Abstract: A rod-shaped implant for spinal stabilization includes a first component comprising a first material, and a second component comprising a second material, wherein at least the first material is a plastic material, and wherein the first and the second component are connected by melting at least the first component to connect to the second component.

Abstract: The present invention is directed to a dynamic fixation system for engaging, via bone fixation elements, one or more parts of a patient's body. Preferably, the dynamic fixation system is used to engage one or more vertebrae for stabilizing the attached vertebrae with respect to one another while still permitting the vertebrae to move with respect to one another. The dynamic fixation system may include a first rod having first and second ends, a second rod having first and second ends, and a damping component and/or a damping mechanism for interconnecting the first and second rods. In one embodiment, the damping component is injection molded in-between the one of the ends of the first rod and one of the ends of the second rod so that the first and second rods are prevented from separating with respect to one another but are still permitted to move with respect to one another.

Abstract: The invention provides a connecting rod for bone anchors such as pedicle screws. The rod is constructed to include a main shaft portion that is not bioresorbable and a tip portion that is bioresorbable. The tip facilitates percutaneous insertion into a patient's body. After placement of the rod, the bioresorbable tip is resorbed preventing post-operative complications such as impingement of adjacent spinal facet joints.

Abstract: An instrumentation for use in spinal fusion surgery is disclosed. The instrumentation comprises a plurality of link segments configured to form a contoured shape that conforms to at least a section of vertebrae of a patient, and an interlocking mechanism configured to cause the plurality of link segments to maintain the contoured shape after the spinal fusion surgery.

Abstract: A posterior spinal fusion system may include pedicle screws and one or more segments designed to be attached to the implanted pedicle screws via nuts to fuse spinal motion segments in a modular fashion. The pedicle screws may have semispherical receiving surfaces, and each segment may have mounting portions at both ends, with corresponding semispherical engagement surfaces. The nuts may also have semispherical surfaces. The semispherical surfaces permit polyaxial adjustment of the relative orientations of the segments and pedicle screws. Each mounting portion may have a passageway therethrough to receive the proximal end of the corresponding pedicle screw; each passageway may intersect the edge of the corresponding engagement surface to facilitate percutaneous placement. Such placement may be carried out through cannulae to provide a minimally invasive (MIS) implantation procedure.

Abstract: A spine reconstruction rod extender may be used to extend an existing spine reconstruction rod without skipping a pedicle screw in the new construct, exposing the entire old construct, or adding a significant amount of size to the junction between the old and new construct. The resulting extended rod is a strong, durable inline spine reconstruction rod extender.

Abstract: A spinal support rod kit for the treatment of spinal column shape deformations, comprises a first spinal support rod whose cross-section is non-circular at least at one end thereof and a second spinal support rod whose cross-section is circular along at least part of its length. A socket attached to the second support rod at one end is shaped so that the non-circular end of the first support rod can be received in the socket. The second support rod can include a mechanical locking component which can engage the non-circular end of the first support rod when it is inserted into the socket to prevent it from being withdrawn.

Abstract: A stabilization device for stabilizing bones of a vertebra includes a first rod, a second rod, a rod connector connecting the first rod and the second rod, the rod connector comprising a receiving portion for receiving the first rod and a fixation element for fixing the first rod in the receiving portion, wherein in the receiving portion a rod contacting surface is provided and wherein the contour of this rod contacting surface has deviations from the contour of the surface of the first rod. The rod connector allows to connect a flexible rod, for example made of an elastomer material, with a rigid rod, made for example of a metal.

Abstract: A modular system for stabilization the spinal column or other bones includes a first stabilization element, a second stabilization element to be connected to the first stabilization element, and an outer connection element to connect the first stabilization element to the second stabilization element. An end portion of the first stabilization element and an end portion of the second stabilization element each include a structure engaging with a corresponding structure provided in the outer connection element to establish a form-fit connection.

