Depuy Spotlight MIS tubular access system

As minimally invasive surgery (MIS) becomes one of the fastest growing areas in spine, neurosurgeons and orthopedic surgeons alike are pursuing interbody fusions, pedicle fixation, and anterior and posterior cervical and thoracic spinal surgery through tubular retraction ports. With smaller incisions and smaller working channels, visualization at the operative site becomes ever more critical to the success of these MIS procedures.

The SPOTLIGHT™ Access System was developed in order to provide surgeons with a complete package for minimally invasive access to the spine, with a system consisting of ports with superior lighting capabilities previously unseen in the marketplace, a rigid arm that allows adjustments to be made within the sterile field, and the most comprehensive microdiscectomy instrument set. Finally, MIS is ready to step beyond the world of shadows.

Eagle Cervical plate

The Eagle® Anterior Cervical Plate System is a semi-rigid system intended for anterior cervical intervertebral body fixation. The Eagle System is based on a comprehensive, clinically proven design, modified by current market technology. The Eagle Anterior Cervical Plate System offers maximum implant versatility & integrated instrumentation.

Moutaineer Posterior Cervical Fixation

The MOUNTAINEER™ Occipito-Cervico-Thoracic Spinal System offers a comprehensive solution for rigid posterior fixation of the occipito-cervico-thoracic regions of the spine. This unique system combines simplicity and versatility allowing the surgeon to design the construct based on intraoperative developments and individual patient anatomy - not the constraints of the implant system. The intraoperative benefits of the system are realized by the integration of uniquely designed system components, allowing:

• Secure, rigid, mid-line occipital bone plate fixation
• Rigid posterior rod fixation
• Anatomical screw placement
• Easy rod placement with minimal contouring
• Low profile
• Titanium Alloy (Ti 6AL 4V) Construction
• Interface with other thoracolumbar systems
• Percutaneous Pedicle screws

VIPER™2, the evolution of minimally invasive spine surgery. Building upon the groundbreaking design and intuitive techniques established by the original VIPER system, VIPER2 empowers Spine Surgeons to treat an unparalleled range of pathologies with a single platform solution. By delivering a comprehensive range of instrumentation and implant options, VIPER2 provides Surgeons with the confidence and control required to address more advanced indications with a less invasive approach. Born from EXPEDIUM™, evolved from VIPER, VIPER2 takes percutaneous fixation to the next level. Percutaneous Rod Insertion System was designed in order to allow surgeons to connect percutaneously inserted pedicle screws along the posterior aspect of the spine with a rigid rod in order to stabilize the intervening motion segments. This accomplishes the same goals as placing pedicle screw-based spinal instrumentation in the posterior aspect of the spine via a conventional "open" exposure. However, this System has been designed to permit this type of instrumentation without an extensive surgical exposure, which minimizes the amount of damage done to the muscles, ligaments, and fascia of the back. This may offer significant advantages in terms of improved pain relief after spine surgery and decreased scar tissue formation in the spina erecta muscles. Recovery after major spinal surgery can be very difficult, and several studies have shown that an extensive surgical exposure and prolonged periods of retraction can seriously injure the major muscles of the back. This may have long-term consequences in terms of full recovery after spine surgery and regaining the muscle endurance that is a natural part of a healthy back.

KyphX® Xpander Inflatable

There are 1.5 million fragility fractures in the U.S., nearly half of which occur in the spine. Kyphon's goal is to provide products and therapies to help improve quality of life for patients with fractures involving crushed or collapsed bone, specifically vertebral compression fractures. new, minimally-invasive option: The KyphX® Xpander. Vertebral Compression Fractures (VCF) cause increasing pain, dysfunction, and mortality. Kyphoplasty
seeks to stabilize VCF and minimize the physiologic decline.

JAGUAR Lumbar I/F CAGE System

The JAGUAR Lumbar I/F CAGE System is a carbon fiber reinforced polymer implant designed to separate the mechanical and biologic functions of posterior lumbar interbody fusion (PLIF). The Lumbar I/F Cage provides a device designed to meet the mechanical requirements of PLIF, and uses autologous cancellous bone, the best possible bone for healing. The implant has a modulus of elasticity close to that of human cortical bone, minimizing stress shielding. The cage is radiolucent so that bone healing can be assessed by normal radiographic methods.

The JAGUAR Lumbar I/F CAGE System is indicated for an open posterior approach using autogenous bone graft in patients with Degenerative Disc Disease (DDD) at one or two levels from L2-S1 whose condition requires the use of interbody fusion combined with posterolateral fusion (360 fusion) and posterior pedicle screw fixation. These patients may have had a previous non-fusion spinal surgery at the involved spinal level(s).

DDD is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies.
Radiolucent Excellent radiographic visualization of fusion mass
Modulus of Elasticity Stiffness matches bone, minimizing stress shielding
Load Sharing Design Transfers compressive load to bone graft
Open Design Maximizes bone graft-to-endplate surface contact
M-2 Anterior Plate System

Introduced in 1998, the M-2 Anterior Plate system is intended to be an upper thoracic complement to the University Plate system but it can also be used as a thoracolumbar plate in small stature patients. One unique feature of this system is that it allows for two types of construct assemblies: a 2 bolt and 2 screw construct or a 4 screw (all screw) construct. Construct configuration is a surgical decision that may depend on the pathology and related biomechanics, bone density, local anatomy and plate positioning, the relationship or proximity of hardware to vital structures or simply the surgeon's preference.

