An adjustable spinal stabilization system for maintaining preselected spacing and movement between adjacent vertebrae in a spinal column and for providing overall stability thereto. The system includes at least one interlaminar member positioned in the spaces intermediate a first vertebra and the vertebrae positioned immediately above or immediately below and adjacent to the first vertebra. The interlaminar member is operatively connected to an adjustable support structure and cooperates therewith to maintain the preselected spacing between adjacent vertebrae and to provide overall stability to the spinal column.

A transverse coupling for connecting multiple implant extensions includes at least a first sleeve and a second sleeve. The first sleeve defines a first aperture adapted to axially receive a first implant extension through the first aperture. The second sleeve defines a second aperture adapted to axially receive a second implant extension through the second aperture. The transverse coupling also includes a central housing. A first shaft connects the first sleeve to the central housing, and a second shaft connects the second sleeve to the central housing. The central housing includes at least one joint for connecting the central housing to at least one of the first and second shafts in a movable arrangement that allows the shaft(s) to move through one or more degrees of freedom relative to the central housing.

The present invention discloses a device for stabilization of bone segment and an extending assembly thereof. The device comprises a screw assembly, two supporting members and two extending members. The screw assembly comprises a receiver and an anchoring member. The receiver has a retainer and two opposite arms extending along the longitudinal axis of the device from the positions adjacent to the retainer. The anchoring member is connected to the retainer. The supporting members are connected to the arms respectively and extend along the longitudinal axis. Each one of the extending members has a through hole respectively. The extending members are connected to the arms with the supporting members passing through the through holes respectively.

A device for use in a surgical distraction and retraction assembly, the assembly including the device and at least one bone anchoring pin for securing the device against a bearing surface. The device has an integral frame defining an internal space, the frame having a first pair of opposing side arms and a second pair of opposing side arms. At least one of said side arms of said first pair of opposing side arms including at least one recess each having one of its ends open to the internal space defined by the frame and an opposite closed end terminating within said at least one side arm. Each said recess retains one said at least one bone anchoring pin and is configured to enable relative movement between the frame and the bone anchoring pins. The relative movement allows selective locking of said at least one anchor pin against the frame at a user selected location to maintain a selected extent of vertebral distraction.

A surgical device has a shaft including a proximal portion and a distal portion being disposable with a surgical robot guide to engage vertebral tissue. The proximal portion defines a detectable marker and is connectable with at least one surgical instrument for manipulating the vertebral tissue. Systems, surgical instruments, spinal implants, constructs and methods are disclosed.

A method for treating a spine includes the steps of: creating a surgical pathway in a body along a first surgical approach to a surgical site including vertebral tissue; creating a surgical pathway in the body along a second surgical approach to the surgical site including the vertebral tissue; disposing a fulcrum with an intervertebral disc space of the vertebral tissue via the first surgical approach; and manipulating the vertebral tissue via the second surgical approach. Spinal implants, surgical instruments and systems are disclosed.

A compression assembly for positioning spinal vertebra to which are attached anchors on which is mounted a lockable primary rod movable relative to the anchors. The assembly comprises a compression tool capable of inducing a compressive force to said anchors to enable said positioning of said vertebra. The compression tool having first and second arms each having a distal working end which in use, a first of said arms engages the rod. Each said first and second distal working ends of the tool, each have a formation which co-operates with the rod; the formation on the second arm by co-operation with an anchorage associated with or on the primary rod enabling a concurrent rotation of the rod and translation of a vertebra to which the rod is connected via the vertebral anchors during compression applied to said anchors by the compression tool prior to locking of the rod by the vertebral anchors when vertebrae are in a selected position.

The tool and surgical kit are configured to facilitate in-situ reattachment of a screw extender to screw is provided. The surgical kit includes a screw extender, a screw assembly and a tool. The screw extender has a channel extending from a proximal end to a distal end of the screw extender. The screw assembly includes a screw and a set screw. The screw includes a threaded shaft and a head having a pair of sidewalls spaced apart from each. The interior surface of the sidewalls is threaded. The tool includes a first and a second removable shaft, the distal ends of which are configured to respectively engage the screw and the set screw. The tool includes a main shaft, a handle and a hollow housing. The main shaft is configured to fit through the channel, and the hollow housing is configured to receive the screw extender housing.

Devices and methods for implantation of an orthopedic device between skeletal segments using limited surgical dissection. The implanted devices are used to adjust and maintain the spatial relationship(s) of adjacent bones. Depending on the implant design, the motion between the skeletal segments may be increased, limited, modified, or completely immobilized.

Described herein are devices and methods for fusion of adjacent vertebral bones of a subject using distractor platforms for the exposure and resection of at least a portion of the facet joint, such as in performance of a TLIF procedure. In one embodiment, the distractor platform contains at least a first receptacle and/or extension that are adapted to couple to the implanted screw/bone marker and the method includes advancing a first threaded segment of a first bone fastener assembly into the identified first pedicle of the first vertebral bone, wherein the first bone fastener assembly further comprises a second segment that is adapted to couple with a distraction platform adapted to concurrently attach onto at least one tissue retention blade and is adapted to retain the tissue retention blade in the displaced position.