A polyaxial offset lateral connector includes a body, an insert, and a connecting shaft. The body has a base that defines a receptacle and walls that extend from the base to define a saddle. The insert includes a cup and a pin that extends from a bottom surface of the cup. The connecting shaft has a connection portion and a neck extending from the connecting shaft to a ball. The ball is received within the receptacle of the body and defines a pin passage therethrough. The pin is the insert is received within the pin passage of the ball to prevent translation of the connecting shaft relative to the body.

A coupling device for coupling a rod to a bone anchor includes a receiving part having a central axis, a coaxial passage, and an engagement recess extending laterally into the passage, and a pressure member having an expandable portion to clamp the head, a radially outwardly facing surface, and an engagement surface extending from the radially outwardly facing surface. The engagement surface of the pressure member is recessed from an outer surface of the receiving part. The pressure member is movable axially from a first position towards a second position where the receiving part directly engages the pressure member to increase a compression force on the expandable portion for clamping an inserted head. The engagement surface of the pressure member is engageable through the engagement recess of the receiving part by the instrument to move the pressure member axially from the second position back towards the first position.

A bone screw assembly includes an anchor portion and a head portion, such as a rod-receiving portion, movably mounted to the anchor portion to allow for controlled angulation between the anchor portion and the head portion. The anchor portion is pivotable in one or more selected directions about an axis relative to the head portion. A restriction member, which may be a rod seat, prevents the anchor portion from pivoting in one or more different directions about another axis relative to the head portion and/or a spinal fixation element received in the head portion. The restriction member may be inserted in the head portion to control direction that the anchor portion pivots relative to the head portion. The restriction member may also serve as a compression member and/or rod seat for seating a spinal rod coupled to the bone screw assembly.

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.

An implant assembly includes a screw body, including anchor portion and proximal head portion, and a cradle movably mounted in the screw body to allow for controlled angulation between a spinal connection element disposed in the cradle and the screw body. The cradle is pivotable in one or more selected directions about one or more axes relative to the screw body. The cradle may be generally, substantially spherical in shape and allow for unrestricted movement in one or more directions around one or more axis.

A spinal construct comprises a body defining a first groove. A transverse rod is formed with the body. A first band is disposable in the first groove. A base is connectable with the body and engageable with the first band. The base defines a second groove and a slot. A second band is disposable in the second groove and defines an opening aligned with the slot. A shaft is connectable with the base and engageable with the second band. The shaft is configured to penetrate tissue. The opening is aligned with the slot to facilitate an angular range of movement of the shaft relative to the body. Implants, systems, instruments and methods are disclosed.

A bone screw assembly includes a fastener including a shaft and a head disposed on the shaft. The fastener is configured to be anchored within a subject's bone. A receiving assembly is configured to be movably mounted on the head of the fastener. The receiving assembly includes a receiver disposable around at least a portion of the head of the fastener and defining a channel for receiving a rod member therein. A retaining ring is disposed within the receiver for holding the head of the fastener in the receiver. An insert is disposed in the receiver above the retaining ring. A saddle is disposed in the receiver above the insert. The saddle defines a cradle for seating the rod member in the receiver.

A bone screw assembly includes an anchor portion and a head portion, such as a rod-receiving portion, movably mounted to the anchor portion to allow for controlled angulation between the anchor portion and the head portion. The anchor portion is pivotable in one or more selected directions about an axis relative to the head portion. A restriction member, which may be a rod seat, prevents the anchor portion from pivoting in one or more different directions about another axis relative to the head portion and/or a spinal fixation element received in the head portion. The restriction member may be inserted in the head portion to control direction that the anchor portion pivots relative to the head portion. The restriction member may also serve as a compression member and/or rod seat for seating a spinal rod coupled to the bone screw assembly.

A polyaxial bone screw assembly includes a receiver having an axial bore with a pair of opposed downward-facing shoulder surfaces pre-formed therein between a discontinuous guide and advancement structure and a bottom opening, a shank having a capture portion configured for positioning into the axial bore with the shank extending downward through the bottom opening, and a pressure insert having upward-facing contact surfaces. The pressure insert is configured for downloading into the axial bore of the receiver into a first position and for subsequent rotation about a longitudinal axis by a tool into a second position that locates the upward-facing contact surfaces at least partially under the downward-facing shoulder surfaces to inhibit the pressure insert from moving back up within the axial bore.

A method of conducting a surgical procedure including implanting an anchor into a bone, wherein the anchor comprises a receiving portion and a screw, the screw including a screw head contained within the receiving portion and pivotally engageable with a surface of the receiving portion, and wherein the receiving portion and the screw comprising a different material. The method further includes selecting a rod from a group of rod types and coupling the rod with the receiving portion to stabilize a position of a portion of the spine.