In one embodiment, a non-invasively adjustable spinal system for treatment of a subject having spondylolisthesis includes a first implantable actuator having at least one anchoring structure, the anchoring structure configured to facilitate securement of the first implantable actuator to a portion of the sacrum of the subject. The non-invasively adjustable spinal system can further include an adjustment element, configured to be coupled to the first implantable actuator, the adjustment element having an engagement structure configured to engage at least one transverse process of a lumbar vertebra of the subject. The non-invasively adjustable spinal system can further include a driving element, wherein remote activation of the driving element causes movement of the adjustment element in relation to the first implantable actuator.

An external adjustment device for non-invasively adjusting an implant, the external adjustment device including a controller in communication with an actuator associated with the adjustable implant and a sensor configured to receive information from or about the adjustable implant. The external adjustment device may further comprise a power source and a display. According to one exemplary embodiment, the external adjustment device comprises a magnetic element configured to generate a rotating magnetic field; and a driver configured to drive the magnetic element to generate the rotating magnetic field and configured to rotate a permanent magnet of an adjustable implant, wherein upon placing the external adjustment device in proximity to an adjustable implant having a permanent magnet the magnetic element is configured to magnetically couple with the permanent magnet, and wherein the external adjustment device is configured to non-invasively determine one or more of a magnetic coupling state and a stalled state of the magnetic element and the permanent magnet disposed within the adjustable implant.

Systems and methods include solutions for fixation at the rib head for fractures and osteotomies adjacent to the rib head and transverse process. The disclosed rib plates, anchor systems, other implants, and instrumentation may also be applied to mid-rib fractures. The systems and methods may be used in the treatment of rib deformities, including the correction of rib hump deformity via thoracoplasty, as well as general corrections of chest and rib deformities. Systems and methods herein may be used in chest wall reconstructions due to trauma, cancer, or deformity.

A hook anchor for anchoring a fixation rod to a bone is disclosed. The hook anchor includes a hook body shaped in a curve of diminishing radius and a locking mechanism. The locking mechanism is to securely fix the hook anchor to the fixation rod. The curve of diminishing radius may be the shape of at least a portion of a Fibonacci curve. The bone can include at least one of a rib, a pelvis, and a vertebra. The hook body can be configured to engage with at least one of a spinous process a transverse process, and a pedicle of the vertebra.

Technologies are generally provided for devices, systems, and methods to provide spinal fixation, spinal stabilization, and/or spinal fusion. Example devices may include a first end and a second end with a middle portion extending between the first and second end. The first end may be configured to be in contact with a portion of a first or upper vertebra and the second end may be configured to be in contact with a portion of a second or lower vertebra in an adjacent vertebral pair. Portions of the vertebra which may be in contact with the device may include lamia, processes, vertebral bodies, and facet joints. The example devices may include bone engagement features, such as screws or similar fasteners, to enhance stabilization and fixation when in contact with the vertebrae. Additionally, the devices may include a bone integration feature to promote bone growth and to facilitate fusion between the vertebrae.

Methods and apparatus provide for: (i) coupling a spinous process plate to one lateral side of a spinous process of a spine of a patient, the spinous process plate extending substantially parallel to a sagittal plane (anterior-posterior plane) through the spine of the patient, the spinous process plate including a first fixation element facilitating a connection of the spinous process plate to the one lateral side of the spinous process; (ii) coupling a laminar plate to a laminar on the one lateral side of the spinous process of the spine, the laminar plate extending transversely from the spinous process plate and transversely to both the sagittal plane and a coronal plane (lateral plane) through the spine of the patient, the laminar plate including a second fixation element facilitating a connection of the laminar plate to the laminar on the one lateral side of the spinous process; (iii) engaging a sub-laminar hook to the laminar on the one lateral side of the spinous process, the sub-laminar hook extending transversely from the laminar plate and substantially parallel to a transverse plane through the spine of the patient, the sub-laminar hook extending and hooking beneath the laminar on the one lateral side of the spinous process of the spine; and (iv) extending a rod toward a pedicle on the one lateral side of the spinous process of the spine of the patient, the rod having proximal and distal ends, the proximal end being connected to the laminar plate and the rod extending from the laminar plate toward the pedicle, where the rod prohibits movement of bone associated with a fracture in a pars interarticularis of a vertebral arch on the one lateral side of the spinous process of the spine.

Device for fixing a bony structure to a support member, the device comprising a first connecting member which comprises: a main body provided with a first passage configured for receiving the support member, and with a first opening configured for passing a flexible member therethrough; and a rod fixed to and/or monobloc with the main body and protruding therefrom. The device further comprises a first flexible member passing through the first opening of the main body and extending beyond the main body for attachment to the bony structure.

Device for fixing a bony structure to a support member, the device comprising a first connecting member which comprises: a main body provided with a first passage configured for receiving the support member, and with a first opening configured for passing a flexible member therethrough; and a rod fixed to and/or monobloc with the main body and protruding therefrom. The device further comprises a first flexible member passing through the first opening of the main body and extending beyond the main body for attachment to the bony structure.

A clamp assembly for orthopedic use having a housing that includes a top surface, a recess, a distal base and a bottom surface, the recess defining a longitudinal axis and extending through the housing from the top surface through the distal base and toward the bottom surface, and at least two through slots, each one of being disposed at a bottom or a side a surface of the housing. The assembly including a securement assembly positionable within the recess in a co-axial relationship to a mating surface on the recess, and a band sized for travel along a predetermined path defined in part by the through slots in the housing, wherein at least one of the through slots is a starting point for travel of the band along the predetermined path.

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.