Abstract: A bone fixation device has a housing on the exposed head of a screw mounted in a bone part from which it projects. A clamp for a fixation rod is mounted on a plate extending from each of opposite lateral sides of the housing in such a manner that allows the plate to rotate about a lateral axis relative to the housing. Each clamp is itself rotatable on its plate about an axis perpendicular to its respective lateral axis, and thereby provides universal movement relative to the housing. Mechanisms are provided for closing the clamps, for locking each plate against rotation about its lateral axis, and blocking each clamp against rotation about its perpendicular axis. In this way rods can be fixed in the clamps and relative to the device. In a particular embodiment, the plates are supported for pivotal movement about their lateral axes, on part-cylindrical surfaces on opposite lateral sides of the housing.

Abstract: Endosseous screw (1) for fixing a plate (102) to a bone site (300), comprising an at least partially threaded shaft (2), insertion means for inserting the screw into a bone site and a distal portion (33) provided for engaging said plate to fasten it to said bone site and comprising a head (3) having facets (30) defining an external peripheral profile provided for engagement with a tubular manipulating wrench, to allow the screw (1) to be extracted from the bone site (300) into which it has been inserted, wherein the facets (30) are curvilinear and the external peripheral profile defined by same facets (30) has a convex barrel-like shape, in order to allow a stable coupling between the tubular manipulating wrench and said profile, which is maintained during the untightening phase of screw from plate, even when said tubular manipulating wrench is oriented in an inclined direction with respect to a longitudinal axis (x) of the endosseous screw (1).

Abstract: A rod anchoring system including a bone anchor and a connector is provided. The connector of the rod anchoring system is configured to be inserted in one orientation and then transitioned to a second orientation to connect the rod to the anchor. The bone anchor includes a detachable extension shaft that acts as a guide for inserting the connector. In use, once the bone anchor has been implanted at a target site on a vertebra, the connector is placed onto the extension shaft and slid along its length in a first orientation to insert the connector. Once the connector is at the implant site, it is transitioned from the first orientation to the second orientation to connect the rod to the anchor.

Abstract: A bone engaging assembly includes first second bone engaging members. The first bone engaging member defines a first axis and has a first head and a first shaft. The first head defines one or more apertures therethrough. In embodiments, the first head defines a driver interface. The driver interface is defined within the first head and is configured to engage a driving instrument. In one embodiment, the first head includes a post extending from the first head that is configured to engage a rod coupling member. The second bone engaging member defines a second axis. The second bone engaging member defines a second head and a second shaft. The first axis of the first bone engaging member and the second axis of the second bone engaging member define an angle therebetween when the second bone engaging member is positioned within the one or more apertures of the first head.

Abstract: A configurable dynamic spinal rod for connecting levels of a dynamic stabilization system to support the spine while providing for the preservation of spinal motion. Embodiments of the dynamic stabilization system have an anchor system, a deflection system, a vertical rod system and a connection system. The deflection system provides dynamic stabilization and load-sharing. The dynamic spinal rod connects different levels of the construct in a multilevel construct. The dynamic spinal rod cooperates with the deflection system to further reduce stress exerted upon the bone anchors and spinal anatomy. A configurable lock is provided which can selectably lock an angle between the dynamic spinal rod and a dynamic bone anchor.

Abstract: Versatile polyaxial connector assemblies are provided for a dynamic stabilization system which supports the spine while providing for the preservation of spinal motion. Embodiments of the dynamic stabilization system include versatile polyaxial connectors in addition to bone anchors, a deflection system and a vertical rod system. The bone anchors connect the construct to the spinal anatomy. The deflection system provides dynamic stabilization while reducing the stress exerted upon the bone anchors and spinal anatomy. The vertical rod system spans different levels of the construct. The versatile polyaxial connectors include connectors mounted coaxially and/or offset with the bone anchors to adjustably connect the deflection system, vertical rod system and bone anchors allowing for safe, effective and efficient placement of the construct relative to the spine.

