A surgical system includes an implant support engageable, in operation of the system, with a receiver of a bone fastener having a shaft fixed with vertebral tissue. The receiver being connectable to at least one extender tab. The implant support including a connector being releasably engageable with the at least one extender tab. The implant support further including an adaptor. At least a portion of the adaptor being movable relative to the connector to releasably engage a surgical instrument to distract and/or compress the vertebral tissue. Surgical instruments, constructs, implants and methods are disclosed.

A surgical instrument includes a first member having a mating surface that is connectable with a first blade and a height controller. The height controller is connectable with a surgical distractor and configured to translate the first member relative to the surgical distractor. A second member includes a second blade and is movable relative to the first member such that the blades are movable to space tissue adjacent a spine. Surgical systems, constructs, implants and methods are disclosed.

An adapter device for connecting an instrument to a bone anchor includes an elongate main portion having a longitudinal axis, a first end with a surface that is directly engageable with a head of the bone anchor, an opposite second end, and a channel that extends longitudinally through the main portion, and a holding member having an inner surface forming a seat for the head. The holding member is movable over a majority of the main portion, and is configured to be held at a position where a first portion of the seat is directed towards the second end of the main portion to hold the head in the seat against the first end of the main portion, while the holding member engages another part of the adapter device to keep the first portion of the seat spaced apart axially from the first end of the main portion.

An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (˜16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (˜5-12 mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, “ultra-MIS” techniques.

Spinal correction surgical techniques and methodologies for correction of scoliosis using non fusion anterior scoliosis correction, including soft tissue releases, unique correction techniques such as de-rotation, and unique single and dual anchor screw/cord applications.

Spinal correction surgical techniques and methodologies for correction of scoliosis using non fusion anterior scoliosis correction, including soft tissue releases, unique correction techniques such as de-rotation, and unique single and dual anchor screw/cord applications.

Devices, systems, and methods for inserting a vertebral stabilization member, such as a rod. The insertion device includes an outer guide tube, a pin assembly including a pin and a pusher member extending therethrough. The insertion device is configured to actuate a rod between a first orientation and a second orientation angled with respect to the first orientation in order to position the rod in an appropriate location for attachment to bone.

A modular surgical instrument is provided that includes a tower having a first end, a second end and a ratchet segment between the first end and the second end. The instrument includes a ratchet reduction mechanism. The ratchet reduction mechanism includes a ratchet lever, a linear ratchet rack integrated into a ratchet segment of the tower at a location between the first end and the second end, and a ratchet collar coupled to the ratchet lever. The ratchet collar is configured to slide along the ratchet segment by application of an applied force. The instrument includes a reducer that may be affixed to the ratchet reduction mechanism. The reducer is configured to move in unison with the slide of the ratchet collar.

A connection device includes a sleeve having a first end, a second end above the first end, a longitudinal axis, and a wall that extends at least partially around the longitudinal axis. An extension member of a bone anchoring device is insertable through the first end into the sleeve to position the sleeve around at least part of the extension member. The wall has an outer surface and defines a laterally extending opening. A surface at a lower end of the opening extends inwardly from the outer surface by a first distance to facilitate insertion of a free end of the extension member from the first end into the opening, while a surface at an upper end of the opening extends inwardly from the outer surface by a distance greater than the first distance to restrict the free end from extending past the upper end of the opening.

A bone anchoring device includes a receiving part having a first end with an end surface, a second end, a recess at the first end for receiving a rod, and a flexible head receiving portion at the second end for pivotably holding a head of a bone anchoring element, and a clamping ring positionable around the head receiving portion and movable from a first position where the head is pivotable relative to the receiving part, to a second position where the clamping ring exerts a radial force onto the head receiving portion to lock the head. The receiving part further includes a first engagement structure at or adjacent the end surface extending radially outwardly from an outer surface of the receiving part, such that a width of the receiving part including the first engagement structure is at least as wide as a maximum width of the clamping ring.