As a result of the limitations of plate and rod systems, there was a need for spinal stabilization devices that did not add bulk to the lateral aspect of the spine and did not limit access to the pars and transverse processes.
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Both plating systems and rod and screw systems add bulk along the lateral aspect of the spine, which limits access to the pars and transverse processes of the spinal column. This complicates the removal of membranes and the placement of bone graft.
In order to avoid this limitation, many surgeons remove the membranes prior to placing the rods.
Placing rods or plates on the lateral aspect of the spine leaves the center of the spinal canal, containing the dura, spinal cords and nerves, completely exposed. In some cases, damage can occur at the intervertebral junction of an adjacent level.
When this occurs, fusion at the adjacent level can sometimes be necessary. When this additional surgery is required, rod fixation systems are difficult to extend to higher or lower levels that require fusion.
Although there are connectors and techniques that can be used to lengthen the fixation, they tend to be difficult to use and time consuming.
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Medtronic DePuy Synthes Orthofix Zimmer Biomet Stryker Merit Medical Globus Medical Spinal Kinetic DJO NuVasive Paradigm Spine Ulrich Medical Aesculap Inc. Alphatec Spine Optimed K2M Cook Medical Others include: Aesculap Inc, Amedica, Amendia, Atlas Spine, Aurora Spine, Camber Spine, Captiva Spine, Centinel Spine, Clariance, CoreLink Surgical, Genesys Spine, GS Medical, Medacta International, Nexxt Spine, Orthocision, Orthofix, OsteoMed, Pinnacle Spine Group, RTI Surgical, Spineart, SpineFrontier, Spineology, Titan Spine, TranS1, VGI Medical, Xtant Medical,.
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