Spinal implant system and method

Abstract

A spinal construct includes a fastener configured for attachment with sacral and/or pelvic tissue of a body. A connector includes a mating element engageable with the fastener and includes a receiver. A spinal implant is engageable with the receiver between a capture configuration and a removable configuration. A multi-axial fastener is connected with the spinal implant. Systems, implants, instruments and methods of use are disclosed.

1 - 20 . (canceled) 
     
     
         21 . A spinal construct comprising:
 a connector including a first portion and a second portion, the first portion comprising opposite top and bottom surfaces and a first bore extending through the surfaces, the second portion including first and second arms and a second bore extending through the first arm, the arms each including an inner surface and an opposite outer surface, the inner surfaces defining a transverse cavity, the top surface and the outer surface of the first arm forming an obtuse angle.   
     
     
         22 . The spinal construct recited in  claim 21 , wherein the top surface is directly adjacent to the outer surface of the first arm. 
     
     
         23 . The spinal construct recited in  claim 21 , wherein the second portion is monolithically formed with the first portion. 
     
     
         24 . The spinal construct recited in  claim 21 , wherein the bores each have a circular cross-sectional configuration such that the bores each form a complete circle. 
     
     
         25 . The spinal construct recited in  claim 21 , wherein the first bore defines a first central axis extending at an acute angle relative to a second central axis defined by the second bore. 
     
     
         26 . The spinal construct recited in  claim 21 , wherein:
 the bores each have a circular cross-sectional configuration such that the bores each form a complete circle; and   the first bore defines a first central axis extending at an acute angle relative to a second central axis defined by the second bore.   
     
     
         27 . The spinal construct recited in  claim 21 , wherein the bores are threaded. 
     
     
         28 . The spinal construct recited in  claim 21 , wherein the first arm comprises a side surface extending from the inner surface of the first arm to the outer surface of the first arm, the side surface extending substantially perpendicular to the inner and outer surfaces of the first arm. 
     
     
         29 . The spinal construct recited in  claim 28 , wherein the inner surface of the first arm has a first end and an opposite second end defined by an interface between the inner surface of the first arm and the side wall, the inner surface of the first arm extending substantially perpendicular to the second bore from the first end to the interface, the outer surface of the first arm extending substantially parallel to the inner surface of the first arm. 
     
     
         30 . The spinal construct recited in  claim 28 , wherein the outer surface of the second arm includes a first section and a second section, the first section of the outer surface of the second arm extending at an acute angle relative to the outer surface of the first arm, the second section of the outer surface of the second arm extending parallel to the outer surface of the first arm. 
     
     
         31 . A spinal construct comprising:
 a spinal rod;   a bone fastener; and   a connector including a first portion and a second portion, the first portion comprising opposite top and bottom surfaces and a first bore extending through the surfaces, the first bore being configured for disposal of an end of the bone fastener, the second portion including first and second arms and a second bore extending through the first arm, the arms each including an inner surface and an opposite outer surface, the inner surfaces defining a transverse cavity configured for disposal of the spinal rod, the top surface and the outer surface of the first arm forming an obtuse angle.   
     
     
         32 . The spinal construct recited in  claim 31 , further comprising a set screw having threads configured to mate with threads of the first bore when the end of the bone screw is positioned in the first bore. 
     
     
         33 . The spinal construct recited in  claim 31 , further comprising a set screw having threads configured to mate with threads of the first bore when the end of the bone screw is positioned in the first bore such to move the spinal construct between a first orientation in which the bone fastener is rotatable relative to the connector and a second orientation in which the bone fastener is fixed relative to the connector. 
     
     
         34 . The spinal construct recited in  claim 31 , further comprising a set screw having threads configured to mate with threads of the second bore when the spinal rod is positioned in the transverse cavity such that the set screw directly engages the spinal rod. 
     
     
         35 . The spinal construct recited in  claim 31 , further comprising a set screw having threads configured to mate with threads of the second bore when the spinal rod is positioned in the transverse cavity such that the set screw directly engages the spinal rod to move the spinal construct between a first orientation in which the spinal rod is movable relative and the connector to a second orientation in which the spinal rod is fixed relative to the connector. 
     
     
         36 . The spinal construct recited in  claim 31 , wherein the top surface is directly adjacent to the outer surface of the first arm. 
     
     
         37 . The spinal construct recited in  claim 31 , wherein the second portion is monolithically formed with the first portion. 
     
     
         38 . The spinal construct recited in  claim 31 , wherein:
 the bores each have a circular cross-sectional configuration such that the bores each form a complete circle; and   the first bore defines a first central axis extending at an acute angle relative to a second central axis defined by the second bore.   
     
     
         39 . The spinal construct recited in  claim 31 , wherein the first arm comprises a side surface extending from the inner surface of the first arm to the outer surface of the first arm, the side surface extending substantially perpendicular to the inner and outer surfaces of the first arm. 
     
     
         40 . A spinal construct comprising:
 a spinal rod;   a first bone fastener;   a connector including a first portion and a second portion, the second portion being monolithically formed with the first portion, the first portion comprising opposite top and bottom surfaces and a first bore extending through the surfaces, the first bore being configured for disposal of an end of the first bone fastener, the second portion including first and second arms and a second bore extending through the first arm, the arms each including an inner surface and an opposite outer surface, the inner surfaces defining a transverse cavity configured for disposal of the spinal rod, the top surface is directly adjacent to the outer surface of the first arm, the top surface and the outer surface of the first arm forming an obtuse angle; and   a second bone fastener connected with the spinal rod.