Abstract: Red light implants for delivering red light to spinal implants to enhance osteointegration.

Abstract: An embodiment includes a system for preparing fusion of joints, such as joints in the toes or fingers of an animal such as a human. The system may include one or more of complementary ball and socket joint reamers. A reamer may be separable from an intramedullary fixation rod. The rod may include channels to prevent rotation of the rod once implanted in bone. Other embodiments are discussed herein.

Abstract: A spinal implant with at least one flexible elongated extension element is provided. The spinal implant has a profile that is lower than standard spinal implants. The spinal implant includes a bone anchor with a head portion and a shaft extending along a longitudinal axis of the bone anchor. A head plate is coupled to the bone anchor. The head plate includes a first elongated extension element and a second elongated extension element. The first elongated extension element and the second elongated extension element may be formed as a single monolithic element that is attached to the head plate by passing through a pair of openings provided on the head plate. At least one of the first elongated extension element and the second elongated extension element is flexible.

Abstract: A spinal fixation system (1) for use in the fixation of a spine comprising: a coupling element (2) having a pair of opposed longitudinal apertures (17) through a wall (35) thereof; a longitudinal slot (8) in a coupling element (2) interior surface (3); a hole (13) through the bottom end (5) of the coupling element (2); and a securing element (18) dimensioned for insertion into the coupling element (2), the securing element (18) having an outwardly extending wing (26) dimensioned for riding in the coupling element slot (8), for preventing a rotation of the securing element (18) about a longitudinal axis (7) thereof.

Abstract: A device and method for fixating soft tissue to hard tissue with the aid of a suture anchor and a suture or with the aid of a headed anchor, wherein the anchor is forced into the hard tissue and then anchored therein by in situ liquefaction of a material having thermoplastic properties. The device includes a vibration tool and the anchor and possibly a support element, wherein the anchor includes an anchor foot and a thermoplastic sleeve. The thermoplastic sleeve includes the material having thermoplastic properties. The anchor foot has a distal end suitable for being forced into hard tissue and it is connected to the distal end of the vibration tool and the thermoplastic sleeve sits on a proximal face of the anchor foot , the vibration tool and/or a proximal portion of the anchor foot extending into or through the thermoplastic sleeve.

Abstract: A bone anchoring device includes a bone anchoring element having a head and a shaft, a receiving part for coupling the bone anchoring element to a stabilization element, the receiving part having a bore having a bore axis, a seat member configured to be arranged in the bore and to be rotatable around the bore axis, the seat member forming a seat for polyaxially holding the head, the seat member being configured to allow a greater pivot angle of the bone anchoring element in a first direction compared to other directions when the bone anchoring element and the seat member are in the receiving part, and a pressure member configured to contact the head to exert pressure onto the head, and to be connected to the seat member, such that the pressure member is rotatable together with the seat member around the bore axis.

Abstract: A polyaxial bone screw assembly includes a threaded shank body having an integral shank head receivable in a one-piece receiver having an upper channel for receiving a longitudinal connecting member and a lower cavity cooperating with a lower opening. A compression insert (some with an independent tool lock, lock and release feature and/or friction fit feature) and a split retaining ring articulatable with respect to both the shank head and the receiver (prior to locking) cooperate with the receiver to provide for pop- or snap-on assembly of the shank with the receiver either prior to or after implantation of the shank into a vertebra.

Abstract: A receiving part for coupling a rod to a bone anchoring element includes a receiving part body including a head receiving portion having an open end and a first exterior surface portion, the head receiving portion being flexible to allow introduction and clamping of a head of a bone anchoring element, and a locking ring having a first interior surface portion configured to engage the first exterior surface portion of the head receiving portion in a first contact region to lock an angular position of the head, wherein the first interior surface portion is spaced apart from an end of the locking ring, and wherein one of the first exterior surface portion or the first interior surface portion includes a cylindrical surface, and the other one of the first exterior surface portion or the first interior surface portion includes another cylindrical surface or a ring-shaped bulge portion.

Abstract: A bone anchoring device includes a bone anchoring element including a shaft and a head, a receiving part for coupling a rod to the bone anchoring element, the receiving part including a rod receiving portion having a channel with a bottom for receiving a rod, and a head receiving portion to allow introduction and clamping of the head, and a locking ring including at least one projection, wherein the rod receiving portion has at least one cutout, wherein when the head is not locked, the projection is configured to extend through the cutout and into the channel, and wherein a first engagement portion is provided on the locking ring for engaging a second engagement portion at an inner wall of the cutout to hold the locking ring in a first position where the head is pivotable in the head receiving portion but is prevented from removal therefrom.

