NuVasive®, Inc.
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Posterior Thoracolumbar

The mid and low back, or thoracolumbar spine, consists of 17 vertebrae—twelve thoracic and five lumbar—as well as the sacrum. Common pathologies in the posterior (rear) thoracolumbar spine include, but are not limited to, degenerative disc disease (DDD), which may be manifested by disc herniation, degenerative spinal stenosis, or degenerative spondylolisthesis.  NuVasive® offers a full surgical solution portfolio with multiple systems designed for the treatment of these and other pathologies that affect the posterior thoracolumbar spine.

Experience NuVasive innovation. Choose a procedure below.

Posterior Thoracolumbar

MAS TLIF

A minimally invasive approach to traditional back surgery, which reduces disruption to the back muscles resulting in less postoperative pain and a quicker recovery.

Neuromonitoring

  • NVM5®

    Full neurological monitoring EMG/MEP/SSEP and status assessment during spine procedures

    View Indications for Use

    The NVM5® System is a medical device that is intended for intraoperative neurophysiologic monitoring during spinal surgery. The device provides information directly to the surgeon, to help assess a patient’s neurophysiologic status. NVM5® provides this information by electrically stimulating nerves via electrodes located on surgical accessories and monitoring electromyography (EMG), transcranial motor evoked potential (TceMEP) or somatosensory evoked potential (SSEP) responses of nerves.

    1. XLIF® (Detection) – The XLIF (Detection) function allows the surgeon to locate and evaluate spinal nerves, and is used as a nerve avoidance tool.
    2. Basic & Dynamic Screw Test – The Screw Test functions allow the surgeon to locate and evaluate spinal nerves by providing proximity information before, during or after bone preparation and placement of bone screws.
    3. Free Run EMG – The Free Run EMG function identifies spontaneous EMG activity of spinal nerves by continually displaying a live stream waveform of any mechanically induced myotome contractions.
    4. Twitch Test (Train of Four) – The Twitch Test Function allows the surgeon to assess moderate degrees of neuromuscular block in effect by evaluating muscle contraction following a train of four stimulation pulses.
    5. TcMEP – Transcranial stimulation techniques for motor evoked potentials are used to assess for acute dysfunction in axonal conduction of the corticospinal tract. The TcMEP function provides an adjunctive method to allow the surgeon to monitor spinal cord and motor pathway integrity during procedures with a risk of surgically induced motor injury.
    6. SSEP – The SSEP function allows the surgeon to assess sensory spinal cord function in surgical procedures during which the spinal cord is at risk.
    7. Remote Reader – The Remote Reader function provides real time remote access to the NVM5 System for a monitoring physician outside of the operating room.
    8. The Guidance function is intended as an aid for use in either open or percutaneous pedicle cannulation procedures in the lumbar spine of adult patients, and when used in conjunction with radiographic imaging and EMG, allows the surgeon to assess the angulation of system accessories relative to patient spinal anatomy for the creation of a cannulation trajectory for bone screw placement.
  • NVM5 Guidance

    Accurate cannulation of pedicle

    View Indications for Use

    The NVM5® System is a medical device that is intended for intraoperative neurophysiologic monitoring during spinal surgery. The device provides information directly to the surgeon, to help assess a patient’s neurophysiologic status. NVM5® provides this information by electrically stimulating nerves via electrodes located on surgical accessories and monitoring electromyography (EMG), transcranial motor evoked potential (TceMEP) or somatosensory evoked potential (SSEP) responses of nerves.

