A method for treatment of a sacral insufficiency fracture comprises a plurality of steps. A step is performed for placing an access device within a patient. Such placing of the access device includes causing a distal end portion of the access device to traverse through a sacroiliac joint of the patient and to traverse into the patient's sacrum until the distal end portion of the access device is within a region of the sacrum where a sacral insufficiency fracture is located. Thereafter, a step is performed for delivering bonding material though a portion of the access device into the sacrum at the region thereof where the sacral insufficiency fracture is located.

A method for treatment of a sacral insufficiency fracture comprises a plurality of steps. A step is performed for placing an access device within a patient. Such placing of the access device includes causing a distal end portion of the access device to traverse through a sacroiliac joint of the patient and to traverse into the patient's sacrum until the distal end portion of the access device is within a region of the sacrum where a sacral insufficiency fracture is located. Thereafter, a step is performed for delivering bonding material though a portion of the access device into the sacrum at the region thereof where the sacral insufficiency fracture is located.

A threadless friction fit surgical implant suited for implantation or use in mammalian spinal or other boney tissues.

A spinal joint distraction system for treating a facet joint including articular surfaces having a contour is disclosed and may include a delivery device including a generally tubular structure adapted to engage a facet joint, an implant adapted to be delivered through the delivery device and into the facet joint, the implant comprising two members arranged in opposed position, and an implant distractor comprising a generally elongate member adapted to advance between the two members of the implant causing separation of the members and distraction of the facet joint, wherein the implant is adapted to conform to the shape of the implant distractor and/or the articular surfaces of the facet upon being delivered to the facet joint. Several embodiments of a system, several embodiments of an implant, and several methods are disclosed including a method for interbody fusion.

Medical devices for injecting materials into patients are disclosed. The devices can include a body having a handle and a lever. The devices can also include a delivery tube comprising a passageway along a longitudinal axis and a nozzle with an opening, the delivery tube configured to couple with a distal end of the body. A driving rod can be inserted into the body and extend into the passageway, such that the lever can move the driving rod distally when the lever is actuated toward the handle. Methods of using the material delivery device are also disclosed.

An inflatable central distractor is inserted in to a disc space between two vertebral endplates. A perimeter balloon is inserted into the disc space in such a manner as to surround the central inflatable distractor. The perimeter balloon and the central inflatable distractor are simultaneously expanded such that as the central inflatable distractor expands the perimeter balloon surrounds the central inflatable distractor and such that the central inflatable distractor and the perimeter balloon, when expanded, contribute to forcing adjacent vertebral endplates apart.

A process of bone creation between adjacent vertebrae uses an intervertebral stabilizing screw, which includes a main body with an axial through hole, a distal thread and at least one fill hole. A hollow proximal secondary body of the screw includes an external thread a travel stop. The process includes inserting the main body until the distal thread is secured to an upper vertebrae of the adjacent vertebrae such that the at least one fill hole is in inside of the disk, inserting the proximal body until reaching to the limit stop such that the proximal body is threaded inside of a pedicle and secured to a lower vertebrae of the adjacent vertebrae, and injecting a bone remodeling composition into inside of the disk through the axial hole and the at least one fill hole.

A steerable system and methods for accessing bone. A control mechanism includes a handle configured to be detachably secured to a trocar. The handle includes a drive shaft coupled to a sliding shaft such that relative rotation is prevented and relative translation is permitted. A rod having a preformed bend is removably disposed within the cannula. The rod is prevented from rotating relative to the drive shaft such that a deflection plane of the preformed bend is predefined relative to each of the sliding shaft, the handle, and the trocar when the handle is coupled to the trocar. Rotating a sliding ring of the handle translates the drive shaft to advance the rod beyond the trocar such that the preformed bend extends laterally out of the trocar in the deflection plane. The rod may be removed from the cannula, and material may be injected through the cannula.

A method for treating a spine, the method comprising the steps of: imaging a patient anatomy for registration of anatomical image data and positional tracking of the patient anatomy; selecting an implant strategy for at least one bone fastener; selecting a manipulation strategy for the patient anatomy; determining a post-correction orientation of the patient anatomy according to the implant strategy and the manipulation strategy; imaging the post-correction orientation of the patient anatomy; engaging the at least one bone fastener with vertebral tissue of the patient anatomy according to the implant strategy; and connecting a first implant support to the at least one bone fastener, the first implant support including an adaptor that is movable relative to the first implant support to releasably engage a surgical instrument to distract and/or compress the vertebral tissue according to the manipulation strategy. Surgical instruments, constructs and implants are disclosed.

A kyphoplasty system includes various instruments which can be selectively used in a surgical theater (e.g., during a surgical operation on a patient) or a surgical training environment. The kyphoplasty system can include one or more of a kyphoplasty apparatus, a prone table mat, a connector system, a bone introducer needle, and a biopsy device. The kyphoplasty system may also include a training system for use in the training environment.