A bone fastener assembly for connecting a bone to a stabilizing construct includes a connecting member, a fastener seat, and a bone fastener. The connecting member includes a connecting member axis, a first opening, a second opening, and a first spherical surface. The connecting member axis extends from a proximal end to a distal end. The first opening is adjacent the proximal end. The second opening is adjacent the distal end. The fastener seat includes a first end, a second end, a passageway, and a second spherical surface. The passageway extends from the first end to the second end along a seat axis. The second spherical surface is configured to slidably engage the first spherical surface. The bone fastener includes a shank and a head. The shank extends though the passageway. The head engages a head-mating surface of the fastener seat.

A bone plate for treating periprosthetic fractures includes a head portion to be positioned along a greater trochanter of a bone. The head portion includes pairs of bone fixation element receiving openings extending therethrough from a first surface of the plate which, when the plate is in an operative position, faces away from the bone, and a second surface which, when the plate is in the operative position, faces toward the bone. A pair of cable holes extend through the head portion from a first longitudinal side connecting the first and second surfaces to a second longitudinal side connecting the first and second surfaces. The head portion includes a pair of hooks for engaging a superior ridge of the greater trochanter. The plate also includes a shaft portion extending distally from the head portion to extend along a portion of the bone distal of the greater trochanter.

A bone fastener comprises a first member defining an implant cavity and a plurality of adjacent grooves. A first band is configured for disposal within the grooves. A second band is configured for disposal within the grooves. A second member is configured to penetrate tissue and includes a head engageable with the first band to provisionally connect the members. A first part is engageable with a spinal rod disposed with the implant cavity. A second part is attached with the first part and engageable with the second band to dispose the second band adjacent the first band to fix connection of the members. Implants, systems, instruments and methods are disclosed.

Some embodiments relate to a pedicle screw implant construct kit, comprising: at least one pedicle screw including a head; an embracing structure shaped and sized for embracing at least a portion of the screw head; an upper fastener for mounting onto the embracing structure, the upper fastener having a polygonal profile at least on a face of the upper fastener facing a direction opposite the screw.

A modular pedicle screw for spinal fixation. The pedicle screw includes a bone screw and a modular head assembly. The bone screw having a head and a shank, the head defining at least one groove. The modular head assembly includes a housing having a proximal end, a distal end and a throughbore extending along a longitudinal axis of the housing between the proximal and distal ends of the housing, and an anvil disposed within the throughbore. The modular head assembly includes at least one protrusion sized and shaped to be received by the at least one groove for restricting relative movement between the housing and the bone screw to a single plane.

A medical implant assembly includes a shank having a head with a partial spherical outer surface opposite an anchor portion, and a receiver having a channel for receiving a rod and a central bore with a locking region adjacent a lower opening and a capture region and an inwardly-protruding horizontal ridge above the locking region. The assembly also includes a positioner disposed within the capture region, a resilient retainer disposed within the positioner, and an insert positionable above the positioner with side surfaces engaged with the horizontal ridge. The shank head is uploaded through the lower opening to expand the retainer and the positioner contained within the capture region, after which the retainer moves downward into the locking region to capture the shank head. The insert is downwardly displaceable with tooling until a top surface of the insert becomes engaged with the horizontal ridge to inhibit upward movement.

A pivotal bone anchor assembly includes a bone anchor having a capture portion with a frusto-conical outer surface and a horizontal capture recess extending circumferentially around a mid-portion thereof, a receiver having a central bore with a seating surface proximate a bottom opening, and a ring retainer having a retainer aperture with an inner surface that is slidably engageable with the frusto-conical outer surface of the capture structure and a retainer aperture recess extending circumferentially into the inner surface. The assembly further includes a snap ring positionable within the retainer aperture recess with a snap ring aperture smaller than the retainer aperture. Upon securing the ring retainer within the central bore with the retainer aperture centered above the bottom opening, the capture portion is uploadable into the retainer aperture with the frusto-conical outer surface engaging and continuously expanding the snap ring until the horizontal capture recess reaches the retainer aperture recess and the snap ring snaps into the horizontal capture recess to couple the bone anchor to the ring retainer.

A bone anchor assembly includes a receiver having a channel for receiving a rod and a central bore with a locking recess adjacent a bottom opening, an expansion recess above the locking recess, and a discontinuous retaining groove above the expansion recess. The assembly also includes a bone screw having a capture portion uploadable into the central bore through the bottom opening, and an insert positionable within the central bore prior to the capture portion with a pair of protruding engagement structures received within the discontinuous retaining groove. The assembly further includes a lower open ring configured for expansion within the expansion recess prior to downward movement into the locking recess to capture and hold the capture portion within receiver, and an upper open ring positionable within the central bore between the lower open ring and the insert. After the capture portion of the bone screw is captured by the lower open ring, the insert is downwardly deployable by tooling to move the insert into engagement with the capture portion with the pair of engagement structures moving downwardly into engagement with a discontinuous lower overlying surface formed into the central bore, and the upper open ring is configured to occupy the upper expansion recess.

A spinal fixation device for securing two stabilizing rods to bone has a threaded shaft, a first rod coupling head connected to the threaded shaft and a secondary rod coupling head. The first rod coupling head has a side wall and a cavity with an open top for receiving a rod. In a neutral position of the first rod coupling head, the first rod coupling head extends symmetrically around the longitudinal axis of the threaded shaft. The second rod coupling head is rotatably connected to the first rod coupling head, around an axis of rotation. The axis of rotation is disposed at an angle that is not perpendicular to the longitudinal axis of the threaded shaft when the first rod coupling head is in the neutral position. This allows for two rods to be manipulated independently through different axis planes at any single point of bony fixation.

A bone fastener comprises a first member comprising a first surface defining an implant cavity. The first member includes a first part being non-rotatable relative to the first surface and a second part including a second surface defining a portion of the implant cavity and a slot. A second member is configured to penetrate tissue and is connectable with the first member. The first member is rotatable relative to the second member in a first plane of a body and the second part is movable relative to the first part in a second plane of the body such that the first part is relatively translatable in the slot. Implants, systems, instruments and methods are disclosed.