A spinal fixation system includes a plurality of bone anchors and an array of receiver sub-assemblies, with each bone anchor having a common universal capture portion configured for bottom loading into one of the receiver sub-assemblies that includes at least one of a multiplanar receiver sub-assembly, a monoplanar receiver sub-assembly, and a monoaxial receiver sub-assembly that further include, respectively, a multiplanar retainer sub-assembly for providing pivotal motion of the bone anchor relative to the receiver in multiple planes, a monoplanar retainer sub-assembly for limiting pivotal motion of the bone anchor relative to the receiver to a single plane, and a monoaxial retainer sub-assembly for inhibiting all pivotal motion of the bone anchor relative to the receiver while providing of rotation the monoaxial receiver sub-assembly about the longitudinal axis of the bone anchor.

An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (˜16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (˜5-12 mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, “ultra-MIS” techniques.

A spinal fixation device is provided. The spinal fixation device includes a body portion including a stud portion defining a first annular groove. An outer housing is positionable on the stud portion of the body portion. An inner housing defines a second annular groove and is positionable between the outer housing and the stud portion. A ring member is positionable within each of the first and second annular grooves of the respective stud portion and inner housing to lock the inner housing to the body portion and to fixedly couple the outer housing to the stud portion.

The invention relates to a bone anchor for triangular iliosacral osteosynthesis. The bone anchor includes an ilium screw having a first longitudinal direction and an iliosacral screw having a second longitudinal direction. The ilium screw, in a thread-free portion, has a preferably elongated-hole-like through-opening transversely to the first longitudinal direction, and the iliosacral screw has such a smaller outer diameter in relation to the ilium screw that the iliosacral screw can be guided through the through-opening and can be screwed proceeding from the ilium into the sacrum, through the ilium screw.

An instrument includes an outer sleeve defining a passageway and extending along an axis between proximal and distal ends. A knob sleeve is positioned in the passageway and defines a bore and a sleeve cavity. A latch is positioned in the sleeve cavity. A shaft is positioned in the bore. An inner sleeve is positioned between the knob sleeve and the shaft. A proximal end of the inner sleeve defines a notch. The knob sleeve is movable relative to the outer sleeve to move the instrument between a first orientation in which the latch is positioned in the notch and the inner sleeve is prevented from translating along the axis and a second orientation in which the latch is spaced apart from the notch and the inner sleeve is translatable along the axis. Systems, implants and methods are disclosed.

A bone fastener includes a shaft. The shaft includes a wall that defines a longitudinal cavity and a plurality of openings in communication therewith. The openings are disposed in axial alignment along the shaft and the wall is closed exclusive of the openings. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

A method of manufacturing a surgical implant includes simultaneously forming a first component and a second component of the surgical implant. Formation of the first and second components includes depositing a first quantity of material to a building platform and fusing the first quantity of material to form a first layer of the first and second components. The method of manufacturing also includes depositing a second quantity of material over the first layer of the first and second components and fusing the second quantity of material to form a second layer of the first and second components. The surgical implant is fully assembled upon the completion of the formation of the first and second components.

This disclosure presents a polyaxial pedicle screw system. The system may comprise one or more of a screw body, a screw insert, a head component, a bushing, and/or other components. The screw body may have a major diameter. The screw insert may comprise a spherical head having a head diameter. The head component may have an axial bore forming an interior surface which defines a bore diameter of the axial bore. The interior surface may define a narrowest part of the bore diameter of the axial bore at a first end of the head component. The head diameter of the spherical head of the screw insert and/or the major diameter of the screw body may be larger than the narrowest part of bore diameter of the axial bore.

An anchor including shape memory metals, shape memory polymers or a combination thereof. The anchor has surgical and nonsurgical uses.

Connector assemblies, systems, and methods thereof. One or more modular connectors has a first portion that clamps to a first rod in an existing construct and a second portion that clamps to a second rod in a new construct such that the new construct can be extended from the existing construct.