the insertion end. A locking member is positioned in the centrally disposed slot, wherein placement of the locking member in the first position permits movement of the insertion end within the receptacle, and placement of the locking member in the second position results in splaying the left arm and right arm to frictionally engage an inner sidewall of the receptacle.

Abstract: Spine rods are secured together by a crosslink which includes a central body with an arch therein curving around a gap, which allows a spinous process of an adjacent vertebrae, or other anatomical structure, to be located therein. The crosslink includes left and right extensions in a preferred embodiment which are movable relative to the body to accommodate both width adjustment for the crosslink and pivoting of distal ends of the crosslink relative to each other and relative to the body. After movement is accommodated, joints between the extensions in the body can be tightened to eliminate further movement. Clamps at distal ends of the crosslink secure the crosslink to adjacent spine rods. The arch has a bend angle above a horizontal plane to further facilitate avoiding interference with anatomical structures. The arch can be further bent if needed to a desired angle.

Abstract: A transverse connector includes a cross member connecting assembly, and first and second spinal rod connection members rotatably coupled to opposing end portions of the cross member connecting assembly. The cross member connecting assembly includes a first band slot defined therethrough and a threaded opening extending through an upper surface of the cross member connecting assembly and into the first band slot. The cross member connecting assembly includes a band set screw threadingly engaged with the threaded opening and movable relative to the first band slot.

Abstract: Apparatus and devices for adding an additional spinal construct in a patient are disclosed. In one arrangement the additional spinal construct extends an existing spinal construct ipsilaterally with an inline rod connector in a minimally invasive or preferably, percutaneous procedure. In another arrangement, the ipsilateral extension of an existing spinal construct uses an offset rod connector for receiving an additional spinal rod that may be placed interiorly or exteriorly of the existing spinal construct.

Abstract: A spinal construct includes a body defining a transverse axis. The body includes a wall disposed between a first implant cavity and a second implant cavity. The body further defines a first opening communicating with the first implant cavity and a second opening communicating with the second implant cavity. The first opening defines a first axis and the second opening defines a second axis. At least one of the first axis and the second axis are disposed in a substantially non-perpendicular orientation relative to the transverse axis. Systems, surgical instruments, implants and methods are disclosed.

Abstract: Articulating implant connectors and related methods are disclosed herein. Exemplary connectors can include first and second bodies that are rotatable relative to one another about a rotation axis and selectively lockable to resist or prevent such rotation. Each of the bodies can be configured to couple to a rod or other fixation component, and the connector can be used to lock first and second rods together even when the rods are obliquely angled with respect to one another.

Abstract: The present invention relates to stable fixation of spine segments, allowing for fusion in, e.g., skeletally mature patients. More particularly, the invention relates to a bone fixation device that can be affixed to vertebrae of a spine to provide reduction (or enlargement) capabilities and allow for fixation in the treatment of various conditions, including, e.g., spondyloslisthesis, degenerative disc disease, fracture, dislocation, spinal tumor, failed previous fusion, and the like, in the spine. The invention also relates to a method for delivering and implanting the bone fixation device.

Abstract: Connector assemblies, systems, and methods thereof. A modular connector has a first end that clamps to a first rod in an existing construct and a second end having a modular connection point configured to connect a second rod in a new construct such that the new construct can be extended from the existing construct.

Abstract: A spinal implant configured for positioning within a space between adjacent vertebral bodies includes an upper end plate including an outer surface extending between first and second end surfaces and opposed side surfaces. The outer surface includes a first convex profile extending between the first and second end surfaces and a second convex profile extending between the opposed side surfaces. The first convex profile and the second convex profile have different curvatures. The spinal implant further includes a lower end plate and a core disposed between the upper and lower end plates and coupled thereto. A method of assembling a spinal implant and a method of performing spinal surgery are also disclosed.

Abstract: Articulating implant connectors and related methods are disclosed herein. Exemplary connectors can include first and second bodies that are rotatable relative to one another about a rotation axis and selectively lockable to resist or prevent such rotation. Each of the bodies can be configured to couple to a rod or other fixation component, and the connector can be used to lock first and second rods together even when the rods are obliquely angled with respect to one another.

Abstract: A transverse connector system having a first and a second locking head, and a transverse rod that is secured by the first and second locking heads. The first and second locking heads are provided with a first and second pivot arm for engaging and securing first and second elongated rods. The first and second locking heads each simultaneously engage and secure the transverse and elongated rods separately.