Abstract: A polyaxial bone anchoring device includes an anchoring element having a shaft and a head having a curved outer surface portion; a receiving part having a top end and a bottom end, a coaxial bore extending from the top end in the direction of the bottom end, and a seat portion for receiving the head at the bottom end; and a pressure element having a head contacting surface portion that contacts the curved outer surface portion of the head; wherein the head is pivotable with respect to the receiving part and can be fixed at an angle by exerting pressure via the pressure element, and wherein the head has an oversize in the curved outer surface portion with respect to the head contacting surface portion, such that an interference fit is achieved that clamps the head by the friction between the outer surface portion and the head contacting surface portion.

Abstract: A bone anchoring device includes an anchoring element having a shaft and a head, a receiving part having a coaxial bore and a seat for receiving the head, a pressure element configured to be movable within the bore, and a preload element being positionable between the head and the pressure element. When the head is inserted in the receiving part, the head is pivotable with respect to the receiving part, and can be locked at an angle relative to the receiving part by the pressure element. The pressure element can assume a position relative to the receiving part where the pressure element and the preload element are in direct contact, and where the pressure element exerts a force onto the head via the preload element to maintain one of a plurality of releasable angular positions between the head and the receiving part by friction before locking the head.

Abstract: An orthopedic device has a configuration that employs a scalloped profile that defines internal scalloped edges having troughs and crests that extend substantially along the outer edge of a head of the device. The troughs and crests interface with a series of troughs and crests around the openings in the device. Each of the openings includes an outwardly extending slot that permits the opening to expand and contract outward as the head of the anchor is rotated. This enables an anti-backout feature that prevents or substantially inhibits undesired rotation and backout.

Abstract: A polyaxial bone screw assembly includes a threaded shank body having an integral upper portion receivable in an integral receiver, the receiver having an upper channel for receiving a longitudinal connecting member and a lower cavity cooperating with a lower opening. A friction fit compression insert (some with lock and release feature), a planar split retaining ring and a shank upper portion cooperate to provide for pop- or snap-on assembly of the shank with the receiver either prior to or after implantation of the shank into a vertebra. The shank and receiver once assembled cannot be disassembled and the receiver and insert may include aligned tool receiving apertures for lock and release of the polyaxial mechanism.

Abstract: A polyaxial bone anchoring device includes an anchoring element having a shaft and a head, a receiving part having a seat for receiving the head, a pressure element to exert pressure onto the head, wherein the head is pivotable and can be locked at an angle relative to the receiving part, wherein an outer wall of the pressure element has a recess or a deformable portion, and an inner wall of the receiving part has a deformable portion or a recess, wherein the pressure element is movable from a first position wherein the deformable portion protrudes a first distance into the recess while the head is pivotable relative to the receiving part, to a second position wherein the deformable portion protrudes a second distance into the recess, such that a force holds the head at one of a plurality of releasable angular positions before locking the head.

Abstract: A polyaxial bone anchoring device includes: an anchoring element having a shaft and a head; a receiving part having a top end, a bottom end, and an accommodation space for accommodating the head, the accommodation space having a lower opening at the bottom end, a sleeve-like insert piece configured to be positioned around a portion of the head, wherein a lower edge of the insert piece extends past the lower opening when the insert piece is seated in the receiving part; a pressure member configured to contact the head to exert pressure onto the head; wherein when the head, the insert piece, and the pressure member are arranged in the receiving part, the insert piece is tiltable with respect to the receiving part and with respect to the anchoring element, and wherein the anchoring element and the insert piece can be locked at respective angles relative to the receiving part.

Abstract: An engagement mechanism for a sternal clamp, the mechanism allowing for an open status where the clamp may be lengthened or shortened, a closing status where the clamp may only be shortened, and a locked status where the clamp cannot be lengthened or shortened, and wherein the device can be disposed in the locked status in differing overall lengths.

