Abstract: An extra-discal device for intervertebral stabilization includes at least one rigid part connected to pedicle screws by an element. This rigid part comprises a cylindrical body, each end of which is firmly attached to the element which is flexible and deformable so as to be linked to a part of a corresponding pedicle screw with reduced play to obtain a limited range of multidirectional movement in the sagittal, horizontal and frontal planes, while limiting translational movement to the axis of the screw.

Abstract: The present application is directed to methods and devices that provide for asymmetrical movement of vertebral members. In one embodiment, first and second anchors connect the rod to the vertebral members. The rod may be fixedly connected to the first anchor, and movably connected to the second anchor. A limiting device may be positioned on one or both sides of the second anchor. The limiting device or devices control an extent of movement between the rod and the second anchor during vertebral motion. In one embodiment, the device controls an amount of flexion and extension of the vertebral members.

Abstract: A dynamic stabilization device is disclosed. The device includes a dual spring member comprising an outer spring and an inner spring that have approximately equal working lengths. The dynamic stabilization device is also configured so that the dual spring member does not undergo stresses greater than an effective fatigue limit that is related to a fatigue limit of the spring. Methods for treating a deformity of a spine using a dynamic stabilization device are also disclosed.

Abstract: A dynamic stabilization device includes end caps that define a bore for receiving a corresponding bone screw therethrough. A spacer is engaged between each end cap and a cable passes through each of the components and is placed in tension to couple the spacer between the two end caps. The spacer is formed of a material that allows some flexible movement after implantation. An alternative stabilization device includes a spacer over-molded about two bushings defining the bores. According to a method of use, a stabilization device is passed along guide wires through a small incision. Once the device is in contact with the vertebrae, the bone screws are advanced along the guide wires and driven into the bone. One fastener bore may include a camming surface that causes distraction of the vertebrae as the bone screw is threaded into the vertebral bone.

Abstract: A dynamic rod assembly, such as that used for spinal stabilization, made of a number of interlocking segments whereby a limited amount of relative motion is permitted between each pair of adjacent segments. The dynamic rod assembly may also incorporate a separate central element that extends at least partially through a central channel within the interlocking segments to prevent the interlocking segments from disengaging while adding to the desired bending properties of the dynamic rod assembly.

Abstract: Systems and methods are provided for spinal stabilization with flexible elements and other elements engaged to the vertebrae. Also provided are instruments and methods for insertion of the flexible stabilization elements and other elements and for reduction of displacement between adjacent vertebrae in a minimally invasive surgical approach.

Abstract: The present application is directed to vertebral rods and methods of use. In one embodiment, the rod includes upper and lower sections that are separated by an intermediate section. The intermediate section may include one or more members, and may have a variety of configurations. An elastic member may be positioned within the intermediate section. The intermediate section and the elastic member may provide for variable resistance during movement of the upper and lower sections. In one embodiment, the resistance increases the further away the upper and lower sections move from a first orientation.

Abstract: A stabilization system for a human spine is provided. The stabilization system may include one or more dynamic interbody devices and/or one or more dynamic posterior stabilization systems. The dynamic interbody devices may allow for coupled axial rotation and lateral bending of vertebrae adjacent to the dynamic interbody devices. The dynamic posterior stabilization systems may provide resistance to movement that mimics the resistance provided by a normal functional spinal unit.

Abstract: An elongated implant device for stabilizing the spinal column includes a rod-shaped member having a first end and a second end, the rod-shaped member defining a longitudinal axis of the implant device, a sleeve which is slidably arranged on the rod-shaped member, the sleeve having a free end and a coupled end, the coupled end being connected with an axial dampening element, and the axial dampening element, which is connected between the sleeve and the second end of the rod-shaped member to damp a movement of the sleeve along the longitudinal axis. The first end of the rod-shaped member may be configured to be connected to a first bone anchor and the sleeve may be configured to be connected to a second bone anchor.

Abstract: Some embodiments relate to systems, devices, and associated methods for correcting spinal column deformities that help minimize a number of attachment anchors utilized for correction, facilitate use of straight or contoured rods, and/or help promote a more natural, physiologic motion of the spinal column.

Abstract: Systems, devices, and associated methods for correcting spinal column deformities that help minimize a number of attachment anchors utilized for correction, facilitate use of straight or contoured rods, and/or help promote a more natural, physiologic motion of the spinal column.