Abstract: A spinal implant for immobilizing the C1 vertebra with respect to the C2 vertebra of the spine provides controlled coupling between the C1 and C2 vertebrae, and includes a C1 component attachable to the C1 vertebra, two C2 components attachable to the C2 vertebra, and a transverse element. The C1 component has two wings each of which retains a rod holder that rotates and translates for capturing a C2 component rod. Each C2 component has a hook for connection with a side of the C2 vertebra lamina and a rod for attachment to one of the rod holders of the C1 component. Each C2 component receives and secures the transverse connector which holds position of the C2 components relative to one another. Each C2 component may include a plate configured for compression against the C2 vertebra spinous process, with each plate including spikes to aid in preventing construct migration.

Abstract: A spine correction apparatus is disclosed, comprising: a first rod member having a first zone; a second rod member having a second zone; a first ring member having a first through-hole; and a second ring member having a second through-hole; wherein the first zone contacts the second zone, the first rod member and the second rod member are inserted into the first through-hole and the second through-hole, the first through-hole is fixed to the first rod member, and the second through-hole is fixed to the second rod member. The spine correction apparatus lowers the requirement for repeated surgeries and achieves the purpose of self-correction.

Abstract: A stand-alone interbody fixation system having a cage, anterior fixation blade and posterior fixation blade. The cage includes an annular side wall with an open interior and upper and lower surfaces, the cage being configured to fit between end plates of adjacent vertebrae. The anterior fixation blade includes an anterior alignment boss with two opposing outward extending anterior blades with end plate penetrating tips configured to fit within the open interior of the cage. The posterior fixation blade includes a posterior alignment boss with two opposing outward extending posterior blades with end plate penetrating tips configured to fit within the open interior of the cage. The anterior alignment boss and posterior alignment boss being rotatably coupled to each other and with a first opening and a second opening in the annular side wall opposite the first opening.

Abstract: The present teachings provide one or more surgical implements for repairing damaged tissue, such as in the case of a spinal fixation procedure. A cross connector system for use during a spinal fixation procedure is provided. The system includes at least one bridge defining a coupling bore and having a pair of downwardly extending arms for coupling to a first bone engaging member. The system includes a contoured bar having a first end offset from a second end, and a bore having a central axis. The system includes an expansion ring received within the bore, and a locking device received through the expansion ring and the coupling bore. The locking device is operable in a first state in which the contoured bar is movable about the central axis of the bore and in a second state in which the contoured bar fixed relative to the central axis of the bore.

Abstract: The present invention generally relates to a crosslink for linking a pair of rods in a spinal fusion construct. Specifically, this invention relates to an articulating crosslink that attaches directly to the head of a pedicle screw.

Abstract: A bone fixation system for implanting in bone, the system comprising a plurality of bone fastener assemblies that attach to bone, a pair of elongate members that attach to the plurality of bone fastener assemblies, a connector member that contacts the pair of elongate members, and a plurality of locking caps that secure the connector member and the elongate members to the plurality of bone fastener assemblies, wherein at least one of the plurality of locking caps comprises a cap portion and a hook portion, where the cap portion is adapted to rotate while the hook portion is stationary.

Abstract: An implant device is provided that is configured for implantation at multiple locations between adjacent vertebrae. The implant device comprises an implant body, a first portion of the implant body, and a second portion of the implant body adjustably interconnected with the first portion. The implant body has a compact orientation and an extended orientation to allow the implant body to be shifted from one orientation to the other orientation for being positioned in any one of areas between the spinous processes of the adjacent vertebrae, between laminar regions of the adjacent vertebrae, spanning an opening in the annulus between the adjacent vertebrae, and in the intervertebral space between the adjacent vertebrae.

Abstract: An Instrument for use with a polyaxial bone anchoring device is provided, where the polyaxial bone anchoring device includes a receiving part for receiving a rod and for accommodating a head of a bone anchoring element. The head can be clamped by exerting a pressure force onto it via a clamping element and the pressure force can be adjusted using the instrument. The instrument includes a first member having a first engagement portion configured to engage the receiving part in a positive-fit manner. The instrument also includes a second member having a front end and a second engagement portion configured to engage the clamping element and apply torque to the clamping element. In a first configuration, the second member is axially displaceable along a longitudinal axis relative to the first member and is restricted from rotational movement. In a second configuration, the second member is rotatable with respect to the first member.

