An implant for repairing a joint between a first bone and a second bone includes a first section constructed of a substantially rigid material and a graft constructed of soft tissue having a first end and a second end. The first section has a first end surface configured for positioning against the first bone. The graft is configured for stabilizing the first section relative to the first bone. A first fastener is configured for mounting to the graft and the first section to anchor the graft to the first section. A second fastener is configured for mounting to the graft and the first bone to anchor the graft to the first bone.

The present invention generally relates to methods and devices for treatment of spinal deformity, and in particular to the utilization of at least one implant to either maintain the position of at least one vertebra of a patient to prevent increase in abnormal spinal curvature, to slow progression of abnormal curvature, or to impose at least one corrective displacement and/or rotation on at least one vertebra of a patient so as to incrementally correct abnormal spinal curvature.

In some embodiments, a method comprises disposing a portion of a flexible fastening band into contact with a first bone portion and into contact with a second bone portion. The portion of the flexible fastening band having a substantially uniform shape configured to substantially compliment a shape of the first bone portion and a shape of the second bone portion. The method further includes inserting the portion of the flexible fastening band into a fastener and advancing the portion of the flexible fastening band through the fastener until the first bone portion and the and the second bone portion are stabilized.

Various embodiments of bone ties, bone tie inserters, and methods for treating the spine are provided. The bone tie can include a proximal end and a distal end. The bone tie can include a head section comprising a rounded head. The bone tie can include a neck section extending proximally from the head section. A bone tie inserter for placing a bone tie can also be provided. The bone tie inserter can include a bone tie advancer with a curved surface configured to guide a rounded head of a bone tie. The bone tie inserter can include a bone tie retriever configured to receive the rounded head of a bone tie. The bone tie is configured to pivot and/or rotate within the retriever portion of the bone tie inserter. The method can include forming a lumen in a first bone portion and a second bone portion. The bone tie can be configured to pivot and/or rotate as the bone tie retriever is withdrawn.

The present disclosure includes apparatuses, systems, and methods for vertebral disc repair. An example apparatus includes a first surface including a concave opening configured to receive an artificial disc, a second surface, and an aperture extending through the first surface and the second surface, wherein the aperture is configured to receive a bone screw.

An anchoring device (40) for anchoring one or more sub-laminar bands or tapes (60a, 60b) to a pedicle screw (30), the device (40) comprising: a first portion (41) configured for attachment to at least a base portion (32 L) of a head portion (32) of the pedicle screw (32); and at least one second portion (46a, 46b) for anchoring thereto a or a respective sub-laminar band or tape (60a, 60b); wherein the first portion (41) includes first interengagement means (42Na, 42 Nb) for interengagement with corresponding notches or recesses (32Na, 32 Nb) in the head portion (32) of the pedicle screw (32) to effect the said attachment of the first portion (41) of the anchoring device (40) thereto.

Various methods and apparatus for dynamic stabilization of bones, and especially of vertebra. Disclosed herein are bushings that permit axial movement of a rod, tether, or similar interconnection device relative to an anchoring head that is coupled to a bone. Some bushings further allow lateral relative movement or rotational relative movement, such additional relative movement being limited by the size and shape of the bushing, the size and shape of the interconnection device, the size and shape of the bushing container, the manner of attaching the anchoring head to the bone, or other considerations.

A system for correcting a spinal deformity includes an implant fixed to one side of a vertebra and a rod extending along an axis of the spine on a second side of the vertebra. An adjustment member, which may include a reel, is coupled to the rod. A force directing member, such as a cable, extends between the rod and the adjustment member. The force directing member is retractable toward and extendible from the adjustment member. A method of correcting spinal deformity includes providing an implant, a rod, an adjustment member coupled to the rod, and a force directing member extending between the rod and the adjustment member. The adjustment member can be retractable toward and extendible from the adjustment member.

A spinal construct comprising a first portion. A second portion defines a longitudinal axis and is configured to penetrate tissue. A tether is fastened with the first portion such that a spinal implant connected with the tether is movable to a plurality of orientations relative to the longitudinal axis. Systems and methods are disclosed.

A device for attaching a flat and flexible band on at least one bone part, comprising the band having two end portions, a rigid base body crossed by an opening, and a retaining part that can be inserted in the opening. The retaining part is at least partially in the shape of a squeezable wedge comprising a central bore for passage of the end portions facing the flexible band, the bore having a transverse cross-section that can be deformed between a first cross-section for free passage of the end portions when the part has not been inserted in the opening and a second cross-section for locking the end portions by compression when the part is entirely or substantially entirely inserted in the opening.