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 spinal rod template has a rod and a plurality of size identifiers. The rod has a first end separated by a length from a second end. The first end may be shaped generally like a spinal rod and configured to be received within a first bone anchor assembly. The size identifiers are oriented along the length of the rod at the second end of the rod. Each of the plurality of size identifiers identifies a specific length for a spinal rod implant. The second end of the rod is configured to be received in a second bone anchor assembly such that the plurality of size identifiers specify specific length for a spinal rod implant based upon the relationship of the second bone anchor assembly to the plurality of size identifiers.

Abstract: A bone interface anchor for use with an elongated stabilization member, the anchor having: a receptor having a retaining device for receiving the elongated stabilization member; a compression assembly for securing the elongated stabilization member within the receptor; bone fixation screws which secure the anchors relative to bone segments of the human spine, the receptor having a surface forming a mating cooperation with the screw such that the receptor can be variably positioned relative to the screw, a lock member to fix the screw relative to the receptor, and the retaining device having a retaining member between the elongated stabilization member and the interior of the receptor.

Abstract: A transition connector of a vertebral stabilization system for connecting a rigid rod and a flexible member to provide regions of rigid support and regions of dynamic support along a region of the spinal column is disclosed. A rigid rod may form one portion of the transition connector and a tubular member configured to receive a flexible member may form another portion of the transition connector. The tubular member may be configured to be secured to an end portion of the flexible member.

Abstract: A spine reconstruction rod extender may be used to extend an existing spine reconstruction rod without skipping a pedicle screw in the new construct, exposing the entire old construct, or adding a significant amount of size to the junction between the old and new construct. The resulting extended rod is a strong, durable inline spine reconstruction rod extender.

Abstract: A dynamic longitudinal connecting member assembly includes an anchor member having an integral or otherwise fixed elongate core extending through at least two elastic spacers and at least one outer sleeve or trolley. The anchor member and the outer sleeve each attach to at least one bone anchor. The spacers have differing durometers and/or geometries, resulting in greater axial movement of the sleeve in one direction than in an opposite direction. The spacers are compressed prior to attachment to the bone anchors.

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: 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: A dynamic spine plate is formed with only a single row of bone screw bores that extend along a generally superior/inferior axis of the spine plate, providing a single-sided dynamic spine plate. The single-sided dynamic spine plate is formed from a plurality of spine plate components that are coupled dynamically to one another. This provides a modular, single-sided dynamic spine plate. The spine plate components are coupled dynamically to one another via socket and projection interfaces, the socket and projections interfaces incorporating resilient coupling and retention structures that allow limited movement of the spine plate components relative to one another. This provides for dynamic extension of the spine plate components relative to one another. The resilient coupling structure connects the spine plate components, providing a self-biased, snap fit coupling of spine plate components.

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: Surgical constructs pre-assembled for insertion as a unit into a patient. The pre-assembled construct may include an elongated member with opposing first and second ends. The construct may also include a connector with a body, a first receptacle that extends through the body and receives the elongated member, a threaded aperture that extends from an exterior of the body into the first receptacle, a fastener threaded into the threaded aperture, and a second receptacle that receives a structural member in the patient. The first receptacle may be larger than the elongated member for the connector to be movable along the elongated member. The construct may also include retaining members permanently attached to each of the first and second ends of the elongated member. The retaining members may include a central opening with an inner radial surface that contacts the elongated member and an outer radial surface that extends outward beyond the elongated member.

Abstract: A method for supporting a spine of a person includes forming a pathway in a spine by removing a plurality of portions of a plurality of vertebrae of the spine with the pathway being configured to receive a supporting structure. The supporting structure is inserted into the pathway and through the plurality of vertebrae.