    1. XLIF® (Detection) – The XLIF (Detection) function allows the surgeon to locate and evaluate spinal nerves, and is used as a nerve avoidance tool.
    2. Basic & Dynamic Screw Test – The Screw Test functions allow the surgeon to locate and evaluate spinal nerves by providing proximity information before, during or after bone preparation and placement of bone screws.
    3. Free Run EMG – The Free Run EMG function identifies spontaneous EMG activity of spinal nerves by continually displaying a live stream waveform of any mechanically induced myotome contractions.
    4. Twitch Test (Train of Four) – The Twitch Test Function allows the surgeon to assess moderate degrees of neuromuscular block in effect by evaluating muscle contraction following a train of four stimulation pulses.
    5. TcMEP – Transcranial stimulation techniques for motor evoked potentials are used to assess for acute dysfunction in axonal conduction of the corticospinal tract. The TcMEP function provides an adjunctive method to allow the surgeon to monitor spinal cord and motor pathway integrity during procedures with a risk of surgically induced motor injury.
    6. SSEP – The SSEP function allows the surgeon to assess sensory spinal cord function in surgical procedures during which the spinal cord is at risk.
    7. Remote Reader – The Remote Reader function provides real time remote access to the NVM5 System for a monitoring physician outside of the operating room.
    8. The Guidance function is intended as an aid for use in either open or percutaneous pedicle cannulation procedures in the lumbar spine of adult patients, and when used in conjunction with radiographic imaging and EMG, allows the surgeon to assess the angulation of system accessories relative to patient spinal anatomy for the creation of a cannulation trajectory for bone screw placement.
  • I-PAS™ III

    Insulated pedicle access system (EMG)

    View Indications for Use

    NuVasive® Stimulation/Dissection Instruments are indicated for tissue dissection and stimulation of peripheral motor nerves for location and identification during surgery, including spinal nerve roots.

Access Instruments

  • MaXcess® MAS TLIF Retractor

    Retractor and instruments

    View Indications for Use

    NuVasive® instruments are manually operated devices indicated for use during spinal surgical procedures.

Interbody

  • CoRoent®

    Interbody/VBR implants

    View Indications for Use

    When used as an intervertebral body fusion device: The NuVasive CoRoent® System is indicated for intervertebral body fusion of the spine in skeletally mature patients. The System is designed for use with autogenous bone graft to facilitate fusion.

    The CoRoent L and XL platforms are intended for use at either one level or two contiguous levels in the lumbar spine, from L2 to S1, for the treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis. DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The lumbar devices are to be used in patients who have had at least six months of non-operative treatment. The System is intended to be used with supplemental internal spinal fixation systems that are cleared by the FDA for use in the lumbar spine.

    When used as a partial Vertebral Body Replacement (VBR): The NuVasive CoRoent System may also be used as a partial vertebral body replacement device indicated for use in the thoracolumbar spine (T1 to L5) to replace a diseased or damaged vertebral body caused by tumor or fracture, to restore height of a collapsed vertebral body, and to achieve decompression of the spinal cord and neural tissues. The System is intended to be used with supplemental internal spinal fixation systems that are cleared by the FDA for use in the thoracic and lumbar spine. Allograft or autograft material may be used at the surgeon’s discretion.

Biologics

  • FormaGraft®

    Collagen bone graft matrix

    View Indications for Use

    Formagraft® is indicated for use in bony voids or gaps that are not intrinsic to the stability of the bony structure. The product should be gently packed into bony voids or gaps of the skeletal system (i.e., the extremities, spine and pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. The product provides bone void filler that resorbs and is replaced by the growth of new bone during the healing process. The bone graft can be mixed with autogenous bone marrow prior to use at the physician’s discretion. In weight bearing situations, Formagraft is to be used in conjunction with internal or external fixation devices.  The fracture defect treated with Formagraft should not exceed 30 mL.

  • Osteocel® Plus

    Advanced cellular bone matrix

    View Indications for Use

    This product is restricted to homologous use for the repair, replacement or reconstruction of musculoskeletal defects.