Abstract: A tulip assembly configured to be coupled to a head of a bone fixation device includes at least one inner member configured to fix the tulip assembly to the head of a bone fixation device, and an outer member including at least one engagement surface configured to selectively fix a rod in the tulip assembly via rotation of the outer member, wherein the fixation of the tulip assembly to the head of the bone fixation device is independent of the fixation of a rod in the tulip assembly.

Abstract: A polyaxial bone screw assembly includes a threaded shank body having an integral upper portion receivable in a receiver, the receiver having an upper channel for receiving a longitudinal connecting member and a lower cavity cooperating with a lower opening. A retaining member for capturing the shank in the receiver includes a sloping surface for a frictional, press fit, cammed engagement with the shank. A compression insert having a resilient structure provides non-floppy positioning of the shank with respect to the receiver and also independent locking of the shank with respect to the receiver.

Abstract: A bone fastener for use in orthopedic surgery for fixing an implant to bone has a threaded or unthreaded shaft configured to engage bone and a head having a thread on an outer surface to engage the implant. The thread on the head of the fastener has a profile in cross section that includes peaks with a curved shape.

Abstract: In an exemplary embodiment, the present invention provides a fastener assembly that can be used for the fixation or anchoring of orthopedic devices or instruments to bone tissue. In particular, the present invention preferably provides a low profile variable angle or fixed angle fastener assembly that is able to securely connect the orthopedic device to bone tissue. Furthermore, in an exemplary embodiment, the present invention provides a fastener assembly having a locking mechanism that will quickly and easily lock the fastener assembly with respect to the orthopedic device.

Abstract: A medical implant assembly includes a polyaxial bone anchor having a shank, a receiver, a lower compression insert with surfaces for closely receiving an elongate connecting member and a dual closure structure that may include a single flange or helical flange. The dual closure structure independently engages the connecting member and the lower compression insert. A threaded capture connection of the bone anchor includes a shank upper surface exclusively engaging the lower compression insert and a retainer threadably attached to the shank and spaced from the upper surface, the retainer configured for polyaxial motion with respect to the receiver prior to locking.

Abstract: A receiving part for receiving a rod for coupling the rod to a bone anchoring element includes a receiving part body including a first end and a second end, and having a substantially U-shaped recess at the first end forming a channel for receiving the rod, and an accommodation space for accommodating a head of the bone anchoring element, the accommodation space having an opening at the second end for introducing the head; and a pressure element arranged at least partially in the accommodation space, the pressure element including a first section having a second recess for receiving the rod, and a second section having a flexible portion to clamp the head, the first section and the second section being fixed relative to each other, wherein said pressure element is insertable from the opening.

Abstract: A screw and rod fixation assembly includes a body member including a screw seat for seating a screw head therein and a rod seat for seating a rod therein. An adjustable locking ring applies a locking force against the screw head seated in the screw seat and a locking cap adjustably applies a locking force against a rod seated in the rod seat. The adjustable screw locking ring and locking cap function independent of each other. A method of fixing the rod to the screw includes the steps of inserting a screw head into a screw seat in one end of a body member and inserting a rod into a rod seat in a second end of a body member and selectively and independently adjusting a locking force on both the screw head and the rod within the screw seat and rod seat, respectively.

Abstract: Fastening apparatus includes a fastener (30, 64, 120), including a threaded shaft (34, 126) having a thread diameter and a fastening element (36, 68, 124) having a head diameter, greater than the thread diameter. An annular washer (38, 40, 66, 70, 90, 100, 110, 122), including a shape memory material, is configured to fit over and surround the shaft and has an outer diameter no greater than the head diameter.

Abstract: A bone screw is provided that includes a tubular body having a first end and a closed second end. The tubular body has a tubular wall defining a cavity wherein the thickness of the wall in a radial direction is smaller than an inner radius of the cavity and wherein a plurality of recesses is provided extending entirely through the tubular wall into the cavity. The tubular body further includes an exterior bone thread on an exterior tubular surface portion of the tubular wall, a head at the first end configured to engage with a driver to advance the bone screw in the bone, and a tip at the second end. The tubular body, the head and the tip are formed as a single piece.

