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

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 seats a spherical head of the bone anchor and a spinal fixation element, a compression member seated within the receiver member, proximally of the head of the bone anchor, and a closure mechanism seated within the receiver member, proximally of the compression member. One or more of the receiver member, the compression member, and the closure mechanism can have gripping features thereon configured to secure the bone anchor and/or the spinal fixation element within the receiver member, thereby reducing a risk of slippage of the bone anchor and/or the spinal fixation element with respect to the receiver member.

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 surface of the bone. In an exemplary embodiment, a bone anchor assembly is provided that includes a bone anchor configured to engage bone, a receiver member for seating a head of the bone anchor, and a compression member for securing the bone anchor at fixed angle with respect to the receiver member when the compression member is seated within the receiver member. Corresponding engagement features of the compression member and the receiver member can be engaged in a secured configuration to inhibit or prevent removal of the compression cap from the receiver member and optionally to substantially prevent longitudinal and/or rotational movement of the compression member with respect to the receiver member.

Abstract: Example embodiments relate generally to an apparatus operable to couple a pair of implantation rods that are surgically implanted adjacent to a plurality of vertebrae. Each implantation rod is secured by at least one fastener element having a head. The apparatus comprises at least one main assembly, said main assembly operable to move relative to a head of one of the fastener elements when not in a locked position. The apparatus also comprises a center link extending in an axial direction, said center link operable to move relative to the main assembly when not in a locked position. The main assembly is operable to receive the center link and a head of one of the fastener elements and secure the center link and the head relative to the main assembly when in a locked position.

Abstract: The present application generally relates to orthopedic stabilization systems, and in particular, to systems including clamps. The clamps can be used in addition to or to replace hooks that grasp onto bone members, such as the lamina. One example of such a clamp is an in-line clamp that includes a central opening for receiving a rod member, a first opening for receiving a set screw and a second opening for receiving an elastic member therethrough. Another example of such a clamp is an off-set clamp that includes an upper plate, a bottom plate, and an opening for receiving a rod therein. The upper plate can be separated from the bottom plate to make space for an elastic member that can be secured within the plates. Tulip clamps that utilize one or more elastic members are also provided.

Abstract: The present application generally relates to orthopedic stabilization systems, and in particular, to systems including clamps. The clamps can be used in addition to or to replace hooks that grasp onto bone members, such as the lamina. One example of such a clamp is an in-line clamp that includes a central opening for receiving a rod member, a first opening for receiving a set screw and a second opening for receiving an elastic member therethrough. Another example of such a clamp is an off-set clamp that includes an upper plate, a bottom plate, and an opening for receiving a rod therein. The upper plate can be separated from the bottom plate to make space for an elastic member that can be secured within the plates. Tulip clamps that utilize one or more elastic members are also provided.

Abstract: A cross connector for connecting elongated fixation elements, such as spinal fixation rods, includes a central body and one or more actuators. The rod to rod connector may include a first lever and a second lever coupled to the central body. The first lever may include a free end separated from the central body by a first channel. The second lever may include a free end separated from the central body by a second channel. The one or more actuators may be operable to pivot the first and second levers into a relatively closed position. When the first and second levers are in the relatively closed position, the free ends of the first and second levers are moved toward one another and toward the central body to contract the first and second channels.

Abstract: Provided is an iliosacral polyaxial screw system. A multiple part insert member is provided to secure the screw to the housing of the assembly to accommodate screws in which the shank diameter of the screw is greater than the bottom opening of the screw housing or greater than the opening of a ring member designed to capture the head of the screw in the housing.

Abstract: Provided is an iliosacral polyaxial screw system. A multiple part insert member is provided to secure the screw to the housing of the assembly to accommodate screws in which the shank diameter of the screw is greater than the bottom opening of the screw housing or greater than the opening of a ring member designed to capture the head of the screw in the housing.

Abstract: A coupling assembly is provided for coupling a rod to a bone anchoring element, the coupling assembly including a receiving part (5, 5?, 5?) with a top end (5a) and an opposite bottom end (5b); a section (52) for receiving the rod and an accommodation space (55, 56) for accommodating a head (3) of the bone anchoring element, the accommodation space being in communication with the top end of the receiving part through a passage (51; 120) and being in communication with the bottom end through an opening (57) at the bottom end for inserting the head; and a pressure element (7, 7?, 7?) located at least partially in the accommodation space, the pressure element having a cap portion (72) configured to encompass the head; wherein the pressure element (7, 7?, 7?) can assume in the receiving part an inserting position in which inserting of the head into the receiving part is permitted, a locking position in which the head can be locked in the receiving part and a pre-locking position in which the pressure element i

Abstract: The present disclosure relates, according to some embodiments, to orthopedic implantable device technology, and more specifically to implantable devices for use in stabilizing the occipitocervical junction and the cervical spine. For example, the disclosure relates to embodiments of an implantable orthopedic assembly generally comprising an occipital plate and one or more repositionable clamping assemblies for securing a stabilizing rod at a nonzero distance from a plate surface. One or more rails may extend laterally from a plate to support a clamping assemblies.

