Methods of correcting a spinal deformity, including securing a first rod on a first side of a spine, securing an anchor on a second side of a spine, securing a lateral coupling between the rod and the anchor, translating and/or derotating the spine and securing a second rod on a second side of the spine to provide secondary stabilization to the spine.

A polyaxial bone screw assembly includes a threaded shank body having an upper portion, a receiver member or head, a retaining and articulating structure, and a pressure insert disposed between the shank upper portion and a rod. The receiver has a U-shaped cradle defining a channel for receiving a spinal fixation rod and a receiver cavity. The retaining and articulating structure attaches to the shank and rotates with the shank in the cavity during positioning. The pressure insert presses upon the shank upper portion and not the retaining and articulating structure.

A polyaxial bone screw assembly includes a threaded shank body having an upper portion, a receiver member or head, a retaining and articulating structure, and a pressure insert disposed between the shank upper portion and a rod. The receiver has a U-shaped cradle defining a channel for receiving a spinal fixation rod and a receiver cavity. The retaining and articulating structure attaches to the shank and rotates with the shank in the cavity during positioning. The pressure insert presses upon the shank upper portion and not the retaining and articulating structure.

A polyaxial bone screw assembly includes a threaded shank body having an upper portion, a receiver member or head, a retaining and articulating structure, and a pressure insert disposed between the shank upper portion and a rod. The receiver has a U-shaped cradle defining a channel for receiving a spinal fixation rod and a receiver cavity. The retaining and articulating structure attaches to the shank and rotates with the shank in the cavity during positioning. The pressure insert presses upon the shank upper portion and not the retaining and articulating structure.

An osseous anchorage implant comprising an attachment structure adapted to receive and be attached to at least one bar is disclosed. The implant is made up of an osseous anchor and an attachment head bearing the attachment means. The attachment head is suitably traversed by a channel that is adapted to receive the bar. The attachment head comprises a clamp that is adapted to clamp the bar against an inside support wall of the channel. The implant is further characterized by the attachment means and the support wall enabling the rotation of the bar about a first axis that is not parallel to the longitudinal axis of the bar. The clamp comprises a moving clamping face, that is adapted to contact the bar, and that is borne by a support head. The bar is enabled to be introduced into the channel from a side of the channel.

Modular orthopedic implants, associated instruments, and navigation methods. The modular orthopedic fixation assembly may include a modular bone fastener and a modular tulip head configured to be installed separately. The modular bone fastener may be installed and tracked with a screw extender instrument having an outer sleeve and an inner shaft coupled to the bone fastener. The screw extender instrument may continue to track the location and orientation of the bone throughout the surgical procedure for navigational integrity. The modular tulip head may be assembled to the bone fastener with a head inserter instrument, which ensures the modular head is properly seated on the installed bone fastener.

A double-headed pedicle screw is provided. The double-headed pedicle screw includes a threaded shaft portion and a plurality of yoke assemblies supported by the threaded shaft portion. Each of the yoke assemblies includes a recess configured to receive a portion of a rod, alignment structure, or immobilization structure therein. Each of the yoke assemblies is configured for pivoting movement relative to the threaded shaft portion independent of the pivoting movement of the other yoke assemblies.

A top-loading pedicle screw system for correcting a misalignment of the spinal column of a patient. The top-loading pedicle screw assembly comprises a screw having a threaded shaft for affixation the assembly to a vertebral pedicle. The screw has a shank top forming an internal curved socket. A head is positioned within the socket to move in a multi-axial relationship thereto. A through bore is formed in the head to receive a rod that joins two or more pedicle screw assemblies to the spinal column of a patient. A locking element is inserted into the head to lock the rod to the head while also locking the head to the shank top of the screw.

A spinal stabilization system including an insert positionable in the channel of the housing of a vertebral anchor, and an associated support construct including a spacer and at least one cord extending through the insert. In some instances the construct includes first and second cords extending through first and second bores of the insert. A clamping member clamps the cord(s) in the insert. In some instances the clamping member includes first and second tabs movable in channels in first and second flanges of the insert.

A compression fastener may include a shaft and a helical thread disposed about the shaft. The shaft may include a proximal end, a distal end, a proximal shaft portion, and a distal shaft portion. The helical thread may include at least one concave undercut surface and a plurality of pitches that may include at least one first pitch along the proximal shaft portion and at least one second pitch along the distal shaft portion. The at least one concave undercut surface may be angled towards one of the proximal end and the distal end of the shaft, and the at least one first pitch and the at least one second pitch may not be equal to each other.