A bone fixation system comprises a first fastener configured to anchor into a first vertebrae, a second fastener configured to anchor into a second vertebrae, and a set screw to retain the second fastener to the first fastener. The first fastener includes a shaft extending along a longitudinal axis and a head. The shaft includes a first cylindrical body. The head of the first fastener includes a second cylindrical body defining a passageway having an interior surface. The passageway defines a longitudinal axis that is different than the longitudinal axis of the shaft. The first cylindrical body of the shaft and the second cylindrical body of the head are angled relative to each other. A head of the second fastener is configured to engage the interior surface of the passageway of the head of the first fastener. The set screw retains the head of the second fastener in the passageway.

A spinal stabilization system including a connecting rod and a bone screw. The connecting rod includes an elongate rounded section, an elongate head portion, and a neck portion connecting the elongate rounded section with the elongate head portion. The bone screw includes a head portion defining a slot, a shank extending longitudinally from the head portion, and a set screw configured to secure the connecting rod in the slot. The head portion includes a pair of radially opposing walls defining the slot therebetween. The head portion includes a trailing end and a leading end. The trailing end includes a guide member defining an aperture configured and dimensioned to receive the set screw therethrough. The aperture is in communication with the slot. In particular, the guide member interconnects the pair of radially opposing walls.

A spinal bone fastener assembly connects or aligns at least two rods and includes a bone fastener having a bone fastener head and a bone fastener shaft with a shaft axis. The assembly further includes an elongated connector head for receiving the two rods, at least one rod fastener, at least one bone fastener engaging insert and/or at least one rod receiving inlay. The connector head includes one rod receiving passage extending longitudinally or at least two rod receiving passages extending sideways through the elongated connector head. The connector head also includes an elongated bone fastener head receiving recess, which is open to the head bottom side, and at least one locking feature for engaging with the rod fastener. The recess provides at least one translational degree of freedom for the bone fastener, and at least one rotational degree of freedom for the bone fastener around the shaft axis.

A spinal stabilization device includes a rod receiving member, a collet, a plug, and a first bone screw. The rod receiving member defines a first throughhole, a collet recess aligned with the first throughhole, and a rod receiving slot offset from the first throughhole. The collet is insertable into the collet recess and defines an aperture, a plug recess aligned with the aperture, and a wall portion defining a rod securing slot configured to fix the spinal rod therein. The collet is transitionable between a first diameter, where the rod securement region defines a first diameter, and a second diameter, where the rod securement region defines a second diameter. The plug is insertable within the plug recess, and transitions the collet between the first and second diameters. The first bone screw includes a head portion and a threaded portion, and is insertable through the rod receiving member and the collet.

A pedicle screw for spinal fixation having a bone fastener portion a permanent rod coupling, a breakaway portion connected to the permanent rod coupling and a temporary rod coupling. A permanent rod can be positioned in the permanent rod coupling and a temporary rod can be positioned in the temporary rod coupling and when the temporary rod is not needed the temporary rod coupling can be removed by separation at a breakaway portion.

A vertebral anchor device comprising a bone anchor screw having a screw body and a screw head for coupling a link element to the screw body, the screw head being mounted to move on the screw body; the screw body comprising a threaded shank of a longitudinal axis AA for anchoring the screw body in a vertebra, and provided at one of its ends with a coupling head for coupling the screw body to the screw head; the screw head comprising a head body of a longitudinal axis BB and through which a channel passes longitudinally that is suitable for receiving, in the head body bottom portion, the coupling head; said vertebral anchor device further comprising assembly means for assembling together the coupling head and the screw head, the coupling head having a portion of cylindrical shape and of axis perpendicular to the threaded shank.

A polyaxial bone anchoring device includes a receiving part with two legs defining a recess for receiving a rod and a pressure member for exerting pressure on a head of a bone anchoring element in the receiving part, the pressure member having an engagement portion. The engagement portion can extend at least partially into a leg and is directly engageable from outside the bone anchoring device to move the engagement portion axially for adjusting the pressure member from a non-locking position where the head is pivotable to a locking position where the head is clamped. When the pressure member is in the locking position and the engagement portion is free from any outside axial forces, a first contact surface of the receiving part cooperates with a second contact surface of the pressure member to hold the pressure member in the locking position.

Translation screw assemblies that can include a screw, housing, load plate, and collet are described herein. The translation screw assembly advantageously allows for relative translation, angulation or pivoting, and/or rotation between the screw and the housing. Occipital plate assemblies are also described herein. An occipital plate assembly can include a plate body and one or more rod receiving assemblies. The plate assembly can include an occipital protuberance tab that can be bent relative to or sheared off from the plate body. The rod receiving assembly can include a pivot post, housing, clamp plate, and retaining washer. The rod-receiving assemblies advantageously allow for relative medial-lateral translation, medial-lateral angulation, and/or cranial-caudal angulation between the rod-receiving assemblies or portions thereof (e.g., the housings) and plate body.

An anchor assembly can be couplable to a bone and can include an anchor and a housing. The anchor can include a shank securable to bone and a head coupled to a proximal portion of the shank. The housing can include a proximal portion including an anchor bore and a distal portion including a secondary bore configured to engage the anchor to limit angulation of the anchor relative to the housing.

A pedicle screw for spinal fixation having a bone fastener portion a permanent rod coupling, a breakaway portion connected to the permanent rod coupling and a temporary rod coupling. A permanent rod can be positioned in the permanent rod coupling and a temporary rod can be positioned in the temporary rod coupling and when the temporary rod is not needed the temporary rod coupling can be removed by separation at a breakaway portion.