Abstract: Embodiments disclosed herein provide a method of placing a vertebral fixing system on a vertebra. The vertebral fixing system comprises a connecting part with members forming a space into which a rod may be inserted. The members are moveable relative to each other. A portion of a ligature may be passed through the connecting part to form a loop extending from the connecting part. When the rod is inserted in the space between the members, the ligature may be tensioned against the rod. The members of the connecting part may be driven together to hold the ligature in place. An adjustable locking means may be utilized to fix simultaneously in position the connecting part relative to the rod and at least one portion of the ligature relative to the connecting part, so as to prevent relative displacement of the rod and the vertebra in opposite directions.

Abstract: A posterior fixation system includes a saddle member, an anchoring member, an occipital plate, an occipital rod, and a cross-link connector. The anchoring member anchors the saddle member to bone. The saddle member includes a channel that is adapted to receive an orthopedic rod. The saddle member and the anchoring member can be coupled so as to allow multi-axial movement of the members. Connection of individual rods can be accomplished by connecting the rods with the cross-link connector. The occipital plate secures the rods to the occipital bone of the skull. Alternatively, the occipital rod can be secured to the occipital bone.

Abstract: A rod to rod connector includes at least one clamping assembly for receiving a first spinal rod. The clamping assembly may include a polyaxial articulation element. The articulation element may include a hollow body forming an opening. The clamping body may further include a pivot element configured to clamp the first spinal rod between the pivot element and a channel wall in the clamping assembly. The rod to rod connector may also include a connector member for connecting the clamping assembly to a second spinal rod. The connector member may include a socket configured to receive the polyaxial articulation element of the clamping assembly, with the articulation element polyaxially rotatable relative to the axis of the socket.

Abstract: A locking assembly for securing a rod in a polyaxial bone anchoring device includes a first locking element having a first end, a second end, an outer surface with an external advancement structure, an inner wall, an internal advancement structure on the inner wall, and an engagement portion for a tool, and a second locking element having a first end configured to be oriented towards the first end of the first locking element, an opposite second end, an outer surface with an external advancement structure configured to cooperate with the internal advancement structure of the first locking element, and a portion at the second end having a width greater than a greatest width of the external advancement structure of the second locking element, wherein the second locking element is configured to move axially relative to the bone anchoring device at a speed different than the first locking element.

Abstract: An anchoring member is provided suitable for use in a polyaxial bone anchoring device, the anchoring member (1) comprising a bone anchoring section (2) with a bone engagement structure in at least a portion of an outer surface thereof; a head (3); a central axis (C) extending through a center of the head (3) and the bone anchoring section (2), and a neck portion (24; 24?; 24?; 24??) between the hone anchoring section and the head, wherein the neck portion is asymmetric with respect to the central axis (C); and wherein the bone anchoring section (2) has a contour in a circumferential direction adjacent to the neck portion and wherein the neck portion is at least partially recessed with respect to the contour of the bone anchoring section at one side and extends beyond the contour of the bone anchoring section at an opposite side from the central axis.

Abstract: A bone fixing device includes a tubular member that has an end having an inside surface defining a constraint section. A fixing member has opposite ends respectively forming a movable joint section that is receivingly engageable with the constraint section and a threaded section that is attachable to a bone or a retention section that is snap-fit over a bone. The movable joint section forms a constraint face corresponding to the constraint section. The constraint section and the constraint face collectively constrain a swing direction of the fixing member. The movable joint section has a top end with which a constraint member is abuttingly engageable. Further, the tubular member forms an elongate constraint slot in a portion adjacent to the constraint section for constraining swing angle of the fixing member. The constraint slot has a length that is proportional to the swing angle of the fixing member.

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: 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. The orthopedic fixation devices described herein can include modular locking clamp assemblies that can be fixed onto fasteners that are already implanted in bone. The modular locking clamp assemblies can include polyaxial locking clamp assemblies, as well as monoaxial locking clamp assemblies.