Abstract: A rod connection for fixing a rod part in a surgical device within a bore of a rod receiving member includes the rod receiving member having a bore having an inner diameter, the rod part having an outer diameter, the rod part being introduced into the bore, wherein the inner diameter of the bore and the outer diameter of the rod part are selected, such that the rod part is press-fitted into the bore of the rod receiving member. The bore has an inner wall surface opposing an outer wall surface of the rod part, the inner wall surface or the outer wall surface being provided with at least one recess in order to reduce a contact surface area between the rod part and the rod receiving member.

Abstract: The present invention relates to spinal support devices and, more specifically, to a flexible member having variable flexibility for use with a dynamic stabilization system or implant to provide dynamic stability to a person's spine. The flexible member generally includes a first material having a first portion including a first material having a first elasticity and a second portion including a second material having a second elasticity greater than the first to provide the flexible member with a variable flexibility.

Abstract: A dynamic bone anchor for anchoring a spine stabilization assembly which supports the spine while providing for the preservation of spinal motion. The dynamic bone anchor provides load sharing while preserving range of motion and reducing stress exerted upon the bone anchors and spinal anatomy. The dynamic bone anchor includes a deflectable post connected by a ball-joint to a threaded anchor. Deflection of the deflectable post is controlled by a compliant ring. The force/deflection properties of the dynamic bone anchor may be adapted to the anatomy and functional requirements of the patient. The dynamic bone anchor may be used as a component of a dynamic stabilization system which supports the spine while providing for the preservation of spinal motion.

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 dynamic spine stabilization device is provided that includes at least one force imparting member, e.g., a spring. The force imparting member is adapted to deliver a force of between about 150 lb/inch and 450 lbs/inch, and restrict the relative travel distance between said first and second pedicles to a distance of between about 1.5 mm and 5 mm. The spinal stabilization devices also have a minimal impact on the location of the center of rotation for the spinal segment being treated. By providing resistance in the noted range and restricting the travel distance to the noted range, it has been found that the stabilization device provides a desired level of stabilization, as reflected by range of motion values that closely approximate pre-injury range of motion levels.

Abstract: A spinal stabilization system including a cord extendable between first, second and third vertebral anchors. A first length of the cord includes a first set of intermingled filaments, and a second length of the cord includes a second set of intermingled filaments. The first set of intermingled filaments includes a first subset of filaments and a second subset of filaments, and the second set of intermingled filaments includes the first subset of filaments of the first set of intermingled filaments and a third subset of filaments different from the second subset of filaments of the first set of intermingled filaments. When secured to the first, second and third vertebral anchors, a first portion of the cord may be tensioned a first amount and a second portion of the cord may be tensioned a second amount different from the first amount.

Abstract: The present invention relates to a dynamic stabilization system (DSS) having at least one rod having a ring formed therein (“the spring”) and a pair of pedicle screws adapted for fixation to separate vertebrae.

Abstract: A dynamic stabilization device for bones or vertebrae is provided which includes at least two bone anchoring elements, at least one connection element, connecting the bone anchoring elements. Each bone anchoring element includes a shank portion to be anchored in the bone or in the vertebra and a head portion to be connected with the connection element. The connection element is at least partly elastic and has at least one loop section. The head portion includes a recess with an opening for inserting the loop section. A securing element is provided for securing the loop section in the recess. The connection element is preferably in the form of an endless loop made of an elastomeric material.

Abstract: A dynamic stabilization, motion preservation spinal implant system includes a deflection rod system implant. The system is modular so that various constructs and configurations can be created and customized to a patient.

Abstract: A dynamic fixation medical implant having at least two bone anchors includes a longitudinal connecting member assembly having an elongate core and an outer sleeve. The core is of one-piece construction, elastic, and includes end portions for attachment to the bone anchors. The outer sleeve may include compression grooves. The sleeve surrounds the core and extends between the pair of bone anchors, the sleeve being compressible between the bone anchors.

Abstract: Embodiments of the invention include a spinal construct for stabilizing a segment of a spinal column with a flexible spinal rod having one or more flexible components that articulate longitudinally and change curvature along at least a portion of their length in response to normal physiological loads.

