A threaded implant can be provided with an elongated main body having external threads configured to thread into bone, and an internal support structure located within the external threads. The internal support structure has a helical arrangement that extends in an opposite direction to the external threads. Other threaded implants and methods are also disclosed.

An articulated fixation device is provided having a high degree of adjustability for securing a plate member thereof to a skull and at least one spinal rod thereof to a vertebral bone. In one form, an adjustable bridge member is provided that is adjustably connected to both the plate member and the spinal rod. The adjustable connections can include an upper and rearward pivot connection between the plate member and the bridge member and a lower and forward pivot connection between the spinal rod and the bridge member.

A system for treating dysfunctional SI joints that includes a multi-function bone structure prosthesis adapted to be delivered to and inserted into a dysfunctional SI joint via a posterior approach, the multi-function bone structure prosthesis, when disposed in a dysfunctional SI joint, being adapted to (i) stabilize the dysfunctional SI joint, (ii) induce proliferation, and/or growth and/or remodeling and/or regeneration of osseous tissue and, thereby, healing and arthrodesis of the dysfunctional SI joint, (iii) attenuate pain associated with the dysfunctional SI joint via neurostimulation, and (iv) monitor physiological and/or biomechanical parameters associated with the dysfunctional SI joint via one or more sensor systems.

An implant and method for posterior sacroiliac fusion having a plate for placement across the posterior surface of the sacroiliac joint, a transverse pin to slide through the plate and transverse the joint as well as provide an aperture to receive bone graft, and a sacral screw to be inserted through the plate.

Prostheses are described for stabilizing dysfunctional sacroiliac (SI) joints. The prostheses are sized and configured to be press-fit into surgically created pilot SI joint openings in dysfunctional SI joint structures. The prostheses have a pontoon shape with opposed elongated partially cylindrical sections connected by a bridge section. The partially cylindrical sections and, in some instances, the bridge section have a porous structure.

The disclosure relates to a surgical system and related methods to facilitate reduction and fixation of sacro-iliac luxations/fractures (SIL/F) in small animals, for example dogs and cats. In another aspect, the disclosure relates to an aiming device and related methods providing accurate, reliable, and safe fixation of SIL/F in such small animals. The surgical system includes a work surface, an articulatable and lockable reduction arm mounted to the work surface, a reduction handle mounted to the reduction arm; an articulatable and lockable fixation arm mounted to the work surface, a fixation drill guide mounted to the fixation arm, and an image acquisition unit directed toward the work surface. The surgical system provides enhanced safety to surgical personnel using the system in terms of reduced exposure to harmful radiation form the image acquisition unit.

A jointed rod assembly for use in a spinal fixation construct involves a caudal rod portion connectable to an adjustment mechanism, and a cranial rod portion connectable to the adjustment mechanism. The adjustment mechanism is configured to rotate the caudal and cranial rod portions relative to one another about a joint axis that is generally perpendicular to the longitudinal axes of the caudal and cranial rod portions. The caudal and cranial rod portions may be dimensioned to be compatible with other pieces of hardware commonly used for spinal fixation, such as bone anchors (e.g., pedicle screws), occipital plates, reducers, and others. The caudal and cranial rod portions are composed of a strong, rigid, non-absorbable, biocompatible material. The jointed rod assembly may be advantageously used in spinal fixation systems and methods of spinal fixation.

A patient-specific navigation guide for use in spinal surgery including a first and a second guide member, both integral with a supporting frame and extending along a respective longitudinal development axis from a proximal opening to a distal opening for guiding surgical instruments on a first vertebra of a patient. The guide also includes contact members designed to match with a corresponding plurality of contact areas on a first and on a second vertebra of the patient to define a single coupling configuration of the patient-specific navigation guide on the patient's vertebrae. The first and second guide members are substantially opposite with respect to a median plane orthogonal to a straight line joining the longitudinal axes of the first and second guide members. The navigation guide also comprises a single additional third guide member that is integral with the frame and is adapted to abut on a second vertebra.

Systems, devices and methods related to spinal stabilization are provided. A system can comprise a plurality of cross-links. Each of the cross-links can include a central rod holder that extends substantially along a mid-line of the spine and a pair of extension members extending from the central rod holder. The extension members can be secured to a vertebral body via a fixation device, such as a spinal screw or a hook member having serrations and/or side-cuts. One or more rod members can be extended across the central rod holders of the cross-links, thereby forming a stable spinal stabilization system providing bilateral stress distribution across different levels of the spine.

An implant for the stabilization and/or fusion of the sacroiliac joint has an elongated, spiraled exterior shape. The implant has a conically tapered inner core with a passage opening which extends in the axial direction along a central longitudinal axis over the entire axial length of the implant and ribs which run outward in a radial manner at least sectionally and which are arranged on the inner core and extend helically in the axial direction around at least one section of the inner core.