Abstract: A bone screw assembly includes a screw body, including anchor portion and rod-receiving portion, and a rod seat movably mounted in the screw body to allow for controlled angulation between a spinal connection element disposed in the rod seat and the screw body. The rod seat is pivotable in one or more selected directions about one or more axes relative to the screw body. The rod seat may include a first lower rod seat element disposed in a recess of the screw body having a cylindrical bottom surface to facilitate pivoting in a first direction. A second lower rod seat element is stacked on the first lower rod seat element and has a conical bottom surface abutting a top surface of the first lower rod seat element to facilitate pivoting in a second direction.

Abstract: A polyaxial screw assembly includes a pedicle screw, a coupling, an insert, and a housing. The pedicle screw includes a shank having a helical thread formed thereon and a head at one end. The coupling is positioned on top the pedicle screw and releasably engages portions of the head. The coupling and pedicle screw are positioned within a distal portion of the housing. The pedicle screw is slid through an opening in the insert and the insert is thread into the distal portion of the housing to retain the coupling and the pedicle screw within the housing. The pedicle screw is rotatable and pivotable relative to the housing. Compressing the coupling within the housing locks the pedicle screw in a desired orientation.

Abstract: A bone anchoring device includes an anchoring element having a head, a receiving portion having a first region adjacent to a second end for receiving the head and a recess which is open towards a first end to form two free legs for receiving a rod. The anchoring device further includes a pressure element configured to couple to the head, a first closure element and a second closure element. The first closure element cooperates with the legs to simultaneously fix the rod in the recess and fix the head in the receiving portion, and the second closure element cooperates with the legs, the second closure element acts on the pressure element and on the rod to independently fix the head in the receiving portion and fix the rod in the recess. The first closure element and the second closure element are interchangeable.

Abstract: An orthopedic screw, including a threaded shaft defining a longitudinal axis; a head defining a region able to receive at least a portion of a prosthesis, the head being coupled to the shaft such that the head is movably offset from the longitudinal axis in a direction substantially perpendicular to the longitudinal axis; and a spacing element positionable within the head, the spacing element defining a first alignment marker positionable adjacent a second alignment marker defined by the head.

Abstract: An anti-splay apparatus having a bridge and frangible connection points for use with mechanical fasteners having a shank portion and a receiving member with opposing arms is provided. The bridge may take a number of forms including a ring, a notched ring, a tube, or a notched tube and the connection points join the opposing arms of the receiving member with the bridge. Also provided is the anti-splay apparatus also having tabs connected between frangible connection points.

Abstract: A novel locking mechanism including a body and intermediate element and a method for locking the relative positions of a rod and a screw. The intermediate element is adapted to receive a rod and a head of a screw and is located between the rod and the head of the screw. The intermediate element has a non-circular shape such that at least one large non-contact area exists when the intermediate element is in contact with the head of the screw and the locking mechanism is fully engaged. The body is adapted to maintain the orientation of the non-circular intermediate element with respect to the body. The body also has at least one structure defining at least one distinct temporary stopping point for the intermediate element above the final locking position.

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 spinal screw assembly includes a bone-anchoring member, a washer, and a seat. The bone-anchoring member includes a main shaft, a washer head, and a spherical head. The spherical head extends upward from the top end of the main shaft and the washer head extends laterally from a location of the main shaft between the main shaft's top end and bottom end. The washer is polyaxially rotatable and positionable around the washer head and is configured to be placed at a first angle relative to the main shaft. The seat is polyaxially rotatable and positionable around the spherical head independent from the washer and is configured to be placed at a second angle relative to the main shaft, wherein the second angle is independent from the first angle.

Abstract: A bone screw is provided including a tubular body and a head as separate parts. The tubular body has a first end, a second end, a tubular wall defining a cavity and a plurality of openings extending through the tubular wall into the cavity. The tubular body also includes a continuous exterior bone thread on an exterior tubular surface of the tubular wall. The continuous exterior bone thread extends for at least one full revolution about the tubular surface. The head defines an inner bore and includes an engagement structure to engage with a driver to advance the bone screw in the bone when a rotating force from the driver is applied to the engagement structure in a first direction, and a connection structure to connect to the tubular body at the first end.