Abstract: Various methods, devices, and systems are disclosed that facilitate easier and more compact implantation of osteosynthesis devices. In some embodiments, implants are screwed into two vertebrae and a plate is used to hold and displace the spine. In some plate embodiments, at least one longitudinally elongated opening is disposed at one end of the plate and partially opening onto an edge of the plate. In some plate embodiments, at least one longitudinally elongated opening is disposed at one end of the plate having a portion sufficiently large to be inserted without disassembly in the fixation means of an implant already screwed into the spine when the fixation means are already assembled.

Abstract: A system and method for the stabilization of the human spine using rods or plates having variable shapes and mechanical properties over their length. The rods or plates may be made up of various segments, each having different properties such as different flexibilities.

Abstract: A dynamic vertebral stabilization device for constraining motion of adjacent vertebrae is provided. The bone stabilization device comprises a first plate having a vertebral mating surface for positioning against a vertebrae, wherein the first plate defines a recess. The device further comprises a second plate having a vertebral mating surface for positioning against an adjacent vertebrae. The second plate includes a projection configured to travel in the recess of the first plate. The vertebral mating surface of the first plate is non-coplanar with respect to the vertebral mating surface of the second plate.

Abstract: An orthopedic bone plate, suitable for internally fixating and stabilizing fractured bones, includes: an elongated structure, capable of contraction in a longitudinal direction and having at least two ends, the structure having at least two fixation points adapted to be fixated to a fractured bone with the fixation points on opposing sides of a fracture. An elastic, polymer cable is longitudinally stretched and coupled in tension to the elongated structure, capable of causing the structure to contract in the longitudinal direction.

Abstract: A cannulated bone anchor comprising a self-centering ball-joint suitable for use in a spine stabilization prosthesis which supports the spine while providing for the preservation of spinal motion. The cannulated bone anchor has a deflectable ball-rod partially received in a socket of a housing formed in the head of the bone anchor. A centering rod received partially in the ball-rod and partially within the housing operates to align the ball-rod with the longitudinal axis of the bone anchor. Deflection of the ball-rod bends the centering rod which in turn applies a restoring force upon the ball-rod. The centering rod includes an inner-superelastic core and an outer polymer sheath.

Abstract: A posterior vertebral stabilizer has a resilient member such as a linear spring, which operates in tension and compression. The resilient member may be kept straight by a stabilization rod extending through the spring, or by a telescoping assembly that encases the resilient member. The ends of the stabilizer are attachable to pedicles of adjacent vertebrae so that the stabilizer adds stiffness to control flexion and extension of the vertebrae. Two such stabilizers may be used, and may be connected together by a crosslink designed to limit relative rotation of the stabilizers. Thus, the stabilizers may restrict axial rotation and lateral bending between the vertebrae, while permitting stiffened flexion and extension. Such stabilizers help provide the stiffness of a healthy intervertebral disc. In the event that fusion of the joint becomes necessary, a set screw or other component may be used to further restrict flexion and extension.

Abstract: Methods, systems, devices and tools for placing bone stabilization components in a patient are provided. The systems and devices have a reduced number of discrete components that allow placement through small incisions and tubes. More particularly, the present invention is directed to systems and methods of treating the spine, which eliminate pain and enable spinal motion, which effectively mimics that of a normally functioning spine. Methods are also provided for stabilizing the spine and for implanting the subject systems.

Abstract: A dynamic spine stabilization element of a spine stabilization assembly includes first and second spinal rod segments that are coupled to one another via a connector. The connector allows movement of a spinal rod segment with respect to the coupling device and/or with respect to another spinal rod segment. This provides limited angulation (e.g. bending) between spinal rod segments allowing for limited movement of the vertebra connected by the present dynamic stabilization element. The connector may allow pivoting motion of the rod segments relative to the coupling device and relative to the other rod segment such as pivoting motion of one rod segment in a first plane and pivoting motion of the other rod segment in a second plane that is perpendicular to the first plane. The connector may also be bendable or flexible. In this form, the connector allows limited flexing, bending or angulation as between the associated spinal rod segments during use.

Abstract: A dynamic bone anchor for anchoring a spine stabilization assembly which supports the spine while providing for the preservation of spinal motion. The dynamic bone anchor provides load sharing while preserving range of motion and reducing stress exerted upon the bone anchors and spinal anatomy. The dynamic bone anchor includes a deflectable post connected by a ball-joint to a threaded anchor. Deflection of the deflectable post is controlled by a durability enhanced compliant sleeve. The force/deflection properties of the dynamic bone anchor may be adapted to the anatomy and functional requirements of the patient. The dynamic bone anchor may be used as a component of a dynamic stabilization system which supports the spine while providing for the preservation of spinal motion.

