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.

A spinal correction apparatus comprises a body. A ratchet is disposed with the body. A longitudinal element is connected to the ratchet. A force is applied to at least a portion of the apparatus that causes dynamic incremental movement of the longitudinal element relative to the body in at least one direction. Methods of use are disclosed.

An implant system for correcting deformities is provided. The implant system includes A proximal extension having a hollow interior and a distal extension configured to be received within the hollow interior of the proximal extension. The implant system also includes a locking element configured to lock the distal extension from moving with respect to the proximal extension. The distal extension is configured with ratchet teeth on a top surface for interacting with a distractor instrument for contacting or distracting the distal extension with respect to the proximal extension. The proximal extension and distal extension are configured to receive clamping elements for coupling to the implant to anatomical regions of the body.

A band clamp including a housing; a screw that extends through a top surface of the housing and into a cavity defined by the housing; a band opening located within the housing and configured and dimensioned to receive a band; an inserter opening located within the housing and configured and dimensioned to receive an inserter; and an anvil located within the cavity of the housing is disclosed. A band clamp assembly, an inserter, and an inserter assembly is also disclosed. A method of inserting a band clamp is also disclosed.

A medical instrument has a connector configured for being fixed to a spine support, and a rib support connected to the connector and configured for supporting the rib. The medical instrument has a pair of an upper hook and a lower hook provided on the rib support. One of the upper hook and the lower hook is fixed to the rib support so as to be vertically adjustable. The rib support is connected to the connector to be movable in a direction along the rib.

Tether clamping assemblies, such as clamping assemblies used to clamp a tether about a spinal feature to assist in spinal fixation, and related methods and systems. In some embodiments, the assembly may comprise a tether configured to engage a bone or other anatomical feature, an inner coupling piece, and an outer coupling piece. A first passage may be at least partially defined by an inner surface of the outer coupling piece and an outer surface of the inner coupling piece. The first passage may be configured such that the tether can be clamped in between the inner surface and the outer surface to allow the tether to move through the first passage in a first direction and apply a force differential such that movement of the tether in a second direction opposite the first direction is made more difficult.

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/or derotating the spine and securing a second rod on a second side of the spine to provide secondary stabilization to the spine.

A clamp assembly for orthopedic use having a housing that includes a top surface, a recess, a distal base and a bottom surface, the recess defining a longitudinal axis and extending through the housing from the top surface through the distal base and toward the bottom surface, and at least two through slots, each one of being disposed at a bottom or a side a surface of the housing. The assembly including a securement assembly positionable within the recess in a co-axial relationship to a mating surface on the recess, and a band sized for travel along a predetermined path defined in part by the through slots in the housing, wherein at least one of the through slots is a starting point for travel of the band along the predetermined path.

Methods and devices are disclosed for inhibiting proximal junctional failure in a patient having posterior spinal instrumentation. One or more tension bands can be threaded through transverse bores in a spinous process of a vertebral body of a spine, superior and adjacent an uppermost instrumented vertebral body. Tension is applied to bias the spinous processes together and also in an inferior direction. The tension band is locked with respect to the spine, to maintain tension.

A bone hook apparatus is provided that includes a base, a rod receptacle disposed on a proximal side of the base, a first hook distally extending from the base and oriented in a first direction, and a second hook distally extending from the base and oriented in a second direction opposing the first direction, the first hook and second hook together configured to receive the bone. Kits and spinal constructs employing the bone hook apparatus are also described