Abstract: A connector device for a spinal stabilization apparatus comprises a first elongated portion adapted to engage a first spinal stabilizer rod proximal to the first end of the elongated member. The first end of the first elongated portion comprises a hook shape and a ferrule and may engage the first spinal stabilizer rod within about 20 degrees of perpendicular to the spinal stabilizer rod in any direction. The ferrule is adapted to be seated within the hook shape and is further adapted to engage the first spinal stabilizer rod. The connector device may also include a second elongated portion similar to the first adapted to engage a second spinal stabilizer. The first elongated portion and the second elongated portion may be directly attached. The connector device may be used in a method of treating a patient.

Abstract: A transconnector for use in interconnecting a pair of longitudinal spinal rods in a spinal fixation procedure. The transconnector includes a bridge member and first and second spinal rod engaging members. The bridge member may include first and second members, wherein the first and second members are moveably associated with one another so that the distance between the first and second spinal rod engaging members can be adjusted. The first and second spinal rod engaging members include a rod receiving channel for receiving one of the spinal rods therein. The spinal rod engaging members may be articulating in, for example, the yaw and roll positions or non-articulating with respect to the bridge members. The spinal rod engaging members preferably include a spring, for example, a spring washer, to provide an opposing force so that the spinal rod engaging members can provisionally snap onto the spinal rods.

Abstract: A connector assembly for translateral linking of bilateral spinal fixation rods includes first and second components. The first component has an elongated body having first and second ends, and the first end of the first component is configured to connect to a first spinal fixation rod. The second component has an elongated body having first and second ends, and the first end of the second component is configured to connect to a second spinal fixation rod. The second end of the first component is configured to be slidably connected to the second end of the second component.

Abstract: The present disclosure provides a transverse connector having first and second spinal rod connecting members disposed on opposing ends of a cross member. Each spinal rod connecting member is configured to connect to a spinal rod. The first and second spinal rod connecting members are configured for multidirectional articulation relative to the cross member.

Abstract: A spine stabilization implant includes a first portion having a first fixed angulated extension, a first rod receiving element and a connecting element. The implant also includes a second portion having a second fixed angulated extension, a second rod receiving element, and a receiving portion for receiving the connecting element of the first portion. The second portion is configured with a locking assembly for locking the first portion and second portion to one another.

Abstract: A vertebral column correction system for correcting a spinal deformity without fusing the joint segments is disclosed. The vertebral column correction system may have first and second vertebral anchors secured to first and second vertebrae. The vertebral column correction system may further comprise one or more intermediate vertebral anchors secured to vertebrae between the first and second vertebrae. A connection member may be disposed within a head portion of the vertebral anchors. At least a portion of the connection member may be a flexible member, such as a flexible cord, configured for tensioning between at least two vertebral anchors for providing a desired amount of tension to apply a correctional force to the spinal column. A spring member, or other tensioning member, may maintain the tension of the connection member.

Abstract: Cross connectors, kits, and methods useful in the treatment of bones, such as vertebrae, are described herein. An example cross connector is comprised of a first member, a second member, a saddle, a locking member, and a stop member. The first member is pivotally, rotatably, and slidably moveable within a passageway defined by the second member.

Abstract: In some embodiments, a connector can be configured to couple a first fixation element (e.g., a first rod) to a second fixation element (e.g., a second rod). One or both of the first and second fixation elements can be included with the connector, or one or both can be separately provided. In some instances, at least one of the fixation elements is previously implanted in a patient. The connector can provide one or more degrees of freedom between the first and second fixation elements. The connector can also include a locking element configured to (1) lock one or more of the fixation elements to the connector, and (2) lock one or more of the degrees of freedom between the fixation elements. The connector can be configured to snap onto or otherwise engage a fixation element in a manner that provides tactile and/or audible feedback to the surgeon.

