A spinal manipulation instrument, system, and method may use a driving rod to move instrument arms toward or away from one another to compress or distract between selected vertebrae to which the arms are connected. Two arms may be coupled to the driving rod. A threaded collar may axially engage one of the arms, to translate that arm along the driving rod with respect to the other arm. The other arm may be at a fixed axial location or driven by another, oppositely-oriented thread. The arms may be highly adjustable to accommodate a wide range of anatomical variation between patients. Attachment members may be modular to interchangeably couple the arms across multiple platforms.

An ultrasonically assisted clamping system and method for extending a spinal support rod system to additional vertebrae of the spine. A clamp assembly and a receptacle assembly securely couple an additional extension rod to an existing spinal support rod. Various embodiments further include an ultrasonic assist for cutting through tissue that may be present in the vicinity of the existing spinal support rods. In some embodiments, the clamp assembly is configured to augment the ultrasonic aspect of the system. The system cuts through and locally removes tissue from and proximate to the spinal support rods where the clamp assembly is to be mounted, without the need for a separate surgical procedure for removing the tissue prior to implantation, thereby providing a secure clamping of the newly implanted extension rod to the existing base spinal support rod.

An implant for the stabilization of bones or vertebrae is provided, the implant being a solid body including a longitudinal axis that defines a longitudinal direction and including a flexible section that has a surface and has a length in the longitudinal direction, the flexible section including at least one cavity located near the surface and having a width in the longitudinal direction that is smaller than the length of the flexible section, the at least one cavity being connected to the surface through at least one slit, and a width of the slit in the longitudinal direction being smaller than the width of the cavity.

Systems and methods are provided for treating and/or correcting spinal deformities. An implantable spinal system comprises first and second fasteners, such as bone anchors, and a connector element extendible between the first and second bone anchors. The connector element is configured for distraction between the first and second bone anchors on a concave side of the vertebral column. The connector element provides sufficient force to distract the spine to correct the curved portion of the vertebral column. The implantable spinal system may be particularly useful as a distraction and motion preservation system for treatment of scoliosis in a growing child, adolescent or adult. The system may be configured to at least partially correct the curved portion of a spinal column in at least two different planes, such as the frontal plane and/or the sagittal plane, or to correct a rotation in the transverse plane.

Devices, systems and methods for use in spinal surgeries. The system may include a fastener system comprising a fastener, a staple, and a locking cap. A cord may extend along the spine and through at least one fastener system. An instrument may be provided for tensioning the cord. The system may, for example, apply fixation on the convexity of the scoliotic vertebrae to limit growth on the convex side and allow unilateral growth on the concave side.

A spinal distraction system includes a distraction rod having a first end and a second end, the first end being configured for affixation to a subject's spine at a first location, the distraction rod having a second end containing a recess having a threaded portion disposed therein. The system further includes an adjustable portion configured for affixation relative to the subject's spine at a second location remote from the first location, the adjustable portion comprising a housing containing a magnetic assembly, the magnetic assembly affixed at one end thereof to a lead screw, the lead screw operatively coupled to the threaded portion. A locking pin may secure the lead screw to the magnetic assembly. An o-ring gland disposed on the end of the housing may form a dynamic seal with the distraction rod.

Active compression devices, methods of assembly and methods of use are disclosed. A bone fixation device may include a first member, a second member shaped to engage the first member, and at least one deformable member. A bone fusion device including a female member with a proximal and distal end, a male member with a proximal and distal end, and at least one elastic element positioned between the female member and the male member. A bone plating device including a first member, a second member shaped to engage the first member, and at least one deformable member positioned between the first member and the second member. Methods of assembling and using the bone fixation devices, bone fusion devices, and bone plating devices are also disclosed.

A crosslink is provided for securing orthopedic implants, such as facet joint replacement implants, together. The crosslink has a pair of implant coupling components, a pair of rod coupling components, a rod, and a pair of fasteners. Each facet joint implant may include a semicylindrical interface received in a resilient member of the corresponding implant coupling component to permit relative cephalad/caudal adjustment between the crosslink and the implants. The resilient members grip the semicylindrical interface of the implant to enable at least temporary attachment of the implant coupling components to the implants independently of the rod. Clocking features on the semicylindrical interfaces and on the interfacing areas of the implant coupling components and rod coupling components may limit assembly of the crosslink to discrete relative orientations and prevent play after assembly. The fasteners secure the rod coupling components to the rod at the desired positions along the rod.

A spinal manipulation instrument, system, and method may use a driving rod to move instrument arms toward or away from one another to compress or distract between selected vertebrae to which the arms are connected. Two arms may be coupled to the driving rod. A threaded collar may axially engage one of the arms, to translate that arm along the driving rod with respect to the other arm. The other arm may be at a fixed axial location or driven by another, oppositely-oriented thread. The arms may be highly adjustable to accommodate a wide range of anatomical variation between patients. Attachment members may be modular to interchangeably couple the arms across multiple platforms.

Methods of correcting a spinal deformity, including securing a first rod on a first side of a spine, securing an anchor on a second side of a spine, securing a lateral coupling between the rod and the anchor, translating and derotating the spine to correct the spinal deformity by adjusting an effective length of the lateral coupling, and securing a second rod on a second side of the spine to provide secondary stabilization to the spine.