A bone anchoring device for anchoring a rod to a bone or vertebra includes a receiving part having two legs defining a channel for the rod, and a rod receiving member positionable in the channel, the rod receiving member including an upper surface and a lower surface defining a longitudinally extending passage for receiving the rod and respectively configured to restrict upward and downward movement of a rod received in the passage. The rod receiving member is adjustable from a first configuration where the passage is unobstructed and the rod is movable longitudinally through the passage, to a second configuration where an engagement surface attached to other portions of the rod receiving member is advanced axially into the passage to engage the rod while a rotational orientation of the engagement surface remains constant to restrict movement of the rod in the passage.

The invention provides the internal fixation system of multi-function adjustable spine posterior screw-rod. It not only includes the vertebral plate, but also includes the adjustable connecting rod, screw and lock nut. Among them, vertebral plate is curved, its internal cambered surface directly faces the spine, and external cambered surface of vertebral plate is equipped with a reinforcing rib. The vertebral plate is set with the perforative injecting hole, and the external cambered surface of vertebral plate is set with the located block. The surface of the located block is set with the concave threaded hole, and the located block on two sides of the threaded hole is set with the U-shaped bracket. The top of screw expands to form a locking block, which surface is set with the concave locking hole. The locking block on both sides of locking hole is set with the U-shaped locking groove.

A spinal construct is disclosed. The spinal construct may include a connector having a body including a first implant cavity and a second implant cavity. The first implant cavity being defined, at least partly, by at least two threaded arm portions. The first implant cavity may include a first receiving cavity configured to adjustably orient a first rod in a plane substantially perpendicular to the first axis. The second implant cavity may include a second receiving cavity configured to orient a second rod. In some embodiments, the threaded arm portions may be configured to receive a first set screw such that when the first set screw is fully tightened along the first axis the first rod is fixed relative to the body in a direction extending substantially parallel with the plane. In some embodiments, the body may further include a threaded opening communicating with the second receiving cavity.

A bone screw kit includes a support member, a screw, an extension sleeve, a connecting rod, a locking screw, a screw driver and an extension sleeve remover. The support member has two wings. An external wall of one axial end of the screw driver has ribs and one first snap. The first snap has oppositely a first outer diameter and a second outer diameter less than the first outer diameter. A through hole having a second snap is disposed on the locking screw furnished thereinside with grooves. The second snap has a first inner diameter less than the first outer diameter but larger than the second outer diameter. The locking screw and the screw driver are disposed in the support member and the extension sleeve. The extension sleeve having two extension wings sleeves the support member. Engagement structures are provide to engage the wing and the inner extension wing.

A bone anchoring device for anchoring a rod to a bone or vertebra includes a receiving part having two legs defining a channel for the rod, and a rod receiving member positionable in the channel, the rod receiving member including an upper surface and a lower surface defining a longitudinally extending passage for receiving the rod and respectively configured to restrict upward and downward movement of a rod received in the passage. The rod receiving member is adjustable from a first configuration where the passage is unobstructed and the rod is movable longitudinally through the passage, to a second configuration where an engagement surface attached to other portions of the rod receiving member is advanced axially into the passage to engage the rod while a rotational orientation of the engagement surface remains constant to restrict movement of the rod in the passage.

An insert for convertibly anchoring an artificial ligament tether in a tulip of a spinal fixation construct. A prior art tulip has a socket with opposite end openings and configured in size and shape to receive a spinal longitudinal support rod. A tulip also has a clamping screw threadedly engaged to the tulip to clamp a support rod in the socket. The invention is an insert body having an exterior configured to conformingly seat against a surface of the tulip socket and also having a passageway extending entirely through the insert body in a direction to extend between the end openings of the tulip. A surgeon inserts a tether through the passageway and rotates the clamping screw to translate the clamping screw against the insert body. Rotation of the clamping screw clamps the tether to the insert body and clamps the insert body to the tulip.

A method for surgically preparing a spinal fixation construct that includes a first support rod and a tulip with a socket shaped to receive a second support rod. A tether anchor is installed in the tulip socket and a tether is fixed to the tether anchor and to a vertebra. In a subsequent revision surgery, the tether and the tether anchor are removed. Then a second support rod is installed in the socket of the tulip. Preferably, before installing the tether anchor, a first end of a rod-to-rod connector is connected to the first support rod. The second, opposite end of the rod-to-rod connector has the tulip socket formed on it to which the tether anchor is initially installed. In the subsequent revision surgery, after removal of the tether anchor, the second support rod is installed in the socket of the tulip on the rod-to-rod connector.

Systems and methods of treating spinal deformity, including one or more intervertebral implants to be introduced laterally into respective intervertebral spaces, a plurality of bone screws introduced generally laterally into vertebral bodies adjacent to the intervertebral implants and/or the intervertebral implants themselves, and a cable dimensioned to be coupled to the bone screws and manipulated to adjust and/or correct the spinal deformity.

A pivotal uniplanar bone anchor assembly includes a shank having a shank head with a partial spherical shape at a proximal end and an anchor portion opposite the shank head for fixation to the bone of a patient. The assembly also includes a receiver having a top portion defining an open channel for receiving an elongate rod and a base defining a cavity in communication with the open channel and with a bottom surface of the receiver through a distal opening. The assembly further includes a retainer positionable into non-pivotal engagement with an inner surface of the cavity prior to the shank head being received within the cavity, with the retainer having a central passage configured to receive and support the shank head within the cavity while restricting pivotal motion between the shank and the receiver to a single plane.

A medical implant assembly having at least two bone attachment structures cooperating with a dynamic longitudinal connecting member, the improvement wherein the connecting member includes: a first end, a transition portion, and a second end; a substantially rod portion extending longitudinally from the first end to the transition portion, and including a longitudinal axis and a substantially rigid core running substantially parallel with the longitudinal axis; a substantially cord portion joined with the rod portion and extending from the transition portion to the second end; and a substantially flexible jacket portion covering the rod and cord portions.