A method and apparatus is disclosed for the surgical installation of a nail for stabilizing a screw-rod configuration attached to vertebrae of a spine to the rib cage of an organic body to treat Adult Spinal Deformity (ASD) and prevent proximal junctional failure (PJF). The nail may be secured at one end to an adjacent rib of the rib cage, and may extend into the rib or be secured to the rib by a rib hook. The nail may be secured at another end to a rod of the screw-rod configuration, such that the nail imparts stability from the rib cage to the screw-rod configuration and to the vertebrae of the spine.

Methods and apparatus provide for coupling a spinous process plate to one lateral side of a spinous process of a spine of a patient; coupling a laminar plate to a laminar on the one lateral side of the spinous process of the spine; engaging a sub-laminar hook to the laminar on the one lateral side of the spinous process; and (iv) extending a rod toward a pedicle on the one lateral side of the spinous process of the spine of the patient, where the rod prohibits movement of bone associated with a fracture in a pars interarticularis of a vertebral arch on the one lateral side of the spinous process of the spine.

An anchoring device (40) for anchoring one or more sub-laminar bands or tapes (60a, 60b) to a pedicle screw (30), the device (40) comprising: a first portion (41) configured for attachment to at least a base portion (32 L) of a head portion (32) of the pedicle screw (32); and at least one second portion (46a, 46b) for anchoring thereto a or a respective sub-laminar band or tape (60a, 60b); wherein the first portion (41) includes first interengagement means (42Na, 42 Nb) for interengagement with corresponding notches or recesses (32Na, 32 Nb) in the head portion (32) of the pedicle screw (32) to effect the said attachment of the first portion (41) of the anchoring device (40) thereto.

A system for correcting a spinal deformity includes an implant fixed to one side of a vertebra and a rod extending along an axis of the spine on a second side of the vertebra. An adjustment member, which may include a reel, is coupled to the rod. A force directing member, such as a cable, extends between the rod and the adjustment member. The force directing member is retractable toward and extendible from the adjustment member. A method of correcting spinal deformity includes providing an implant, a rod, an adjustment member coupled to the rod, and a force directing member extending between the rod and the adjustment member. The adjustment member can be retractable toward and extendible from the adjustment member.

A spinal distraction system includes a distraction rod having a first end and a second end, the first end being configured for affixation to a subject's spine at a first location, the distraction rod having a second end containing a recess having a threaded portion disposed therein. The system further includes an adjustable portion configured for affixation relative to the subject's spine at a second location remote from the first location, the adjustable portion comprising a housing containing a magnetic assembly, the magnetic assembly affixed at one end thereof to a lead screw, the lead screw operatively coupled to the threaded portion. A locking pin may secure the lead screw to the magnetic assembly. An o-ring gland disposed on the end of the housing may form a dynamic seal with the distraction rod.

A device for attaching a flat and flexible band on at least one bone part, comprising the band having two end portions, a rigid base body crossed by an opening, and a retaining part that can be inserted in the opening. The retaining part is at least partially in the shape of a squeezable wedge comprising a central bore for passage of the end portions facing the flexible band, the bore having a transverse cross-section that can be deformed between a first cross-section for free passage of the end portions when the part has not been inserted in the opening and a second cross-section for locking the end portions by compression when the part is entirely or substantially entirely inserted in the opening.

An external adjustment device for non-invasively adjusting an adjustable implant, the external adjustment device including a controller in communication with an actuator associated with the implant and a sensor configured to receive information from or about the implant. The external adjustment device may include a power source and a display. The external adjustment device may include a magnetic element configured to generate a rotating magnetic field; and a driver configured to drive the magnetic element to generate the rotating magnetic field and configured to rotate a permanent magnet of an implant. Upon placing the external adjustment device in proximity to the implant, the magnetic element is configured to magnetically couple with the permanent magnet. The external adjustment device may be configured to non-invasively determine one or more of a magnetic coupling state and a stalled state of the magnetic element and the permanent magnet disposed within the implant.

A spinal correction implant comprises a body extending between a first end and a second end. The body has a curvature. A first longitudinal element is connected with the first end. A ratchet is disposed with the body. A second longitudinal element is connected to the ratchet and is incrementally movable relative to the body. Systems and methods are disclosed.

Methods of correcting a spinal deformity, including securing a first rod on a first side of a spine, securing an anchor on a second side of a spine, securing a lateral coupling between the rod and the anchor, translating and derotating the spine to correct the spinal deformity by adjusting an effective length of the lateral coupling, and securing a second rod on a second side of the spine to provide secondary stabilization to the spine.

A method for correcting a spinal deformity is provided. A spinal implant for correcting a spinal deformity includes a multipoint connector that connects to at least one vertebra of a spine at a plurality of locations and a force directing device that applies a force to the vertebra through the multipoint connector. The force directing device may include a rod which extends generally along an axis of the spine and a force directing member which is adjustably coupled to both the rod and the multipoint connector and which applies a corrective force to the at least one vertebra.