Abstract: A spinal implant comprising an elongate body insertable between adjacent vertebrae, the elongate body comprising first and second portions, the first and second portions each having an internal surface, the internal surface of the first portion facing the internal surface of the second portion in use, at least part of each internal surface of the first and second portions being threaded, the spinal implant further comprising a bolt, at least part of the bolt being externally tapered and externally threaded, the external threads of the bolt corresponding with the threads of the internal surfaces of the first and second portions, wherein the bolt is insertable between the first and second portions of the elongate body such that the external threads of the bolt engage with the internal threads of the elongate body, whereby rotation of the bolt in the threaded internal surfaces of the first and second portions causes relative movement of first and second portions away from one another.

Abstract: A polyaxial bone anchoring device includes a bone anchoring element having a shank and a head, a head receiving part having a first end, an open second end, and a hollow interior portion in communication with the open second end for receiving the head therein, the head receiving part being flexible for clamping the head, a locking ring configured to be mounted around the head receiving part and having a rod receiving portion, a cap configured to be connected to the head receiving part, and a locking element configured to extend from the cap to engage an inserted rod, wherein the head is pivotable in and the cap and the locking ring are rotatable relative to the head receiving part, and wherein when the locking element is tightened, an inserted rod and an angular position of the bone anchoring element are locked relative to the head receiving part.

Abstract: A bone screw assembly includes an anchor portion and a head portion, such as a rod-receiving portion, movably mounted to the anchor portion to allow for controlled angulation between the anchor portion and the head portion. The anchor portion is pivotable in one or more selected directions about an axis relative to the head portion. A restriction member, which may be a rod seat, prevents the anchor portion from pivoting in one or more different directions about another axis relative to the head portion and/or a spinal fixation element received in the head portion. The restriction member may be inserted in the head portion to control direction that the anchor portion pivots relative to the head portion. The restriction member may also serve as a compression member and/or rod seat for seating a spinal rod coupled to the bone screw assembly.

Abstract: A telescopically adjustable strut for use with orthopedic external fixators has a first end and a second end and includes a universal-hinged connector provided at each of the first and second ends for connecting the strut to orthopedic external fixator base members. The universal-hinged connector is configured and adapted for pivoting the strut relative to the base members and to lock the universal-hinged connector at a desired angle.

Abstract: The present teachings provide one or more surgical implements for repairing damaged tissue, such as in the case of a spinal fixation procedure. A bone anchor is provided. The anchor can include a bone fastener. The bone fastener can include a head and a second end adapted to engage an anatomy. The bone fastener can extend along a longitudinal axis. The anchor can also include a coupling arrangement coupled to the head of the bone fastener so that the bone fastener is rotatable about the longitudinal axis to define a first plane of motion. The anchor can further include a saddle, which can be coupled to the coupling arrangement. The saddle can be movable relative to at least one of the bone fastener and the coupling arrangement to define a second plane of motion.

Abstract: A bone screw system is presented. The bone screw system has a fixation element, a receiving element, coupling element, and a compression element. In one aspect, the fixation element is adapted to engage a bone and has a head portion and a threaded shank portion.

Abstract: A polyaxial bone screw assembly includes a threaded shank body having an upper capture structure, a head and a closed retainer ring. The external capture structure surface and retainer ring internal bore surface are both threaded for rotatable attachment within a cavity of the head. The head has a U-shaped cradle defining a channel for receiving a spinal fixation rod. The head channel communicates with the cavity and further with a restrictive opening that allows for loading the capture structure into the head but prevents passage of the closed retainer ring out of the head. The retainer ring has an external substantially spherical surface that mates with an internal surface of the head, providing a ball joint, enabling the head to be disposed at an angle relative to the shank body. The threaded capture structure or the closed retainer structure includes a tool engagement formation and gripping surfaces for non-slip engagement by a tool for driving the shank body into bone.

Abstract: A spinal stabilization system may be formed in a patient. In some embodiments, a minimally invasive procedure may be used to form a spinal stabilization system in a patient Bone fastener assemblies may be coupled to vertebrae Each bone fastener assembly may include a bone fastener and a collar. The collar may be rotated and/or angulated relative to the bone fastener. Detachable members may be coupled to the collar to allow for formation of the spinal stabilization system through a small skin incision. The detachable members may allow for alignment of the collars to facilitate insertion of an elongated member in the collars. An elongated member may be positioned in the collars and a closure member may be used to secure the elongated member to the collars.

