Abstract: A spinal stabilization device that can be used to non-invasively correct spacing and curvature between at least two vertebral structures. The spinal stabilization device includes two telescoping tubes wherein ends of the two tubes can have pedicle screws that can be fastened to two or more vertebral bones. The overall length of the spinal stabilization device can be adjusted by moving the inner tube within the outer tube. Both the outer tube and the inner tube have multiple holes for receiving fasteners, wherein a fastener can be inserted through a hole in the outer tube into a hole in the inner tube for interlocking the inner tube and outer tube. The extension of the fastener into the holes and retraction from the holes can be controlled non-invasively from an external source.

Abstract: A stator core support device includes two support members that are radially opposed to a stator core such that a central axis of the stator core is interposed between the support members, and an inverting mechanism that inverts the two support members. Each of the support members has a radially opposed face that is radially opposed to the stator core, a first axially opposed face that is axially opposed to a first axial side of the stator core, and a second axially opposed face that is axially opposed to a second axial side of the stator core. While the inverting mechanism is inverting the two support members that hold the stator core, the stator core is moved in the axial direction relative to the two support members.

Abstract: Systems and methods for percutaneously installing a vertebral stabilization system. A first anchor is positionable within a body of a patient through a first percutaneous opening and a second anchor is positionable within a body of a patient through a second percutaneous opening. A stabilization member is positionable within the body of a patient through the first percutaneous opening to engage and connect the first and second anchors.

Abstract: A lateral plate assembly has an elongated lateral plate for attachment to adjacent vertebrae having a first end portion and a second end portion and a pair of apertures for receiving a first and a second bone screw. The pair of apertures includes a first aperture which is an opening positioned in the first end portion for receiving the first bone screw and a second aperture which is a slotted opening to receive the second bone screw. The second end portion of the lateral plate has an open end with channelled internal sides for receiving and holding a moveable washer on top of the slotted opening. The washer is configured to move along a length of the slotted aperture. The moveable washer has an opening for holding a head of the second bone screw. Movement of the washer relative to the slotted opening increases or decreases the distance between locations of the respective screw heads.

Abstract: Bone anchor assemblies and related methods are disclosed herein that can provide for improved fixation of a primary bone anchor. A bone anchor assembly can include a base rotatably received within a rod-receiving member. The base can have a toroid body with a radially-extending portion including at least one auxiliary bone anchor opening that can receive an auxiliary bone anchor to augment fixation of a primary bone anchor of the bone anchor assembly. The base can be rotated relative to the rod-receiving member and the primary bone anchor such that the at least one auxiliary bone anchor opening can be placed in a desired position for supplemental fixation.

Abstract: An intramedullary nail system is provided with at least one resilient, elongate nail body configured to extend axially along a medullary bone cavity, and at least one bone anchor. The bone anchor includes a distal bone engagement portion configured to secure the anchor to a bone, a proximal nail engagement portion configured to receive a portion of the nail body therethrough, and a tightening mechanism configured to move from a movable state in which the nail body may slide axially and rotate through the engagement portion and a fixed state in which the nail body is prevented from moving relative to the engagement portion. Methods of use and surgical kits are also provided.

Abstract: A distal radius plate according to the invention is ergonomically formed to be more easily centered on the radius bone. The distal radius plate has two main portions: an elongated portion that attaches to the body of the radius and a distal radius portion that attaches to the lower most, wider portion of the radius bone. Because of its ergonomic shape the distal radius plate is fast and easy to center on the radius and install. In another embodiment, the distal radius plate may include a metal support that is partially or entirely covered with a plastic to eliminate or reduce detailed machining of the metal, which reduces part cost and manufacturing time.

Abstract: A surgical implant includes a first portion and a second portion. The first portion includes a body and connector assemblies. The body includes a posterior surface and defines a first bore defining an acute angle with respect to a first axis that is orthogonal to the posterior surface. The connector assemblies are disposed on opposing lateral sides of the body. Each connector assembly is selectively rotatable relative to the body. The second portion includes a base extending in a cephalad direction from the first portion, and an extension extending in the cephalad direction from the base. The base defines second bores configured to receive respective bone screws. The extension defines a third bore. The first bore of the body and the third bore of the extension define a second axis. The second bores are defined along a third axis orthogonal to the second axis.