Fixation

  • Precept™ Modular System

    Simplified, secure, in-situ assembly

    View Indications for Use

    When used as a pedicle screw fixation system, the NuVasive Precept Spinal System is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the posterior thoracic, lumbar, and sacral spine:

    1. Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)
    2. Degenerative spondylolisthesis with objective evidence of neurologic impairment
    3. Fracture
    4. Dislocation
    5. Scoliosis
    6. Kyphosis
    7. Spinal tumor and/or
    8. Failed previous fusion (pseudoarthrosis)

    The NuVasive Precept Spinal System is also indicated for the treatment of severe spondylolisthesis (Grades 3 and 4) of the L5-S1 vertebral joint in skeletally mature patients receiving fusion by autogenous bone graft, having the device fixed or attached to the lumbar and sacral spine (L3 to sacrum), with removal of the implants after attainment of a solid fusion.

    When used as an anterolateral non-pedicle screw system in the thoracic and lumbar spine, the NuVasive Precept Spinal System is also intended for the following indications:

    1. Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)
    2. Spinal stenosis
    3. Spondylolisthesis
    4. Spinal deformities
    5. Fracture
    6. Pseudoarthosis
    7. Tumor resection and/or
    8. Failed previous fusion
  • SpheRx® DBR® III Modular System

    Versatility, visualization, strength

    View Indications for Use

    The NuVasive® SpheRx Spinal System consists of a series of polyaxial screws, fixed axis screws, rods, lock screws, hooks, and transverse connectors manufactured from Ti-6Al-4V per ASTM F-136 and ISO 5832-3.

    When used as a pedicle screw fixation system, the NuVasive SpheRx Spinal System is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the posterior thoracic, lumbar, and sacral spine:

    1. Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)
    2. Degenerative spondylolisthesis with objective evidence of neurologic impairment
    3. Fracture
    4. Dislocation
    5. Scoliosis
    6. Kyphosis
    7. Spinal tumor and/or
    8. Failed previous fusion (pseudoarthrosis)

    The NuVasive SpheRx Spinal System is also indicated for the treatment of severe spondylolisthesis (Grades 3 and 4) of the L5-S1 vertebral joint in skeletally mature patients receiving fusion by autogenous bone graft, having the device fixed or attached to the lumbar and sacral spine (L3 to sacrum), with removal of the implants after attainment of a solid fusion.

    When used as an anterolateral non-pedicle screw system in the thoracic and lumbar spine, the NuVasive SpheRx Spinal System is also intended for the following indications:

    1. Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)
    2. Spinal stenosis
    3. Spondylolisthesis
    4. Spinal deformities
    5. Fracture
    6. Pseudoarthosis
    7. Tumor resection and/or
    8. Failed previous fusion

MAS PLIF

Using a medialized approach, the MAS PLIF procedure is designed to eliminate the need to retract muscle lateral to the facet, without compromising conventional surgical objectives.

Neuromonitoring

  • NVM5®

    Full neurological monitoring EMG/MEP/SSEP and status assessment during spine procedures

    View Indications for Use

    The NVM5® System is a medical device that is intended for intraoperative neurophysiologic monitoring during spinal surgery. The device provides information directly to the surgeon, to help assess a patient’s neurophysiologic status. NVM5® provides this information by electrically stimulating nerves via electrodes located on surgical accessories and monitoring electromyography (EMG), transcranial motor evoked potential (TceMEP) or somatosensory evoked potential (SSEP) responses of nerves.

