Bone anchor assemblies are disclosed herein that can provide for improved fixation as compared with traditional bone anchor assemblies. An exemplary assembly can include a bracket or wing that extends down from the receiver member and accommodates one or more auxiliary bone anchors that augment the fixation of the assembly's primary bone anchor. Another exemplary assembly can include a plate that is seated between the receiver member and the rod and accommodates one or more auxiliary bone anchors that augment the fixation of the assembly's primary bone anchor. Another exemplary assembly can include a hook that extends out from the receiver member to hook onto an anatomical structure or another implant to augment the fixation of the assembly's primary bone anchor. Surgical methods using the bone anchor assemblies described herein are also disclosed.

A multi-link bone fixation assembly and method having interconnected longitudinal linking members, end caps and locknuts, and possibly transverse linking members, all disposed on implanted bone fasteners, the assembly providing a rigid, fixed ladder or frame to preclude relative movement between vertebrae or bone. At least two of the end caps and both ends of at least one of the transverse linking members are slotted such that, in the event a previously implanted assembly needs to be lengthened, additional bone fasteners are implanted, and the end caps and/or transverse linking members are removed from the assembly in a direction perpendicular to the axis of the bone fastener by loosening rather than removing the locknuts from the bone fasteners. The new longitudinal linking members are then inserted onto the bone fasteners in a direction perpendicular to the axis and the locknuts are tightened to secure the now-extended assembly.

The present invention provides a sacral-iliac plate having an iliac portion with a first screw hole for receiving a first fastener to secure the iliac portion to the iliac bone. A sacral portion integrated monolithically with the iliac portion is also provided with a second and third screw holes for receiving second and third fasteners to secure the sacral portion to the sacral bone. The sacral portion also includes a tulip for receiving and securing a spinal rod.

A surgical implant includes a first portion and a second portion. The first portion includes a body and connector assemblies. The body includes a posterior surface and defines a first bore defining an acute angle with respect to a first axis that is orthogonal to the posterior surface. The connector assemblies are disposed on opposing lateral sides of the body. Each connector assembly is selectively rotatable relative to the body. The second portion includes a base extending in a cephalad direction from the first portion, and an extension extending in the cephalad direction from the base. The base defines second bores configured to receive respective bone screws. The extension defines a third bore. The first bore of the body and the third bore of the extension define a second axis. The second bores are defined along a third axis orthogonal to the second axis.

A spinal joint distraction system is disclosed and may include a driver assembly with a tubular shaft, a pair of implant holder arms, an implant distractor, an internal actuator, and a distractor knob, the system also including a delivery device with a tubular shaft, a receiving assembly, and a pair of forks, where the delivery device is adapted for slidable insertion of the driver assembly, the system also including an implant, a chisel, and an injector. Several embodiments of an implant are disclosed as well a method of placing an implant.

Provided is a spinal fixation device, which includes a cage which is placed between adjacent vertebrae to form a gap between the vertebrae, a middle plate which is detachably coupled to the cage, and deployment plates which are hinge-pivotably coupled to the middle plate at one side end, thereby stably fixing the cage in a correct position between the vertebrae.

An adjustable cervical link system that includes a plurality of cervical links for adjustable fixation to articles of a patient's cervical spine, and a connecting assembly having a generally rectangular loop shape defining a substantially open interior therebetween. Each cervical link has a plurality of circular holes each arranged to receive a screw thereby securing the cervical link to the respective article of a patient's cervical spine at a bottom portion of the cervical link. Each cervical link has a plurality of recessed portion along a top portion of the cervical link. Each recessed portion has a generally U-shaped cross-section formed by a bottom portion and a pair of spaced apart side walls. The connecting assembly is arranged to be placed in and frictionally engage the U-shaped cross-section of the recessed portions.

A cervical spine plate attachment system includes a cervical spine plate that has a first surface configured to rest upon a first vertebra and a second vertebra, a second surface opposite the first surface and facing away from the first vertebra and the second vertebra, and a plurality of holes configured to receive fasteners to secure the cervical spine plate to the first vertebra and the second vertebra. The system also includes an alignment guide that detachably mounts to the cervical spine plate. The alignment guide comprises a pair of bars that rest upon the second surface of the cervical spine plate when the alignment guide is mounted to the cervical spine plate. The system also includes a fastener configured to secure the alignment guide to the cervical spine plate.

Devices, systems and methods for use in spinal surgeries. The system may include a fastener system comprising a fastener, a staple, and a locking cap. A cord may extend along the spine and through at least one fastener system. An instrument may be provided for tensioning the cord. The system may, for example, apply fixation on the convexity of the scoliotic vertebrae to limit growth on the convex side and allow unilateral growth on the concave side.

Apparatus and method for dynamic connection between adjacent bones. Various embodiments pertain to a bone anchor that includes a rotatable spool, the spool being configured to place tension on a flexible member, such as a tether, suture, cable, or other. Still further embodiments pertain to tools for interconnecting two bone anchors with a tether.