The present application relates to a pedicle tract stabilization system comprising a bone anchor and a fixation mechanism. The bone anchor is used for stabilizing vertebra during surgical instrumentation of the spine; and the fixation mechanism is used for fixing a bone anchor during the surgical instrumentation. The bone anchor comprises a gripping mechanism for securing the bone anchor to the vertebra cortex and a central body for coupling the gripping mechanism. The fixation mechanism comprises a frame movably attached to the bone anchor. In addition to the bone anchor and the fixation mechanism, the pedicle tract stabilization system may further comprise an external clamping mechanism and a linking mechanism.

Systems, instruments, and methods for performing a medical procedure. The methods comprise: obtaining a surgical instrument that combines a head positioner and a driver into a single integrated part (the driver being at least partially inserted through an elongate aperture formed in the head positioner so as to extend from a proximal end of the head positioner to a distal end of the head positioner); using an actuable structure of the head positioner to limit an amount that the driver can linearly travel in a first direction within the elongate aperture formed in the head positioner; causing a screw to threadingly engage an object via rotation of the driver in at least a first direction around a central axis of the surgical instrument; and changing an orientation of a receiver via rotation of the head positioner about a portion of the driver.

The present disclosure includes a polyaxial bone fixation element for use in spinal fixation to interconnect a longitudinal spinal rod with a patient's vertebra. The polyaxial bone fixation element preferably includes a bone anchor, a collet, a body, and a locking cap. The polyaxial bone fixation element preferably enables in-situ assembly. That is, the polyaxial bone fixation element is preferably configured so that in use, the bone anchor may be secured to the patient's vertebra prior to being received within the body. Accordingly, the polyaxial bone fixation element enables a surgeon to implant the bone anchor without the body to maximize visibility and access around the anchoring site. Once the bone anchor has been secured to the patient's vertebra, the body can be snapped-onto the bone anchor. The bone anchor preferably also includes a second tool interface so that a surgical instrument can be directly coupled to the bone anchor.

A spinal implant comprises a proximal member including a body having a first diameter and a head having a second diameter. The body includes an outer surface disposed for non-fixation with a superior facet of a vertebra, and the second diameter being greater than the first diameter. The spinal implant comprises a distal member having a third diameter and being configured for fixation with an inferior facet of an adjacent vertebra. Systems, surgical instruments and methods are disclosed.

A modular surgical instrument is provided that includes a tower having a first end, a second end and a ratchet segment between the first end and the second end. The instrument includes a ratchet reduction mechanism. The ratchet reduction mechanism includes a ratchet lever, a linear ratchet rack integrated into a ratchet segment of the tower at a location between the first end and the second end, and a ratchet collar coupled to the ratchet lever. The ratchet collar is configured to slide along the ratchet segment by application of an applied force. The instrument includes a reducer that may be affixed to the ratchet reduction mechanism. The reducer is configured to move in unison with the slide of the ratchet collar.

An anchoring system for implanting in bone, the system comprising a first coupling assembly having a first clamp and a first coupling body that receives and holds a first stabilization element; a second coupling assembly that receives and holds a second stabilization element; and a plate that attaches to the first coupling assembly and the second coupling assembly, wherein the first coupling assembly attaches to a bone fastener, and wherein the first coupling body includes a cap retainer that receives a locking cap that applies a directional force to force the first coupling body toward the plate, and applies another directional force to force the first clamp toward the plate, thereby fixedly securing the first coupling body and the first clamp to the plate.

Briefly, the invention relates to a surgical tool and method for forming a pilot bore by inserting a guide wire into bone. More particularly, the device includes a cannulated hand grip and driving tool used for the rotation of a pedicle screw into bone. The rear portion of the hand grip includes a slide assembly that is suited to grip a guide wire. The slide assembly includes a user adjustable stop to control the sliding movement of the guide wire. The rear surface of the slide assembly is constructed to be impacted with a hammer or similar device, whereby the stop prevents the guide wire from penetrating the bone further than desired. Should it be desired that the guide wire be retracted, a screw jack is included to allow the guide wire to be precisely retracted.

A method of assembling a surgical instrument is provided. The method comprises connecting a part with a first member, the first member extending between a proximal end and a distal end, the proximal end including at least one mating surface disposed a selected distance from the distal end for engagement with a navigation component, the part having an opening and the distal end being inserted through the opening and translated to a selected position with the first member. Systems, spinal constructs and implants are disclosed.

A coupling device includes a receiving part having a head receiving portion for pivotably receiving a head of a bone anchor and a rod receiving portion defining a recess for receiving the rod, the rod receiving portion having an engagement structure for engaging a locking member to lock the rod in the recess and a first engagement surface different from the engagement structure for engaging an instrument, wherein the first engagement surface is formed away from radially outwardly facing regions of the rod receiving portion, and a locking ring positionable around the head receiving portion and having a second engagement surface for engaging the instrument. The locking ring can assume an insertion position where the head of the bone anchor is insertable into the head receiving portion, and a pre-locking position where the head is prevented from removal from the head receiving portion.

A set for dorsal spinal fusion comprises a detachable handle made of plastic material and a screwdriver that can be coupled to the removable handle without the use of tools. A receptacle of the handle for the screwdriver is made of plastic material. Also, a handle is disclosed, which in particular comprises a ratchet mechanism.