A coupling assembly for use in surgical constructs includes a first body and a second body. One of the first body and the second body includes a male member and an other of the first body and the second body includes a female member. The male member is sized and shaped to be received within the female member and the female member has an internal bore sized and shaped to receive the male member therein. One of the male member or the female member includes one or more engagement features formed therewith or attached thereto. The engagement features are operable to provide a gripping interface between the male member and the female member to couple the male member and the female member one to another.

A low profile orthopedic device is used to fix and stabilize bones to correct anomalies in skeletal structure occurring naturally or by trauma. Bone screws are screwed into bones by application of torque. Connectors are attached to the anchored bone screws. Each connector includes a clamp and a compression ring. A connecting rod connects several connectors together. The clamps are tightened to hold the rod to the bone screws in a pre-selected position by linear movement of the compression ring.

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 spine stabilization system includes at least one bone anchor assembly, the bone anchor assembly including a bone engaging member and a receiver member, wherein the receiver member includes a connecting member cavity, and an elongated connecting member inserted into the connecting member cavity and connected to the receiver member, wherein the connecting member comprises locking features configured to secure the connecting member to the receiver member without the use of a fixation screw extending through a top portion of the receiver member.

Embodiments include a system that facilitates placement of a rod through receiving portions of screws placed along the spine. The system includes a rod and a cable detachably connectable to the rod to pull the rod through the receiving portions of the screws. Some embodiments include methods and devices for inserting a rod into a plurality of screws and for ex situ templating of a rod. These can include connecting a cable to a rod, inserting the cable through the plurality of screws, and using the cable to pull the rod into position. The methods of ex situ templating of the rod can include contacting a templating member to each of the screws so that a portion of the templating members replicate the relative positioning of the screws and shaping a rod to match the relative positioning of the portion of the templating members.

A system for replacing at least a portion of a natural facet joint includes a fixation member implantable in a vertebra, an inferior facet articular surface and an inferior strut which may be formed separately from the inferior articular surface. The inferior strut has a first end securable to the fixation member and a second end which may comprise a sphere with a hemispherical surface. An attachment mechanism may include a capture feature shaped to receive the second end of the inferior strut, and the mechanism may provide an adjustable configuration, allowing polyaxial adjustment between the inferior articular surface and the second end. A locking member may be actuated to exert force on the second end to provide a locked configuration. The system may further include a superior facet joint implant with a superior articular surface shaped to articulate with the inferior articular surface.

Methods and devices for treating spinal deformities are provided. In one exemplary embodiment, a low-profile spinal anchoring device is provided for receiving a spinal fixation element, such as a tether, therethrough. The device generally includes a staple body that is adapted to seat a spinal fixation element, a fastening element for fixing the staple body to bone, and a locking assembly for coupling a spinal fixation element to the staple body. In one embodiment, the locking assembly includes a washer that is adapted to couple to the staple body such that the spinal fixation is disposed therebetween, and a locking nut that is adapted to engage the staple body to mate the washer to the staple body.

Systems and methods for spinal fusion revision allow extending prior spinal fusion constructs in revision surgery, in situ, while minimizing surgical exposure of the prior constructs. A revision system for extending spinal fusion implants includes a tulip assembly adapted to be fixedly secured to a pedicle screw as part of a first spinal fusion procedure and a construct extension protrusion extending from the tulip assembly. A revision system for extending spinal fusion implants in situ includes a tulip assembly adapted to be fixedly secured to a pedicle screw as part of a second spinal fusion procedure adjacent a site of a prior spinal fusion procedure. The tulip assembly includes a receptacle adapted to be fixedly secured to a construct extension protrusion of a spinal fusion construct from the prior spinal fusion procedure via a press or interference fit.

An osseous anchorage implant comprising an attachment structure adapted to receive and be attached to at least one bar, that is suitably an element of an osteosynthesis. 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 that is articulatable at the end of the clamp via a ball and socket connection. The channel is suitably an open channel having an aperture opening onto one of the lateral faces of the attachment head, wherein the aperture bears the clamp. The bar is enabled to be introduced into the channel from a side of the channel.

Methods and devices for treating spinal deformities are provided. In one exemplary embodiment, a low-profile spinal anchoring device is provided for receiving a spinal fixation element, such as a tether, therethrough. The device generally includes a staple body that is adapted to seat a spinal fixation element, a fastening element for fixing the staple body to bone, and a locking assembly for coupling a spinal fixation element to the staple body. In one embodiment, the locking assembly includes a washer that is adapted to couple to the staple body such that the spinal fixation is disposed therebetween, and a locking nut that is adapted to engage the staple body to mate the washer to the staple body.