A surgical instrument includes a body member and a leg having a first end integrated with and extending from the body member. A head cavity is in the leg portion to hold a head. A channel is formed along a longitudinal length of the leg. An elongated rocker assembly includes an elongated lever arm coupled within the channel about a fulcrum and a spring actuation. A projection of the arm projects in a direction of the head cavity. A rocker slide lock has a collar slidably coupled around the body member and having a first position located between the body member and the actuation tab, such that a portion of the collar is under the actuation tab to limit pivotal motion of the rocker assembly, and a second position having a clearance from under the actuation tab.

A surgical navigation system is provided to create a plan to correct a deformed spinal alignment. A processor is configured to obtain a first set of image data associated with a deformed alignment in a spine of a patient from at least one imaging device. The processor is also configured to process the first set of image data to identify a set of deformed alignment parameters associated with the deformed alignment. The processor is further configured to identify a set of corrected alignment parameters. The processor is also configured to process the first set of image data, the set of deformed alignment parameters, and the set of corrected alignment parameters to generate a correction plan to surgically manipulate the deformed alignment to the preferred alignment. The processor is additionally configured to provide navigation through the correction plan to facilitate surgical manipulation of a patient spine to the preferred alignment. The processor is also configured to receive information relating to forces on a rod-link reducer or surgical implants from strain gauges to aid the correction plan.

A rod reducer can comprise a reducing mechanism, a hinge mechanism, a handle mechanism and a bearing mechanism. The reducing mechanism can comprise a first elongate member extending along an axis to engage a bone anchor, and a second elongate member configured to slide along the first elongate member to engage a rod. The hinge mechanism can slidably couple the first and second elongate members such that the elongate members can translate against each other. The handle mechanism can comprise handles coupled to the hinge mechanism and configured to cause the first and second elongate members to translate relative to each other. The beating mechanism can be configured to permit the handles to rotate about the axis independent of the elongate members. Methods of using the rotating rod reducer can include rotating the handles out of the way of adjacent levels of a spinal column being simultaneously reduced.

A bone fixation system includes a bone fastener and a tower including a modular engagement feature therebetween, the tower having at least one flexible section and at least one rigid section to accommodate and/or mitigate tower interference and/or collision during surgical procedures. The distal section can desirably be separated and/or detached from the tower to function as a head locking unit of the bone fixation assembly, with the detached distal section capable of accommodating set screws, fixation rods and/or other spinal hardware.

The present invention is directed to a reducer remover to uncouple or unlock a reducer from a tulip of a pedicle screw. To remove the reducer from the tulip, a reducer remover is inserted onto the reducer to engage and unlock the locking mechanism of the reducer. The reducer remover features a ram that extends distally and engages actuating members to move the actuating members outward. The outward movement of the actuating members engages the locking mechanism to disengage or unlock the reducer from the tulip. In one embodiment, the outward movement of the actuating members push on the reducer clips in an outward direction to disengage them from the tulip. If needed, the ram continues movement distally until contacting the rod or set screw within the tulip. This distal movement of the ram pushes the reducer off of the tulip, making the reducer easy to remove from the tulip.

This application describes surgical instruments and implants, including a rod reduction instrument, for building a posterior fixation construct across one or more segments of the spinal column. Extension guides are provided that attach to bone anchors implanted within the spine. The extension guides have a guide channel that align with a rod channel in the anchor to help direct the rod to the anchor. The rod reducer may be passed through the interior of the guide assemblies with a distal end arranged in a first position allowing the distal end to pass through the guide. Once through the guide the distal end may be expanded to provide dual contact on the rod at each end of the bone anchor rod channel.

A bone anchoring device includes a receiving part with a rod receiving portion having a first end, a second end, a recess for the rod, an outer surface, and a first engagement structure on the outer surface that extends farther radially outwardly than other parts of the rod receiving portion, and a flexible head receiving portion for inserting and clamping the head. The bone anchoring device also includes a locking ring configured to be arranged around the head receiving portion for locking the head, the locking ring having an outer surface and a second engagement structure on the outer surface that extends farther radially outwardly than the outer surface of the rod receiving portion. The engagement structures are configured to be engaged by an instrument to move the locking ring from a locking position to a position where the inserted head is pivotable.

The present invention concerns an orthopaedic rod bender including: a rod receiving zone configured to receive a first rod having a predefined curvature and a second rod to which a curvature is to be imparted; a first support and a second support for contacting the first rod, the first and the second 9B supports being located on a first side of the rod receiving zone opposite the first side; and a mobile head located on a second side of the rod receiving zone; the mobile head being configured to be displaced towards the first side and in the rod receiving zone to contact the second rod and to apply a force to the second rod to push the second rod towards the first rod to impart a curvature to the second rod.

The present invention provides a spinal correction device comprising: a pedicle screw comprising a seating part having a pair of first slits formed opposite to each other, and a screw part disposed at one side of the seating part so as to be implanted into a bone; an extender having a pair of second slits for guiding a rod so as to seat same in the seating part, and detachably fastened at one side thereof to the outer surface of the seating part; a reduction body detachably fastened to the other side of the extender; and a rod reducer arranged to pass through the reduction body and the extender so as to fix the rod placed in the pair of second slits by pressing the rod against the seating part.

A method of stabilizing a first vertebra and a second vertebra includes implanting a first bone anchor into the first vertebra, implanting a second bone anchor into the second vertebra, connecting a first anchor connection instrument to the first anchor, connecting a second anchor connection instrument the second anchor, positioning a cement delivery tube into a passage provided through the first anchor, delivering bone cement from a bone cement delivery system coupled to the bone cement delivery tube through the passage in the first anchor to the first vertebra, removing the cement delivery tube from the first anchor connection instrument and the first anchor, connecting the cement delivery tube to second anchor connecting instrument connected to the second anchor, delivering bone cement through a passage in the second anchor to the second vertebra, connecting a spinal connection element to the first anchor and the second anchor.