Abstract: A surgical implant for locking a spinal motion segment includes an anterior plate portion with laterally spaced interbody members extending posteriorly therefrom. The plate portion has passages to receive surgical fixing screws or other securing elements engaged in holes drilled in the vertebrae for securing the plate portion to the anterior faces of the vertebrae to be locked. The arms extend into a space between lateral portions of the vertebrae to be locked.

Abstract: Embodiments of the invention include a system and method for stabilizing a segment of a spinal column with a dynamic spinal rod having a shank, a stay, and a casing sized to stretch tightly between components of the dynamic spinal rod and provide a structural connection between the components.

Abstract: Dynamic posterior stabilization systems and methods of stabilizing vertebrae are described. A dynamic posterior stabilization system may include a first bone fastener configured to couple to a first vertebra, a second bone fastener configured to couple to a second vertebra, and a dampener system attached to the first bone fastener and the second bone fastener. The dampener system may include a first dampener set and a second dampener set. Compression of the first dampener set provides resistance to movement of the first bone fastener towards the second bone fastener. Compression of the first dampener set and the second dampener set provides resistance to movement of the first bone fastener away from the second bone fastener.

Abstract: A dynamic stabilization device for bones or vertebrae is provided which includes at least two bone anchoring elements, at least one connection element, connecting the bone anchoring elements. Each bone anchoring element includes a shank portion to be anchored in the bone or in the vertebra and a head portion to be connected with the connection element. The connection element is at least partly elastic and has at least one loop section. The head portion includes a recess with an opening for inserting the loop section. A securing element is provided for securing the loop section in the recess. The connection element is preferably in the form of an endless loop made of an elastomeric material.

Abstract: The present disclosure provides prosthesis, methods, and kits for replacing a facet joint, in particular prosthesis, methods, and kits for replacing a spinal motion segment comprising a facet joint. The prosthesis includes a first and second member that interlock to form a sliding joint.

Abstract: Dynamic posterior stabilization systems are described. A dynamic posterior stabilization system may include bone fasteners and a dampener system. The dampener system may include a fixed length elongated member. The dampener system may also include one or more dampener sets. The dampener sets may provide resistance to movement of vertebrae coupled to the dynamic posterior stabilization system. In some embodiments, the elongated member has at least two portions having different diameters. The different portions interact with other portions of the dampener system to allow for compression of a dampener set. In some embodiments, the dampener system includes a sleeve coupled to the elongated member. In some embodiments, the dampener system includes a pair of washers coupled to the elongated member. The sleeve or the pair of washers allow the dampener system to be secured to a bone fastener.

Abstract: A dynamic stabilization, motion preservation spinal implant system includes an anchor system, a horizontal rod system and a vertical rod system. The systems are modular so that various constructs and configurations can be created and customized to a patient.

Abstract: An implant has a first hook and a second hook. A connector is coupled to the first and second hooks. The implant is adapted in a preferred embodiment to hook and look onto a spine.

Abstract: The invention concerns a device comprising an implant (18) designed to be inserted at least partially between the vertebral bodies (4, 4?) of two neighboring vertebrae, said implant (18) being adapted to provide to said neighboring vertebral bodies (4, 4?) at least one degree of mutual freedom, said device further comprising at least an extra-discal member (20), arranged behind the intervertebral space (12), adapted to damp a movement between said vertebrae (2, 2?), at least in the intervertebral flexion direction.

Abstract: Dynamic posterior stabilization systems and methods of stabilizing vertebrae are described. A dynamic posterior stabilization system may include bone fasteners and a dampener system. The bone fasteners may be secured to the vertebrae, and the dampener system may be attached to the bone fasteners. The dampener system may include a first dampener set and a second dampener set positioned on an elongated member. The first dampener set may be compressed and provides resistance to movement of the first bone fastener towards the second bone fastener. The second dampener set may be compressed and provide resistance to movement of the first bone fastener away from the second bone fastener.