Titanium alloy
Anterior system consisting of plates, bolts and screws
Indications: T3-L3
Bi-cortical purchase of bolts and screws
Two types of constructs possible: 2 bolt and 2 screw or a 4 screw (all screw) construct
Used to treat single level or single motion segment pathologies

MOSS MIAMI 5.5 Ti
MOSS MIAMI, is a universal hook, rod, and screw system designed to treat various pathologies and spinal procedures. The MOSS MIAMI system utilizes a low profile design that incorporates anatomic hooks, polyaxial screws, and a dual closure mechanism. The load sharing design of the 5.5 Titanium Rod allows for proper tension band principle to be applied when used with proper anterior column support.

Some of the applications are:

• Deformity
• Degenerative
• Tumor / Trauma
• Anterior Surgery
• Revision Surgery
• Direct anchor attachment Rod is attached to screw or hook directly in line. This minimizes the moment arm and profile, and increases the strength.
• Delivery System (Cases and trays) Designed to make system more user friendly to O.R. staff. Color-coding and sequential numbering minimize confusion. System can be specifically configured to fit surgeons needs.
• Pedicle based system Screws and rods lateralized for easy interoperative access to the canal during the procedure, making intra-discal procedures easier.
• Dual Closure Positive expansion lock is most secure mechanism on the market. Provides multiple points of contact, even on a contoured rod. No implant deformation required for stability, making it reversible and revisable. Closure mechanism provides footprint to apply enough torque to assure rod is seated in the implant.
• Blunt tip, non self-tapping screw Cancellous thread design gives inherent self-centering characteristics while offering maximum pullout resistance.
• Reduction Screws Uniquely designed tabs permit controlled reduction of the spine. No bulky instruments required, increasing tactile feel and permitting direct visualization during procedure. Also can be utilized in cases where reduction is not necessary, but access is difficult to provide for easy application of rod.
• Anatomic Hooks Specifically designed to ensure the best fit available. Less inventory needed, minimizing guesswork in the O.R. and reducing O.R. time.
• Translation Hooks Uniquely designed tabs permit controlled reduction of the spine. No bulky instruments required, increasing tactile feel and permitting direct visualization during procedure. Also can be utilized in cases where reduction is not necessary, but access is difficult to provide for easy application of rod.
• Universal anchor attachment All components utilize the same attachment to the rod, minimizing O.R. confusion and time.
• Top Loading System components are all top loading, making application and attachment of the rod more user friendly

X-Stop Inter-Spinous Process Spacer

Until recently the only surgical option for spinal stenosis was a open laminectomy. The X-Stop procedure allows less invasive gentle treatment for stenosis. Distraction of the spinous processes of two vertebra will extend the spinal canal and increase the space for nerve roots and the central canal. The X-STOP Procedure is a minimally invasive procedure which involves inserting a distraction device between the interspinous processes of the symptomatic lumbar levels, limiting spinal extension at the treated level to reduce the symptoms of spinal stenosis. The clinical effectiveness of this less invasive surgical procedure is documented by the results from a prospective, randomized, multi-center trial. It was found that X-STOP patients had 45.4% better outcomes at 24 month follow-up than patients randomized to conservative care. X-STOP is indicated for treatment of patients aged 50 or older suffering from neurogenic intermittent claudication secondary to a confirmed diagnosis of lumbar spinal stenosis. The Centers for Medicare and Medicaid Services (CMS) thoroughly evaluated the clinical data associated with the X-STOP Procedure and determined that this technology provided a significant clinical benefit to patients. The X-STOP® IPD® Implant is a titanium metal implant designed to fit between the spinous processes of the vertebrae in your lower back. It is designed to remain safely and permanently in place without attaching to the bone or ligaments in your back.

Stem Cells therapy to treat Back and Neck Pain

When persistent pain and disability of the lumbar spine does not respond to conservative treatment (rest, oral and injectable pain meds, muscle relaxants, physical therapy, bracing and behavior change) and diagnostic and imaging tests show structural issues, a spinal fusion is often considered. Risk factors to healing, such as smoking, alcohol abuse, cirrhosis, obesity, diabetes and poor nutrition, also play an important role when considering spinal fusion. Spinal fusions have been used for years to treat many conditions of the lumbar spine and improved instrumentation has improved fusion results. During a spinal fusion, a bone graft is used to join two or more vertebrae to grow together to create a solid piece of bone or fusion. Typically, the bone graft is taken from the pelvis (autologous) at the time of surgery. An alternative to traditional spinal fusion is to obtain adult stem cells through bone marrow aspiration or liposuction. This method concentrates adult stem cells from the patient's bone marrow or fat tissue. It is done within minutes through a simple surgical technique during the spinal procedure and creates little discomfort for the patient. The extracted adult stem cells are placed on the fusion bone graft to enhance the fusion process.