Abstract: A stabilization assembly for stabilizing a vertebra or other bone includes: at least two rods having different diameters; an anchoring element having a shaft and a head; a receiving part for interchangeably receiving any one of the rods to connect the rod to the anchoring element, the receiving part including a rod receiving portion with a channel for receiving the rod, and a head receiving portion having an open end and being flexible to allow introduction and clamping of the head; and a locking ring configured to be arranged around the head receiving portion and to clamp the head in the head receiving portion; wherein the locking ring includes a contact surface configured to contact any one of the at least two rods at at least two distinct contact areas that are spaced apart from one another in a circumferential direction of the rod.

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

Abstract: A bone fixation assembly includes a plurality of bone fixation elements that each include a bone anchor configured to be implanted into underlying bone, such as a vertebra. Each bone anchor is received in an anchor seat, and the anchor seats are joined by a fixation rod so as to operatively couple and fix the position and orientation of the vertebrae relative to each other. The bone anchor is free to rotate relative to the anchor seat, and is also free to pivot in a desired direction relative to the anchor seat.

Abstract: A bone anchoring device for securement to a bone. The device includes an anchor, a receiver, a retainer and an insert. The receiver includes a seating surface defining a cavity communicating with the exterior of the receiver through a first opening configured to receive the connection head of the anchor therethrough. The retainer includes at least two discrete retaining members configured to engage with the receiver seating surface when they are captured between the connection head and the seating surface. The insert is disposed within the receiver and configured to frictionally engage the connection head. The insert includes a main body and at least one pin protruding from the main body, for circumferential insertion between two adjacent retaining members of the retainer.

Abstract: A fasterner and rod fusion device with extensions to support an adjacent vertebral body is provided. The extensions are connected to the fasterner and rod fusion device. The extensions include flexibly connected rods, bands, spacers, or the like to resist extension and/or flexion of the vertebral body(ies) adjacent a fusion site. Alternatively, the extensions may be coupled to a cross link between multiple rods.

Abstract: A transverse connector for coupling between first and second vertebral anchors of a spinal stabilization system. The transverse connector includes a first coupling assembly proximate a first end, a second coupling assembly proximate a second end, a first fastener having external threading configured to threadably engage an internal threaded portion of a housing of the first vertebral anchor, and a second fastener having external threading configured to threadably engage an internal threaded portion of a housing of the second vertebral anchor. Each of the first and second fasteners includes a spherical upper surface, such as a spherically concave upper surface. A spherical surface of each of the first and second coupling assemblies mates with the spherical upper surface of the respective fastener to provide multi-axial rotation of the transverse connector relative to the housings to permit a desired orientation of the transverse connector.

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

Abstract: A spinal screw assembly providing an adjustable securement of a fixation rod across at least two vertebrae. The assembly includes a pedicle screw having a spherical head portion, a threaded shaft portion and a tool engagement surface in the head portion for use in driving the screw into a vertebrae. The head portion of the screw is positioned in a body member adjacent a curvilinear surface disposed about an aperture in the end of the body member such that the shaft portion of the screw extends therethrough and the curvilinear inner surface abuts and mates with the head portion of the screw so as to define a ball joint therewith. The body member additionally defines a pair of opposed parallel slots therein adapted to receive a portion of the fixation rod and a locking cap bears against the fixation rod to releasably secure the rod within the assembly.

Abstract: The present disclosure includes a polyaxial bone fixation element for use in spinal fixation to interconnect a longitudinal spinal rod with a patient's vertebra. The polyaxial bone fixation element preferably includes a bone anchor, a collet, a body, and a locking cap. The polyaxial bone fixation element preferably enables in-situ assembly. That is, the polyaxial bone fixation element is preferably configured so that in use, the bone anchor may be secured to the patient's vertebra prior to being received within the body. Accordingly, the polyaxial bone fixation element enables a surgeon to implant the bone anchor without the body to maximize visibility and access around the anchoring site. Once the bone anchor has been secured to the patient's vertebra, the body can be snapped-onto the bone anchor. The bone anchor preferably also includes a second tool interface so that a surgical instrument can be directly coupled to the bone anchor.

Abstract: An anchor assembly for use in spinal fixation to interconnect a longitudinal spinal rod with a patient's vertebra. The anchor assembly preferably includes a bone anchor, a body with a rod-receiving channel, an insert member (preferably a bushing), and a locking cap. The anchor assembly enables in-situ assembly where the bone anchor may be secured to the patient's vertebra prior to being received within the body of the bone anchor assembly. Accordingly, the anchor assembly enables a surgeon to implant the bone anchor without the body to maximize visibility and access around the anchoring site. Once the bone anchor has been secured to the patient's vertebra, the body may be snapped onto the bone anchor and a spinal rod may be inserted into the rod-receiving channel.

