A pivotal bone anchor assembly includes a shank having an anchor portion and a head with a partially spherical outer surface, a drive socket, an annular planar top surface surrounding the drive socket, and a frusto-conical surface between the planar top surface and the partially spherical outer surface. The assembly further includes a receiver having a base defining an axial bore and an upper portion defining a channel configured to receive a rod, and an insert positionable within the axial bore having an upper surface engageable with the rod, a lower surface for transferring a downwardly-directed force toward the head, and a central aperture for accessing the drive socket, with the rod extending across the central aperture when the fixation rod is engaged by the upper surface. After the head, the insert, and the rod are positioned in the receiver, the frusto-conical surface remains spaced apart from the rod to provide for increased articulation of the shank relative to the receiver.

A magnetic screw device that includes a fastening stem, a housing, a magnet assembly, and one or more magnets. The housing is configured to receive the fastening stem, such that the housing can rotate and angulate relative to the fastening stem. The housing is also configured to secure the magnet assembly. The magnet assembly contains two magnet holders that are each configured to receive one of the two magnets. The magnetic screw device can be used in a method of treating a spine with an abnormal curvature.

A receiver assembly for securing an elongate rod to a bone anchor includes a receiver having a channel configured to receive the elongate rod and a helically wound receiver guide and advancement structure formed into interior surfaces of the receiver. The receiver assembly further includes a threaded plug configured for positioning within the channel to secure the elongate rod to the receiver in a locked configuration, with the threaded plug having a lower axially protruding portion configured to compress the rod so as to prevent rotational and axial movement between the rod and the receiver in the locked configuration.

A pivotal spinal fixation system includes bone anchors comprising capture portions having a partial spherical shape with flat side surfaces, multi-planar receivers with continuous interior circumferential engagement surfaces proximate their bottom openings, and uni-planar receivers with non-continuous interior circumferential engagement surface proximate their bottom openings. The system also includes circular retainers, each having a non-continuous outer circumferential surface configured for non-pivotal engagement with the interior circumferential engagement surfaces of both the multi-planar receivers and the uni-planar receivers, and an inner surface configured to expand and contract around the capture portion and flat side surfaces of a bone anchor so as to capture the bone anchor within a multi-planar or uni-planar receiver. The system provides for pivotal motion of the bone anchors in any of a plurality of angular directions relative to the vertical centerline axes of the multi-planar receivers while limiting pivotal motion to a single pivot plane relative to the vertical centerline axes of the uni-planar receivers.

A magnetic screw device that includes a fastening stem, a housing, a magnet assembly, and one or more magnets. The housing is configured to receive the fastening stem, such that the housing can rotate and angulate relative to the fastening stem. The housing is also configured to secure the magnet assembly. The magnet assembly contains two magnet holders that are each configured to receive one of the two magnets. The magnetic screw device can be used in a method of treating a spine with an abnormal curvature.

A pivotal 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 an upper portion defining a channel for receiving an elongate rod and a base defining a cavity in communication with the channel and with a bottom surface of the receiver through a distal opening. The assembly further includes a retainer positionable into non-rotatable and 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 opening configured to receive and capture the shank head within the cavity while allowing for pivotal motion between the shank and the receiver in at least one plane, and with a lower portion of the retainer extending below the bottom surface of the receiver.

A system for replacing at least a portion of a natural facet joint includes a fixation member implantable in a vertebra, an inferior facet articular surface and an inferior strut which may be formed separately from the inferior articular surface. The inferior strut has a first end securable to the fixation member and a second end which may comprise a sphere with a hemispherical surface. An attachment mechanism may include a capture feature shaped to receive the second end of the inferior strut, and the mechanism may provide an adjustable configuration, allowing polyaxial adjustment between the inferior articular surface and the second end. A locking member may be actuated to exert force on the second end to provide a locked configuration. The system may further include a superior facet joint implant with a superior articular surface shaped to articulate with the inferior articular surface.

A non-intrusive bone anchor for attachment to vertebral laminar processes with a main body which has a lower fixed jaw; a connecting portion to said lower fixed jaw, a bore hole providing basis for an axis from one side of said connecting portion to the other, and a threaded two ring clamp where each ring has an inner threaded surface with a threaded axis; An externally threaded shaft with a first and second end, where said first end has an internal torquing indent and a portion adjacent thereto for a locking mechanism to engage the outer portion of the clamping ring and said first end has a fixation protuberance. An upper jaw that cooperates with said externally threaded shaft and engages bone between said upper jaw and said lower fizzed jaw forming a diagonal across a clamped bone body; and an inter-anchor connector comprising an axis with a first connector end and a second connector end where said first connector end has a rod portion and said second end has a tulip rod fixer portion.

A pivotal bone anchor assembly includes a shank with a head, an anchor portion, and a neck extending between the head and the anchor portion, and a receiver with upright arms defining a channel for receiving a rod and a central bore extending downward to a lower portion of the receiver. The assembly also includes a retaining structure rotatably coupled with the receiver with an internal seating structure pivotally supporting the head while providing for independent rotation of the shank prior to locking the assembly with the rod and a closure. The retaining structure includes an external surface and a slot extending between the seating structure and the external surface with a concave cut-out configured to closely receive the neck so as to provide for increased articulation between the shank and the receiver along the slot, and with the shank and the retaining structure being rotatable together around a centerline axis to align the increased articulation in any radial direction around the circumference of the receiver.

The present disclosure discloses an internal fixation system for anatomical reduction of a fractured vertebral body of a spine and intravertebral bone grafting. The system includes at least two injured vertebra nails, each of the at least two injured vertebra nails has a reduction connecting clip connected thereto, and all reduction connecting clips are connected by a connecting rod; the reduction connecting clip includes a fixation screw, a reduction connecting nut, and a reduction connecting screw head; and the reduction connecting screw head and the reduction connecting nut are connected to each other and have a one-way gear structure at a joint thereof. The present disclosure maximizes the recovery and maintenance of an effective height of an injured vertebral body, reduces occurrences of postoperative vertebral body collapses and kyphosis, and decreases fractures of pedicle screw nails and the connecting rod.