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: 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: A dynamic stabilization apparatus comprises elongated members mounted within the proximal end of anchoring devices that are placed in adjacent vertebral bodies. A flexible element having elastic properties within the applicable range of loading, for example loads that the spine experiences, is disposed between the proximal ends of the elongated members. At least one additional flexible element is mounted about the proximal ends of the elongated members adjacent the central flexible element. A housing encapsulates the proximal ends of the members such that the flexible element and the additional flexible elements are contained therein. As compressive, tensile, angular, shear and rotational forces are applied to the elongated members the central flexible element and the additional flexible elements interact with the elongated members and the housing to allow for motion of the elongated members.

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 soft dynamic stabilization assembly includes a core, typically in the form of a tensioned cord, at least one pair of bone anchors, a spacer surrounding the core located between the bone anchors, typically, at least one elastic bumper and at least one fixing or blocking member. The core is slidable with respect to at least one of the bone anchors and cooperating spacer.

Abstract: The present invention relates generally to systems and methods for aligning and implanting orthopedic fixation or stabilization implants within the body. In one embodiment, the system includes at least two bone anchors, at least one of which is provided with a transverse portal and a locking member. In one aspect, the system also includes at least one linkage rod, for linking two or more bone anchors through their respective locking members. The linking rod may include at least one angularly adjustable joint, which may be fixed by actuating the locking member. The bone anchors and the linkage rod may be locked into place to form a spinal fusion or fixation prosthesis.

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: A spinal implant having at least two bone anchors includes a longitudinal connecting member assembly having hard, non-elastic sleeves for attachment to the bone anchors, at least one spacer located between the bone anchors, and in some embodiments, an end elastic bumper and cord blocker. A cord is received within the rigid sleeves, the spacer and the bumper, the cord being in fixed or sliding relationship with cooperating sleeves. The sleeves include portions for direct engagement with bone screw inserts and closure tops and may include a channel for receiving a projected portion of a spacer.

Abstract: The present invention provides for a bone fixation device, an implantation instrument, and system which are useful in bone fixation surgeries. The bone fixation device of the instant invention allows the surgeon the ability to navigate the rod while being inserted into a pedicle screw assembly through a non-linear pathway by incrementally changing the direction of travel as desired.

Abstract: A spinal rod includes a rod tube formed of a biocompatible material, a spring rod formed of a biocompatible material and having a spring rod portion disposed in the rod tube, the spring rod portion axially movable within the rod tube whereby application of an axial force on the spring rod portion creates axial movement of the spring rod relative to the rod tube causing the spring rod and the rod tube to flex and arch, and a spacer ring radially disposed between the rod tube and the spring rod.

Abstract: A spinal rod connector is disclosed that allows end-to-end connection of at least two spinal rods. The connector may allow for angular adjustment in the construct which is associated with the patient's anatomy. Percutaneous length adjustment of the spinal rods may be available with visual assessment of the length of the rods via viewing windows on the connector. A locking mechanism may be used to fix a determined angle of the connector dependent upon the anatomy of the patient. The angle may be adjusted if necessary during a subsequent procedure.

Abstract: Vertebral rods are provided that have predetermined curvatures to support various sections of the spine. The vertebral rods include a first end that is attached to a lower region of the spine, and a second end that is attached to an upper region of the spine. The construction of the rod results in a change in stiffness along the length between the first and second ends. The rods may also include predetermined curvatures to support various sections of the spine. The rods may include two of more longitudinal sections with different radii of curvatures to accommodate attachment to the various regions of the spine. The rods may also include one or more substantially straight sections. The rods may include a length to extend along a limited portion of the spine, or may extend along a majority of the spine. Further, the rods include a varying stiffness along the length.

Abstract: A dynamic spinal stabilization assembly includes at least one mounting collar with a bore therethrough along a longitudinal axis, and a spinal rod slidably extending through the bore. The bore includes a medially disposed first section of reduced size that tapers both inwardly and outwardly relative to the axis, and respective end sections of relatively larger size. The bore may be defined by an interior wall that convexly curves toward the axis in the first section, advantageously with a constant non-zero radius of curvature. The bore profile helps minimize potential binding that may occur between the collar and the rod. The rod is coupled to bone anchoring elements, with at least one such connection being via the collar.

