A reverse shoulder system can include, for example, a glenoid baseplate comprising a longitudinal axis, the glenoid baseplate further including a stem and a central channel within a sidewall of the stem. The stem can include a longitudinal axis. The longitudinal axis of the glenoid baseplate can be angled with respect to the longitudinal axis of the stem, wherein the longitudinal axis of the glenoid baseplate is not perpendicular with respect to the longitudinal axis of the stem. Other components including a glenosphere, tools, and methods of use are also disclosed.

A spinal fixation system includes an expandable disc replacement body and an angle-setting disc replacement holder; The expandable disc replacement body includes a first wall, a second wall, and a hinge connecting the first wall and the second wall. An insertion instrument may be used to implant the expandable disc replacement body into a subject. The disc replacement holder is positioned between the first wall and the second wall, and an angle and/or height between the first wall and the second wall can be varied by adjustment of the disc replacement holder and locked into place using locking mechanisms.

A tibial tray system for a resurfaced proximal portion of a tibia for a knee replacement for a patient includes a tibial tray and at least one screw. The tibial tray includes a body having a superior portion, and an inferior tibia-engaging portion having a peripheral inferiorly-extending portion receivable in the at least one cavity formed in the periphery of the resected cancellous bone surface of the tibia of the patient. In some embodiments in the total knee replacement, a greater portion of a shearing force acting transversely on the tibial tray and the resected portion of the proximal portion of the tibia of the patient is resisted by the at least one inferiorly-extending wall compared to a portion of the shearing force being resisted along the center inferior surface of the tibial tray and the resected cancellous bone surface. The screw inhibits lift-off.

An implant is disclosed that a base member configured to be secured in bone, the base member includes a plate portion, an articulating member, and a coupling portion for securing the base member to the articulating member. A stem extends from the plate portion, where the stem is positioned offset from a center of the plate portion. The coupling portion includes a first fixation component, and a second fixation component including an opening for receiving the first fixation component, where the first fixation component is coupled to the articulating member and the second fixation component is coupled to the base member.

An expandable vertebral body device, system, instrument, and methods of assembly and using the device, system, and instrument are disclosed. The vertebral body device includes a body with a first end and a second end, a first rotating member rotatably coupled to the first end, a second rotating member rotatably coupled to the second end, a first extension member moveably coupled to the first end, and a second extension member moveably coupled to the second end. The expandable cage system comprises a vertebral body device and an insertion instrument. Methods for assembling and using the vertebral body device and instrument are also disclosed.

An end cap and a bone screw for use therewith are provided. One or more of the end caps can be used with a spinal implant used to replace portions of a vertebral body after a corpectomy thereof. The end cap can include a first end and a second end opposite from one another, a first side and a second side opposite from one another, and a body portion extending between the first end, the second end, the first side, and the second side. The body portion can include an exterior surface for contacting an endplate of a vertebral body, and an interior cavity formed in the end cap opposite from the exterior surface. The interior cavity can be sized to receive a flange portion of the spinal implant, and can include at least one attachment structure provided in the interior cavity facilitating attachment of the end cap to the flange portion of the spinal implant. One or more of the bone screws can be received through apertures formed in the end cap and into the endplate of the vertebral body. The bone screws can be configured, upon receipt in the apertures in the end caps, to lock in place relative thereto.

A partial endoprosthesis device preserves the motion of a vertebral joint for implant into a spinal segment and includes an articular portion having a thickness that increases in the direction of introduction between the articular facets. The articular portion is elongated along a longitudinal axis with a opposite first and second faces. The first face has a central protrusion that is configured so that, by implanting the device with the articular portion inserted between an upper articular facet of a lower vertebra and a corresponding lower articular facet of upper vertebra adjacent to the lower vertebra, and with the first face in contact with either the upper or lower articular facet, and with the second face in contact with the other articular facet, the articular portion, with the first face, pushes against the first articular facet and finally becomes integral by osteointegration with the lower articular facet.

A spinal implant for implantation within a spinal facet joint, the implant comprising: a main body including: opposing top and bottom surfaces; opposing front and rear surfaces; and opposing side surfaces; at least one retaining feature associated with at least one surface of the main body to frictionally engage the implant within the spinal facet joint; and two secure ment apertures extending through the main body to fixedly secure the implant within the spinal facet joint.

An intervertebral implant for being implanted between adjacent vertebrae is provided. The implant includes a generally elongate implant body having a length extending between opposite longitudinal ends thereof, a superior face and an inferior face. The superior face and inferior face include cortical teeth adjacent to the implant body longitudinal ends. Additionally, the superior and inferior faces include longitudinally central teeth intermediate the cortical teeth and have bone engaging ends. The central teeth have a sharper configuration than that of the cortical teeth bone engaging ends for biting into the softer central bone material of the vertebrae. The cortical teeth are arranged in a first density per unit area and the central teeth are arranged in a second density per unit area that is less than the first density.

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.