Abstract: A polyaxial bone anchoring device is provided including an anchoring element (1) having a shank (2) for anchoring in the bone and a head (3), the head comprising a spherically-shaped outer surface portion (3a); a receiving part (4) configured to be pivotably connected to said head (3), the receiving part having a first end (4a), a second end (4b), a central axis (C) extending through the first end (4a) and the second end (4b), a channel (42) for receiving a rod (100), an accommodation space (44) for accommodating the head (3), the accommodation space (44) having a lower opening (45) at the second end (4b), and a coaxial passage (41) extending from the first end (4a) into the accommodation space (44), a cap member (6, 6?) that is arranged at least partially in the accommodation space (44), the cap member (6, 6?) having a first portion (61) that is configured to be positioned at least partially around the head (3), wherein the first portion (61) is expandable in the accommodation space (44) to allow insertion o

Abstract: A tool set for implanting bone screws in a human spine, followed by the implantation of a rod into the bone screws includes end guide tools having flexible back wall flaps that receive opposite ends of the rod and intermediate guide tools that hold the rod in intermediate locations between the end guide tools. Both the end and intermediate guide tools include an attachment structure for operably connecting the guide tool to a bone screw. The attachment structure includes an undercut and/or recess so as to resist splaying and separation of the guide tool from an attached bone screw.

Abstract: A spinal fixation system comprising at least one fastener having a fastener head at a proximal end and at least one body. The body comprises a rod receiving channel for receiving a fixation rod, a pressure cap for engaging the fastener head, and a fastener head receiving chamber for retaining the fastener head within the body. The fastener head receiving chamber allows for multi-axial movement of the body in relation to the fastener when the pressure cap is disengaged from the fastener head. The body is secured in a mono-axial position in relation to the fastener when the pressure cap is biased against the fastener head.

Abstract: A receiving part for coupling a rod to a bone anchoring element includes a receiving part body including a rod receiving portion having a channel for receiving a rod, and a head receiving portion for accommodating a head of a bone anchoring element, the head receiving portion having an open end and being flexible for inserting and clamping of the head; and a locking ring around the head receiving portion, wherein in a pre-locking position, a spring portion on one of the locking ring or the receiving part body engages a corresponding portion on the other one of the locking ring or the receiving part body, and the locking ring exerts a first force onto the head receiving portion, and wherein in a locking position, the locking ring exerts a second force greater than the first force onto the head receiving portion to lock the head therein.

Abstract: A cervical polyaxial bone anchor includes a shank having an integral spherical head and a receiver having an upper channel for receiving a rod and a lower seat near a lower opening for receiving a closed retainer that includes a compressible upper portion engaged with the receiver seat and an expandable lower portion capturing the shank head. An outer sleeve slidable with the receiver prohibits expansion of the retainer lower portion during operation. A compression insert engages the retainer upper portion and is in friction fit with the shank head prior to fixing of an angle of the shank with respect to the receiver.

Abstract: The present disclosure relates, in some embodiments, to spinal fixation systems that may comprise a bone screw, a body, and a pressure cap. A bone screw may comprise a head at a proximal end, a bone connection element at a distal end, and an external protrusion on a head of a bone screw. A body may comprise a proximal end, a distal end, a mounting rod receiving channel at a proximal end, and a bone screw head receiving channel at a distal end. A portion of the mounting rod receiving channel may be operable to receive a compression element. A pressure cap may comprise a proximal end, distal end, and an internal recess on a distal end. An internal recess may be configured to mate with an external protrusion of a bone screw so as to limit the movement of a bone screw.

Abstract: The present teachings provide one or more surgical implements for repairing damaged tissue, such as in the case of a spinal fixation procedure. A bone anchor is provided. The anchor can include a bone fastener. The bone fastener can include a head and a second end adapted to engage an anatomy. The bone fastener can extend along a longitudinal axis. The anchor can also include a coupling arrangement coupled to the head of the bone fastener so that the bone fastener is rotatable about the longitudinal axis to define a first plane of motion. The anchor can further include a saddle, which can be coupled to the coupling arrangement. The saddle can be movable relative to at least one of the bone fastener and the coupling arrangement to define a second plane of motion.