Abstract: A clamp applicable to both temporary and definitive orthopaedic external fixation systems comprising a first coupling element having a pair of opposite jaws defining one or more seats to house a first component of the orthopaedic external fixation system. A second coupling element comprises a pair of opposite jaws defining one or more seats to house a second component of the orthopaedic external fixation system. An interconnection pin passes through and connects the first and second coupling elements along an axis of rotation. A fastening means is arranged to bring the clamp from a slack configuration. The first and second coupling elements are relatively rotatable along the axis of rotation to a locked configuration, and are relatively rotatable with each other. These fastening means include manually operable temporary fastening means to temporarily lock the clamp, and definitive fastening means operable with a fastening tool, to definitively lock the clamp.

Abstract: A multi-axial spinal cross-connector is configured for connection between spinal fixation devices such as spinal fixation rods. The cross-connector has first and second connection members that are joinable at a fixable pivot junction. The pivot junction allows the connection members to assume various positions relative to one another. A clamp is provided on each end of the first and second connection members whose open and closed states are controlled by fixation of a pivot structure which also fixates the positions of the first and second connection members relative to each other. The cross-connector provides single and/or multi-step locking of both end clamps at the pivot joint. The cross-connector also provides easy in situ sizing, positioning and adjustability.

Abstract: A connector is provided for linear implants such as spinal rods which are disposed within the coronal plane of a body. The connector includes a first portion having a first cavity for disposal therethrough of a first spinal rod. A second portion has a second cavity for the disposal therethrough of a second spinal rod. The second portion is rotatable relative to the first portion. Methods of use are disclosed.

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

Abstract: An instrument for assembling a polyaxial bone anchor is provided, the polyaxial bone anchor including a bone anchoring element (2) and a receiving part (4) that is configured to pivotably receive the bone anchoring element wherein the instrument (1, 1?) includes a first member (30, 30?) that is configured to engage the receiving part (4) a second member (50, 50?) that is configured to contact the anchoring element (2) when it is received in the receiving part, and a position indicator (50b, 45b) that is configured to indicate the position of the anchoring element relative to the receiving part based on the position of the second member relative to the first member.

Abstract: A locking device includes a first locking member including a first end, a second end, a central axis, an outer surface with an external thread, a coaxial bore, and an internal thread provided along at least a portion of the bore, and a second locking member including a first end, a second end, and an outer surface with an external thread. When the second locking member is positioned in the first locking member, the second locking member is movable along the central axis by rotating the second locking member. Movement of the second locking member is limited towards the first end of the first locking member by a first stop and towards the second end of the first locking member by a second stop, where at least one of the first stop or second stop is arranged in the bore of the first locking member.

Abstract: A spinal correction system includes at least one longitudinal element extending between a first portion and a second portion. At least one fixation element includes a first end and a second end that is configured for penetrating tissue. A coupling member is configured for disposal about the at least one longitudinal element. The coupling member includes a first part and a second part being movable relative to the first part between a first orientation and a second orientation such that an inner surface of the parts are fixed with the at least one longitudinal element. The parts include an outer surface such that in the second orientation, the coupling member is configured for a snap fit engagement with the at least one fixation element such that the parts are fixed with the first end. Methods of use are disclosed.

Abstract: A convex spinal fusion interbody space device includes spaced apart superior and inferior abutment surfaces which are effectively medially convex. The peak of such convexity is displaced anteriorly of a central plane through the device. The spacer device has a height which is greater than the width of the device. The spacer device is implanted between a pair of adjacent vertebrae by insertion in a tipped-over orientation and then reoriented to an upright orientation for engagement by facing surfaces of the vertebrae. Fusion promoting bone material is packed between the vertebrae and about and within the spacer device subsequent to implantation.

Abstract: Open implant closure structures include a helically wound guide and advancement flange form having splay control surfaces. Multi-start closures and closures with inner set screws have splay control contours for interlocking with cooperating flange forms of bone anchor receivers. Flange form heights, thicknesses and other geometry, such as splay control ramp angle may be varied.

Abstract: A multi-planar axial spinal rod connector includes a first portion, a second portion, and a connector assembly. The first portion defines a longitudinal axis and defines a first passage. The first passage is sized and configured to slidably receive a first spinal rod. The second portion defines a second longitudinal axis and defines a second passage. The second longitudinal axis is different from the first longitudinal axis. The second passage is sized and configured to slidably receive a second spinal rod. The connector assembly is configured to fix the first and second portions relative to one another such that the first and second longitudinal axes define an angle relative to one another.

