Implants, systems, and methods for securing a flexible band, thereby providing a desired correction to the spine. The implant may secure the flexible band to a spinal rod and/or a pedicle screw. The implant may include a first locking member configured to secure the spinal rod and a second locking member configured to secure the band. The band may be looped around bony anatomy and tensioned to achieve correction and provide fixation as an alternative and/or supplement to pedicle screws during spinal deformity surgery.

A dynamic longitudinal connecting member assembly includes an anchor member having an integral or otherwise fixed elongate core of circular or non-circular cross-section. The core is pre-tensioned and extends through at least one elastic spacer and at least one outer sleeve. The anchor member and the outer sleeve each attach to at least one bone anchor. In operation, the core is held in tension by the spacer.

A pivotal bone anchor assembly includes a receiver having upright arms defining a receiver channel for receiving an elongate rod, and an axial bore extending downward from the receiver channel to a bottom opening. The upright arms include break-off extensions, outer horizontally extending curvate tool engagement grooves, and side apertures extending inwardly from outer surfaces of the upright arms to deformable crimp wall portions adjacent the axial bore. The assembly also includes a shank having an anchor portion and an integral upper portion that is positionable in the axial bore of the receiver with the shank extending downward through the bottom opening. The assembly further includes an insert with an insert channel positionable within the axial bore and having opposing depressions formed into side surfaces that are configured to cooperate with the crimp wall portions of the receiver to maintain the insert channel in alignment with the receiver channel.

A receiver assembly for capturing an elongate rod in a receiver of a bone anchor includes the receiver, a first threaded closure, and a second threaded closure. The receiver includes an upper portion that defines a first channel, interior surfaces that have helically wound thread, and a lower pressure insert that can be positioned within the first channel and has upright arms. Each of the first threaded closure and the second threaded closure have a cylindrical body with an external surface having continuous helically wound thread that can rotatably mate with the helically wound receiver thread. The first threaded closure and the second threaded closure are interchangeable for different locking configurations in the receiver assembly. The first threaded closure has a downward protrusion that can compressively engage the elongate rod. The second threaded closure has a bottom surface that can compressively engage the upright arms of the lower pressure insert.

A spinal fixation construct for aligning vertebral bodies includes a bone screw, a spinal rod, a flexible member, and a fixation member. The spinal rod is disposed within a saddle portion of a housing of the bone screw, and includes an elongated body having a first end and a second end. The spinal rod is formed from a first material having a first modulus of elasticity. The flexible member is coupled to the spinal rod, and includes an elongated body having a first end portion and a second end portion. The flexible member is formed from a second material having a second modulus of elasticity that is different from the first modulus of elasticity. The fixation member includes a threaded body portion and a head portion defining a hole therethrough. A portion of the flexible member extends through the hole of the head portion.

A pivotal bone anchor assembly includes a shank having a head portion and an anchor portion for fixation to the bone of a patient, and a receiver comprising a base defining a lower portion of central bore and a pair of upright arms defining a channel for receiving an elongate rod. The assembly also includes a retaining structure with a central opening configured to capture and pivotally retain and support the head portion of the shank in the retaining structure, and which is slidably movable relative to the receiver so as to provide for increased articulated movement between the shank and the receiver prior to locking the assembly with the elongate rod and a closure. The assembly further includes an insert configured to engage the elongate rod and the head portion of the shank when in use, and to have an overlapping configuration with the retaining structure when the assembly is in the locked configuration.

A pivotal bone anchor assembly for securing an elongate rod to a bone of a patient. The assembly includes a receiver having pair of upright arms that define an open channel configured to receive the elongate rod and a discontinuous helically wound receiver guide and advancement structure formed into the interior surfaces of the upright arms. The assembly further includes a closure configured for positioning within the open channel to secure the elongate rod to the receiver in a locked configuration, with the closure having an outer surface with a mating continuous helically wound closure guide and advancement structure configured to resist a tendency toward splaying between the upright arms upon a screwing in of the closure within the open channel by rotatable engagement with the receiver guide and advancement structure.

Bone anchoring methods and systems employed by such methods. The bone anchoring methods involve implanting a vertebral adjustment system into a vertebral body of a patient. The vertebral adjustment system includes a flexible member and a tensioning mechanism coupled to the flexible member. The tensioning mechanism is capable of imparting a force on the flexible member to change the tension of the flexible member. The methods include the step of engaging the tensioning mechanism to the flexible member, enabling the flexible member to be tensioned and secured in place.

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.

A receiver assembly includes a receiver having a first channel, a through-space with internal recesses beneath a guide and advancement structure, and internal ridges projecting inwardly below the internal recesses. The assembly also includes an insert having a second channel, side structures protruding laterally outward below top surfaces, and opposed lower extensions extending downwardly below the second channel, with the insert being loadable into the through-space with the second channel in non-alignment with the first channel. The insert is the non-threadably rotatable within the through-space to align the second channel with the first channel and to move the side structures into the internal recesses above the internal ridges, with a subsequent forced downward displacement of the insert within the through-space causing the side structures to frictionally engage the internal ridges to inhibit the insert from moving upward within the through-space.