A surgical system includes a trial connected with a first image guide oriented relative to a sensor to communicate a signal representative of the trial relative to a patient anatomy. A tracking device includes the sensor and communicates with a processor to generate a storable image of the trial relative to the patient anatomy for display from a monitor. A spinal implant is connected with a second image guide oriented relative to the sensor to communicate a signal representative of the spinal implant relative to the patient anatomy. The sensor receives the signal of the second image guide and communicates with the processor to generate an image of the spinal implant in real time for display from the monitor in a configuration to align the spinal implant in real time with the stored image of the trial. In some embodiments, methods, spinal constructs, implants and surgical instruments are disclosed.

A special stabilizing anchor is disclosed which is secured to the spinous process, in addition to anchors which are stabilized against the lateral masses. These anchors couple with the spinous process anchor and upon coupling, the connecting stabilizing element is configured such that this element can be actuated, elevating the spinolaminar arch and thus expanding the canal, relieving the stenosis and completing the surgical procedure. A unique aspect of this system is that the lateral mass anchors of different levels can be secured to each other, stabilizing one or more target motion segments. Augmenting this is a system for identifying and extirpating the facet joints and replacing them with graft material to encourage a posterior/facet fusion.

A ratcheted spinal device including a variable-length member including a ratchet mechanism that has an operative configuration that allows a change in length of the variable-length member in one direction and prevents a change in length of the variable-length member in an opposite direction, wherein the variable-length member includes polyaxial-joint attachment members for attachment to bone, which permit pivoting movement of the attachment members about more than one pivoting axis.

An implant device is provided that is configured for implantation at multiple locations between adjacent vertebrae. The implant device comprises an implant body, a first portion of the implant body, and a second portion of the implant body adjustably interconnected with the first portion. The implant body has a compact orientation and an extended orientation to allow the implant body to be shifted from one orientation to the other orientation for being positioned in any one of areas between the spinous processes of the adjacent vertebrae, between laminar regions of the adjacent vertebrae, spanning an opening in the annulus between the adjacent vertebrae, and in the intervertebral space between the adjacent vertebrae.

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.

Various uses of fluoroalkenes, including tetrafluoropropenes, particularly (HFO-1336) in a variety of applications, including as blowing agents for integral skin foams are disclosed.

Multi-mode torque drivers employing inner surfaces compatible with pedicle screw guide wires, and related systems and methods are disclosed. A spinal column includes vertebrae in an articulating structure protecting a spinal cord. Medical intervention may involve limiting the relative motion between vertebrae by fusing vertebrae together with mechanical assemblies, including pedicle screws attached to the vertebrae. A multi-mode torque driver may be used to form the pedicle screw attachments with vertebrae. By including a passageway for a guide wire along an output rotational axis of a pedicle screw torque driver, pedicle screws may be inserted into a vertebra along a desired trajectory previously defined using the guide wire. In this manner, pedicle screws may be inserted into vertebrae precisely and efficiently.

A surgical implant device configured to adjust in planar orientation or angular orientation or both to correspond to the structure of the lamina to be spanned at the site of a cut of the laminoplasty surgery. The device includes a base having slots extending adjacent thereto, and an extension having a head configured to be adjustably positionable within the slots.

A spinal implant is disclosed for engagement to portions of a spinal segment after a laminectomy procedure. The spinal implant includes a first member and a second member in orthogonal relation relative to the first member such that the spinal implant generally defines a t-shape configuration. The spinal implant is formed using biocompatible materials to safely adapt to the surgical area. The spinal implant may include hooks or apertures for engaging with portions of bodily tissue. The spinal implant may be engaged to other spinal implants along the spine using one or more arms of an interconnecting arrangement.

Embodiments herein are generally directed to spinal implants for use in orthopedic stabilization assemblies. In some embodiments, these implants may be used in conjunction with laminoplasty or laminectomy procedures.