A device includes an acromion portion sized and shaped to replicate functions of the native acromion, and a fixation portion connected to the acromion portion, the fixation portion including a first arm portion and a second arm portion spaced apart from the first arm portion, wherein the first arm and second arm portions are positioned such that, when the device is positioned such that the acromion portion is in a native position of the absent native acromion, the first arm portion overlays a superior face of a scapular spine of the scapula and the second arm portion overlays an inferior space of the scapular spine of the scapula, wherein each of the first arm portion and the second arm portion includes at least one screw fixation point extending therethrough and configured to receive a screw therein so as to secure the device to the scapula.

A spinal implant apparatus that is an expandable spacer including features to minimize or eliminate spacer cant or offset during and after completing the expansion process. The spacer includes a top component, a base component in engagement with the top component, and an expansion mechanism arranged to change the top component's position with respect to the base component. The mechanism for causing expansion may be a screw, a cam, a wedge or other form of distracting device. In one embodiment, the expandable spacer includes a base component with a set of towers and a top component with a set of corresponding silos, where the towers and silos are configured to minimize or eliminate tilt of the top component as it extends upwardly from the base component.

An intramedullary stem includes an elongate body having a length extending from a first end to a second end and a lumen along at least a portion of the length. A first slit extends along the elongate body. The first slit is in between the first and second ends of the elongate body. A fin is attached to the elongate body at the first slit end and extends to a free end remote from the first slit end. The fin is biased in a first position where the free end is external to an outer surface of the elongate body and is movable based on radially inward forces to push the free end toward the elongate body. A second slit extends from the first end of the elongate body to an internal end along the elongate body. Also provided is a method of implanting an intramedullary stem into a bone.

An embodiment includes an orthopedic fusion system comprising: a cage; a curved first channel coupling a lateral wall of the cage to a superior surface of the cage; a curved second channel coupling the lateral wall of the cage to an inferior surface of the cage; a third channel coupling the superior surface of the cage to the inferior surface of the cage; a curved first anchor configured to slide within the first channel; a curved second anchor configured to slide within the second channel; and a threaded projection extending outwardly from the lateral wall; a washer non-threadingly attached to the threaded projection; a cam non-threadingly attached to the threaded projection and directly contacting the washer; a nut threadingly attached to the threaded projection and directly contacting the cam.