A lumbar process static and dynamic stabilization device includes: an upper arm configured to receive and be affixed to a first spinous process of one vertebrae; and a lower arm configured to receive and be affixed to a second spinous process of another vertebrae. The upper arm and the lower arm are pivotally connected, such that the upper arm and the lower arm can pivot relative to each other to transition the device to a desired orientation. At the same time, the device can be selectively locked into either a static configuration by a locking mechanism or allowed to move dynamically, such that the upper arm and the lower arm of the device are allowed to move relative to each other in response to manipulation of the portion of the lumbar spine on which the device is implemented.

An implantable device may include a barrel, the barrel having an upper portion and a lower portion. The implantable device may further include an actuator assembly disposed in the barrel, and a central screw that extends from a rear ramped actuator through a front ramped actuator. The implantable device may further include a first plate having multiple projections extending from one side of the first plate. The implantable device may further include a second plate having multiple projections extending from one side of the second plate, the second plate configured to be received on the central screw. The barrel may be configured to transition from a collapsed form having a first height to an expanded form having a second height and wherein the second height is greater than the first height.

A surgical kit includes a shield for covering a portion of the spine of a subject. The shield can include an attachment portion adapted to engage a bone fixation assembly which is adapted to be fixed on multiple vertebra bones of the subject. The bone fixation assembly can include a vertebra joining member secured between two bone anchors. Each bone anchor can include a fastener portion adapted to be implanted into a vertebra bone and a head coupling portion adapted to secure the vertebra joining member. The shield can be coupled to the bone fixation assembly via separate coupling elements, such as a clip or an adjustable link secured between two vertebra joining members of the bone fixation assembly. Alternatively, the shield can include an integral attachment portion configured to engage the bone fixation assembly directly.

An expandable interspinous process fixation system capable of restoring spinal stability and facilitating fusion. In one embodiment, the expandable interspinous process fixation system includes a central ramp, a first endplate, and a second endplate, the central ramp capable of being moved in a first direction to move the first and second endplates outwardly and into an expanded configuration. Each endplate supporting fixed and/or adjustable spinous process engaging plates.

An insertion instrument for inserting an implant includes an elongated main body having a proximal handle and a distal portion that selectively couples to the implant. A plunger is slidably engaged in a central passage of the elongated main body to fix the implant to the elongated main body. A hex nut driver is concentrically located about the plunger and elongated main body to deploy an actuation plunger of the implant. The proximal handle portion of the main body includes a staggered path therethrough for accepting a tab of the plunger therein. Advancement and retraction of the plunger tab within the staggered path alternates the insertion instrument between an unlocked position to mount the implant on the distal portion, a locked position to lock the implant on the distal portion, and a deployed position configured to secure the implant in position.

An interspinous process device includes a first plate, a second plate, and a transverse member between the first plate and the second plate, wherein the second plate is adjustably coupled to the transverse member. A post is coupled to the transverse member and a spring mechanism is disposed between the post and the first plate. The spring mechanism is configured to provide a preloaded compression force to the first and second plates. Methods of implanting the interspinous process device using an inserter tool are also disclosed.

The present invention relates to an interspinous dynamic implant. Provided is an interspinous dynamic implant comprising: an upper plate which adheres to an upper spinous process; a lower plate which adheres to a lower spinous process; a movable part, coupled between the front portion of the upper plate and the front portion of the lower plate, for enabling the upper plate and the lower plate to move upwards, downwards, left and right within a certain range according to the movement of spinous processes; an upper spinous process coupling means for tightly coupling the upper plate to the upper spinous process; and a lower spinous process coupling means for tightly coupling the lower plate to the lower spinous process. The interspinous dynamic implant according to the present invention provides elasticity to the upper spinous process and the lower spinous process, thereby maintaining a space between the upper and lower spinous processes. Also, the interspinous dynamic implant moves by being integrated with the upper and lower spinous processes, and thus does not damage the spinous processes and has an effect of preventing a separation phenomenon from between the spinous processes. Further, the interspinous dynamic implant can move together with adjacent spinous processes according to the upward, downward, left and right movements of the adjacent spinous processes, and thus enables the movement of the upper spinous process and the lower spinous process to be more natural compared to conventional implants, thereby having an effect of not giving a burden to the spine. Also, the interspinous dynamic implant has an effect of enabling minimally invasive surgery since blades can be rotated and tightened using an instrument after inserting the interspinous dynamic implant from the side surface of spinous processes. Furthermore, after inserting the interspinous dynamic implant between adjacent spinous processes and tightening the blades at both side surfaces of the spinous processes, a plurality of spikes provided in the blades are tightly embedded in the both side surfaces of the spinous processes, and thus there is an effect that an upper blade and a lower blade are stably coupled to the upper and lower spinous processes. In addition, since the interspinous dynamic implant can be inserted between the spinous processes in a state where the upper blade and the lower blade are folded, the blades do not catch on the upper and lower spinous processes during insertion, and thus there is an effect that the interspinous dynamic implant can be inserted not only from the rear side of the spinous processes but also from the side surface of the spinous processes.

