Becker's Spine Review

28 20 minimally invasive spine products to know | 2018 S pinal technology is evolving rapidly around minimally invasive tech- niques to perform more precise, less disruptive procedures. Device companies big and small aim to advance the field through innovative implant materials, techniques and technology that will make procedures more precise and patient-spe- cific. Here are 20 minimally invasive spine device products to know. AnchorKnot (Anchor Orthopedics XT). e AnchorKnot Tissue Approximation Kit is designed for patients undergoing herniated disc repair. e kit facilitates suture access in difficult-to-reach locations and is compatible with minimally invasive surgical techniques. In February 2017, Scott Blumenthal, MD, of Texas Back Institute in Plano, performed the first discectomy procedure in the U.S. using the AnchorKnot technology. BACS Surgical Planner (K2M). e BACS Surgical Planner is a technology platform that helps the surgeon measure and docu- ment skeletal parameters to select the right implants and treatment for each individ- ual patient. Surgeons can also simulate corrections with the program and examine common osteotomy techniques. In May, K2M achieved FDA clearance for the BACS Patient-Specific Module for the platform, allowing surgeons to create pre-contoured rods, rails and templates to match their preoperative plan. Coflex (Paradigm Spine). Paradigm Spine's coflex is a non-fusion alternative to stabilize the spine aer surgical decompression. e titanium metal implant is designed to help maintain normal foraminal height and motion in the spine and can be used during an inpatient or outpatient proce- dure. According to the FDA clinical study, patients who undergo surgical procedures with coflex report earlier relief of spinal stenosis symptoms, 40 percent shorter hospital stay compared to fusion and higher patient satisfaction; two years aer surgery, 94 percent of coflex patients were satisfied with outcomes, compared to 87 percent of fusion patients. DTRAX (Providence Medical Technolo- gy). In May, Providence Medical Technolo- gy achieved FDA clearance for the DTRAX Spinal system, indicated for degenerative disc disease patients undergoing posterior cervical fusion. e system is a sterile-pack- aged, single-use set of instruments for cervi- cal fusions and includes a facet joint access instrument, lateral mass decortication trephine and mallet as well as the cannula, decortication burr and bone gra tamp. e largest instrument is less than 1 cm in diameter, allowing for use in a variety of minimally invasive procedures. Coalition MIS (Globus Medical). Coali- tion MIS is designed for anterior cervical discectomy and fusion procedures. e curved anchor fixation is delivered inline to the disc space with instruments around the same size as the spacer. When the device is used with two screws, its FDA cleared for standalone applications at two levels. iFuse (SI-BONE). Surgeons have used the iFuse Implant System for minimally inva- sive sacroiliac joint fusions in more than 30,000 procedures worldwide. In March, the company published three-year data from a U.S. randomized controlled trial as well as a prospective multicenter trial showing quality of life achievement and patient satisfaction aer undergoing surgery with the iFuse system. Payers are also seeing the value of minimally invasive SI joint fusions, including most recently the Blue Cross Blue Shield Association, which raised its clinical evidence rating for the procedure. Illico MIS Posterior Fixation System (Alphatec Spine). e Illico MIS Posterior Fixation System aims to reduce complica- tions, recovery time, pain and blood loss for patients undergoing minimally invasive spine surgery. e Illico MIS is a percutane- ous system with comprehensive screw and rod delivery options customizable to the surgeon's preferred technique. e plat- form's guidewire management instruments are designed for surgeon control and the single-step extender interface is designed for easy attachment and removal, to save time in the operating room. Levo (Mizuho OSI). Mizuho OSI intro- duced the Levo Head Positioning System in October 2017. e system uses electro-me- chanical technology for surgeons to control the patient's head positioning during surgery. e technology's interface supports initial head positioning and surgeons can make cervical corrections throughout the procedure. Levo's interchangeable modules support patients who use a skull cap or face pillow for support during the procedure. Once integrated into the operating room, Levo can improve efficiency of the proce- dure and reduce patient time in the OR. M6 (Orthofix). In March, Orthofix ac- quired Spinal Kinetics and its M6 artificial disc replacement technology. e disc is de- signed to replicate the patient's natural anat- omy and incorporates an artificial nucleus made from polycarbonate urethane. e disc also has a woven fiber annulus made from polyethylene and titanium outer plates with kneels to anchor the disc to bone. M6 aims to give patients a more natural range Sponsored by:

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