The disclosure describes systems and methods for altering bone sections in a patient. In one embodiment, a system may include an intramedullary implant including: a housing configured to be secured to a first section of bone, where the housing may include one or more shaft engaging grooves axially extending along an inner surface thereof; a distraction shaft configured to be secured to a second section of bone, where the distraction shaft may include one or more grooves axially extending along an inner surface thereof. The system may further include an actuator disposed within the housing and operably coupled to the distraction shaft, and in response to rotation of the actuator, the one or more grooves of the distraction shaft may engage with the one or more shaft engaging grooves of the housing, causing axial displacement of the distraction shaft relative to the housing.

An orthopedic screw extractor device including a shaft, an end portion about a first end of the shaft for securing to a handle, and a screw extracting tip about a second end of the shaft opposite the first end. The screw extracting tip further includes a generally frustoconical shape having a side at an angle of about 5 to 15 degrees relative to a longitudinal axis of the screw extracting tip. The screw extracting tip further includes first, second and third screw threads and first, second and third flutes circumferentially spaced about the screw extracting tip and extending across an entire length of the screw extracting tip. Each of the screw threads has a lead of about 0.07 to 0.12 inches, a pitch of about 0.02 to 0.04 inches, a thread angle of about 40 to 50 degrees, and a depth of about 0.01 to 0.02 inches.

Various implant holding systems are provided herein that include an outer tube, an inner tube, and a holder. The implant holding systems can be designed to hold various implants, such as one or more set screws used in spinal operations. For example, one embodiment of an implant holding system can have an outer tube, an inner tube that can be disposed within the outer tube, and a surgical implant holder that can be disposed within the inner tube. One or more stackable surgical implants, such as set screws, of various configurations and sizes can be disposed within the holder, and the holder can engage the surgical implants to assist in maintaining an orientation of the surgical implants relative to the holder.

A surgical self-retaining screwdriver for the temporary securing of a bone fastener, wherein the tip of the screwdriver includes at least one deflection member which provides a frictional fit when the fastener is coupled to the screwdriver. A bone fastener is also provided which includes an undercut that is capable of temporarily retaining the at least one deflection member of the screwdriver. The invention provides a reliable means for securely holding a fastener to a screwdriver during insertion or extraction, and for easy removal of the screwdriver from the fastener after insertion.

A bone screw, for drawing first and second bone fragments together, includes a shaft having a distal section and a proximal section. The distal section has a first external male screw thread and a minor diameter. The proximal section has a second external male screw thread. A major diameter of the distal section is larger than a major diameter of the proximal section. The bone screw includes a sleeve that has an internal female screw thread configured to mate with the second male screw thread. A distal portion of the sleeve has an outer diameter. The outer diameter is equal to or smaller than the minor diameter of the distal section of the shaft.

Embodiments are directed to fusion implants, insertion instruments, and methods of using the same for implanting one or more fusion implants across a sacroiliac joint and into an ilium and sacrum for fusing the sacroiliac joint. In some cases, fusion-promoting material may be inserted in the fusion implant for further promoting fusion across the sacroiliac joint. In some cases, neurophysiologic monitoring may be performed as the fusion implants are placed across the sacroiliac joint.

Guiding devices and methods are disclosed that comprise a detachable guide pin. The guiding devices may be driven into a bone to place the detachable guide pin within the bone. Once placed in the bone, the guide pin can be used to guide a surgical device into the bone.

A tool for manipulating flexible and non-flexible fastening devices. The tool assembly has a flexible rod for insertion into the distal end of the fastening device. A handle assembly interacts with proximal end of the flexible rod and the proximal end of the fastening device to control of the fastening device by initiating rotation at the distal end of the fastening device.

The invention relates to a surgical instrument comprising a bone screw having a screw head, and a shaft for rotating the bone screw in a bone, the shaft and/or head forming a single element with the bone screw and having a predetermined breaking point. A driving element is inserted into the bone screw by the shaft, said driving element screwing the screw further in or out once the shaft has broken off from the screw.

A combination of an implant (100) like a bone screw together with an augmentation sleeve (200) is suggested. The bone screw may comprise a trailing end portion with a plurality of lateral bores (120). The augmentation sleeve may comprise a leading end portion which is adapted to be coupled to the trailing end portion of the bone screw, and a lateral opening (220) at the leading end. The augmentation sleeve may be adapted to guide an augmentation tool to the trailing end portion of the bone screw and to the leading end portion of the augmentation sleeve so that the trailing end portion of the bone screw may be augmented by pressing augmentation material through the plurality of lateral bores at the trailing end portion of the bone screw and further through the lateral opening of the augmentation sleeve into the bone at the trailing end of the bone screw, or other implant. After the augmentation of the trailing end portion of the bone screw, the augmentation sleeve may be removed.