INTERSPINOUS

Historical Background of Interspinous Process Devices

The first interspinous implant for the lumbar spine was developed in the 1950s by Knowles. Owing to flaws in design, material, surgical technique, and applied indications, its use was abandoned.
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Classification of Interspinous Devices

The interspinous devices currently in the market could be classified into two main groups: motion preservation devices and devices that fuse the interspinous space.
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Interspinous Market

In Europe, the interspinous process decompression devices market has been increasing over the last years but it is estimated to grow at a much lower rate than previously expected. With a compound annual growth rate of 1.2%, this is low compared to the nonfusion market as a whole which is growing on average at 10%.
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Interspinous devices.SAS Journal 5 (2011)

Over the past few decades, remarkable advancements in the understanding of the origin of low-back pain and lumbar spinal disorders have been achieved. Spinal fusion is generally considered the “gold standard” in the treatment of low-back pain; however, fusion is also associated with accelerated...
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The 50 more Important Devices

Recently with greater focus on nonfusion, interest in interspinous devices has emerged again. Until now, static and dynamic interspinous devices have been truly succesful mainly for their simplicity.They have to be placed under direct visualization or percutaneously with an almost
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Aperius

www.thespinemarketgroup.com

The APERIUS™ PercLID™ System was the first Percutaneous stand-alone Lumbar Interspinous Decompression System. It is indicated for patients suffering from degenerative lumbar spinal stenosis with neurogenic intermittent claudication between the interspinous process spaces of L1 to L5.
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Affix® II Mini

www.thespinemarketgroup.com

The NuVasive® Spinous Process Plate System is a posterior, non-pedicle supplemental fixation device, intended for use in the non-cervical spine (T1 – S1).
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AILERON®

www.thespinemarketgroup.com

The AILERON Posterior Fusion System attaches to the spinous processes for the purpose of achieving fusion in conjunction with bone graft. With minimal exposure and dissection, AILERON responds to the patient’s and surgeon’s need for a simple, reliable, and less invasive system.
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AILERON® Expandable

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The AILERON Expandable Posterior Fusion System responds to the patient’s and surgeon’s need for a simple, reliable, and less invasive system with minimal exposure and dissection. The in-situ expandable core offers patient matched expansion ensuring an ideal fit for every patient anatomy and pathology.
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Aspen™

www.thespinemarketgroup.com

Uniquely designed by surgeons for surgeons, the Aspen™ Spinous Process Fixation System brings together the best of all worlds. As an advanced alternative to pedicle screws in achieving fusion, the Aspen Device delivers simplified posterior stabilization and renewed anatomical alignment through a minimally invasive implant.
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The Axle® Interspinous Fusion System is an internal fixation device for spinal surgery in the non-cervical spine (T1-S1 inclusive). It is a minimally invasive, modular Interspinous fusion system with straightforward instrumentation.
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BIOLIG ®

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The BIOLIG ® is an inter-spinous device including a rigid block, which is available in several heights, and a tubular ligament. The ligament is made from polyester and offers great resistance to rupture. The blocks are made from the same material as the ligament. Their assembly process makes them relatively rigid, while preventing any conflict with the bone.
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BridgePoint™




BridgePoint is an MIS system that can replace pedicle screws for certain indications and patient types. The implant has unique telescoping plates that allow surgeons to fixate and compress spinous processes to restore sagittal alignment and facilitate a reliable interbody fusion.
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BacFuse®



The Pioneer BacFuse Device is a posterior, non-pedicle supplemental fixation device, intended for use at a single level in the non-cervical spine (T1-S1).
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BacJac



BacJacs minimally invasive, unilateral surgical approach reduces operating room and patient recovery time, while preserving future surgical options. The BacJac is a self-deploying, non-fusion device which is tissue sparing and ligament preserving.
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Coflex® Interlaminar



The coflex® Interlaminar Technology is an Interlaminar Stabilization™ device indicated for use in one or two level lumbar stenosis from L1-L5 in skeletally mature patients with at least moderate impairment in function, who experience relief in flexion from their symptoms of leg/buttocks/groin pain, with or without back pain, and who have undergone at least 6 months of non-operative treatment.
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Coflex-F®




The coflex-F® stabilization system is a posterior, non-pedicle supplemental fixation device intended for use with an interbody cage as an adjunct to fusion at a single level in the lumbar spine (LI - SI).
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Diam




The DIAM™ (Device for Intervertebral Assisted Motion) Spinal Stabilization System provides flexible support of the lumbar spine while treating spinal degeneration.
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Ellipse



Ellipse is a minimally invasive interspinous spacer which characteristics are very innovative: its components are made of two materials with different peculiarities, PAEK and titanium, thus combining the advantages of both so as to obtain a highly innovative result.
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Falena®



