A distally expanding facet joint implant and delivery device for distally distracting a facet joint. The facet joint implant generally includes an outer part and an inner part. The outer part includes a pair of opposed distally expandable facet plates connected by a hinge. The inner part includes a wedge that is selectively movable against the facet plates to distally expand and contract the facet joint implant into open and closed states. Teeth on the outer part engage indents on the inner part to maintain the facet joint implant in the distally expanded state. The outer and inner parts include outer and inner connectors, and the delivery device includes corresponding outer and inner connectors adapted to be in locked engagement with the outer and inner connectors to hold the implant and selectively cause it to distally expand and contract.

Shoulder arthroplasty systems and configurations for components thereof are described. For example, implant systems for a total should arthroplasty (TSA), hemi shoulder arthroplasty, and reverse should arthroplasty (RSA) are described. In addition, exemplary configurations for baseplates, glenoid components, glenosphere components, humeral components, humeral head components, humerosocket components, connectors, and adaptors, are described.

An improved mechanism for expanding or lifting a device in accordance with various embodiments of the present invention is a coaxial screw gear sleeve mechanism. In various embodiments, coaxial screw gear sleeve mechanisms includes a post with a threaded exterior surface and a corresponding sleeve configured to surround the post, the corresponding sleeve having a threaded interior surface configured to interface with the threaded exterior surface of the post and a geared exterior surface. A drive mechanism can be configured to interface with the geared exterior surface of the sleeve, causing a device utilizing such a mechanism to expand or lift between a collapsed configuration and an expanded configuration.

An implant including a cage configured to be implanted between two vertebrae, including a first deployable keel, including a first blade, a first flange extending substantially perpendicularly from a first edge of the first blade, and a second flange extending substantially perpendicularly from a second edge of the first blade, such that the cross-section of the first deployable keel is in the shape of half of an I-beam. The implant further includes a second deployable keel, including a second blade, a third flange extending substantially perpendicularly from a first edge of the second blade, and a fourth flange extending substantially perpendicularly from a second edge of the second blade, such that the cross-section of the second deployable keel is in the shape of half of an I-beam. The first keel is configured to deploy in a superior direction, and the second keel is configured to deploy in an inferior direction.

An intervertebral spacer may include a fastener channel configured to receive a fastener, a locking member channel, and a locking member. The locking member channel may include an inner wall and one or more inner wall engagement features. The locking member may include an anti-backout member, a collet retainable within the locking member channel, and one or more collet engagement features. The locking member may be rotatable within the locking member channel between an unlocked position and a locked position. The one or more collet engagement features may engage the one or more inner wall engagement features in order to retain the locking member in either the unlocked position or the locked position, such that the anti-backout member may selectively obstruct the fastener channel and prevent the fastener from backing out of the fastener channel.

A system for use during surgical procedures. The system includes an implant and an inserter. The implant has a faceted post that rotates, ribs adapted to receive impact from an instrument to help position the implant, and stops. The inserter has a sleeve, into and from which a hook retracts and extends and on which a tab is disposed, and a pair of catches. The hook and tab combine to lock the post into position and to release the post so that the post can rotate. The engagements between the hook and the post and between the tab and the post permit rotation of the implant in situ. The stops and catches define an articulation range for the implant relative to a longitudinal axis of the inserter. A related method of using the system is also provided.

A spinal implant system is provided for bridging an intervertebral space between vertebral bodies bordering the intervertebral space. The spinal implant system includes at least one adjustable end cap and a spinal implant. The end cap can be used with additional end caps and/or the spinal implant. Multiple end caps can be stacked on top of one another, and one end cap can be attached to a first end of the spinal implant, and another end cap 10 can be attached to a second end of the spinal implant. Thus, one or more of the end caps can be attached to either end of the spinal implant.

A posterior lumbar interbody fusion (PLIF) implant that comprises a body with substantially parallel posterior and anterior sidewalls, and a pair of superior and inferior faces. The implant is inserted via an insertion tool within a depression in the sidewalls of the implant. The insertion tool is secured to the side walls of the implant to prevent any bending or breaking of the implant or the inserter during implantation. Once inserted, the implant may be rotated approximately 90 degrees within the disc space. Because of the shape and size of the implant, the effective height of the implant within a patient's disc space is increased upon rotation.

A distally expanding facet joint implant and delivery device for distally distracting a facet joint. The facet joint implant generally includes an outer part and an inner part. The outer part includes a pair of opposed distally expandable facet plates connected by a hinge. The inner part includes a wedge that is selectively movable against the facet plates to distally expand and contract the facet joint implant into open and closed states. Teeth on the outer part engage indents on the inner part to maintain the facet joint implant in the distally expanded state. The outer and inner parts include outer and inner connectors, and the delivery device includes corresponding outer and inner connectors adapted to be in locked engagement with the outer and inner connectors to hold the implant and selectively cause it to distally expand and contract.

A distally expanding facet joint implant and delivery device for distally distracting a facet joint. The facet joint implant generally includes an outer part and an inner part. The outer part includes a pair of opposed distally expandable facet plates connected by a hinge. The inner part includes a wedge that is selectively movable against the facet plates to distally expand and contract the facet joint implant into open and closed states. Teeth on the outer part engage indents on the inner part to maintain the facet joint implant in the distally expanded state. The outer and inner parts include outer and inner connectors, and the delivery device includes corresponding outer and inner connectors adapted to be in locked engagement with the outer and inner connectors to hold the implant and selectively cause it to distally expand and contract.