A surgical kit includes a shield for covering a portion of the spine of a subject. The shield can include an attachment portion adapted to engage a bone fixation assembly which is adapted to be fixed on multiple vertebra bones of the subject. The bone fixation assembly can include a vertebra joining member secured between two bone anchors. Each bone anchor can include a fastener portion adapted to be implanted into a vertebra bone and a head coupling portion adapted to secure the vertebra joining member. The shield can be coupled to the bone fixation assembly via separate coupling elements, such as a clip or an adjustable link secured between two vertebra joining members of the bone fixation assembly. Alternatively, the shield can include an integral attachment portion configured to engage the bone fixation assembly directly.

The present invention relates to an interspinous integration type implant. Provided is an interspinous integration type implant which is an implant inserted between an upper spinous process and a lower spinous process and comprises: a spacer to which one end of an upper plate and one end of a lower plate are connected so as to be formed in a “” shape or “U” shape, and which is inserted between spinous processes in order to provide elasticity; an upper spinous process coupling means for tightly coupling the upper plate to the upper spinous process; and a lower spinous process coupling means for tightly coupling the lower plate to the lower spinous process, wherein the upper plate comprises at least one osseointegration hole formed to penetrate the top surface and the bottom surface of the upper plate so as to be moved by being integrated with the upper spinous process, and the lower plate comprises at least one osseointegration hole formed to penetrate the top surface and the bottom surface of the lower plate so as to be moved by being integrated with the lower spinous process. The interspinous integration type implant according to the present invention provides elasticity to the upper spinous process and the lower spinous process, thereby maintaining a space between the upper and lower spinous processes. Also, the interspinous integration type implant moves by being integrated with the upper and lower spinous processes through the osseointegration holes formed at the upper plate and the lower plate, and thus does not damage the spinous processes and has an effect of preventing a separation phenomenon from between the spinous processes. Also, the interspinous integration type implant has an effect of enabling minimally invasive surgery since blades can be rotated and tightened using an instrument after inserting the interspinous integration type implant from the side surface of spinous processes. Furthermore, after inserting the interspinous integration type implant between adjacent spinous processes and tightening the blades at both side surfaces of the spinous processes, a plurality of spikes provided in the blades are tightly embedded on the both side surfaces of the spinous processes, and thus there is an effect that an upper blade and a lower blade are stably coupled to the upper and lower spinous processes. In addition, since the interspinous integration type implant can be inserted between the spinous processes in a state where the upper blade an

The present invention relates to an instrument for band coupling between spinous processes that comprises: a needle unit that is inserted through a cutaway insertion portion of a patient's abdomen and is discharged through a cutaway discharge portion of the abdomen while passing between a spinous process protruding from the spine and a neighboring spinous process; and a band unit that is detachably coupled to an end portion of the needle unit and has a predetermined level of tension, the band unit being disposed between the spinous process and the neighboring spinous process, outside the spinous process, and outside the neighboring spinous process to secure the spinous process and the neighboring spinous process together. Thanks to the relatively cheap and simple configuration, it is possible to effectively conduct a procedure irrespective of proficiency, acquire an optimal procedure result, and cope with various patients' body types. In addition, the instrument can be maintained to be firmly secured after a procedure and can allow a micro-motion, thereby providing a state similar to the original spine to a patient.