The Falena® is an interspinous spacer indicated for surgical decompression in cases with spinal and radicular stenosis performed with a minimally invasive approach.
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FLEXIS



The FLEXIS inter spinous rotating device is used for the surgical treatment of spinal pathologies. This treatment consists in distracting two or more vertebrae among them, and provide a stabilization. This distraction is made between the two spinous processes of two adjacent vertebrae. For best results, a detailed preoperative evaluation, a meticulous surgical technique and adequate postoperative care are necessary.
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Gelfix




The GelFix Interspinous Spacer is a one piece posterior spinal distraction implant made from HPAN, a biocompatible hydrogel which exhibits desirable mechanical properties. Implanted between the spinous processes through a small incision, the GelFix device acts as a dynamic spacer restricting painful motion without adversely affecting other segmental motion.
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Helifix



The HeliFix Interspinous Spacer System features a self-distracting PEEK implant with simplified and straightforward instrumentation. The percutaneous delivery of the implant enables surgeons to preserve the surrounding anatomical structures - lessening the overall surgical trauma to the aging population. The HeliFix System is intended for patients suffering from lumbar spinal stenosis.
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HEKTOR



HEKTOR is an optima peek implant that is placed between two spinous processes. When implanted, the HEKTOR is not positioned close to nerves or the spinal cord, but rather behind the spinal cord, between the spinous processes.
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Impala



The IMPALA is an interspinous spacer that is placed between two processi spinosi. By widening the foramina intervertebralis, stress can be taken off the nerve roots and the patient can experience instant pain relief.
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InSWing™



The InSWing™ Interspinous Spacer is a decompression solution developed to relieve pain from lumbar spinal stenosis (LSS). This device offers the advantages of a reduced incision size, minimized muscle trauma and preservation of the supraspinous ligament.
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Inspan™



The InSpan Spinous Process Plate System is a posterior non-pedicle supplemental fixation system intended for use in the non-cervical spine (T1-S1). It is intended for plate fixation/attachment to the spinous process for the purpose of achieving supplemental fusion for the indications listed below. The InSpan system is intended for use with bone graft material and is not intended for stand-alone use.
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In-Space



In-Space is an interspinous spacer, intended to stop segmental extension and to distract the interspinous space e.g. for dynamic lumbar stenosis. It is implanted through a percutaneous, tissue preserving approach.
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IntraSPINE®



The IntraSPINE® is a dynamic stabilization system respecting the Instantaneous Axis of Rotation of thesegment.Its laminar supports close to the I.A.R. allows to decompress and to correct the lordosis better than other posteriorly devices.
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LimiFlex



The LimiFlex™ Spinal Stabilization System provides segmental stabilization by restricting segmental flexion. A complete LimiFlex Device consists of two dynamic titanium rods with attached Ultra-high Molecular Weight Polyethylene (UHMWPE) Straps that wrap around adjacent spinous processes. The attachment mechanisms for the straps are integrated into the rods and allow for intraoperativere-adjustment of the device.
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Lumbar Alligator



Lumbar Alligator is a unique alternative to pedicle screw fixation as an adjunct to interbody fusion. The Lumbar Alligator`s spinous process biting plate offer a less invasive approach that provides outstanding immobilization of 1-2 levels to support the fusion process.
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Minuteman®



Unique in its ability to deliver spinal fusion through a percutaneous procedure, the Minuteman provides stabilization of the spine, while offering relief for the indicated spinal ailments. The Minuteman is placed between spinous processes through a single incision, using successive muscle dilators.
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Promise-F



The Promise Fusion system is a minimally invasive alternative to pedicle screw instrumentation. It delivers simplified posterior non-pedicle fixation and acts as an adjunct to posterior inter-body fusion treatment from T1-S1 through a minimal incision which aids in quicker patient recovery and return to normal activity
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PrimaLOK™



The OsteoMed Spine PrimaLOK™SP Interspinous Fusion System is intended for the temporary fixation of the thoracic, lumbar and sacral spine while awaiting bony fusion to take place.
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PITBULL



The PITBULL is a posterior, non-pedicle supplemental fixation device intended for use with an interbody cage as an adjunct to fusion at a single level in the lumbar spine (L1~S1).
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Promise



In response to more and more demand from the patients to preserve as much anatomy during the surgeries as possible, IPS products, safe and successful, tend to be an ideal solution to fulfill their needs.
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Rocker



ROCKER Interspinous Process System is a decompression spacer that is used to relieve pain from degenerative disc disease. With its unique mechanical design, placing and matching between interspinous process and interlamina to increase the support stability.
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Romeo2 PAD



