Various angularly-adjustable spinal fixation systems are provided and generally include an articulating connector having first and second elongate rods extending therefrom, and first and second polyaxial bone screw assemblies configured to seat the first and second rods therein. The rods are configured to be seated within receiver heads of the polyaxial bone screw assemblies when the screws are implanted in opposed lateral sides of a vertebra, thereby allowing the receiver heads to be manipulated relative to the rods to reduce one or more posterior fractures. A joint on the articulating connector can also be manipulated to reduce one or more anterior fractures. The entire construct can be locked to maintain the fractures in the reduced configuration.

A system and method for the minimally invasive insertion of an intervertebral rod into the vertebrae of a subject, according to a preoperative surgical plan also defining positions for the insertion of rod clamping screws into the vertebrae. The rod shape for connecting the heads of the screws is calculated, and a path planning algorithm used to determine whether the distal end of the rod can be threaded through the screw heads by longitudinal and rotational manipulation of the proximal end of the rod. If so, instructions are provided for forming that rod shape and for the robotic insertion of the screw holes and the rod. If not, either or both of the screw positions and the rod shape are adjusted, to moderate the bends in the rods, until insertion becomes possible. The insertion can be performed robotically, or, if a navigation tracking system is added, manually.

Disclosed are various embodiments for forming spinal rod members for use in pedicle screw systems for spinal fixation surgery and systems. A system can include a pedicle screw having a pedicle screw head and a pedicle screw shaft, the pedicle screw head comprising an aperture for receiving and retaining a spinal rod member relative to the pedicle screw. The spinal rod member can include an elongated tubular membrane having a flexible body and a spinal rod body formed of a compound, where the spinal rod body is formed by insertion of a liquid compound into the elongated tubular membrane and a hardening of the liquid compound or other similar process for conversion of the flexible rod to a rigid rod. The pedicle screw head can include a channel configured to receive and retain the spinal rod member.

The invention relates to a medical deformation device for a medical article, said deformation device comprising a receptacle for fixing the article, a deformation tool used to act on the article for deformation purposes, the deformation tool being movable in a defined manner relative to the receptacle, and a medical marking device that is detectable by a navigation system is held in each case on the receptacle and on the deformation tool for the purposes of determining a relative position of the deformation tool and the receptacle, wherein a further marking device is fixed to the deformation tool for the purposes of determining, by means of the navigation system, an extent of a deformation of the article. Moreover, the invention relates to a deformation system and a method for deforming a medical article.

An assembly for rectifying vertebrae, comprises: two bone anchoring means intended to be implanted on a same vertebra, a triangulation bar and a connection means for connecting the triangulation bar to each bone anchoring means and for holding the bone anchoring means in a given position in order to form, with the triangulation bar connected to the bone anchoring means by means of the connection means, a rigid triangular assembly, the triangulation bar comprising an attachment area for attaching a correction instrument arranged to ensure a rigid attachment in rotation and in translation of the correction instrument on the triangulation bar.

A robotic system may include a robot base and a rod feeding subassembly coupled to the robot base that includes a feeding actuator configured to selectively move a surgical rod. The robotic system may include a brake subassembly coupled to the robot base that includes a brake actuator configured to receive the surgical rod from the rod feeding subassembly, and selectively fix a first portion of the surgical rod with respect to the brake subassembly. The robotic system may include a bending subassembly coupled to the robot base that includes a bending actuator configured to selectively rotate to engage a second portion of the surgical rod and bend the second portion of the surgical rod with respect to the first portion of the surgical rod so that the first portion and the second portion of the surgical rod define a first bend angle.

A method of planning an arthroplasty procedure on a femur and tibia of a patient. The method includes receiving a first two-dimensional image of the femur and the tibia, and identifying, in the first two-dimensional image, a proximal femur feature, a distal tibia feature, and a bone contour. The method further includes running a transformation process to align a bone model representative of the femur and the tibia into a coordinate system with the first two-dimensional image, the bone model having a bone model contour that is aligned with the bone contour of the femur and the tibia in the first two-dimensional image. And the method further includes applying an implant model to the bone model in order to determine coordinate locations for the arthroplasty resection.

This invention relates to a surgery planning tool, which is not a patient implant, comprising an elongated body including at least a portion having the shape and the size of a spinal correction rod.

A system and method for the minimally invasive insertion of an intervertebral rod into the vertebrae of a subject, according to a preoperative surgical plan also defining positions for the insertion of rod clamping screws into the vertebrae. The rod shape for connecting the heads of the screws is calculated, and a path planning algorithm used to determine whether the distal end of the rod can be threaded through the screw heads by longitudinal and rotational manipulation of the proximal end of the rod. If so, instructions are provided for forming that rod shape and for the robotic insertion of the screw holes and the rod. If not, either or both of the screw positions and the rod shape are adjusted, to moderate the bends in the rods, until insertion becomes possible. The insertion can be performed robotically, or, if a navigation tracking system is added, manually.

An assembly for rectifying vertebrae, comprises: two bone anchoring means intended to be implanted on a same vertebra, a triangulation bar and a connection means for connecting the triangulation bar to each bone anchoring means and for holding the bone anchoring means in a given position in order to form, with the triangulation bar connected to the bone anchoring means by means of the connection means, a rigid triangular assembly, the triangulation bar comprising an attachment area for attaching a correction instrument arranged to ensure a rigid attachment in rotation and in translation of the correction instrument on the triangulation bar.