A method includes tracking one or more of a plurality of vertebrae of a patient, planning a planned alignment of the plurality of vertebrae, creating an implant placement plan based on the planned alignment, and robotically preparing the plurality of vertebrae to receive an implant in accordance with the implant placement plan.

A surgical guide system for guiding a surgical tool, comprising a body which comprises a first contact surface profiled to locate with a first anatomical surface of a first bone; and a second contact surface profiled to locate with a second anatomical surface of a second bone; wherein the body is configured, for a specified functional position of the first bone relative to the second bone, to simultaneously: locate the first contact surface with the first anatomical surface; locate the second contact surface with the second anatomical surface; and receive, or guide, a first fastener to fasten to the first bone, wherein at least one of the body and/or the first fastener forms a first reference to guide a first surgical tool to the first bone.

Technologies are generally provided for devices, systems, and methods to provide spinal fixation, spinal stabilization, and/or spinal fusion. Example devices may include a first end and a second end with a middle portion extending between the first and second end. The first end may be configured to be in contact with a portion of a first or upper vertebra and the second end may be configured to be in contact with a portion of a second or lower vertebra in an adjacent vertebral pair. Portions of the vertebra which may be in contact with the device may include lamia, processes, vertebral bodies, and facet joints. The example devices may include bone engagement features, such as screws or similar fasteners, to enhance stabilization and fixation when in contact with the vertebrae. Additionally, the devices may include a bone integration feature to promote bone growth and to facilitate fusion between the vertebrae.

An implant device includes a connection bridge to cause retraction or distraction of first and second bone segments. The connection bridge overlaps a surface of the segments and exerts a force to one of the first and second bone segments by translation motion of connection bridge. The bridge includes a first insertion structure mountable to the first segment and has at least one rack. An internal repositioning tool has a pinion to engage the rack causing the motion. A locking mechanism selectively locks the motion of the repositioning tool. A second insertion structure mounts to the second segment or a third bone segment between the first and second segments. The second structure includes a housing to house at least one of the pinion and the lock mechanism and receive a portion of the at least one rack to engage the at least one the pinion and the lock mechanism.

An off-the-shelf oral splint that is operatively secured to the maxilla and mandible to assist in reduction and provide maintenance of reduction of maxillary and mandibular fractures in the edentulous or partially edentulous patient. The oral splint is fabricated into a plurality of standardized sizes. These sizes are determined by imaging a population of jaws, measuring dimensions thereof, manipulating (e.g., calculating the mean) these dimensions, and generating a size that is representative of a subset of that population. This can be done for all sizes that would represent individuals in that population. The splint itself is fabricated virtually by creating “U-shapes”, splitting them horizontally into halves, creating an evacuation channel, and generating a coupling mechanism to hold the halves together. The splint can then be printed or otherwise manufactured.

Various implementations include an external fixation device for posterior pelvic compression that allows a pin engaged into one iliac bone to be pivoted relative to the pin engaged into the other iliac bone, allowing compression of the iliac bones toward each other and the interposed sacrum and for the relative positions of the pins to be held fixed relative to each other after the compression is set. The pin to be pivoted is engaged into the iliac bone closest to the source of the injury. And, the pins and bars of the fixation device are anteriorly coupled together, which gives the patient greater transportability, as well as maintenance of reduction that will assist in the definitive surgical intervention.

Multi-directional drilling of a bone to create a perforation of bone cortex. The disclosure presents methods of using a drill having a measurement system to advance a drill bit through a bone with detection of penetration or eruption of the leading edge of the drill bit through the exterior of the cortex layer of the bone. In this regard, operation of the drill may be controlled to limit soft tissue damage adjacent to the distal side of the bone. The drill bit may be at least partially retracted through a first bore, repositioned, and one or more additional bores may be created, all while monitoring for penetration of the leading edge of the drill bit relative to the cortical layer. In turn, a perforated distal side of the cortical layer of the bone may be created that creates a desired weakness in the bone, which may be useful in various operations including when performing a corticotomy or the like.

Devices and methods are provided that simplify and improve placement of stabilizing orthopedic pins, wires, and/or screws in the pelvis in minimally invasive surgery. Provided is a surgical instrument guide containing an adjustable friction clamp for positioning and securing a cannula, and a probe with a blunt, nonpenetrating tip. The probe and a surgical instrument held by the friction clamp are oriented at right angles to one another. In use, the blunt probe is introduced through a small incision and advanced by blunt dissection until the blunt tip is positioned at a desired anatomical landmark on the surface of the pelvis. A cannula inserted through the friction clamp is advanced until the tip of the cannula is within 2 cm of the blunt tip of the probe; an orthopedic pin, wire, and/or screw can then be inserted through the cannula to provide stabilization. The blunt probe may be cannulated.

This disclosure details a surgical system and method, which is useful for treating an acromioclavicular (AC) joint. In an example, the disclosed system includes a cerclage which is provided relative to a coracoid process and which includes a loop. In that example, a clavicle is held relative to the coracoid process using a clavicle fixation assembly, which includes suture passed through the loop of the cerclage.

An extracorporeal bone compressing link and apparatus and method using same. Active devices that incorporate the extracorporeal bone compressing link can transport and compress bone through external means by acting on conventional bone fasteners including but not limited pins or wires that penetrate through the skin and fixate into bone.