A medical implant assembly including a receiver and a closure. The receiver having first and second arms each having a discontinuously helically wound thread extending up to a top surface thereof. The closure being threaded and configured to close the channel. The closure having an axis of rotation and a continuously helically wound thread form. The continuously helically wound thread form having a start structure and an upper loading surface extending between a root and a crest of the continuously helically wound thread form. The start structure having a leading face extending below the upper loading surface. The leading face including a partial concave surface adjacent the root and a partial convex surface adjacent the crest. The partial concave and partial convex surfaces each defined by a radius of curvature that is substantially equal with respect to each other.

A spinal construct includes a coupling member including a first mating surface engageable with an existing fastener implant. The existing fastener implant defines a cavity configured for disposal of an existing spinal rod implant. A connector is engageable with the existing fastener implant and has a rod extending therefrom. A locking member is engageable with a second mating surface of the coupling member. Systems, surgical instruments, implants and methods are disclosed.

A spinal construct includes a coupling member including a first mating surface engageable with an existing fastener implant. The existing fastener implant defines a cavity configured for disposal of an existing spinal rod implant. A connector is engageable with the existing fastener implant and has a rod extending therefrom. A locking member is engageable with a second mating surface of the coupling member. Systems, surgical instruments, implants and methods are disclosed.

A spinal construct includes a coupling member including a first mating surface engageable with an existing fastener implant. The existing fastener implant defines a cavity configured for disposal of an existing spinal rod implant. A connector is engageable with the existing fastener implant and has a rod extending therefrom. A locking member is engageable with a second mating surface of the coupling member. Systems, surgical instruments, implants and methods are disclosed.

A spinal construct includes a coupling member including a first mating surface engageable with an existing fastener implant. The existing fastener implant defines a cavity configured for disposal of an existing spinal rod implant. A connector is engageable with the existing fastener implant and has a rod extending therefrom. A locking member is engageable with a second mating surface of the coupling member. Systems, surgical instruments, implants and methods are disclosed.

Implants, devices, systems, and methods for achieving ligament fixation are disclosed. An implant comprises a cap member comprising an internally threaded opening extending from a first end thereof, an anchor portion comprising a first end that defines a tip of the implant and external threads, and a coupling portion extending between the cap member and the anchor portion. The coupling portion of the implant includes an externally threaded portion threadably coupled within the internally threaded opening of the cap member. The cap member of the implant is longitudinally moveable along the coupling portion. Insertion instruments for inserting an implant for ligament fixation are also disclosed. Methods of using an implant for achieving ligament fixation are also disclosed.

A compression fastener system includes an elongate generally rigid coupling component, a toggle anchor at the distal end of the coupling component that can pivot about 90 degrees between inline and out of line with the coupling component, and a generally cylindrical collet that is engageable with a surface of the coupling component, and having two or more legs that splay upon passage of the coupling component through the collet, at least one leg having a cutting edge along at least a portion of its length that can engage with an adjacent rigid element, such as bone, to fix the rigid coupling component, toggle anchor and collet assembly into compression with the rigid element.

A transverse connector includes a cross member assembly, a first connector assembly, and a second connector assembly. The cross member assembly includes a cross member, a first ring, and a second ring. The cross member has a first end portion and a second end portion. The first ring is receivable on the first end portion of the cross member and the second ring is receivable on the second end portion of the cross member. The first and second connector assemblies are coupled to the first and second rings of the cross member assembly, respectively, to support the cross member between the first and second connector assemblies. The first and second connector assemblies are configured to selectively and releasably secure to bone anchors.

A nut for treating a bone includes a head and a body extending longitudinally from the head to a free end and including a channel extending longitudinally thereinto from the free end, the channel configured to engage an end of a bone screw, and an exterior threading extending about the body from an exterior surface thereof along an entire length thereof, an outer contour of the exterior threading defined via radially outermost edges of the exterior threading, a first portion of the outer contour adjacent the head portion having a smaller diameter than a second portion of the outer contour extending from the first portion to the free end of the body.

A spinal construct includes a bone fastener including a post and a shaft portion engageable with vertebral tissue. The post being movable in one or more axes relative to the shaft portion. A receiver defines a first cavity configured for disposal of the bone fastener and a second open cavity configured for disposal of a spinal rod. A band is disposable in the first cavity. The band being contractible and defining an inner surface that is directly engageable with the post. A nut includes an inner surface being slidably engageable over the post and an end surface engageable with the band such that the band contracts to engage the post. Systems, surgical instruments, implants and methods are disclosed.