    1. XLIF® (Detection) – The XLIF (Detection) function allows the surgeon to locate and evaluate spinal nerves, and is used as a nerve avoidance tool.
    2. Basic & Dynamic Screw Test – The Screw Test functions allow the surgeon to locate and evaluate spinal nerves by providing proximity information before, during or after bone preparation and placement of bone screws.
    3. Free Run EMG – The Free Run EMG function identifies spontaneous EMG activity of spinal nerves by continually displaying a live stream waveform of any mechanically induced myotome contractions.
    4. Twitch Test (Train of Four) – The Twitch Test Function allows the surgeon to assess moderate degrees of neuromuscular block in effect by evaluating muscle contraction following a train of four stimulation pulses.
    5. TcMEP – Transcranial stimulation techniques for motor evoked potentials are used to assess for acute dysfunction in axonal conduction of the corticospinal tract. The TcMEP function provides an adjunctive method to allow the surgeon to monitor spinal cord and motor pathway integrity during procedures with a risk of surgically induced motor injury.
    6. SSEP – The SSEP function allows the surgeon to assess sensory spinal cord function in surgical procedures during which the spinal cord is at risk.
    7. Remote Reader – The Remote Reader function provides real time remote access to the NVM5 System for a monitoring physician outside of the operating room.
    8. The Guidance function is intended as an aid for use in either open or percutaneous pedicle cannulation procedures in the lumbar spine of adult patients, and when used in conjunction with radiographic imaging and EMG, allows the surgeon to assess the angulation of system accessories relative to patient spinal anatomy for the creation of a cannulation trajectory for bone screw placement.

Access Instruments

  • MaXcess® MAS PLIF Retractor

    Retractor and instruments

    View Indications for Use

    NuVasive® instruments are manually operated devices indicated for use during spinal surgical procedures.

Interbody

  • CoRoent®

    Interbody/VBR implants

    View Indications for Use

    When used as an intervertebral body fusion device: The NuVasive CoRoent® System is indicated for intervertebral body fusion of the spine in skeletally mature patients. The System is designed for use with autogenous bone graft to facilitate fusion.

    The CoRoent L and XL platforms are intended for use at either one level or two contiguous levels in the lumbar spine, from L2 to S1, for the treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis. DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The lumbar devices are to be used in patients who have had at least six months of non-operative treatment. The System is intended to be used with supplemental internal spinal fixation systems that are cleared by the FDA for use in the lumbar spine.

    When used as a partial Vertebral Body Replacement (VBR): The NuVasive CoRoent System may also be used as a partial vertebral body replacement device indicated for use in the thoracolumbar spine (T1 to L5) to replace a diseased or damaged vertebral body caused by tumor or fracture, to restore height of a collapsed vertebral body, and to achieve decompression of the spinal cord and neural tissues. The System is intended to be used with supplemental internal spinal fixation systems that are cleared by the FDA for use in the thoracic and lumbar spine. Allograft or autograft material may be used at the surgeon’s discretion.

Biologics

  • FormaGraft®

    Collagen bone graft matrix

    View Indications for Use

    Formagraft® is indicated for use in bony voids or gaps that are not intrinsic to the stability of the bony structure. The product should be gently packed into bony voids or gaps of the skeletal system (i.e., the extremities, spine and pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. The product provides bone void filler that resorbs and is replaced by the growth of new bone during the healing process. The bone graft can be mixed with autogenous bone marrow prior to use at the physician’s discretion. In weight bearing situations, Formagraft is to be used in conjunction with internal or external fixation devices.  The fracture defect treated with Formagraft should not exceed 30 mL.

  • Osteocel® Plus

    Advanced cellular bone matrix

    View Indications for Use

    This product is restricted to homologous use for the repair, replacement or reconstruction of musculoskeletal defects.

Fixation

  • SpheRx® MAS PLIF System

    Modular cortical/pedicle system

    View Indications for Use

    When used as a pedicle screw fixation system, the Nuvasive SpheRx Spinal System is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the posterior thoracic, lumbar, and sacral spine:

    1. Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)
    2. Degenerative spondylolisthesis with objective evidence of neurologic impairment
    3. Fracture
    4. Dislocation
    5. Scoliosis
    6. Kyphosis
    7. Spinal tumor and/or
    8. Failed previous fusion (pseudoarthrosis)

    The NuVasive SpheRx Spinal System is also indicated for the treatment of severe spondylolisthesis (Grade 3 and 4) of the L5-S1 vertebral joint in skeletally mature patients receiving fusion by autogenous bone graft having the device fixed or attached to the lumbar and sacral spine (L3 to sacrum) with removal of the implants after attainment of a solid fusion.