Abstract: A spinal cross-connector for connection between adjacent first and second rods and method for use of the same are disclosed. In one embodiment, a coupling member including a bar extends from a body portion opposite to and in longitudinal axial alignment with a c-shaped arm. A second coupling member which includes a rack extends from a body portion opposite to and in longitudinal axial alignment with a another c-shaped arm. The rack is superposed in a selectively adjustable overlapping mechanical engagement with the bearing surface. Each c-shaped arm includes an arcuate extension extending substantially parallel to the bar to define a gripping pocket. A set screw includes a conical profile that extends substantially perpendicular to the arcuate extension. The advance of the set screw is operable to urge the rod into pressing contact with the gripping pocket to secure the rod therein.

Abstract: An apparatus for stabilizing an atlantoaxial junction while allowing for axial rotation in cases of acquired ligamentous injury or fracture of the dens.

Abstract: A method for placement of a pedicle screw and rod system that has particular application for spinal fusion surgery. The system includes pedicle screws having ball-shaped heads that are threaded through pedicles of adjacent vertebra into the vertebral body. The system also includes two cannulated posts having a head portion with a planar portion and an opening for accepting the head of the pedicle screw in a secure and multi-axial engagement. The system further includes a tube portion that is coupled to the head portion and extends above the patient's skin. The system also includes a lordotic slotted rod that is slid down the tube portions to be positioned on top of the head portions of the posts so that the planar portions are locked within the slot. Bolts are then slid down the tube portions and are threaded to a threaded portion on the planar portion.

Abstract: A transverse connector system having a first and a second locking element. The present invention also provides transverse rod having opposing first and second ends, the first end being retained within a portion of the first locking element and the second end being retained within a portion of the second locking element. The first locking element is configured with a connector body for engaging and capturing an elongated rod and a transverse rod simultaneously.

Abstract: Disclosed embodiments relate to connector systems comprising a linking element, a rod connection element partially received in the linking element. In an embodiment, the rod connection element is operable to rotate about the first longitudinal axis relative to the linking element. A fastener is operable to be received in the rod connection element, wherein the fastener is operable to actuate a connection mechanism to substantially fix the rod connection element in a rotational orientation relative to the first longitudinal axis and substantially fix the rod in a longitudinal position relative to the rod connection element.

Abstract: Spine stabilization systems and integrated rods are disclosed. One spine stabilization system disclosed has at least four bone anchors and a stabilization member attached to the bone anchors. The stabilization member has first and second elongate portions interconnected by a connector portion. The first and second elongate members extend longitudinally and generally parallel to a central longitudinal axis and connector portion extends transverse to the central longitudinal axis from a first lateral end to a second lateral end. The connector portion is integrally connected to the first and second elongate portions such that there is no relative movement between the lateral ends and the respective elongate portion to which each end is attached.

Abstract: An interspinous fusion device is described. The interspinous fusion device includes a spacer member and an anchor member. The spacer member has a ring with two or more anchor assemblies projecting laterally from substantially opposite sides of the spacer member ring. The spacer member further has a first zip lock flange and a second zip lock flange, each of the first and second zip lock flanges extends transversely from the spacer member ring wherein each of the first and second zip lock flanges each comprises a series of teeth protruding from it. The anchor member has a ring with two or more anchor assemblies projecting laterally from substantially opposite sides of the anchor member ring. The anchor member further has a barrel extending transversely from the anchor member ring. The barrel comprises a first column of recesses adapted to mate with the teeth of the first zip lock flange and a second column of recesses adapted to mate with the teeth of the second zip lock flange.

Abstract: Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.

Abstract: A spinal implant provides supplemental and dynamic fixation and/or stabilization of the spine via connection to one or more existing or new spinal fixation and/or stabilization spinal constructs. The supplementary spinal fixation/stabilization implant has a first attachment device configured to couple to an existing or new spinal fixation/stabilization construct and a second attachment device configured to couple to the existing or new spinal fixation/stabilization construct at a second location. The first and second attachment devices are joined to each other via a resilient connector that allows dynamic movement between the first and second attachment devices.

Abstract: Example embodiments relate to systems and apparatuses for securing surgically implantable implantation rods, comprising a first body having a recessed portion formed by a first surface of the first body, a second body having a recessed portion formed by a first surface of the second body, and a connecting member having an elongated body defining a common longitudinal axis for the first body and the second body, the connecting member receivable in the recessed portion of the first body and the recessed portion of the second body. The connecting member is operable to cooperate with the first body to restrict movement of the first body relative to the second body about the common longitudinal axis when engaged in a substantially locked position, and the first body is moveable relative to the second body when disengaged from the substantially locked position.