Abstract: Systems and devices for dynamically stabilizing the spine are provided. The systems include a superior component for attachment to a superior vertebra of a spinal motion segment and an inferior component for attachment to an inferior vertebral of a spinal motion segment. The interconnection between the two components enables the spinal motion segment to move in a manner that mimics the natural motion of the spinal motion segment. Methods are also provided for stabilizing the spine and for implanting the subject systems.

Abstract: A vertebral column implant includes a connecting element, which is insertable in the vertebral bodies of a vertebral column via several bone screws. The screws are each provided with a head part for receiving the connecting element, by means of which a firm connection is achievable between bone screws and connecting element. The connecting element is composed of rigid sections and elastic sections. The rigid sections are connectable to the elastic sections via connecting devices. The connecting devices are designed such that the rigid sections and the elastic sections, in each case connected to one another, are aligned substantially coaxially, and their connection is form-fitting.

Abstract: A flexible stabilization device for dynamic stabilization of bones or vertebrae is provided comprising a rod construct including a rod made of an elastomeric material the rod having a first connection section, a second connection section and a third section therebetween, the first and second connection sections being connectable with a bone anchoring device, respectively, and a sleeve provided on at least a portion of the third section of the rod such that at least the first and second connection sections are exposed.

Abstract: Dynamic posterior stabilization systems are described. A dynamic posterior stabilization system may include bone fasteners and a dampener system. The dampener system may include a first elongated member and a second elongated member that couple together to form a variable length elongated member. The dampener system may also include one or more dampener sets. The dampener sets may provide resistance to movement of vertebrae coupled to the dynamic posterior stabilization system.

Abstract: A method for correcting a spinal deformity is provided. A spinal implant for correcting a spinal deformity includes a multipoint connector that connects to at least one vertebra of a spine at a plurality of locations and a force directing device that applies a force to the vertebra through the multipoint connector. The force directing device may include a rod which extends generally along an axis of the spine and a force directing member which is adjustably coupled to both the rod and the multipoint connector and which applies a corrective force to the at least one vertebra.

Abstract: The present invention provides a dynamic stabilization device positionable about a portion of a spinal column. The stabilization device may generally include a first component and a second component, where the first and second components are movably coupled to one another to define an arcuate path of motion. The stabilization device may also include one or more adjustment elements positionable within first and second adjustment openings to affect the path of motion between the first and second components and/or the behavior and characteristics of the movement. In addition, one or more resistive elements may be adjustably positionable within either and/or both of the first and second adjustment openings to provide resistance and/or dampening of the forces experienced as the first and second components move relative to one another. The stabilization device may further define a joint having three degrees of freedom to adapt to movement of a spinal column.

Abstract: A flexible spine fixing structure includes a first flexible element and a second flexible element. The first flexible element includes a first flexible part, a first fixing part and a second fixing part. The first fixing part and the second fixing part are respectively connected to two ends of the first flexible part and used for fixing to a first vertebra, and the first flexible part includes a first through hole and a second through hole. The second flexible element includes a second flexible part, a third fixing part and a fourth fixing part. The third fixing part and the fourth fixing part are respectively connected to two ends of the second flexible part and used for fixing to a second vertebra. The second flexible part is disposed by penetrating through the first through hole and the second through hole.

Abstract: An improved dynamic longitudinal connecting member includes a rod portion joined with a tensioned cord portion, for use in a medical implant assembly having at least two bone attachment structures, a spacer covering the join of the rod and cord portions and extending between the at least two bone attachment structures, a sleeve, a bumper and a cord blocker. The spacer and bumper are compressed. The cord portion is slidable with respect to at least one of the bone attachment members.

Abstract: The present invention provides a pedicle screw-based dynamic posterior stabilization system that is used to stabilize the segments of the cervical, thoracic, lumbar, and sacral spine as an adjunct to, or in place of, conventional spinal fusion using bone grafts. The system includes a plurality of pedicle screws, each of the plurality of pedicle screws including a head portion, and the head portion of each of the plurality of pedicle screws forming a first half of a joint that allows relative pivoting movement about the head portion of each of the plurality of pedicle screws and up-and-down movement with respect to the head portion of each of the plurality of pedicle screws. The system also includes a stabilization body coupled to the plurality of pedicle screws, the stabilization body including a plurality of end portions, and the end portions of the stabilization body forming a plurality of second halves of the joints formed by the head portion of each of the plurality of pedicle screws.