A pivotal bone screw assembly includes a receiver having a base defining a lower portion of a central bore, and a pair of upright arms extending upward from the base to define an open channel configured to receive an elongate rod. The uprights arms include opposed internal surfaces with a guide and advancement structure configured for engagement with a closure top, and side outer surfaces opposite the internal surfaces with tool engagement grooves extending horizontally and circumferentially to the front and back faces of the receiver. The assembly further includes a shank having a head and an anchor portion configured for attachment to the bone, with the head being positionable into the central bore of the receiver with the shank extending downward through the lower opening. The lower opening is configured to provide for increased pivotal movement of the shank with respect to the receiver in at least one direction.

A spinal rod extension system includes a rod portion of a spinal rod extension and a connector portion connected to the rod portion. The connector portion is configured for insertion through a screw head of an existing pedicle screw that is used to secure an existing spinal rod. The spinal rod extension system also includes a screw head connector configured to mount to the screw head of the existing pedicle screw to secure the connector portion to the existing spinal rod. The screw head connector includes a first end wall and a second end wall that are connected to one another by a pair of cross connectors.

A method of assembling a pivotal bone anchor assembly includes positioning a retaining structure into a central bore of a receiver having a planar seating surface above a lower opening, the retaining structure being operably slidably coupled with the planar seating surface and having a central opening, the receiver including upright arms defining an open channel configured to receive a rod and exterior surfaces comprising opposite cylindrical upper side surfaces defining a first width and opposite lower side surfaces below the upper side surfaces defining a second width. The method also includes positioning a partially spherical head of a shank into the central opening of the retaining structure, with the retaining structure being slidably movable along the planar seating surface of the receiver to provide for increased articulated movement between the shank and the receiver in at least one direction relative to a vertical centerline axis of the receiver prior to locking the assembly with a closure.

A soft dynamic stabilization assembly includes a core, typically in the form of a tensioned cord, at least one pair of bone anchors, a spacer surrounding the core located between the bone anchors, typically, at least one elastic bumper and at least one fixing or blocking member. The core is slidable with respect to at least one of the bone anchors and cooperating spacer.

The invention discloses a bionic artificial spinal joint, wherein the spinal joint includes a plurality of fixing units, the fixing units are fixed on a vertebral body, at least two fixing units located on one side of a spine are arranged along the extension direction of the spine and fixed in sequence, and sufficient force can be borne between two adjacent fixing units. The overall micro-motion joint structure formed by two adjacent fixing units is both supportable and bendable. The present application imitates the function of the human inter-process joints, so that the spine equipped with the bionic artificial spine joint can be bent within a certain angle range while maintaining the height of the intervertebral space, thereby avoiding the problem of spinal rigidity after the traditional spine surgery pedicle internal fixation.

There is provided a pedicle screw assembly for dynamic and static fixation, which is able to be assembled during the operation and allows a doctor to make an emergency choice between fusion fixation and non-fusion fixation. The pedicle screw assembly is used for inner fixation in spine surgery. During the operation, a pedicle screw is firstly implanted in a pedicle, and then a spherical head of the pedicle screw is enclosed by a connecting claw. After a screw seat is connected to the connecting claw by means of threads, a connecting rod is inserted in a groove and finally a locking screw is tightened to complete the fixation.

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 polyaxial bone screw assembly includes a threaded shank body having an integral upper portion receivable in an integral receiver, the receiver having an upper channel for receiving a longitudinal connecting member and a lower cavity cooperating with a lower opening. A down-loadable compression insert, a down-loadable friction fit split retaining ring having inner and outer tangs and an up-loadable shank upper portion cooperate to provide for pop- or snap-on assembly of the shank with the receiver either prior to or after implantation of the shank into a vertebra. The shank and receiver once assembled cannot be disassembled.

A method of securing a rod to a receiver via a closure top. The receiver is configured to be used with a bone anchor and includes a pair of upright arms that define an open channel configured to receive the rod, a discontinuous helically wound receiver guide and advancement structure formed into the interior surfaces of the upright arms, and horizontally-elongated tool-engaging structures formed on the outer surface of the upright arms. The method further includes positioning the rod within the open channel of the receiver and securing the rod to the receiver by threadably advancing the closure top to secure the rod and within the receiver body of the receiver. The method further includes rotatably attaching a lower end of a tool to the receiver.

A pivotal bone screw assembly includes a threaded shank body having an integral upper portion receivable in a receiver, with the receiver having an upper channel for receiving a longitudinal connecting member and a lower cavity cooperating with a lower opening. The assembly also includes a downloadable compression insert with a side arm extension for engagement and compression by a vertically-translating insert side compressing member so as to lock the assembly independent of the closure top.