PLIF/TLIF

Fusion techniques where the spine is approached through a midline incision in the back, neural elements are decompressed, and the vertebral bodies are fused together.

Neuromonitoring

  • NVM5®

    Full neurological monitoring EMG/MEP/SSEP and status assessment during spine procedures

    View Indications for Use

    The NVM5® System is a medical device that is intended for intraoperative neurophysiologic monitoring during spinal surgery. The device provides information directly to the surgeon, to help assess a patient’s neurophysiologic status. NVM5® provides this information by electrically stimulating nerves via electrodes located on surgical accessories and monitoring electromyography (EMG), transcranial motor evoked potential (TceMEP) or somatosensory evoked potential (SSEP) responses of nerves.

    1. XLIF® (Detection) – The XLIF (Detection) function allows the surgeon to locate and evaluate spinal nerves, and is used as a nerve avoidance tool.
    2. Basic & Dynamic Screw Test – The Screw Test functions allow the surgeon to locate and evaluate spinal nerves by providing proximity information before, during or after bone preparation and placement of bone screws.
    3. Free Run EMG – The Free Run EMG function identifies spontaneous EMG activity of spinal nerves by continually displaying a live stream waveform of any mechanically induced myotome contractions.
    4. Twitch Test (Train of Four) – The Twitch Test Function allows the surgeon to assess moderate degrees of neuromuscular block in effect by evaluating muscle contraction following a train of four stimulation pulses.
    5. TcMEP – Transcranial stimulation techniques for motor evoked potentials are used to assess for acute dysfunction in axonal conduction of the corticospinal tract. The TcMEP function provides an adjunctive method to allow the surgeon to monitor spinal cord and motor pathway integrity during procedures with a risk of surgically induced motor injury.
    6. SSEP – The SSEP function allows the surgeon to assess sensory spinal cord function in surgical procedures during which the spinal cord is at risk.
    7. Remote Reader – The Remote Reader function provides real time remote access to the NVM5 System for a monitoring physician outside of the operating room.
    8. The Guidance function is intended as an aid for use in either open or percutaneous pedicle cannulation procedures in the lumbar spine of adult patients, and when used in conjunction with radiographic imaging and EMG, allows the surgeon to assess the angulation of system accessories relative to patient spinal anatomy for the creation of a cannulation trajectory for bone screw placement.
  • I-PAS™ III

    Insulated pedicle access system (EMG)

    View Indications for Use

    NuVasive® Stimulation/Dissection Instruments are indicated for tissue dissection and stimulation of peripheral motor nerves for location and identification during surgery, including spinal nerve roots.

Interbody

  • CoRoent®

    Interbody/VBR implants

    View Indications for Use

    When used as an intervertebral body fusion device: The NuVasive CoRoent® System is indicated for intervertebral body fusion of the spine in skeletally mature patients. The System is designed for use with autogenous bone graft to facilitate fusion.

    The CoRoent L and XL platforms are intended for use at either one level or two contiguous levels in the lumbar spine, from L2 to S1, for the treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis. DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The lumbar devices are to be used in patients who have had at least six months of non-operative treatment. The System is intended to be used with supplemental internal spinal fixation systems that are cleared by the FDA for use in the lumbar spine.

    When used as a partial Vertebral Body Replacement (VBR): The NuVasive CoRoent System may also be used as a partial vertebral body replacement device indicated for use in the thoracolumbar spine (T1 to L5) to replace a diseased or damaged vertebral body caused by tumor or fracture, to restore height of a collapsed vertebral body, and to achieve decompression of the spinal cord and neural tissues. The System is intended to be used with supplemental internal spinal fixation systems that are cleared by the FDA for use in the thoracic and lumbar spine. Allograft or autograft material may be used at the surgeon’s discretion.