Abstract: A method for stabilizing a spine includes providing a coupling element having upper and lower ends, a rod receiving opening adapted to receive an elongated stabilizing rod, a bone extending through the lower end and a conical-shaped seat surrounding the bore adjacent the lower end; providing a fastener having upper and lower ends, a head having a radial surface, and at least one anchoring element between the lower end of the fastener and the head; assembling the fastener with the coupling element so that the lower end of the fastener passes through the bore of the coupling element and the radial surface of the head engages the conical-shaped seat.

Abstract: A spinal rod connector assembly for use with a vertebral bone screw has an articulating clamp for 1) fixing an orientation of the spinal rod connector assembly relative to and on the vertebral bone screw, and 2) attaching a separate spinal rod onto the spinal rod connector assembly in concert with one another. The articulating clamp resides in a body of the spinal rod connector assembly and transfers a received downward force laterally to a spinal rod component of the spinal rod connector assembly which is configured to abut the spinal rod and hold the spinal rod between itself and a spinal rod holder of the spinal rod connector assembly. The articulating clamp thus improves the force transfer efficacy of the system.

Abstract: A tool set for implanting a rod in a human spine in conjunction with bone screws. The tool set includes a pair of end guide tools that receive opposite ends of the rod in channels and under manipulation by a surgeon facilitate transport of the rod toward the bone screws attached to the guide tools. Intermediate guide tools having guiding pass through slots are utilized to guide intermediate locations along the rod toward associated bone screws. An attachment structure operably connects the guide tools to the bone screws. The guide tools each include a lower guide and advancement structure to allow a closure top with mating structure to be rotated and driven downward against the rod and to cooperate with similar structure in the bone screw to seat and lock the rod therein. A method utilizing the tool set allows a surgeon to percutaneously implant the rod in the patient.

Abstract: A pedicle screw assembly having a spine rod clamping body designed for exhibiting a limited amount of elastic deformation at a region location between its spine rod mounting portion and its bone screw connecting portion. When the pedicle screw assembly is placed in a spine stabilization procedure, a limited amount of motion within the fixation apparatus as a result of the spine rod clamping body exhibiting a limited amount of elastic deformation at the region location between its spine rod mounting portion and its bone screw connecting portion. This limited amount of motion can accelerate bone fusion. By reducing movement-induced stress concentrations, the limited amount of elastic deformation provided by the spine rod clamping body can enhance a rate at which bone fusion progresses and can reduce the potential for damage to the interface between the bone screw and bone.

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: Exemplary spinal fixation devices, systems, and method are provided for stabilizing vertebrae in a patient's spine. In one exemplary embodiment, methods and devices are provided for coupling one or more bone anchors, such as hooks, screws, etc., and/or one or more spinal fixation elements, such as spinal rods, cables, plates, etc. In certain exemplary embodiments, a cross connector is provided for connecting and stabilizing two bone anchors, a bone anchor and a spinal fixation element, or a bone anchor and bone.

Abstract: A spinal implant (100) includes an anchoring part (110) adapted to be anchored to a vertebra and having first connecting elements (112), and a mounting part (120) including both an internal axial housing (151) to receive transversely a connecting rod (30), this axial housing being terminated beside the anchoring part (110) by a bottom (156), and also second connecting elements that cooperate with the first connecting elements to form a ball-joint connection between the anchoring part and the mounting part. The spinal implant includes retaining elements that are situated near the bottom of the axial housing of the mounting part that are adapted to fasten a locking member in a stationary so-called locking position in which the ball-joint connection formed by the first and second connecting elements is locked to fasten the anchoring part and the mounting part in rotation relative to each other about at least two orthogonal axes.

Abstract: Provided is a spinal fixation system including a taper lock screw including an inner housing and an outer housing that are translatable relative to one another to transition the taper lock screw between a locked position and an unlocked position. A locking device releasably connects to and operationally interacts with a flange of the taper lock screw. An unlocking device releasably connects to and operationally interacts with inner housing unlocking tool receptors of the taper lock screw to unlock the taper lock screw.

Abstract: Devices and methods for enhancing the effectiveness of spinal stabilization, and particularly that of cervical spinal stabilization, are provided herein. More specifically, methods and systems are disclosed for effectively positioning occipital plates and spinal fixation assemblies within target vertebrae, while also reducing any associated patient trauma (e.g., muscle stripping, tissue damage, etc.). The systems and methods can utilize trans-lamina delivery of the spinal fixation assemblies to allow for the positioning of the fixation elements along the midline of the patient's spine.

