A method and system for performing bone fusion and/or securing one or more bones, such as adjacent vertebra, are disclosed. The screw includes a threaded distal piece fixedly attached connected to an inner post. Both the inner post and the proximal piece have non-cylindrical receptacles at their proximal ends for engagement with driving tools. Independent rotation of the proximal piece and the distal piece enables for compression or decompression to modify the gap between two bones or bone fragments. During use, the distal piece of the bone screw is placed at least partially within a distal bone, the proximal piece is placed at least partially within a proximal bone, and one of two pieces is rotated while the other is held in a fixed position, causing movement of the proximal and distal bones relative to each other.

A method and system for performing bone fusion and/or securing one or more bones, such as adjacent vertebra, are disclosed. The screws include a threaded tip connected to a main shaft and a threaded outer sleeve that rotates relative to the outer shaft until locked down. Independent rotation of the threaded outer sleeve relative to the threaded distal tip allows compression or distraction to modify the gap between the vertebral bodies. The screws are passed from the inferior to superior vertebra or superior to inferior, for example, through a trans-pedicular route to avoid neurological compromise. At the same time, the path of screw insertion is oriented to reach superior or inferior vertebra. An intervertebral cage of the system is configured for lateral expansion from a nearly straight configuration to form a large footprint in the disc space. The screws and cage may be combined for improved fixation with minimal invasiveness.

A spinal implant includes a hollow body having a distal end, a proximal end, and a pair of lateral walls extending from the distal end to the proximal end, the lateral walls having a concave-shaped cross-section and having concave, non-threaded interior surfaces for defining an at least partially cylindrical internal space between the lateral walls. The hollow body has upper and lower faces that are inclined relative to one another, whereby a distance between the upper and lower faces decreases from a first lateral side of the hollow body to a second lateral side of the hollow body opposite the first lateral side. The implant includes an anchoring member having bone anchoring projections that is inserted into the hollow body. The anchoring member is rotatable for enabling the anchoring member to be screwed into the internal space of the hollow body.

A method and system for performing bone fusion and/or securing one or more bones, such as adjacent vertebra, are disclosed. The screws include a threaded tip connected to a main shaft and a threaded outer sleeve that rotates relative to the outer shaft until locked down. Independent rotation of the threaded outer sleeve relative to the threaded distal tip allows compression or distraction to modify the gap between the vertebral bodies. The screws are passed from the inferior to superior vertebra or superior to inferior, for example, through a transpedicular route to avoid neurological compromise. At the same time, the path of screw insertion is oriented to reach superior or inferior vertebra. An intervertebral cage of the system is configured for lateral expansion from a nearly straight configuration to form a large footprint in the disc space. The screws and cage may be combined for improved fixation with minimal invasiveness.

An orthopedic plate and fastener system is provided for fixation of bones which has an implant that can selectably be used to achieve fixed angle and variable locking of the fasteners, as well as non-locking of the fasteners. The system includes a variable locking assembly that includes a locking insert, having threads which mates with internal threads of a through opening in the implant. The system also provides for locking fixed angle fixation, and non-locking variable angle fixation, all of which can be used with the threaded holes of the plates. The locking insert is provided on a ring driver, which is similar to or acts as the drill guide used with the locking fasteners of the present. Thus, the invention also relates to a method of enabling surgery where the surgeon can select the mode of fixation of fasteners between variable axis locking, variable axis non-locking, and fixed angle locking fixation, all utilizing the same fastener opening within the implant.

A screw and an anatomy buttressing adaptor are provided. The screw includes a head portion, a shaft portion, and a central axis. The anatomy buttressing adaptor includes a body portion including a first end, an opposite second end, a lower surface, and an internal cavity extending through the body portion. The lower surface of the body portion being formed at least adjacent the second end thereof, and including spikes formed thereon and spaced therearound.

A compression plate kit that allows for manual compression of a bone discontinuity includes a bone plate, two or more reduction screws, and a compression clamp. The compression clamp can include engagement members configured to engage the reduction screws, thereby allowing a practitioner to compress a bone discontinuity by manually closing the compression clamp. One or more implementations of a kit of the present invention can provide a practitioner with physical or tactile feedback during the compression of a bone discontinuity, and thus, provide the practitioner with the ability to better control the compression and spacing of bone portions during a reduction.

An instrument for holding and inserting a bone anchor into a bone is provided, where the bone anchor includes a shank for anchoring in the bone and a head. The instrument includes a holding member for holding the head of the bone anchor and has a plurality of arms configured to at least partially encompass the head, where the arms include an inner surface forming a seat for the head. The instrument also includes a drive shaft for engaging the head of the bone anchor and defining a longitudinal axis of the instrument. The instrument further includes a displacement member configured to act on the holding member. The holding member can assume a first configuration in which it is configured to permit the head to enter the seat and a second configuration in which it is configured to hold the head in the seat.

A bone screw configured to be screwed into a bone having: an exterior casing; a head having a head interior surface; a tip configured to be driven into the bone; a shaft extending between the head and the tip, the shaft having exterior threads; a magnet; an interior cavity within the bone screw configured to house the magnet; a cap having: a top end having a recess configured to receive a means for driving the bone screw into the bone; and a bottom end having cap threads; the head being configured to receive the cap by having interior threads on the head interior surface; wherein an association of the cap threads with the interior threads causes the cap to be sealed to the head, and thus causes the magnet to be encased within the bone screw with no portion of the magnet exposed outside of the exterior casing.

Modular surgical instruments and related methods are disclosed herein, e.g., for performing rod reduction, derotation, and/or set screw insertion during spinal surgery. An exemplary system can include an instrument body configured to couple to a bone anchor assembly to provide a modular platform for carrying out various steps of a surgical procedure. For example, the instrument body can receive a reduction instrument therethrough for reducing a spinal rod into the bone anchor assembly. A derotation instrument can be attached to the reduction instrument for performing derotation maneuvers or applying other manipulation forces. A modular driver or handle adapter can be attached to the reduction instrument and/or to the derotation instrument to facilitate rod reduction. Any of the instrument body, the reduction instrument, and the derotation instrument can include a working channel therethrough. A set screw or closure mechanism, and a driver instrument for applying the set screw or closure mechanism to the bone anchor assembly, can be inserted through the working channel.