Abstract: A bone anchoring device includes a receiving part for receiving a rod, the receiving part has a first bore coaxial with a longitudinal axis and a second bore, and an anchoring element having a first end for insertion into the bone and a second end positionable within a second bore, the anchoring element being movable relative to the receiving part in limited angular range about the longitudinal axis, the angles lying in a single plane. The bone anchoring device further includes a fixation element cooperating with the receiving part to lock the anchoring element relative to the receiving part. The anchoring element is pivotable relative to the receiving part around one rotational axis transverse to the longitudinal axis.

Abstract: A bone screw having a screw member possessing a threaded section and a head and a receiving part at the head end for receiving a rod to be connected to the bone screw is provided. The receiving part has on open first bore and a substantially U-shaped cross-section having two free legs provided with a thread. Furthermore, the receiving part has a second bore on the end opposite to the first bore whose diameter is greater than that of the threaded section and smaller than that of the head. On the bottom of the first bore a seat for the head is provided. In order that the screw member can be pivoted to at least one side by an enlarged angle, the edge bounding the free end of the second bore viewed relative to the axis of the first bore is of asymmetric construction.

Abstract: The various embodiments disclosed herein relate to methods and devices for treating a bone deformity such as hallux valgus. The various methods and devices relate to first and second anchors that are configured to be anchored in adjacent bones such that the two anchors, and thus the two bones, can be urged toward each other to treat the bone deformity.

Abstract: A medical apparatus for intermaxillary fixation or stabilization has a bar with a first attachment loop, a second attachment loop, and a plurality of hooks, wherein the bar is an arch bar and the first attachment loop and the second attachment loop are located distally to one another. Another medical apparatus has a bar having a first attachment loop assembly, a second attachment loop assembly, and a plurality of hooks, wherein the bar is an arch bar and the first attachment loop assembly and the second attachment loop assembly are movably engaged to the bar. The bar may also have one or more additional attachment loop assemblies located between the first and second attachment loop assemblies. The attachment loop assemblies may each have a bracket, an attachment loop, a stem, and a set screw. The attachment loops are capable of receiving a screw to attach the arch bar to a mandible, a maxilla, and/or a prosthedontic device.

Abstract: The present invention relates to dynamic bone fixation elements and a surgical method to stabilize bone or bone fragments. The dynamic bone fixation elements preferably include a bone engaging component and a load carrier engaging component. The bone engaging component preferably includes a plurality of threads for engaging a patient's bone and a lumen. The load carrier engaging component preferably includes a head portion for engaging a load carrier (e.g., bone plate) and a shaft portion. The shaft portion preferably at least partially extends into the lumen. Preferably at least a portion of an outer surface of the shaft portion is spaced away from at least a portion of an inner surface of the lumen via a gap so that the head portion can move with respect to the bone engaging component. The distal end of the shaft portion is preferably coupled to the lumen.

Abstract: An internal bracing system is disclosed for stabilizing a joint such as the knee, shoulder, ankle or the like. The internal bracing system includes an extra-articular tension band mechanism and an anchor assembly therefore. The internal bracing system adds substantial control to unstable joints which is effective in limiting the pathological joint motions and internal slippage. The anchor anchoring assembly designed to affix a tethering device to various bony structures which form a joint, for the purpose of providing stability. The anchor assembly includes an anchor and a set screw. A double helix thread/chamber structure between the anchor and set screw securely holds the tether without binding.

Abstract: Disclosed is an assembly for in vivo alignment of two or more bones in a living body. The assembly comprises a cannulated sleeve (132) configured to secure in a bore (133) in a first bone, a mesh body (136) having a proximal arm configured to be engaged by the cannulated sleeve, and a distal arm configured to be secured to a portion of a second bone. The assembly further includes a fastener (138) configured to secure the distal arm to the portion of the second bone.

Abstract: An orthopedic retaining system comprising at least one bone screw which has a head part and a threaded shaft pivotally mounted thereon is disclosed. A clamping element is mounted in the head part, which can be pressed against the threaded shaft from its upper side and, as a result, secure the threaded shaft relative to the head part. A retaining bar is arranged in a receptacle of the head part and extends essentially transversely to the threaded shaft. A clamping device is provided on the upper side of the head part, by means of which the clamping element and the retaining bar are pressed into the head part such that the threaded shaft and the retaining bar are secured in position relative to the head part. The clamping device comprises an elastically deformable pressure element which is displaced into a clamping position during actuation of the clamping device.

Abstract: The various embodiments of the present invention provide a system, including methods, apparatus and kits for connecting bones and/or bone portions using a multi-part bone connector with one or more rotating joints.