Abstract: In order to improve a bone screw with a shaft defining a longitudinal axis and with a head which can be brought into engagement with a bone screw receiving means of a bone plate for the releasable connection of the bone screw to the bone plate, wherein a securing element for securing a connection between the bone screw and the bone plate is provided, wherein the bone screw can be brought from a position of engagement, in which the bone screw is held on the bone plate, into a release position, in which the bone screw can be released from the bone plate, wherein the securing element can be brought from a non-securing position, in which the bone screw can be brought into the release position, into a securing position for securing the connection between the bone screw and the bone plate, in which the bone screw takes up the position of engagement, such that a bone plate can be fixed to bone parts more easily and more securely it is suggested that the securing element be supported on the bone screw so as to be mov

Abstract: An improved method and guide wire assembly used in a system, set of instrumentation and method comprising the combination and use of plural pedicle screws, a rod for connecting pedicle screws in a relatively rigid manner, and instrumentation to optimize insertion of the rod into the pedicle screws, the assembly having a guide wire and instrumentation to grasp a medial portion of the guide wire to pull the medial portion through all the pedicle screws and connecting the loop to the end of a fixation rod, whereby one end of the guide wire is mounted to a pedicle screw, all the screws are implanted into the vertebrae, and the rod subsequently guided into the pedicle screws by pulling the guide wire loop back through the pedicle screws, all using minimally invasive surgical incisions.

Abstract: A bone screw assembly includes a first bone screw, second bone screw, and a coupler. The first bone screw defines a first axis and the second bone screw defines a second axis. The coupler is operably associated with the first bone screw and the second bone screw. The coupler is adapted to mount the first bone screw and the second bone screw to adjacent bone structures. The first axis of the first bone screw and the second axis of the second bone screw define an angle therebetween. The first bone screw and the second bone screw are securable to each other.

Abstract: One nonlimiting embodiment of the present application is directed to a system for positioning a connecting element adjacent one or more bones or bony portions, such as the spinal column, through a minimally invasive surgical approach. The system generally includes a number of bone anchors engageable to the one or more bones or bony portions and a number of anchor extenders removably engaged to the bone anchors. An inserter instrument is removably positioned adjacent to one of the anchor extenders and is operable to position a connecting element engaged thereto to a location adjacent the number of bone anchors in a minimally invasive surgical procedure. However, in other embodiments, different forms and applications are envisioned.

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

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 uniplanar bone anchor system for a fixation procedure is provided. The system can include a bone fastener including a head with a bearing surface and an engagement surface, and a shaft adapted to engage an anatomy. The system can include a saddle, which can include a first bore that receives the bone fastener and a coupling bore defined transverse to the longitudinal axis. The system can include a pressure cap received within the first bore having an engagement surface in contact with the engagement surface of the bone fastener. The system can further include a coupling system that can be received through the at least one coupling bore and can cooperate with the pressure cap to permit the bone fastener to move in only one plane.

Abstract: A bone plate system including a bone plate and a bone screw with an integrated locking mechanism is disclosed. The bone screw includes an elongate member having a threaded shank and a bone screw head that is radially deformable. The integrated locking mechanism sits within the bone screw head and can rotate between a locked condition and an unlocked condition. When the bone screw head is seated within an aperture in the bone plate, rotating the integrated locking mechanism into the locked condition helps to prevent bone screw backout.

Abstract: A bone screw includes an elongate shaft extending longitudinally between a proximal end and an opposing distal end The shaft bounds a first passageway at least partially extending between the proximal end and the distal end. The shaft is comprised of a radiolucent material. A core is disposed within the first passageway of the shaft. The core can be comprised of a radiolucent or radiopaque material. A head is either integrally formed with or secured to the proximal end of the shaft or the proximal end of the core. The head can also bound a second passageway that extends through the head and is aligned with the first passageway. The core can also be disposed within the second passageway.

