Methods and a kit for a navigated procedure, such as a navigated surgical procedure relate to an optical sensor system such as a sterile optical sensor system. The methods relate to using components of the optical sensor system and a processing unit, for example, performing a navigated procedure using an optical sensor as draped and using the processing unit coupled to the optical sensor. Performing the navigated procedure comprises receiving instructions for the navigated procedure from the processing unit, and using the optical sensor comprises interacting with a button on the optical sensor through the drape to provide input to the processing unit. A kit comprises optical sensor system components and instructions for performing a method.

A cervical spine plate attachment system includes a cervical spine plate that has a first surface configured to rest upon a first vertebra and a second vertebra, a second surface opposite the first surface and facing away from the first vertebra and the second vertebra, and a plurality of holes configured to receive fasteners to secure the cervical spine plate to the first vertebra and the second vertebra. The system also includes an alignment guide that detachably mounts to the cervical spine plate. The alignment guide comprises a pair of bars that rest upon the second surface of the cervical spine plate when the alignment guide is mounted to the cervical spine plate. The system also includes a fastener configured to secure the alignment guide to the cervical spine plate.

A method for treating a spinal disorder includes the steps of: disposing an expandable spinal construct in a selected configuration; fixing the spinal construct in the selected configuration with a member; attaching a first end of the spinal construct with tissue; attaching a second end of the spinal construct with tissue; and disengaging the member from the spinal construct to release the spinal construct from the selected configuration. Implants, surgical instruments, systems and methods are disclosed.

A method for treating a spinal disorder includes the steps of: disposing an expandable spinal construct in a selected configuration; fixing the spinal construct in the selected configuration with a member; attaching a first end of the spinal construct with tissue; attaching a second end of the spinal construct with tissue; and disengaging the member from the spinal construct to release the spinal construct from the selected configuration. Implants, surgical instruments, systems and methods are disclosed.

A pivotal bone screw assembly includes a receiver having a base defining a lower portion of a central bore, and an upper portion extending upward from the base to define a channel configured to receive an elongate rod. The upper portion further includes a guide and advancement structure proximate a top end configured for engagement with a closure top, and side outer surfaces with tool engagement grooves extending horizontally and circumferentially to the front and back faces of the receiver. The assembly further includes a shank having a head and an anchor portion configured for attachment to the bone, with the head being positionable into the central bore of the receiver with the shank extending downward through the lower opening. The lower opening is configured to provide for increased pivotal movement of the shank with respect to the receiver in at least one direction.

Interspinous process implants are disclosed. Also disclosed are systems and kits including such implants, methods of inserting such implants, and methods of alleviating pain or discomfort associated with the spinal column.

An external load bearing distracting device for unloading a human knee joint cartilage while providing the knee joint normal motion. The device has a first component attached to a first anatomical member of an articulating anatomical joint and a second component operably associated with the first component; a third component attached to a second member of the anatomical joint and a fourth component operably associated with the third component; and a joint joining the second component and the fourth component. The first component is slidably arranged inside the second component, and the third component is slidably arranged inside the fourth component. The second and the fourth component each include a retaining component for limiting movement along a longitudinal axis of the components.

A method for treating a spinal disorder includes the steps of: disposing an expandable spinal construct in a selected configuration; fixing the spinal construct in the selected configuration with a member; attaching a first end of the spinal construct with tissue; attaching a second end of the spinal construct with tissue; and disengaging the member from the spinal construct to release the spinal construct from the selected configuration. Implants, surgical instruments, systems and methods are disclosed.

System, including methods and devices, for fixing bone. The system may include a bone plate having two or more plate members connected to one another with one or more movable joints. Each joint may permit the orientation of the plate members to be adjusted relative to one another in a single plane or two or more nonparallel planes. The joint may have a movable configuration and a fixed configuration. Methods of creating the bone plate are also provided.

A pivotal bone screw assembly includes a receiver having a base defining a lower portion of a central bore, and a pair of upright arms extending upward from the base to define an open channel configured to receive an elongate rod. The uprights arms include opposed internal surfaces with a guide and advancement structure configured for engagement with a closure top, and side outer surfaces opposite the internal surfaces with tool engagement grooves extending horizontally and circumferentially to the front and back faces of the receiver. The assembly further includes a shank having a head and an anchor portion configured for attachment to the bone, with the head being positionable into the central bore of the receiver with the shank extending downward through the lower opening. The lower opening is configured to provide for increased pivotal movement of the shank with respect to the receiver in at least one direction.