Abstract: A method of performing an anterior cervical fusion procedure is provided. The method includes creating a void in a first vertebral body of a cervical vertebra, the void beginning anteriorly and directed posteriorly creating an exit at a posterior aspect of the vertebral body, after the creation of the void in the first vertebral body, removing at least a portion of a cervical intervertebral disc, the disc located between and adjacent to the first vertebral body and a second vertebral body, and performing a fusion procedure between the first vertebral body and the second vertebral body.

Abstract: A modular crimpable bone plate system, including: a first rod and a second rod; and a plurality of rod connectors, wherein the rod connectors further include: a first tube and a second tube configured to slide over the first and second rods; a first leg and a second leg each connected between the first and second tubes; and an opening between the first and second legs and between the first and second tubes, where in the opening is configured to accept a screw head of a screw; wherein the first and second tubes are configured to be crimped onto the first and second rods, and wherein the first leg and second leg are configured to be crimped onto the screw.

Abstract: Systems and methods for registering and tracking multiple anatomical structures, e.g., multiple vertebrae, as a single functional unit for surgical procedures are disclosed herein. In some embodiments, the system can include a bone bridge for attaching a navigation marker to multiple vertebrae and for limiting or preventing movement between the multiple vertebrae. Various ways of attaching the bone bridge are disclosed, including fasteners that extend through gaps or throughholes formed in the bridge, bridges having a jaw portion that clamps the underlying bone, and bridges formed of adhesive or cement and directly attached to the bone. Various adjustment features are also disclosed, including joints that allow the position and/or orientation of the bridge to be adjusted in one or more degrees of freedom, and bridges that include telescoping portions or other features for adjusting a length of the bridge.

Abstract: An adaptable spinal facet joint prosthesis may include a pedicle fixation element; a laminar fixation element; and a facet joint bearing surface having a location adaptable with respect at least one of the pedicle fixation element and the laminar fixation element. Methods of implanting an adaptable spinal facet joint prosthesis may include determining a desired position for a facet joint bearing surface; and attaching a prosthesis comprising a facet joint bearing surface to a pedicle portion of a vertebra and a lamina portion of a vertebra to place the facet joint bearing surface in the desired position. A facet joint prosthesis implant tool may include a tool guide adapted to guide a vertebra cutting tool; and first and second fixation hole alignment elements extending from the saw guide. Systems for treating spinal pathologies may include intervertebral discs in combination with spinal and facet joint prostheses.

Abstract: Growth directed correction of a spine via apical vertebral control includes securing a correction system to a first vertebra and a second vertebra of the spine, the correction system defining a correction axis extending between the first and second vertebra and securing the correction system to a third vertebra intermediate the first and second vertebra, the correction system securing the third vertebra at a fixed distance from the correction axis. The correction system is secured to the first and second vertebra such that the first and second vertebra are able to grow away from one another in a direction substantially parallel to the correction axis.

Abstract: A spinal stabilization system including a connecting rod and a bone screw. The connecting rod includes an elongate rounded section, an elongate head portion, and a neck portion connecting the elongate rounded section with the elongate head portion. The bone screw includes a head portion defining a slot, a shank extending longitudinally from the head portion, and a set screw configured to secure the connecting rod in the slot. The head portion includes a pair of radially opposing walls defining the slot therebetween. The head portion includes a trailing end and a leading end. The trailing end includes a guide member defining an aperture configured and dimensioned to receive the set screw therethrough. The aperture is in communication with the slot. In particular, the guide member interconnects the pair of radially opposing walls.

Abstract: An implant preshaped before placement anteriorly between a superior endplate and an inferior endplate within a void created by a transcorporeal procedure in a vertebra, the implant having no circular cross-sectional dimension.

Abstract: The present invention discloses fusion systems and methods of assembly and use. The fusion systems include a first fastener, a second fastener, and an elongate member with a first end and a second end. The first end being secured to the first fastener and the second end being secure to the second fastener. The method of assembling a fusion system and methods of using the fusion systems are also disclosed.