Allograft

  • Triad® TLIF/PLIF

    Machined allograft

    View Indications for Use

    This allograft may be used in a variety of orthopedic, neurosurgical, reconstructive or periodontal bone grafting procedures.

Biologics

  • FormaGraft®

    Collagen bone graft matrix

    View Indications for Use

    Formagraft® is indicated for use in bony voids or gaps that are not intrinsic to the stability of the bony structure. The product should be gently packed into bony voids or gaps of the skeletal system (i.e., the extremities, spine and pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. The product provides bone void filler that resorbs and is replaced by the growth of new bone during the healing process. The bone graft can be mixed with autogenous bone marrow prior to use at the physician’s discretion. In weight bearing situations, Formagraft is to be used in conjunction with internal or external fixation devices.  The fracture defect treated with Formagraft should not exceed 30 mL.

  • Osteocel® Plus

    Advanced cellular bone matrix

    View Indications for Use

    This product is restricted to homologous use for the repair, replacement or reconstruction of musculoskeletal defects.

Posterior Fixation

A procedure performed to stabilize the spine throughout the healing process, allowing fusion to occur.

Neuromonitoring

  • NVM5®

    Full neurological monitoring EMG/MEP/SSEP and status assessment during spine procedures

    View Indications for Use

    The NVM5® System is a medical device that is intended for intraoperative neurophysiologic monitoring during spinal surgery. The device provides information directly to the surgeon, to help assess a patient’s neurophysiologic status. NVM5® provides this information by electrically stimulating nerves via electrodes located on surgical accessories and monitoring electromyography (EMG), transcranial motor evoked potential (TceMEP) or somatosensory evoked potential (SSEP) responses of nerves.

    1. XLIF® (Detection) – The XLIF (Detection) function allows the surgeon to locate and evaluate spinal nerves, and is used as a nerve avoidance tool.
    2. Basic & Dynamic Screw Test – The Screw Test functions allow the surgeon to locate and evaluate spinal nerves by providing proximity information before, during or after bone preparation and placement of bone screws.
    3. Free Run EMG – The Free Run EMG function identifies spontaneous EMG activity of spinal nerves by continually displaying a live stream waveform of any mechanically induced myotome contractions.
    4. Twitch Test (Train of Four) – The Twitch Test Function allows the surgeon to assess moderate degrees of neuromuscular block in effect by evaluating muscle contraction following a train of four stimulation pulses.
    5. TcMEP – Transcranial stimulation techniques for motor evoked potentials are used to assess for acute dysfunction in axonal conduction of the corticospinal tract. The TcMEP function provides an adjunctive method to allow the surgeon to monitor spinal cord and motor pathway integrity during procedures with a risk of surgically induced motor injury.
    6. SSEP – The SSEP function allows the surgeon to assess sensory spinal cord function in surgical procedures during which the spinal cord is at risk.
    7. Remote Reader – The Remote Reader function provides real time remote access to the NVM5 System for a monitoring physician outside of the operating room.
    8. The Guidance function is intended as an aid for use in either open or percutaneous pedicle cannulation procedures in the lumbar spine of adult patients, and when used in conjunction with radiographic imaging and EMG, allows the surgeon to assess the angulation of system accessories relative to patient spinal anatomy for the creation of a cannulation trajectory for bone screw placement.
  • NVM5 Guidance

    Accurate cannulation of pedicle

    View Indications for Use

    The NVM5® System is a medical device that is intended for intraoperative neurophysiologic monitoring during spinal surgery. The device provides information directly to the surgeon, to help assess a patient’s neurophysiologic status. NVM5® provides this information by electrically stimulating nerves via electrodes located on surgical accessories and monitoring electromyography (EMG), transcranial motor evoked potential (TceMEP) or somatosensory evoked potential (SSEP) responses of nerves.

