An implant for insertion between vertebral bodies in a patient includes a
flexible tether that is coupled between fasteners attached to the
vertebral bodies. An energy storing device may be coupled to the tether
to convert extension forces between the vertebral bodies into potential
energy. The energy storing device may reduce defects at the interface
between the fasteners and the vertebral bodies. Various embodiments are
provided, including energy storing devices implemented as springs, leaf
springs, coiled wire, and corrugated shapes. The energy storing device
may be preloaded between the vertebral bodies to further reduce shock
from sudden extensions. The energy storing device may be secured to the
tether before or after the tether is secured to the fasteners. Further,
the energy storing device may be sized to allow the tether and energy
storing device to pass laterally through a fastener opening.