Abstract: A lateral plate assembly has an elongated lateral plate for attachment to adjacent vertebrae having a first end portion and a second end portion and a pair of apertures for receiving a first and a second bone screw. The pair of apertures includes a first aperture which is an opening positioned in the first end portion for receiving the first bone screw and a second aperture which is a slotted opening to receive the second bone screw. The second end portion of the lateral plate has an open end with channelled internal sides for receiving and holding a moveable washer on top of the slotted opening. The washer is configured to move along a length of the slotted aperture. The moveable washer has an opening for holding a head of the second bone screw. Movement of the washer relative to the slotted opening increases or decreases the distance between locations of the respective screw heads.

Abstract: A prosthetic disc for insertion between adjacent vertebrae includes upper and lower plates, a core disposed between the plates, and at least one projection extending from at least one of the upper and lower curved surfaces of the core into at least one recess of one of the inner surfaces of the plates. The recess is oversize with respect to the projection to allow sliding movement of the plate over the core while retaining the core between the plates during such sliding movement. The projection(s) may include a rod extending through an axial hole in the core, multiple surface features of the core, or the like.

Abstract: A percutaneous revision implant for percutaneously revising an existing implant located in the spine of a patient may include, for example, extending the existing implant construct to span additional portions of the spine of the patient. The percutaneous revision implant comprises a proximal end portion and a distal end portion. The proximal end portion comprises a connector having two opposable walls joined at one end to define a cavity having a first longitudinal axis. The cavity is suitable to receive and engage a rod of the existing implant. The percutaneous revision implant of the invention permits a medical practitioner to extend an existing implant construct without significantly disrupting or removing the existing implant or its component parts. A method of using same is also provided.

Abstract: A dynamic fixation medical implant having at least two bone anchors includes a longitudinal connecting member assembly having a core portion made from at least one pre-tensioned flexible member and a cooperating pre-compressed surrounding outer sleeve. The sleeve surrounds the core and is disposed between cooperating rigid end members that are attached to the bone anchors.

Abstract: A growth control device includes a bone plate having a stepped profile defined by a first level, a second level and an intermediate ramp connecting the first and second levels. The first level includes a first threaded hole for receiving a first bone fastener and the second level includes a second threaded hole for receiving a second bone fastener. The bone plate includes a proximal pair of side female notches, a distal pair of side female notches, a proximal guide hole and a distal guide hole.

Abstract: A vertebral insert may include a first linkage, a second linkage, and a third linkage. The first, second, and third linkages may at least partially defining a cavity. The insert may be movable between a collapsed configuration and an expanded configuration, and the movement of the first and second linkages with respect to one another may be configured to reciprocally move the insert between the collapsed and expanded configurations.

Abstract: Spinal implants for limiting flexion of the spine are implanted between a superior spinous process and an inferior spinous process or sacrum. The implants include upper straps which are placed over the upper spinous process, while the lower portions of the implant are attached to the adjacent vertebra or sacrum. The attachments may be fixed, for example using screws or other anchors, or may be non-fixed, for example by placing a loop strap through a hole in the spinous process or sacrum.

Abstract: An implant preshaped before placement anteriorly between a superior endplate and an inferior endplate within a void created by a transcorporeal procedure in a vertebra, the implant having no circular cross-sectional dimension.

Abstract: Orthopedic fixation devices and methods of installing the same. The orthopedic fixation device may include a coupling element and a bone fastener, whereby the bone fastener can be loaded into the coupling element through the bottom of a bore in the coupling element.

Abstract: Bone anchor assemblies are disclosed herein that can provide for improved fixation as compared with traditional bone anchor assemblies. An exemplary assembly can include a bracket or wing that extends down from the receiver member and accommodates one or more auxiliary bone anchors that augment the fixation of the assembly's primary bone anchor. Another exemplary assembly can include a plate that is seated between the receiver member and the rod and accommodates one or more auxiliary bone anchors that augment the fixation of the assembly's primary bone anchor. Another exemplary assembly can include a hook that extends out from the receiver member to hook onto an anatomical structure or another implant to augment the fixation of the assembly's primary bone anchor. Surgical methods using the bone anchor assemblies described herein are also disclosed.