    1. XLIF® (Detection) – The XLIF (Detection) function allows the surgeon to locate and evaluate spinal nerves, and is used as a nerve avoidance tool.
    2. Basic & Dynamic Screw Test – The Screw Test functions allow the surgeon to locate and evaluate spinal nerves by providing proximity information before, during or after bone preparation and placement of bone screws.
    3. Free Run EMG – The Free Run EMG function identifies spontaneous EMG activity of spinal nerves by continually displaying a live stream waveform of any mechanically induced myotome contractions.
    4. Twitch Test (Train of Four) – The Twitch Test Function allows the surgeon to assess moderate degrees of neuromuscular block in effect by evaluating muscle contraction following a train of four stimulation pulses.
    5. TcMEP – Transcranial stimulation techniques for motor evoked potentials are used to assess for acute dysfunction in axonal conduction of the corticospinal tract. The TcMEP function provides an adjunctive method to allow the surgeon to monitor spinal cord and motor pathway integrity during procedures with a risk of surgically induced motor injury.
    6. SSEP – The SSEP function allows the surgeon to assess sensory spinal cord function in surgical procedures during which the spinal cord is at risk.
    7. Remote Reader – The Remote Reader function provides real time remote access to the NVM5 System for a monitoring physician outside of the operating room.
    8. The Guidance function is intended as an aid for use in either open or percutaneous pedicle cannulation procedures in the lumbar spine of adult patients, and when used in conjunction with radiographic imaging and EMG, allows the surgeon to assess the angulation of system accessories relative to patient spinal anatomy for the creation of a cannulation trajectory for bone screw placement.
  • I-PAS™ III

    Insulated pedicle access system (EMG)

    View Indications for Use

    NuVasive® Stimulation/Dissection Instruments are indicated for tissue dissection and stimulation of peripheral motor nerves for location and identification during surgery, including spinal nerve roots.

Biologics

  • FormaGraft®

    Collagen bone graft matrix

    View Indications for Use

    Formagraft® is indicated for use in bony voids or gaps that are not intrinsic to the stability of the bony structure. The product should be gently packed into bony voids or gaps of the skeletal system (i.e., the extremities, spine and pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. The product provides bone void filler that resorbs and is replaced by the growth of new bone during the healing process. The bone graft can be mixed with autogenous bone marrow prior to use at the physician’s discretion. In weight bearing situations, Formagraft is to be used in conjunction with internal or external fixation devices.  The fracture defect treated with Formagraft should not exceed 30 mL.

  • Osteocel® Plus

    Advanced cellular bone matrix

    View Indications for Use

    This product is restricted to homologous use for the repair, replacement or reconstruction of musculoskeletal defects.

Fixation

  • Precept System

    Practical, elegant MAS fixation

    View Indications for Use

    When used as a pedicle screw fixation system, the NuVasive Precept Spinal System is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the posterior thoracic, lumbar, and sacral spine:

    1. Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)
    2. Degenerative spondylolisthesis with objective evidence of neurologic impairment
    3. Fracture
    4. Dislocation
    5. Scoliosis
    6. Kyphosis
    7. Spinal tumor and/or
    8. Failed previous fusion (pseudoarthrosis)

    The NuVasive Precept Spinal System is also indicated for the treatment of severe spondylolisthesis (Grades 3 and 4) of the L5-S1 vertebral joint in skeletally mature patients receiving fusion by autogenous bone graft, having the device fixed or attached to the lumbar and sacral spine (L3 to sacrum), with removal of the implants after attainment of a solid fusion.