Abstract: An apparatus for treatment of a body having a skeletal curvature comprising: a rod capable of being attached to at least two vertebrae of the spine; which rod, under fluid pressure moves from a first position to an extended position, which extended position straightens the two vertebrae; and a hydraulic mechanism, in fluid communication with the rod, which moves the rod from the first position to the extended position, wherein the rod and hydraulic mechanism are capable of being inserted within the body having a skeletal curvature.

Abstract: An apparatus is operable to correct spinal deformities caused by scoliosis and the like. The apparatus may be used in a minimally invasive fashion and through the posterior side of the patient. A combination of internal screws and rods, as well as external pins, rods, and correction mechanisms, are used to obtain facet unlocking and translational correction of the affected vertebrae. The internal rods are inserted percutaneously and are secured to the affected vertebrae to maintain the deformity correction. External components are then removed, and the small incisions are sutured.

Abstract: A telescopic strut for use with an external fixator includes a tube and a rod, especially a threaded rod being in threaded engagement with the tube. The tube comprises at least one hole for accommodating a ball, the ball having the spherical shape for engagement with the threaded rod. A sleeve is provided on the portion of the tube comprising the hole. The sleeve comprises a non-spherical inner cross-section. The greater diameter of the sleeve has a dimension which is at least the sum of the outer diameter of the threaded rod plus the diameter of an accommodating ball for allowing direct axial movement of the threaded rod against the tube in such a rotational position of the sleeve. The lesser diameter has a dimension to place the ball within the threaded rod for allowing a rotational movement of the threaded rod against the tube.

Abstract: A dynamic posterior stabilization system is provided to stabilize a human spine. In some embodiments, the dynamic posterior stabilization system includes a first bone fastener, a second bone fastener, and an elongated member coupled to the first bone fastener and the second bone fastener. The longitudinal position of the elongated member relative to the first bone fastener may be fixed. The longitudinal position of the second bone fastener relative to the elongated member may vary so that the dynamic posterior stabilization system can accommodate flexion/extension and/or lateral bending. The dynamic posterior stabilization system may also be able to accommodate axial rotation. Bias members may be coupled to the elongated member. The bias members may allow the dynamic posterior stabilization system to mimic the resistance behavior of a normal functional spinal unit.

Abstract: Insertion of a spinal stabilization element into a patient generally includes positioning a cord within a sheath and inserting the sheath and cord through the patient's body along a path generally toward an anchor member. An advancement member may be mounted on the leading end of the cord to further facilitate this insertion. The sheath is then retracted to expose a first portion of the cord within the patient's body, and the first portion of the cord is moved into a desired position relative to the anchor member. After advancing a spacer over the sheath and cord, the sheath is retracted to expose a second portion of the cord. The second portion of the cord is then moved into a desired position relative to another anchor member such that the spacer is positioned between the two anchor members.

Abstract: The present invention relates to flexible members for stabilizing a spinal column and methods for making the flexible members. In one embodiment, a flexible member comprises an inner elastomeric member and an outer fabric layer situated securely around the inner elastomeric member. The inner elastomeric member has a first elasticity to provide the flexible member with a desired flexibility. In another embodiment, the flexible member includes an outer covering that defines an outer elastomeric member. The outer elastomeric member may be situated securely around the outer fabric layer with the inner elastomeric member, the outer fabric layer, and the outer elastomeric member having the common lengthwise axis and defining the body including the opposing first and second ends. The outer elastomeric member may have a second elasticity that is less than the first elasticity.