Abstract: This invention is the method of treating an ailment associated with the cervical portion of the spine by performing an intravertebral corpectomy that includes the steps of removing the vertebral corpus to define a working channel for the surgeon to gain access to the epidural space so as to attend to and perform a procedure on the pathology. This method obviates the problems incidental to more radical cervical spine operations such as discectomy or corpectomy which requires removal of a portion of the vertebra and adjacent intervertebral discs for decompression of the cervical spinal cord and spinal nerves and using a bone graft with or without a metal plate and screws to reconstruct the spine and provide stability. Prior to terminating the surgery, the opening formed by the removed vertebral corpus is fitted and/or filled with a suitable implant.

Abstract: A total artificial spinous process (spino)-laminar prosthesis (TASP-LP) including a body having a portion forming a spinous process extending away from the body, a first lamina portion extending from a first side of the body, and a second lamina portion extending from a second side of the body, wherein the first lamina portion and the second lamina portion are disposed on opposite sides of the spinous process.

Abstract: A spinal rod includes a central connector and first and second legs. The central connector has first and second ends. The first leg has first, second, and third sections. The first section of the first leg is directly coupled to the first end of the central connector. The second leg has first, second, and third sections. The first section of the second leg is directly coupled to the second end of the central connector. The second leg is spaced apart from the first leg to define a gap therebetween. The spinal rod defines a longitudinal axis and each of the second sections is parallel to the longitudinal axis in first and second planes that are orthogonal to one another. The first plane passes through each of the second sections which are each offset from the longitudinal axis. The second plane passes through the central connector and bisects the spinal rod.

Abstract: A spinal stabilization system including a connecting rod and a bone screw. The connecting rod includes an elongate rounded section, an elongate head portion, and a neck portion connecting the elongate rounded section with the elongate head portion. The bone screw includes a head portion defining a slot, a shank extending longitudinally from the head portion, and a set screw configured to secure the connecting rod in the slot. The head portion includes a pair of radially opposing walls defining the slot therebetween. The head portion includes a trailing end and a leading end. The trailing end includes a guide member defining an aperture configured and dimensioned to receive the set screw therethrough. The aperture is in communication with the slot. In particular, the guide member interconnects the pair of radially opposing walls.

Abstract: A connector for connecting an implant device to tissue of a person's body. The connector including a frame having first and second arms. The first and second arms define an opening, where at least a portion of the implant device is inserted through the opening. After insertion, an additional securing member is connected to the frame. The securing member is adapted to receive at least one suture to secure the frame to the tissue. The connector includes an adjuster that is movably connected to the first and second arms, where the adjuster is operable to cause the first and second arms to move toward each other and engage the implant device.

Abstract: A spinal screw assembly is provided. The assembly may be provided with a screw and a movable head in which angulation of the screw relative to the movable head is constrained so that angulation within limits is allowed in one plane but lesser or no angulation is allowed in another plane. Methods to assemble the disclosed apparatus are also disclosed.

Abstract: Disclosed is an atlantoaxial joint replacement device and method that allows up to full normal axial rotation while stabilizing C1-C2 vertebrae. The device includes a rail member curved in a circular path with a path of curvature oriented in an axial plane. The rail member includes a track body having a non-circular cross-sectional shape. A rider member is slidingly coupled to the rail member and includes a body defining a through slot that receives there through the rail member. The through slot has a non-circular cross-sectional shape compatible to the non-circular cross-sectional shape of the track body of the rail member.

Abstract: In accordance with embodiments of the present invention, a rod extension for extending a fusion construct is provided. The rod extension allows a surgeon to connect a stabilization rod implant to at least a portion of a patient's spine, and also to connect the stabilization rod implant to an existing implant that has been previously installed in the patient. The existing fusion implant typically includes at least one existing pedicle screw, at least one existing rod, and at least one existing connector interconnecting the existing pedicle screw to the existing rod. The extension implant comprises a rod, an offset beam connected to the rod, and a clamp interconnected to the offset beam, wherein the clamp can be secured to the existing rod, thereby extending the fusion construct. A method of use is also provided.

Abstract: Embodiments of an orthopedic implant device and system, and methods for implanting them, are disclosed. The implant may include a receiver member having a channel for accommodating an elongated rod or other longitudinal member, a bone anchoring member such as a screw or hook, and a base member rotatable with respect to the receiver member for retaining the bone anchoring member in the receiver member. The base member is configured to allow at least two different degrees of maximum angulation of the bone anchoring member with respect to the receiver member. The number and relative direction of such angulations are independent of the orientation of the channel or other part of the receiving member.