Abstract: A polyaxial bone anchoring device including an anchoring element including a shank and a head; a receiving part to pivotably receive the head, the receiving part having a first end, a second end, a central axis extending between the first and second ends, a coaxial bore, and first and second recesses on each side of the coaxial bore for receiving a rod, a longitudinal axis of the recess being substantially perpendicular to the central axis; a first clamping part having a rod supporting surface extending along the longitudinal axis and in the first recess when in the receiving part, a center of the first clamping part along a direction transverse to the longitudinal axis including a groove at the rod supporting surface; a second clamping part to exert pressure on the rod and in the first recess when in the receiving part; and a locking device to secure the rod.

Abstract: A spinal fixation system includes a rod and anchor devices that include a bone engaging fastener having a head defining a spherical socket. A ball insert is placed within the socket and rotated so that the ball insert is juxtaposed with the socket. The anchor device further includes a yoke defining a yoke channel for receiving the rod and a stem engaged to the ball insert captured within the socket. A sleeve disposed between the yoke channel and the fastener head supports the rod. A set screw is operable to clamp the rod against the sleeve and draw the insert into engagement within the socket. A friction element in the form of a wave spring is disposed between the yoke and the fastener head is configured to releasably retain the yoke in at least one discrete position relative to the fastener.

Abstract: Exemplary spinal fixation devices, systems, and method are provided for stabilizing vertebrae in a patient's spine. In one exemplary embodiment, methods and devices are provided for coupling one or more bone anchors, such as hooks, screws, etc., and/or one or more spinal fixation elements, such as spinal rods, cables, plates, etc. In certain exemplary embodiments, a cross connector is provided for connecting and stabilizing two bone anchors, a bone anchor and a spinal fixation element, or a bone anchor and bone.

Abstract: An apparatus is designed to attach an implant to bone in a manner that permits rotational adjustment of the implant about multiple axes prior to securement via the apparatus. The apparatus includes separate rotational and translational fasteners that can be individually locked to independently restrict rotation and translation of the implant relative to the bone. The rotational fastener includes an interpositional member, an expandable engagement member, and a rotational locking member that urges the expandable engagement member to advance along the interpositional member. The resulting expansion of the engagement member causes it to engage the implant. The rotational fastener is slidable along a fixation member implanted in the bone until the translational fastener is applied to restrict relative translation between the rotational fastener and the bone.

Abstract: Exemplary spinal fixation devices, systems, and method are provided for stabilizing vertebrae in a patient's spine. In one exemplary embodiment, methods and devices are provided for coupling one or more bone anchors, such as hooks, screws, etc., and/or one or more spinal fixation elements, such as spinal rods, cables, plates, etc. In certain exemplary embodiments, a cross connector is provided for connecting and stabilizing two bone anchors, a bone anchor and a spinal fixation element, or a bone anchor and bone.

Abstract: A stabilization device for bone parts or vertebrae includes two bone anchoring devices for anchoring in the bone parts or vertebrae. At least one of the bone anchoring devices includes an anchoring element with an anchoring section for anchoring in a bone part or a vertebra and a head, and a receiving part for receiving a stabilization rod. The receiving part has a seat for receiving the head so that the head can pivot with respect to the receiving part. The stabilization device includes a first pressure element which is movable in the receiving part so that it can be pressed onto the head to lock the angular position of the head. The stabilization device includes at least two stabilization rod sections, and at least two guiding channels within the receiving part which have a distance from each other for guiding through the at least two stabilization rod sections so that the rod sections do not touch each other.

Abstract: Coupling assemblies and systems and methods are provided with an anchor member movably coupled with a receiver member extending along a receiver axis. A seat member is movable in the receiver member to assume any one of a plurality of orientations corresponding to an orientation of a connecting element extending through the receiver member transversely to the receiver axis.

Abstract: A multi-axial expandable pedicle screw includes a hollow screw having a spherical shaped end for connecting with an adapting piece in the form of a universal joint structure. The hollow screw further includes a tip shaped end, and a bore formed inside the hollow structure having a taper shaped tip. Expansion gaps are formed in the hollow screw to uniformly set up two, three, four or more anterior fins on the hollow screw extending upward along its axial direction, from its tip to the bore. The hollow screw is configured to receive an inner needle disposed in the bore. This pedicle screw is easy to operate and provides a high degree of control in screw expansion with increased stability and reliability. At the same time, this pedicle screw reduces the occurrence of screw loosening, and screw pull-out events, and also reduces failure rates of spinal surgeries.