Romeo2 PAD is an innovative fixation method that allows posterior fusion while reducing operative time and muscle trauma.
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Renegade™



The Renegade™ instrumentation was designed for a minimally invasive technique with the use of a guide wire and radiolucent dilation ports.RENEGADE™ is an interspinous distraction device delivered through a minimally invasive lateral approach sparing both tissue and ligaments.
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Spinous Locker




The Spinous Locker was designed to aid in the treatment of degenerative disc disease.The Spinous Locker acts as a spacer which when placed between two spinous process restores the natural height of the disc, taking the pressure off the intervertebral disc and associated structures, and allows the nerve to exit freely from the spinal cord while maintaining normal movement of the spine.
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S-Flex



"S-Flex"is made from Wrought Titanium-Nickel(NiTi) Shape Memory Alloy, which is the material already standardized by ASTM F2063-00 for medical devices and surgical implants.
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Smart-U




"Smart-U"is made from Wrought Titanium-Nickel(NiTi) Shape Memory Alloy, which is the material already standardized by ASTM F2063-00 for medical devices and surgical implants.
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Spire™



CD Horizon Spire Spinal System is a minimally invasive product that allows surgeons to fixate the spine by attaching a plate to the spinous process of the vertebral body during spinal fusion surgery as a supplement to the CD HORIZON(R) Rod and Screw System.
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Superion®




The Superion® Interspinous Spacer (ISS) is a motion-preserving, indirect decompression spinal implant system for the treatment of moderate lumbar spinal stenosis. Superion is the most advanced and least invasive ISS available or in development.
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StabiLink® MIS



StabiLink™ MIS Spinal Fixation System that has recently received its FDA clearance and CE Mark is designed to provide spinal fixation in lumbar fusion procedures, including the treatment of degenerative disc disease, spinal tumors and trauma.
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Stenofix



StenoFix is an interspinous implant used after decompressive surgery to preserve the foraminal height and to offload the posterior spinal elements.
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SP-Fix®



SP-Fix® is a spinous process fixation device that is designed to provide structural stability, indirect decompression and immobilization of the spinous processes of adjacent vertebrae.
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SP-FLEX™



SP-FLEX™ is viscoelastic interspinous device designed to be placed between adjacent spinous processes to indirectly decompress lumbosacral spinal segments by maintaining distraction and to restore foraminal height while stabilizing the spinal segment with the attached polyethylene terephthalate (PET) bands.
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Spinos



Spinos by privelop is an innovative implant for use in the treatment of low back pain. It enables the distance between the spinous processes to be maintained, while preserving full mobility.
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UniLink™ 5/1



The UniLink 5/1 Interspinous Fusion System incorporates a modified design to facilitate L5-S1 capture or to accommodate non-linear anatomy. The UniLink 5/1 provides the same low-profile fixation and utilizes the same instrumentation as the UniLinkSystem.
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UniLInk™



The UniLink Interspinous Fusion System delivers maximum procedural flexibility through a minimally invasive approach. The UniLink System offers an array of customizable, low-profile implants to accommodate anatomical variation and surgical technique preferences.
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Viking



Viking is a dynamic interspinous system for the lumbar spine. It allows compression movements and lateral bending and it allows load transfer along the spine preserving the kinematic movements of the segment where it is implanted, working at the same time as a “shock absorber”.
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Wellex



The WELLEX™ Interspinous Process Technology aims at perfecting the balance between motion and stability by restoring the posterior tension band, the facet congruence and the foraminal height.
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Wallis




The Wallis Stabilization System, treats the pain due to degenerative instability, preserves mobility, anatomy and stability while being fully reversible, therefore leaving all subsequent options open.
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X-STOP



The X-Stop® Spacer is an interspinous process device designed to treat the symptoms of lumbar spinal stenosis (LSS), a sometimes painful condition caused by narrowing of the spinal canal. The X-Stop Spacer is an implant designed to keep the space between your spinous processes open, so that when you stand upright, the nerves in your back will not be pinched or cause pain.
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ZIP™ - MIS



The Aurora Spine ZIP™ MIS Interspinous Fusion System is a bilateral locking plate system which attaches to the posterior non-cervical spine at the spinous processes using Aurora Spine's one-step, proprietary ZIP-LOCK™ mechanism. The implants have only two components (left & right) to assemble with a central chamber for receiving bone graft. The devices are available in a variety of cylinders and plate lengths to accommodate variations in pathology and patient anatomy.
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ZIP ULTRA™



The ZIP ULTRA™ MIS Interspinous Fusion Systemis a minimally invasive spinal fixation device for spinal fusion and was developed as an alternative to pedicle screw fixation.
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