Abstract: The present invention is directed 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 (10), a body (20) with a rod-receiving channel, an insert member (40) (preferably a bushing), and a locking cap with a saddle (70). The anchor assembly preferably 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 fixation system comprises a rod, a fastener including a head and an elongated shank, a yoke and an insert. The yoke includes opposite arms defining a slot to receive the rod, an opening to receive the shank, a surface for supporting the fastener head, and a cross bore through each of the arms. The insert has a base configured for slidable insertion between the yoke arms, and defining a rod supporting surface and an opening sized to receive the fastener shank. The insert further includes a pair of resiliently deflectable fingers extending from the base and including a tab projecting therefrom configured to be received within a cross bore. Each tab defines a beveled face configured to bear against the yoke as the insert is advanced into the yoke slot and to deflect the fingers inward until the tabs are aligned with the cross bores.

Abstract: A locking device and method are provided for a bone stabilization system which includes a bone anchor, a coupling mechanism and a stabilization member, wherein the coupling mechanism couples the stabilization member to the bone anchor. The locking device includes a seating member and a posted member. The seating member is operatively associated with the coupling mechanism for securing the stabilization member within the coupling mechanism, and is configured with an opening therein. The posted member, which includes an interface member and a post extending therefrom, is configured for disposition between the seating member and the stabilization member with the post extending therefrom being received into the opening in the seating member when the seating member is employed to secure the stabilization member within the coupling mechanism. The post is sized to engage and facilitate control of the stabilization member as the seating member operatively engages the coupling mechanism.

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 medical implant assembly includes a polyaxial bone anchor having a shank, a receiver, a lower compression insert with surfaces for closely receiving an elongate connecting member and a dual closure structure that may include a single flange or helical flange. The dual closure structure independently engages the connecting member and the lower compression insert. A threaded capture connection of the bone anchor includes a shank upper surface exclusively engaging the lower compression insert and a retainer threadably attached to the shank and spaced from the upper surface, the retainer configured for polyaxial motion with respect to the receiver prior to locking.

Abstract: This disclosure relates to a spinal implant that can provisionally retain a rod in an assembly head without having to first lock the rod relative to the assembly head. The spinal implant has a clip insert structured to retain the rod in the assembly head. The clip insert has a top portion with a cylindrical opening and extending over the cylindrical opening to cover the connection rod in part when the connection rod is engaged in the clip insert. The top portion is deformable by application of force on the connection rod to engage the connection rod with the clip insert. The clip insert and the assembly head are mechanically decoupled and can be fully received within the assembly head. The mechanical forces to which the assembly head is subjected are not transmitted to the clip insert.

Abstract: A pedicle screw assembly, including: a bone screw having a head portion and a thread portion, wherein the thread portion includes an axial shaft and a triple lead thread disposed about the axial shaft; and a rod retention member selectively coupled to the head portion of the bone screw. Optionally, the triple lead thread includes leads that originate at different points along the axial shaft. Optionally, the triple lead thread includes leads that terminate at different points along the axial shaft. Optionally, the axial shaft includes a first tapering portion proximate a tip of the axial shaft. Optionally, the axial shaft includes a second tapering portion proximate the tip of the axial shaft. Preferably, the second tapering portion tapers more steeply than the first tapering portion. Optionally, the axial shaft includes a reduced diameter portion proximate the head portion. Optionally, the axial shaft includes one or more tapering portions proximate the head portion.

Abstract: A bone anchoring device includes an anchoring element including a shaft and a head; a receiving part including a first end and a second end, and having a channel for receiving a rod near the first end, and an accommodation space for accommodating the head near the second end; and a pressure element configured to be located at least partially in the accommodation space and including a flexible portion to clamp the head, wherein the anchoring element is pivotable, and the pressure element is movable inside the accommodation space to lock the head within the pressure element, and wherein a first securing portion on the pressure element and a second securing portion on the receiving part are configured to engage and form a rigid coupling therebetween to prevent removal of the pressure element from the first end of the receiving part.

