Becker's Spine Review

42 23 Cutting-Edge Spine Surgery Devices to Know | 2017 S pine technology continues to evolve at a fast pace. Significant development fo- cused on less disruptive procedures al- lows surgeons to perform a quicker, safer and less costly procedure than ever before. Tech- nology designed to improve procedure accura- cy, preserve the patient's natural anatomy and promote faster healing are represented on this list. Becker's Healthcare developed this list through recommendations from several spine surgeons across the country. Please contact Laura Dyrda at ldyrda@beckershealthcare.com for questions or comments on this list, or to recommend spi- nal technology for future lists. Ziehm Vision FD Vario 3D (Ziehm). Ziehm Vision FD Vario 3D is designed for surgical navigation during orthopedic, spine and neu- rosurgical procedures. e technology includes 3-D images for intraoperative visualization of anatomical structures and can be combined with navigation systems, allowing surgeons to perform image-guided procedures with greater accuracy. e system includes intuitive touch- screens on the C-arm and monitor to change from 2-D fluoroscopy to 3-D mode. Aero-C (Stryker). Stryker launched Aero-C Cervical Stability System for anterior cervical discectomy and fusions in March 2016. e Aero-C is part of the Aero platform for spi- nal devices based on patented Compression Technology, an advanced anchor fixation sys- tem that draws the vertebral bodies toward the implant, creating compressive forces at the im- plant-to-endplate interface. e implant is de- signed for straight forward inline insertion as a more streamlined, less-disruptive approach than traditional screw-based ACDF. Airo Mobile Intraoperative CT (Brainlab). e Airo Mobile Intraoperative CT can assist surgeons with accurate spinal instrumentation placement and decrease radiation exposure, which is ideal for busy surgeons performing complex cases. e FDA cleared Airo Mobile Intraoperative CT in September 2013. Two years later, Brainlab reported 50 hospitals ac- quired Airo Mobile Intraoperative CT scan- ners, with the first shipment headed to the Salt Lake City-based University of Utah Health Care and Detroit-based Henry Ford Hospital. Altera (Globus Medical). Altera is a minimal- ly invasive fully articulating expandable spac- er for spinal fusion procedures. e implant is designed to restore lordosis and maintain sagittal balance. Surgeons insert the spacer at minimized height and articulate it into the an- terior position before expanding the implant vertically to optimize fit. Surgeons can then deliver autogenous bone gra into or around the implant. AnchorKnot (Anchor Orthopedics). e An- chorKnot Tissue Approximation Kit was de- veloped for minimally invasive herniated disc repair. e kit's suture passer is designed to pass the suture into different access locations for repair. In April, Scott Blumenthal, MD, of Texas Back Institute in Plano, performed the first U.S. procedure using the AnchorKnot Tis- sue Approximation Kit. Aspen MIS Fusion System (Zimmer Biomet). Zimmer Biomet's Aspen MIS Fusion System is designed for rigid, posterior fixation in T1 to S1. Surgeons take a midline approach to mini- mize muscle and tissue disruption, and are able to insert the implant. Aspen's central barrel de- sign has load-sharing support and bone gra containment to facilitate fusion. A study pub- lished in 2016 found positive two-year results for the system, touting a 94.9 percent interbody fusion success rate. BoneBac Press (ompsonMIS). Surgeons can use the BoneBac Press to harvest and col- lect suction-drilled bone from the surgical site and then press out the fluid to obtain a useable autogra that promotes fusion. BoneBac Press is designed for orthopedic, spine, cosmetic and oral procedures and can reduce surgical costs by reusing this bone instead of autogra or al- logra to promote fusion. BoneScalpel (Misonix). e BoneScalpel is designed for a gentler osteotomy than standard bone cutting tools. e instrument's ultrasonic cutting technology can slice crystalline bone while leaving the tissue largely unaffected. BoneScalpel amplifies an electrical signal and converts it into a high back-and-forth motion, moving 22,500 times per second. e drill is designed to promote efficiency in the OR and lower complication rates and blood loss. Coflex (Paradigm Spine). Paradigm Spine's coflex Interlaminar Stabilization is a non-fu- sion solution to relieve lumbar spinal steno- sis pain. e procedure can be performed at one or two levels from L1 to L5 for patients with persistent back pain aer undergoing six months of nonoperative treatment. e device is placed midline between adjacent lamina of one or two contagious motion segments. e FDA granted coflex approval in 2012 and sur- geons recently began using the device in the outpatient setting. DTRAX (Providence Medical Technology). DTRAX Spinal System is a set of single-use disposable surgical instruments for spinal fu- sion. e DTRAX system includes four trials, an awl and a multi-angle driver that can reach up to 45 degrees. In May, Providence Medical Technology received $10.5 million in equity fi- nancing and entered into a $10.5 million debt agreement with Bridge Bank; the company designated proceeds to expand distributing in the U.S. and internationally. Exparel (Pacira Pharmaceuticals). Exparel is a non-narcotic local anesthetic administered at the surgical site that can help reduce postoper- ative pain. Exparel is long lasting, designed to reduce reliance on narcotics, promote mobility sooner aer surgery and allow patients to feel more comfortable returning home. Gordoncoptor Universal Pedicle Screw Re- moval Device (Gordoncoptor). e Gordon- coptor is a reusable, universal pedicle screw removal device that comes with a ratcheting T-handle. e device has several rod and tulip Sponsored by:

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