Abstract: An artificial ligament assembly for spinal stabilization includes an outer hollow elastic longitudinal member, a rigid inner member, a bone anchor mechanism, a bone anchor, and a buffered space. The artificial ligament assembly further includes a clamp that controls a torsional motion of the outer hollow elastic longitudinal member with respect to the bone anchor mechanism. The outer hollow elastic longitudinal member is at least as long as the inner rigid member. The rigid inner member is configured in a substantially same shape as the outer hollow elastic longitudinal member. The bone anchor mechanism is coupled to the outer hollow elastic longitudinal member. The bone anchor connector may further include an insert end. The bone anchor is coupled to the bone anchor mechanism. The buffered space allows any of a compression and an extension of the bone anchor mechanism inside the outer hollow elastic longitudinal member.

Abstract: A dynamic spinal stabilization assembly includes a rod having a plurality of slidable collars thereon. The rod is mounted to at least one of the relevant bone anchoring element(s) via the collars. The collars are spaced from one another such that the bone anchoring element engages at least two collars. The collars may be arranged on the rod so that adjacent collars are longitudinally spaced from one another by a distance not more than one-half the length of the rod-receiving channel in the relevant bone anchoring element. There may be elastic elements slidably disposed on the rod between adjacent collars.

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 while substantially offloading the facet joints of the spine. Methods are also provided for stabilizing the spine and for implanting the subject systems.

Abstract: Provided is a system for dynamically stabilizing a spine. In one example, the system includes a first bone anchor coupled to a first polyaxial head and a second bone anchor coupled to a second polyaxial head. An axis passing through a center of each polyaxial head is aligned with a center of rotation. A first member has a first end movably coupled to the first polyaxial head and a second end. A second member has a third end coupled to the second polyaxial head and a fourth end moveably coupled to the second end. The first and second members are configured to maintain the alignment of the axes with the center of rotation during three dimensional movement of the first member relative to the second member.

Abstract: Instruments and method are provided for introducing a flexible stabilization element into a patient in a minimally invasive surgical approach and securing the flexible stabilization element to one or more anchors. Also provided are instrument and methods for reduction of displacement between adjacent vertebrae in a minimally invasive surgical approach, and for minimally invasive stabilization of reduced vertebrae.

Abstract: A flexible connection unit for use in a spinal fixation device, including: a first end portion and a second end portion, at least one of the first end and second end configured to be engagable by a section of a first bone securing member; a flexible member located between the first and second ends, the flexible member permitting motion of the first end relative to the second end; and a transition area located between the first end and the flexible member, the transition area tapering in diameter from a first section of the transition area proximate to the first end toward a second section of the transition area proximate to the flexible member.

Abstract: A vertebral rod includes a first elongated section having a first thinned portion. A second elongated section has a second thinned portion. An intermediate section has a flat, thin configuration, and is connected with and disposed between the first section and the second section. The flat, thin configuration of the intermediate section is disposed in an orientation transverse to at least one of the first thinned portion and the second thinned portion.

Abstract: A growing rod for mounting between attachment mechanisms that are secured to anatomical structures of a patient having scoliosis. The growing rod includes a base rod having an attachment end, an extendable rod that is translatable relative to the base rod along a longitudinal axis and a housing enclosing at least a portion of the extendable rod therein. A magnet is rotatably mounted within the housing and is enclosed by a top magnet cover and a bottom magnet cover. The magnet includes a first pole and a second pole. A gear reduction mechanism is associated with the magnet and the extendable rod. The gear reduction mechanism reduces an output rotation to the extendable rod relative to an input rotation from the magnet.

Abstract: A facet support assembly including at least one rod including an upper portion rigidly fixed to a spinal fastener, and a lower portion configured to support an inferior articular process, wherein when the spinal fastener is secured to a pedicle of a lumbar vertebra, the lower portion of the at least one rod abuts against and supports the inferior articular process of the same lumbar vertebra.

Abstract: A polyaxial screw assembly includes an internal load dampening mechanism for sharing and dampening loads between at least one screw member and at least one rod member interconnected by the assembly. A method of interconnecting the orthopedic screw with the rod includes dampening with a body member interconnecting the screw to the rod.