Abstract: A spinal construct comprises at least one spinal implant connected with vertebrae and a member extending between a first end including, at least one part configured for connection to tissue of a rib cage and a second end configured for connection with the at least one spinal implant. Systems and methods are disclosed.

Abstract: An implantable body for a posterior stabilization system includes a lateral end, a medial end, an inwardly facing surface configured to abut against a lamina when the body is implanted along a vertebra. A lateral bone outrigger extends from the inwardly facing surface and may include a bone-abutting surface along a medial portion disposed to abut against a lateral mass of the vertebra when the body is implanted along a vertebra. The lateral bone outrigger may have a first height. A penetrating feature extends from the inwardly facing surface between the bone-engaging portion of the inwardly facing surface and the lateral bone outrigger. The penetrating feature may have a second height less than the first height. A fastener bore extends through the body at an angle toward the lateral bone outrigger.

Abstract: Embodiments disclosed herein provide compression/distraction methods and tools useful for fitting a spinal stabilization system in a patient through minimally invasive surgery. The spinal stabilization system may comprise screws anchored in vertebrae. The vertebrae may need to be compressed or distracted. One embodiment of an instrument disclosed herein may comprise a shaft for engaging one of the screws through an extender sleeve. A driver may engage another screw through an opening of the instrument. Through this engagement, a surgeon may use the rack and pinion of the instrument to compress or distract one or more levels of the vertebrae in a parallel motion, which can be advantageous clinically in certain situations.

Abstract: Methods, systems, and apparatuses are disclosed for spinal fixation. In one example embodiment, a minimally invasive crosslink apparatus with an elongated shaft portion, a self-drilling tip portion, and a posterolateral delivery device is provided. In this example embodiment, the elongated shaft portion is configured to connect to at least one of a vertical fixation rod and a pedicle screw head.

Abstract: Provided are rod coupler devices, systems, kits and methods, which include at least one saddle having a concave configuration that either abuts a bone fastener and/or a locking cap and is shaped so as to contact the rod in two or more lines of contact, which reduces pressure on the rod, and therefore permits use of a rod having various materials, such as PEEK, without significant deformation of the rod. Also provided is the saddle itself and integrated locking caps that include a saddle, the locking cap and a set screw. Also provided are elongate rods having advantageous shapes, configurations, and/or compositions for rod coupler devices, systems and methods. Further provided are screw and cap devices and systems that themselves include a concave configuration so as to contact a rod in two or more lines of contact, which reduces pressure on the rod.

Abstract: Methods and devices are provided for manipulating a vertebra. In one embodiment, a surgical device can include a frame configured to couple two or more surgical instruments attached to one or more vertebrae. Coupling the two or more surgical instruments together, the frame and/or at least one of the surgical instruments can be manipulated to move at least one of the surgical instruments, thereby effecting movement at least one of the vertebra or vertebrae to which the surgical instruments coupled to the frame are attached. In this way, the surgical device can be used to facilitate rotation of a vertebra relative to another vertebra to correct the angular relationship of the vertebrae.

Abstract: Treatment of spinal irregularities, including, in one or more embodiments, dynamic spine stabilizers and systems that can be used to stabilize one or more motion segments in a patient's spine. Spine stabilization systems may comprise a first bone fastener configured to attach the spine stabilization system to a first vertebra. Spine stabilization systems further may comprise a second bone fastener configured to attach the spine stabilization system to a second vertebra. Spine stabilization systems further may comprise a dynamic spine stabilizer configured to connect the first bone fastener and the second bone fastener with at least some relative movement between the first bone fastener and the second bone fastener.

Abstract: A spinal stabilization system includes a connecting rod, a rod bending device, and a plurality of bone screws. The connecting rod includes an elongate round portion, an elongate head portion and a neck portion connecting the elongate round portion with the elongate head portion. The rod bending device includes an elongate body defining an aperture configured and dimensioned to receive the connecting rod therethrough in a single orientation. The bone screws include a housing portion and a screw shaft distally extending from the housing portion. The housing portion includes an inner housing and an outer housing slidably surrounding at least a portion of the inner housing. The inner housing defines a slot configured and dimensioned to releasably secure the elongate round portion of the connecting rod therein. The outer housing is movable relative to the inner housing between an unlocked state and a locked state.