Abstract: Spinal fusion system and method utilizing an implant and screw, wherein at least one pawl is mounted on or integral with the screw to prevent said plate or screw from moving in at least one of an axial direction or a rotational direction.

Abstract: An implant and sleeve combination for at least partial insertion into a bone and/or cartilage. The implant includes a lower portion and the sleeve includes a cavity designed to at least partially receive the lower portion of the implant.

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

Abstract: An orthopaedic device to realign bone segments comprises first and second attachment members and a strut or spacer member. The first attachment member is attached to a first rib bone or first transverse process or first lamina of a vertebra. The second attachment member is attached to a second rib bone or second transverse process or second lamina of a vertebra. The strut is positioned between the first and second attachment members. The strut is fixedly or releasably connected to the first and second attachment members to couple the first attachment member to the second attachment member. The strut provides distraction between the first and second rib bones or transverse processes to realign the rib bones. The attachment members comprise a clamp and screw combination.

Abstract: A bone screw includes a tubular body including a wall having a bone thread in at least a portion of an outer portion of the wall, an open first end and a second end. A plurality of cutting teeth is provided at the open first end, and a head is provided at the second end. An insert in the tubular body is configured to guide a wire therethrough.

Abstract: Methods and devices are provided for facilitating delivery and implanting of a bone anchor into bone. In one exemplary embodiment, a bone anchor extension is provided for coupling to a bone anchor to facilitate delivery and implanting of the bone anchor in bone. The bone anchor extension can have a generally elongate configuration that allows it to extend from a skin incision in a patient to a site proximate a patient's spine, and it can include a lumen extending therethrough between proximal and distal ends thereof. A distal end of the bone anchor extension can be adapted to engage a bone anchor, such as a bone screw. Various techniques are provided for locking the distal end of the bone anchor extension into engagement with a bone anchor.

Abstract: A horizontal-transvertebral curvilinear nail-screw (HTCN) including a body portion having a first end and a second end, wherein the first end is opposed to the second end; and a head at the first end of the body portion, wherein the body portion has a predetermined curvilinear shape and includes a pointed tip at the second end of the body portion, and a method of surgically implanting universal horizontal-transvertebral curvilinear nail-screws (HTCN) into a plurality of adjacent vertebrae.

Abstract: A body tissue fixation apparatus includes a plate having oppositely disposed outer and tissue-contacting surfaces, and at least one fixation hole extending between the outer and tissue-contacting surfaces along a longitudinal axis. The fixation hole is defined in part by an inner hole surface having at least one serration. At least one fixation device of the body tissue fixation apparatus has a shank and a head portion, the shank being insertable through the fixation hole in the plate to affix the plate to the body tissue member upon rotation of the head portion. At least one deformable member is connected to the head portion, the deformable member extending laterally in a direction substantially perpendicular to the longitudinal axis and being adapted to deflect to engage with at least one serration formed on the inner hole surface. A method for using the body tissue fixation apparatus is also described.

Abstract: The present invention provides for a screw and rod fixation assembly for fixing a screw and, optionally, a rod. The screw and rod fixation assembly includes a screw, fixing mechanism, a substantially annular ring, rod seating mechanism, and locking mechanism. The present invention also provides for a fixing mechanism for fixing a screw, wherein the fixing mechanism further includes an inner surface wall having a gripping portion and a non-gripping portion. Further, the present invention provides for a substantially annular ring for guiding and providing mechanical and frictional force to a screw head. Additionally, the present invention provides for a rod seating mechanism operatively engaged to the screw head and including at least one flexible portion capable of being compressed against a portion of a rod therein. Finally, the present invention provides for a locking mechanism for engaging the rod and the rod seating mechanism.

Abstract: Provided is a surgical rod fixation assembly having a pedicle screw for insertion into spinal bone of a subject, the pedicle screw having a polyaxial mounted coupling member for driving the pedicle screw into bone on or off axis and coupling the pedicle screw to an orthopaedic device such as a spinal rod by means of a slidable coupling action.