US Patent 10918421 Spinal implant system and methods of use

A spinal construct comprises a body defining a first groove. A transverse rod is formed with the body. A first band is disposable in the first groove. A base is connectable with the body and engageable with the first band. The base defines a second groove and a slot. A second band is disposable in the second groove and defines an opening aligned with the slot. A shaft is connectable with the base and engageable with the second band. The shaft is configured to penetrate tissue. The opening is aligned with the slot to facilitate an angular range of movement of the shaft relative to the body. Implants, systems, instruments and methods are disclosed.