Abstract: A bone-fastening system includes an implant with a threaded screw, a distal nut with a threaded bore, and a proximal washer which may also be threaded. An instrument for implanting the implant includes a handle and a barrel terminating in a holder for the washer. A c-shaped bridge assembly has a first end connected to the barrel and a second end including a holder for the nut in axial alignment with the washer. A manually operated control on the instrument, coupled to an elongated element in the barrel, causes the washer to move toward the nut, thereby applying compressive pressure to bone portions to be fastened together. A drive mechanism disposed within the barrel has a distal end with a holder for the screw and a proximal end that is turned by a user, thereby advancing the screw through the washer to the nut to fasten the bone portions under compression. The manually operated control is preferably a trigger that is squeezed toward the handle by a user.

Abstract: An implantable fixation system for fusing a joint between a first bone and a second bone. The system may include an anchor, standoff, bolt, and cortical washer. The system may be implanted across the joint along a single trajectory, the length of the system adjustable to provide compressive force between the anchor and the cortical washer. The system may be implanted across a tibiotalar joint with the anchor positioned in the sinus tarsi. A spacing member may be inserted between the two bones and the fixation system implanted to extend through an opening in the spacing member. The spacing member may be anatomically shaped and/or provide deformity correction. An ankle arthroplasty system may include a tibial plate, a talar plate, and a bearing insert. The plates may be anchored to the tibia and talus along a single trajectory. The ankle arthroplasty system may be revisable to a fusion system.

Abstract: An implantable fixation system for fusing a joint between a first bone and a second bone. The system may include an anchor, standoff, bolt, and cortical washer. The system may be implanted across the joint along a single trajectory, the length of the system adjustable to provide compressive force between the anchor and the cortical washer. The system may be implanted across a tibiotalar joint with the anchor positioned in the sinus tarsi. A spacing member may be inserted between the two bones and the fixation system implanted to extend through an opening in the spacing member. The spacing member may be anatomically shaped and/or provide deformity correction. An ankle arthroplasty system may include a tibial plate, a talar plate, and a bearing insert. The plates may be anchored to the tibia and talus along a single trajectory. The ankle arthroplasty system may be revisable to a fusion system.

Abstract: A dental arch bar system includes upper and lower dental arch bars having movable transverse arms and ligature connectors. Fasteners secure the transverse arms to a subject's maxilla and mandible. Ligatures are secured around upper and lower ligature connectors to achieve intermaxillary fixation. A method is also disclosed for using the arch bar system to achieve intermaxillary fixation by securing the arch bars against opposing dental arches with ligature connectors of the upper and lower arch bar generally aligned. In some embodiments, a single dental arch bar is utilized and one or more ligature connectors (such as screws) are fixed directly in the bone of the opposite jaw. Ligatures then are secured to arch bar ligature connectors and the opposing ligature connectors.

Abstract: A novel fixation system for fixing a graft ligament in a bone tunnel. The fixation system comprises an interference screw comprising a body having a distal end and a proximal end, screw threads extending longitudinally along the body, and a transversely-extending region formed in the body for receiving a transverse pin therein, whereby to securely lock the interference screw, and hence the graft ligament, to the bone. In accordance with a further feature of the present invention, there is provided a method for attaching a graft ligament to a bone, the method comprising the steps of: (i) drilling a tunnel in the bone; (ii) positioning the graft ligament in the bone tunnel; (iii) placing an interference screw in the bone tunnel so as to force the graft ligament laterally against the opposite side of the bone tunnel; and (iv) advancing a transverse pin transversely through the bone and through the interference screw so as to securely lock the interference screw, and hence the graft ligament, to the bone.

Abstract: System, including methods, apparatus, and kits, for connecting bones and/or bone portions using a bone connector with a pivotable ball and socket joint.

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: An internal device is provided for stabilizing a joint having multiple axes of rotation. The device includes two axles, separated by a body portion. The two axles are maintained by the body portion in a geometric relationship that replicates the geometric relationship of the rotational axes of the joint. The axles are installed into the bones of the joint to stabilize the joint.

Abstract: A bone fixation system and method are provided. The system includes a dual prong pin and a bone screw. The pin is especially configured and contoured to fixate fractures of the proximal phalanx, especially hyperextension fractures. Fracture of other long bones of the hand, foot or elsewhere may be managed with this bone fixation system.