Abstract: The anchor member (1) includes an anchoring base (2) having a peripheral proximal wall (5) that inwardly delimits a proximal cavity, and a proximal stud (3) including a distal articulation portion (7) received in the proximal cavity, the proximal wall (5) including a peripheral proximal rim (6) ensuring retention of the distal articulation portion (7) in that proximal cavity.

Abstract: A spinal fixation system is provided that, in one form, comprises a pedicle screw assembly having a coupling device with an elongate member for guiding a fixation element, such as a spinal rod, into the coupling device and a lock device for fixing the spinal rod to the coupling device. The pedicle screw assembly may be passed through a small incision and connected to a vertebral bone. By connecting a second pedicle screw assembly to a second vertebral bone, the elongate members of the pedicle screw assemblies provide guideposts for directing the spinal rod subcutaneously between the pedicle screw assemblies and into the coupling devices thereof.

Abstract: Spinal implants for limiting flexion of the spine are implanted between a superior spinous process and an inferior spinous process or sacrum. The implants include upper straps which are placed over the upper spinous process, while the lower portions of the implant are attached to the adjacent vertebra or sacrum. The attachments may be fixed, for example using screws or other anchors, or may be non-fixed, for example by placing a loop strap through a hole in the spinous process or sacrum.

Abstract: This equipment comprises at least one rigid connecting bar (2), first and second bone anchoring members (3, 4) and first and second connecting parts (5, 6), capable of connecting the connecting bar (2) to said bone anchoring members (3, 4). According to the invention, each second bone anchoring member is in the form of a flexible ligament (4) capable of being engaged around the lamina (101) or an apophysis of a vertebra (100); each second connecting part (6) comprises a conduit (11) receiving said ligament (4) and means (12) for blocking said ligament (4) in the conduit, with tensing of the ligament (4), and each contact member includes at least one rotating part (16; 17) mounted in said second connecting part (6), capable of coming into contact with said connecting bar (2) by a point.

Abstract: Flexible, sliding, dynamic implant system, for selective stabilization and correction of the vertebral column deformities and instabilities is constituted of a set is constituted by a set of flexible vertebral implants, which are articulated, sliding and dynamic (1) that belongs to the prosthetic and implants medicine field, constituted of two linear parallel sequences of U-shaped supports or platforms (3) where each pair of the sequence is connected with selective mobility to pedicular screws (4) fixed, also in parity, in the due posterior bony portion (5) of each vertebra (6) two thin, continue and flexible metallic blades (8) are coupled between the edges (lateral portion of the platforms with tracks (7) which belong to each U-shaped support. The inferior thin blade (8) is a fixed to the first U-shaped support (3) which corresponds to the first inferior vertebra (6) of the vertebral portion to be implanted.

Abstract: An ablation device including a handle portion, a shaft and at least one cable. The shaft extends distally from the handle portion and includes an inner conductor and an outer conductor that substantially surrounds at least a portion of the inner conductor. The cable extends from the handle portion along at least a portion of the shaft. The distal tip of the inner conductor is positionable distally beyond a distal-most end of the outer conductor. In response to movement of the at least one cable relative to the handle portion, the distal tip of the outer conductor is movable form a first position where the distal tip is substantially aligned with a longitudinal axis defined by the outer conductor to at least a second position where the distal tip is disposed at an angle relative to the longitudinal axis.

Abstract: A spine or spinal rod has a cross-section defining angled sides that cooperate with a spinal rod opening of a spinal rod holder. In one form, the spine rod has an essentially pentagonal cross-section that thus essentially defines angled sides or side surfaces that interact with the spinal rod holder opening to positively seat the spine rod into the spinal rod holder and prevent spine rod from rotation. In the pentagonal cross-section form, the spine rod has a top or posterior side/side surface, a bottom or anterior side/side surface, a first lateral side/side surface, a second lateral side/side surface, a first angled sub-lateral side/side surface and a second angled sub-lateral side/side surface. The first and second angled sub-lateral sides/side surfaces provide contact with angled sides of the spine rod holder opening. In another form, the spine rod has an essentially V-shaped cross-section that defines sides/side surfaces that interact with the spinal rod holder opening.