Abstract: The present invention is generally directed to orthopedic fixation devices that comprise 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: A polyaxial pedicle screw includes a housing, a bone screw member, and an anvil. The bone screw member includes a head and a threaded shaft extending from the head. The head is selectively securable within the housing. The anvil is positionable within the housing adjacent to the head of the bone screw member when the anvil and the head of the bone screw member are positioned within the housing. The anvil may define one or more grooves in an outer surface of the anvil. The groove defines a flap that is flexibly attached to the anvil to enable the anvil to flex an amount sufficient to maintain the head of the bone screw in constant contact with the anvil when the bone screw member is moved relative to the anvil.

Abstract: Pedicle screws that can include a pedicle screw body, housing, plurality of clamps, rod, and set screw are disclosed herein. The clamps may be positioned side by side inside the lower portion of the housing. When the rod and set screw are provided in the housing, the set screw applies a force on the rod and the rod engages the plurality of clamps, causing the clamps to frictionally engage a head of the pedicle screw between the clamps.

Abstract: The disclosure relates generally to embodiments of systems and methods of spinal stabilization. Embodiments include methods that use a dilator to displace tissue proximate to a sleeve. An embodiment of a surgical system can comprise a dilator that may define a working channel from a first opening to a second opening. The dilator can be positioned to displace tissue proximate to the sleeve. The dilator may be shaped to allow a first end of an elongated member to enter the working channel through the first opening and exit the dilator through the second opening to be percutaneously moved to another assembly.

Abstract: In one embodiment, the present invention includes a method of stabilizing a spine including providing a coupling element having an uppermost end defining a first plane, a lowermost end defining a second plane, and at least one bore extending from said uppermost end toward said lowermost end, wherein said first and second planes intersect one another, assembling said coupling element with an anchoring element, and after the assembling step, securing said anchoring element in bone.

Abstract: A device, system and method for orthopedic spine surgery using a novel screw-based retractor, disclosed herein, that allows for access to the spine through a minimally or less invasive approach. The retractor device is designed as a co-molded part of the tulip of a pedicle screw assembly with opposed arms of the retractor spread apart to open the wound proximally. The arms are removed by separating the arms from the tulip and removing them from the incision. The retractor device is intended to be made of a relatively stiff material, sterile packaged and disposable after one use. A system and method for using the retractor and performing a minimally invasive spine surgical procedure are also disclosed.

Abstract: The present invention generally is directed toward a spinal fixation system whereby a coupling element allows the physician to selectively lock or unlock either the connection between the coupling element and a fastener, such as to allow for repositioning of the coupling element, or the connection between the coupling element and an elongate rod. The locking or unlocking of these connections may be made independently and as desired by the physician.

Abstract: Presented herein is a bone screw system that comprises a fixation element, a receiving element, coupling element, and a compression element. The fixation element can be a screw. The receiving element defines an internal bore sized to receive the shank portion of the fixation element and a seat adapted to support the head portion of the fixation element. The seat of the receiving element is shaped to substantially conform to an exterior portion of the head portion of the fixation element. A breakaway groove is positioned externally on each leg or leg extension. The breakaway groove extends inwardly at least partially through the wall of each leg or leg extension. This creates an aperture or slit in the wall leaving the wall with at least on, preferably a pair of leg attachments on each leg or leg extension adjacent the aperture.

Abstract: Various exemplary methods and devices are provided for fixing bone anchors to bone. In general, the methods and devices can allow for a bone anchor to be fixed to a bone at a desired angle to a receiver member. In an exemplary embodiment, a bone anchor assembly is provided that includes a bone anchor configured to engage bone, a receiver member that polyaxially seats a spherical head of the bone anchor, and a compression member seated within the receiver member, proximally of the head of the bone anchor. The compression member can have a distal end with gripping features thereon configured to create at least one line contact and/or one band contact with the head of the bone anchor, thus providing a firm grip on the head of the bone anchor and reducing a risk of slippage of the bone anchor with respect to the receiver member.

Abstract: A polyaxial bone anchor has a locking element shaped and configured to allow an anchoring member (e.g., a screw or hook) to polyaxially rotate at large angles about a central axis of the bone anchor before compression locking the anchoring member within an anchor head.