Abstract: Apparatus is provided, including at least one double-jointed bone fixation element. A rod is coupled to the bone fixation element. A rod retaining portion retains the rod in place with respect to the bone fixation element. Other embodiments are also described.

Abstract: The present invention is an apparatus and method for stabilizing the facet joints of the spine. One aspect of the present invention is the stabilization of the facet joint by insertion of a facet implant through two opposing facet surfaces. The facet joint is not fixedly frozen by insertion of the screw, but instead the facet surfaces are flexibly and movably anchored to preserve movement because the screw or anchor includes a flexible intermediate portion which is positioned between the facet surfaces. The facet implant may be in the form of a screw or other anchor with the intermediate portion in the form of a polyaxial head, a cord, a spring, etc. The facet implant may furthermore be used in conjunction with a facet spacer that is placed between the first and second facet.

Abstract: A compression bone screw is described, with a shank having two opposite shank sections along its axial extent, a first thread being connected in a rotationally fixed manner to the shank in the region of the first shank section. The shank has at least one latching element for rotatably coupling a threaded component bearing a second thread to the second shank section. The invention furthermore relates to a screwdriver blade for the compression bone screw.

Abstract: An expanding plug for tendon fixation features a two-part system in which an expansion pin fits inside a fixation sleeve. The fixation sleeve is configured to expand diametrically to achieve interference fixation of a graft tendon inside of a bone tunnel. Fixation sleeve expansion is urged by a two-step engagement of the expansion pin. The tendon graft is assembled to the expanding bolt and situated within a bone tunnel. Passing suture is used to pull a joint-line end of the expansion pin into the tunnel to partially expand the fixation sleeve at the joint-line end. Pulling a graft end of the expansion pin toward the joint line expands the fixation sleeve to place the expanding plug in the fully deployed configuration.

Abstract: A pedicle screw assembly (10) that includes a cannulated pedicle screw (20) having a scalloped shank (24), a swivel top head 30 having inclined female threads (44) in a left and right arm (34, 36) to prevent splaying, a set screw (50) having mating male threads 52, a rod conforming washer (60) that is rotatably coupled to the set screw (50), the conforming washer including reduced ends to induce a coupled rod (80) to bend. A rod reduction system including an inner and an outer cannula (90, 100), the inner cannula (90) including a left and right arm (92, 94) that engage the swivel top head's (30) left and right arm (34, 36) and the outer cannula (100) dimensioned to securely slide over the inner cannula (90) to reduce the rod (80) into the swivel top head's (30) rod receiving area (38).

Abstract: A tissue extender includes a ring defining a proximal end opening to engage a head of a subcutaneous screw, a first extender portion coupled to the ring at a proximal end of the first extender portion, and a second extender portion coupled to the ring at a proximal end of the second extender portion. The first extender portion includes a first coupling portion disposed at a distal end of the first extender portion, and the second extender portion includes a second coupling portion at a distal end of the second extender portion. The first and second extender portions define two side openings disposed on opposite sides of the tissue extender. The distal ends of the first and second extender portions together define a distal end opening. The first coupling portion engages the second coupling portion when the tissue extender is in an extended state. The distal end opening is larger in the extended state than in an unextended state.

Abstract: Disclosed are spinal fusion assemblies for use in skeletal systems. The assembly includes a coupling element that can be coupled to a fixation element, such as, for example, a screw with a head that removably mates with the coupling element. The coupling element and fixation element are configured to be coupled to an elongate stabilizer, such as a rod, that is positioned between a top and a bottom saddle. A compression member, such as a compression nut, is configured to mate with the coupling element and provides a compressive force to the top and bottom saddles to secure the elongate stabilizer therebetween. The top and bottom saddles are movably positioned within the coupling element such that they can gradually reposition and self-align into a secure engagement with the stabilizer as the compression member provides the compressive force.

Abstract: A bone fixation assembly and method of fixing bones including a fixation element having a head portion, a unitary coupling element and at least one locking element. The unitary coupling element includes a first bore adapted to slidably receive the head portion of the fixation element. A first locking element is adapted to secure the head portion in the first bore.

