It is an object of the present invention to overcome at least some of the problems associated with elongating an existing pedicle screw and rod construct. To this end, there is proposed a spinal rod assembly for elongating an in situ spinal posterior rod system by connecting the spinal rod construct to a head of an in situ bone fastener. The spinal rod assembly according to one embodiment comprises a rod connector and at least one rod fastener, wherein the rod connector comprises a first connector head and a second connector head, connected by an elongated bar, and forming a space between the first and second connector heads. The first connector head comprises a first pocket for receiving a first rod end, while the second connector head comprises a second pocket for receiving a second rod end.

The present disclosure includes bone screws and assemblies thereof for surgical procedures of the spine including but not limited to posterior spinal fixation procedures.

A posterior spinal fusion system may include a plurality of cannulas that mate with cages polyaxially coupled to pedicle screws. The cannulas maintain access to the pedicle screws to facilitate percutaneous insertion of a fusion rod into engagement with the cages. Each cannula has a pair of blades that may be held together by an abutment member that at least partially encircles the blades. Each abutment member abuts the skin to define a variable subcutaneous length of the corresponding cannula. Each abutment members is also lockably removable from the corresponding blades to enable the blades to pivot with respect to the connecting element to a position in which they can be withdrawn from the connecting element. The blades of each cannula are spaced apart to provide first and second slots of each cannula, through which the fusion rod can be percutaneously inserted.

The present invention generally relates to methods and device for treatment of spinal deformity, wherein at least one tether is utilized to maintain the distance between the spine and the an ilium to (1) prevent increase in abnormal spinal curvature, (2) slow progression of abnormal curvature, and/or (3) impose at least one corrective displacement and/or rotation.

A pivotal bone anchor assembly includes a receiver having a cavity for receiving the head of a shank, a first channel for receiving an elongate rod, and an axial bore extending upward from a bottom opening of the receiver to a discontinuous thread adjacent a top of the receiver with opposed alignment members protruding inwardly beneath the discontinuous thread. The assembly also includes a pressure insert having a second channel for receiving the underside of the elongate rod, a lower surface for applying downward pressure on the shank head, and an outer cylindrical surface with opposite elongate recesses. The pressure insert is loaded into a first position within the axial bore and then rotated into a second position in which the opposed alignment members become positioned within the opposite elongate recesses to hold the second channel of the pressure insert in alignment with the first channel of the receiver.

Disclosed implants may include a first implant receiver and a second implant receiver each having an upper portion and a lower portion connected together by an arm portion, for example. In various embodiments, the upper and lower portions may define a longitudinal passageway extending through the upper and lower portions in a longitudinal direction of each implant receiver, and the arm portions may each define a rod passageway extending in a lateral direction, for example. In various embodiments, each receiver may include a crown having an outside thread pattern threadably engaged within the longitudinal passageway and for mating with a corresponding nut having a similar interior thread pattern. In various embodiments, a rod may extend in the lateral direction through the rod passageways In various embodiments, in a non-tightened position, the rod may freely move and in a tightened position, the arms constrain the rod from moving.

The present invention generally relates to methods and device for treatment of spinal deformity, wherein at least one tether is utilized to maintain the distance between the spine and the an ilium to (1) prevent increase in abnormal spinal curvature, (2) slow progression of abnormal curvature, and/or (3) impose at least one corrective displacement and/or rotation.

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 includes bone screws and assemblies thereof for surgical procedures of the spine including but not limited to posterior spinal fixation procedures.

A spinal construct comprises a first member configured for attachment to a first portion of vertebral tissue that defines a longitudinal axis. A second member is configured for attachment to a second portion of the vertebral tissue such that the second portion is axially movable relative to the second member and sagittal movement of the second member relative to the second portion is resisted and/or prevented. Systems and methods are disclosed.