A surgical system includes a bone fastener having a head and a shaft. The head has a drive interface surface including elliptical edges. A surgical instrument includes an inner drive and an outer sleeve that is engageable with an outer surface of the head to dispose the inner drive and the outer sleeve with the head in a co-axial, capture orientation. The inner drive has a drive interface surface including a plurality of spaced apart lobes. Each lobe has an elliptical edge engageable with one of the elliptical edges of the drive interface surface of the head. Spinal constructs, implants and methods are disclosed.

Implants and instruments for providing an ideal trajectory for the insertion of instruments and screws during implantation of an interbody implant in a spinal surgery are disclosed.

A screw driver system includes a screw driving bit and a guide clamp. The screw driving bit includes a unitary body having a first end and a second end with a longitudinal axis defined therebetween and an outer surface having a cylindrical portion between the first and second ends. The screw driving bit includes a first circumferential groove and a second circumferential groove that are affixed in coaxially positioned arrangement about the longitudinal axis on the outer surface of the cylindrical portion each having a bottom surface. The bottom surface of the first circumferential groove defines a first outer diameter that is larger than a second outer diameter defined by the second circumferential groove. The guide clamp includes a jaw for holding the screw driving bit. When engaged with the first circumferential groove, the guide clamp prevents rotation of the screw driving bit. When engaged with the second circumferential groove, the guide clamp does not prevent rotation of the screw driving bit.

Disclosed is a universal pedicle screw removal tool comprising a tapered shaft having an L shaped tip on one end and a generally square head on an opposite end. A lower section leads to a tapered section which is connected to a handle. The handle may include a set of serrations to provide increased grip. The handle is connected to the head. The tip is sized to engage the channel of a tuliped pedicle screw while the head is sized to engage a ratchet or other torque producing tool. In an alternate embodiment, the tip is T shaped. In another alternate embodiment, the handle section includes opposing members extending from the shaft to form a T shaped handle. In use, the tip is inserted into the channel of a tuliped pedicle screw while the shaft is rotated to unscrew the pedicle screw from a patient's bone.

Methods of joint repair employing sutures and attached fixation devices are discussed. For example, a bone block graft procedure (e.g., Latarjet) is discussed which employs fixation devices to secure contact between graft surfaces of two bones. A suture construct, including a continuous suture loop routed through a first fastener, is secured to a first bone. Looped ends of the suture loop are passed through passageways formed in the two bones. The looped suture ends are further routed through a second fastener. The second fastener is mounted to the second bone and a sliding knot, formed in the looped suture ends, is advanced into contact with the second fastener. The suture is further tensioned using a tensioner device to secure the two bones together.

Provided are a screw driver system and a screw driving bit. The screw driving bit includes a body having a first end and a second end with a longitudinal axis defined therebetween and an outer surface between the first and second ends. The screw driving bit includes a first circumferential groove and a second circumferential groove that are affixed in coaxially positioned arrangement about the longitudinal axis on the outer surface of the body each having a bottom surface. The bottom surface of the first circumferential groove defines a first outer diameter that is larger than a second outer diameter defined by the second circumferential groove. The guide clamp includes a jaw for holding the screw driving bit. When engaged with the first circumferential groove, the guide clamp prevents rotation of the screw driving bit. When engaged with the second circumferential groove, the guide clamp does not prevent rotation of the screw driving bit.

A screw driver system includes a screw driving bit and a guide clamp. The screw driving bit includes a unitary body having a first end and a second end with a longitudinal axis defined therebetween and an outer surface having a cylindrical portion between the first and second ends. The screw driving bit includes a first circumferential groove and a second circumferential groove that are affixed in coaxially positioned arrangement about the longitudinal axis on the outer surface of the cylindrical portion each having a bottom surface. The bottom surface of the first circumferential groove defines a first outer diameter that is larger than a second outer diameter defined by the second circumferential groove. The guide clamp includes a jaw for holding the screw driving bit. When engaged with the first circumferential groove, the guide clamp prevents rotation of the screw driving bit. When engaged with the second circumferential groove, the guide clamp does not prevent rotation of the screw driving bit.

A surgical fastener manipulation tool in accordance with embodiment of the present invention is useful by a surgeon to place fasteners such as threaded screws. The surgical fastener manipulation tool selectively engages a mating structure of fastener for securing the fastener thereto. Thus, advantageously, the surgical fastener manipulation tool can be used for placing such fasteners and/or can be used for extracting (i.e., removing) such fasteners. The ability to extract a fastener (e.g., a threaded bone screw) with the same tool used for placing it is highly beneficial due to time savings during a surgical procedure and is advantageous with respect to prior art fastener manipulation tool configurations that require placement and extraction tools to be differently configured.

A screw driver system includes a screw driver and a guide clamp. The screw driver includes a driving bit. The driving bit includes a body having a first end and a second end and an outer surface comprising a cylindrical portion between the first and second ends. The screw driving bit includes a first circumferential groove and a second circumferential groove on the outer surface of the cylindrical portion each having a bottom surface. The bottom surface of the first circumferential groove defines a first outer diameter that is larger than a second outer diameter defined by the second circumferential groove. The guide clamp includes a jaw for holding the screw driving bit. When engaged with the first circumferential groove, the guide clamp prevents rotation of the screw driving bit. When engaged with the second circumferential groove, the guide clamp does not prevent rotation of the screw driving bit.

Disclosed is a universal pedicle screw removal tool comprising a tapered shaft having an L shaped tip on one end and a generally square head on an opposite end. A lower section leads to a tapered section which is connected to a handle. The handle may include a set of serrations to provide increased grip. The handle is connected to the head. The tip is sized to engage the channel of a tuliped pedicle screw while the head is sized to engage a ratchet or other torque producing tool. In an alternate embodiment, the tip is T shaped. In another alternate embodiment, the handle section includes opposing members extending from the shaft to form a T shaped handle. In use, the tip is inserted into the channel of a tuliped pedicle screw while the shaft is rotated to unscrew the pedicle screw from a patient's bone.