Abstract: The present invention provides minimally invasive devices and methods for delivering a spinal connector to one or more spinal anchor sites in a patient's spinal column. In one embodiment, a spinal implant and access device is provided that includes a U-shaped receiver member, a bone-engaging member, and an extension member. The U-shaped receiver member can have a recess formed therein that is adapted to seat a spinal connector. The bone-engaging member can extend distally from the receiver member and it can be adapted to engage bone to thereby mate the receiver member to bone. The extension member can extend proximally from the receiver member and it can include a frangible portion formed thereon that is adapted to break when a predetermined force is applied thereto thereby allowing at least a portion of the extension member to be separated from the receiver member.

Abstract: A method and apparatus for reattaching soft tissue to a selected boney structure using a rivet. Generally, a rivet having first portion and a second portion is provided to fully secure a soft tissue in the boney structure. The first portion of the rivet retains the soft tissue via a suture which is threaded through the first portion. The second portion of the rivet has at least one expanding member which engages the boney structure upon contact with the first portion of the rivet. Thus, the soft tissue is fully secured to the boney structure, ensuring proper healing.

Abstract: A system for performing bone arthrodesis includes an implant for bone arthrodesis and a bone fastening device. The implant includes a fastener with an elongated shaft having a head at one end and a bone-piercing point at the opposite end. A first washer has structure for engaging the head of the shaft so as to be polyaxially pivotable with respect to the head. A locking member has structure for engaging the shaft. The locking member can have a second washer pivotally engaged thereto. The bone fastening device can include an elongated cannula with a collet for detachably engaging the first washer and for advancing the first washer. Structure is provided for engaging the fastener and for advancing and rotating the fastener through the collet and through the first washer. The bone arthrodesis device further includes a lower end portion extending from the cannula. The lower end portion has structure for detachably engaging the locking member.

Abstract: A fixation mechanism and method of fixation, such as the fixation of a facet resurfacing implant to an articular facet of a spinal vertebra. The fixation mechanism includes a securing mechanism having a socket configured to receive a knob of a biologic implant. The fixation mechanism further includes a locking mechanism for limiting expansion of the socket following engagement with the knob of the implant.

Abstract: An implant (10) for anchoring on a bone (1) has a plurality of anchoring pins (20) which extend away from a fastening side of the implant and are provided for anchoring the implant in the bone. In different areas of the fastening side of the implant, the pin arrangement and/or the geometry of the pins are chosen differently. In particular, in different areas of the fastening side of the implant, the volume of the anchoring pins (20) per unit of surface area of the fastening side of the implant is different, preferably in such a way that the geometry and/or arrangement of the pins (20) is chosen according to the proportion of bone tissue in the total tissue of the bone substance, opposite which the area of the fastening side is provided, in such a way that, in areas where there is a relatively higher proportion of bone tissue as a whole, less tissue is displaced by the anchoring pins than in areas where there is a relatively smaller proportion of bone tissue.

Abstract: A facet joint replacement system includes an inferior implant with an inferior articular surface, and a superior implant with a superior articular surface. The inferior implant may comprise an inferior strut, and a polyaxially adjustable, lockable mechanism which couples the inferior articular surface with a first end of the inferior strut. A second end of the inferior strut may be secured to a polyaxially adjustable, lockable fixation assembly securable in a vertebra. The first end of the inferior strut may be post-shaped, and the second end ring-shaped, and vice versa. The superior implant may be secured to a polyaxially adjustable lockable fixation assembly securable in a vertebra. Inferior and superior implants may be implanted individually, paired on one lateral vertebral side, bi-laterally, and/or in multiple vertebral levels. A crosslink may be secured to one implant and extend across a vertebral sagittal plane to a second implant. A clip may align the articular surfaces during implantation.

Abstract: The present application is directed to tethers and methods of use. The tether is attached with anchors to bony members within the patient. The tether applies a tensile force to the bony members to reduce and/or eliminate the abnormality of the bony members. The tether includes a release mechanism with a resorbable material that initially maintains the tether in a shortened orientation. The release mechanism is eventually releases the tether to a lengthened orientation. The release mechanism may prevent the need for a subsequent surgery to release tension from the tether as the patient grows.

Abstract: A spinal implant for limiting flexion of the spine includes a tether structure for encircling adjacent spinal processes. Usually, a pair of compliance members will be provided as part of the tether structure for elastically limiting flexion while permitting an extension. A cross-member is provided between the compliance member or other portions of the tether structure to stabilize the tether structure and prevent misalignment after implantation.