Abstract: A pedicle screw construct includes a pedicle screw, a coupling, and a collet. The pedicle screw includes a shank having a helical thread formed thereon and a head at one end. The collet is positioned atop the head of the pedicle screw. The collet and pedicle screw are inserted into the coupling. The pedicle screw is rotatable and pivotable relative to the collet and coupling assembly. The collet and the coupling each have a saddle that is adapted and configured for receiving a rod member.

Abstract: The present invention generally is directed toward a spinal fixation system whereby a coupling element allows the physician to selectively lock or unlock either the connection between the coupling element and a fastener, such as to allow for repositioning of the coupling element, or the connection between the coupling element and an elongate rod. The locking or unlocking of these connections may be made independently and as desired by the physician.

Abstract: A bone anchoring device includes an anchoring element having a shank to be anchored in a bone or a vertebra, a receiving part connected to the shank the receiving part having a first end opposite to the shank and a second end facing the shank, a longitudinal axis passing through the two ends, a bore coaxial with the longitudinal axis extending from the first end through at least a portion of the receiving part and a substantially U-shaped recess for receiving a rod The U-shaped recess forms two free legs extending in the direction of the first end, the legs are provided with an internal thread. A locking device for securing the rod in the receiving part is provided which includes an external thread cooperating with the internal thread.

Abstract: A bone fastener comprises a proximal portion including an inner surface that defines a cavity. A carrier is disposed in fixed engagement with the inner surface and includes at least one arm defining a proximal face. A pivoting member is disposed with the carrier. The pivoting member defines an implant cavity with the proximal portion. A distal portion defines a longitudinal axis and is configured to penetrate tissue. The bone fastener further includes a first coupling member. The proximal portion is rotatable relative to the distal portion in a first plane of a body and the pivoting member is rotatable relative to the proximal portion in a second plane. The first coupling member is engageable with the proximal face such that the carrier engages the distal portion to fix the bone fastener in an orientation. Methods of use are disclosed.

Abstract: A trajectory guide for providing access to a target site of a living subject along a desired path comprises a baseplate including a clamp lock, a guide member at least partially contained within the baseplate and having a channel therein, a plurality of adjustable legs each including a first end and a second end, wherein the first end is coupled to the baseplate, and a leg lock coupled to each adjustable leg and moveable between an unlocked position and a locked position in order to set a desired length of the adjustable leg, wherein the adjustable legs and the guide member are structured to be adjusted to provide an infinite number of trajectories in three-dimensional space extending through the channel in the guide member toward a target.

Abstract: A device, system and method for orthopedic spine surgery using a novel screw-based retractor, disclosed herein, that allows for access to the spine through a minimally or less invasive approach. The retractor device is designed as a co-molded part of the tulip of a pedicle screw assembly with opposed arms of the retractor spread apart to open the wound proximally. The arms are removed by separating the arms from the tulip and removing them from the incision. The retractor device is intended to be made of a relatively stiff material, sterile packaged and disposable after one use. A system and method for using the retractor and performing a minimally invasive spine surgical procedure are also disclosed.

Abstract: A bone anchor (100) for attaching a rod (108) to a bone has an anchor member (106) for attachment to the bone and an anchor head (104) having a U-shaped opening for receiving the rod. The bone anchor also includes a locking cap (102) that has a main body (900) and a set screw (1000). Advantageously, in one embodiment the locking cap preferably is designed such that a single tool can be used to lock the locking cap in place on the anchor body preferably with a 90° turn and preferably then drive the set screw to clamp the rod. The locking cap also preferably non-threadingly engages the anchor body. The anchor body preferably has an inclined surface on its top surface which elastically deflects extending tabs on the main body to secure the locking cap to the anchor body. A method of implantation and assembly of the bone anchor are also described.

Abstract: In one embodiment of the present invention a system for connecting a fastener element (e.g., a pedicle screw) relative to a rod for the purposes of vertebral fixation is provided. The system may permit multi-axial movement between the fastener element and the rod. Further, the system may permit the angular relationship between the fastener element and the rod to be held in a desired orientation. For the purposes of describing and claiming the present invention, the term “rod” is intended to refer to any elongated structure. Such an elongated structure may be solid or hollow and may have any desired cross-section (e.g., circular, oval, square, rectangular). Further, for the purposes of describing and claiming the present invention, the term “interference fit” is intended to refer to physical contact between two or more components.