Abstract: An axial spinal rod connector includes a central connector and first and second portions. The first and second portions are each integrally formed with the central connector to define a longitudinal axis. Each of the first and second portions includes an outer end portion and a set screw. The outer end portion defines a passage about the longitudinal axis and defines a blind hole orthogonal to the longitudinal axis. The blind hole extends into the passage. The passage is sized and configured to slidably receive a spinal rod. The set screw is sized and configured to engage the blind hole. The set screw at lease partially interfering with the passage when engaged with the blind hole to fix a spinal rod relative to the spinal rod connector.

Abstract: Apparatus and devices for percutaneously extending an existing spinal construct ipsilaterally with an additional spinal construct in a patient are disclosed. The additional spinal construct comprises a rod connector that includes an elongate additional rod integrally attached thereto. The additional rod is placed through an access port in a first orientation generally parallel to the longitudinal axis of the access port and rotated to a different second orientation generally transverse to the longitudinal axis of the access port. During such rotation the additional rod is moved subcutaneously beneath the skin of the patient from the existing spinal rod to an additional bone engaging implant. In another arrangement, the extension of an existing spinal construct in a minimally invasive procedure comprises a rod connector having an offset support for receiving an additional spinal rod that may be placed laterally interiorly or exteriorly of the existing spinal construct.

Abstract: A dynamic anchoring device is described. An element with a shank for anchoring in a bone or a vertebra and with a head connected to the shank is provided with a receiving part for the head and with an elastomeric pressure element acting on the head. The pressure element is formed and located in such a way that, upon a movement of the element from a first angular position of the shank relative to the receiving part into a second angular position, it exerts a return force on the head. Further, a dynamic stabilization device, in particular for vertebrae, is provided. In such a stabilization device, a rod is connected two anchoring devices. At least one of the anchoring devices is constructed as dynamic anchoring element.

Abstract: A spine screw assembly is adapted to be loaded from a bottom of a receiver member. The spine screw assembly includes a bone fastener with a head having a groove that removably accepts a clip. The clip acts to retain the head of the bone fastener in the receiver member.

Abstract: A shaft for anchoring in a vertebra or bone section is connected to a receiving part which serves to connect to a rod having a pre-determined diameter (D). The receiving part provides a U-shaped recess, forming a channel for the reception of the rod, and two legs. The legs are free on their ends and have a thread that cooperates with a securing element to fix the rod in the receiving part. When inserted into the receiving part, the rod surface facing an end surface is at a pre-determined distance (A) in an axial direction from the end surface. The thread of the legs extends from the end surface a distance that is smaller than or equal to the pre-determined distance (A). Also, an undercut is provided adjacent to the thread whose edge farthest away from the thread is located at a distance (B) from the end surface.

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

Abstract: A method for stabilizing the spine at the level of one or more vertebrae includes the step of inserting a pedicle connector through the pedicle of a vertebra from one of the anterior side and posterior side of the vertebra to the other of the anterior side and the posterior side of the vertebra. The pedicle connector is secured to a stabilization construct positioned adjacent to either the anterior side or posterior side of the vertebra. The process is repeated for the opposite side of the pedicle connector. A system for stabilizing the spine and a pedicle connector are also disclosed.

Abstract: A fastener assembly for a spinal fixation system that is particularly useful in treatment of pediatric and small-statured patients includes a fastener, an attachment member, and a locking member. The fastener has a lower portion for contacting a bone and an upper portion integral with the lower portion. The upper portion has two open channels. Each channel is configured and dimensioned to receive a portion of a longitudinal or connecting member along its circumference. The attachment member is positionable on the fastener and at least partially covers the channel that receives the longitudinal or connecting member. The locking member is operatively associated with the upper portion of the fastener and secures the attachment member and the longitudinal or connecting member to the fastener.

Abstract: A bone fastener includes a receiver defining a longitudinal axis and an implant cavity. A base is connected to the receiver and includes a wall extending along the longitudinal axis and defining a lateral opening. The base further includes a bearing surface connected to the wall. The wall and the bearing surface define an interior cavity of the base, wherein the bearing surface has a first thickness adjacent the lateral opening and a second thickness adjacent a portion of the wall disposed opposite the lateral opening, the first thickness being greater than the second thickness. The bone fastener further includes a bone penetrating member having a proximal end and a distal end, the proximal end being disposable in the interior cavity of the base. Methods of use are disclosed.

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.