    When used as an anterolateral non-pedicle screw system in the thoracic and lumbar spine, the NuVasive Precept Spinal System is also intended for the following indications:

    1. Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)
    2. Spinal stenosis
    3. Spondylolisthesis
    4. Spinal deformities
    5. Fracture
    6. Pseudoarthosis
    7. Tumor resection and/or
    8. Failed previous fusion
  • Precept Reduction System

    Sleek, low profile, built in reduction

    View Indications for Use

    When used as a pedicle screw fixation system, the NuVasive Precept Spinal System is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the posterior thoracic, lumbar, and sacral spine:

    1. Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)
    2. Degenerative spondylolisthesis with objective evidence of neurologic impairment
    3. Fracture
    4. Dislocation
    5. Scoliosis
    6. Kyphosis
    7. Spinal tumor and/or
    8. Failed previous fusion (pseudoarthrosis)

    The NuVasive Precept Spinal System is also indicated for the treatment of severe spondylolisthesis (Grades 3 and 4) of the L5-S1 vertebral joint in skeletally mature patients receiving fusion by autogenous bone graft, having the device fixed or attached to the lumbar and sacral spine (L3 to sacrum), with removal of the implants after attainment of a solid fusion.

    When used as an anterolateral non-pedicle screw system in the thoracic and lumbar spine, the NuVasive Precept Spinal System is also intended for the following indications:

    1. Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)
    2. Spinal stenosis
    3. Spondylolisthesis
    4. Spinal deformities
    5. Fracture
    6. Pseudoarthosis
    7. Tumor resection and/or
    8. Failed previous fusion
  • Precept Modular System

    Simplified, secure, in-situ assembly

    View Indications for Use

    When used as a pedicle screw fixation system, the NuVasive Precept Spinal System is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the posterior thoracic, lumbar, and sacral spine:

    1. Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)
    2. Degenerative spondylolisthesis with objective evidence of neurologic impairment
    3. Fracture
    4. Dislocation
    5. Scoliosis
    6. Kyphosis
    7. Spinal tumor and/or
    8. Failed previous fusion (pseudoarthrosis)

    The NuVasive Precept Spinal System is also indicated for the treatment of severe spondylolisthesis (Grades 3 and 4) of the L5-S1 vertebral joint in skeletally mature patients receiving fusion by autogenous bone graft, having the device fixed or attached to the lumbar and sacral spine (L3 to sacrum), with removal of the implants after attainment of a solid fusion.

    When used as an anterolateral non-pedicle screw system in the thoracic and lumbar spine, the NuVasive Precept Spinal System is also intended for the following indications:

    1. Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)
    2. Spinal stenosis
    3. Spondylolisthesis
    4. Spinal deformities
    5. Fracture
    6. Pseudoarthosis
    7. Tumor resection and/or
    8. Failed previous fusion
  • Armada® System

    Posterior fixation system

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    When used as a pedicle screw fixation system, the Armada® Spinal System is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following, acute and chronic instabilities or deformities of the posterior thoracic, lumbar, and sacral spine:

    1. Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)
    2. Degenerative spondylolisthesis with objective, evidence of neurologic impairment
    3. Fracture
    4. Dislocation
    5. Scoliosis
    6. Kyphosis
    7. Spinal tumor. and/or
    8. Failed previous fusion (Pseudoarthosis)

    The Armada Spinal System is also indicated for the treatment of severe spondylolisthesis (Grades 3 and 4) of the L5-S1 vertebral joint in skeletally mature patients receiving fusion by autogenous bone graft, having the device fixed or attached to the lumbar and sacral spine (L3 to sacrum), with removal of the implants after attainment of a solid fusion. When used as an anterolateral non-pedicle screw system in the thoracic and lumbar spine, the Armada Spinal System is also intended for the following indications:

    1. Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)
    2. Spinal stenosis
    3. Spondylolisthesis
    4. Spinal deformities
    5. Fracture
    6. Pseudoarthosis
    7.  Tumor resection and/or
    8. Failed previous fusion
  • SpheRx DBR® III System

    Minimally disruptive posterior fixation

    View Indications for Use

    The NuVasive® SpheRx Spinal System consists of a series of polyaxial screws, fixed axis screws, rods, lock screws, hooks, and transverse connectors manufactured from Ti-6Al-4V per ASTM F-136 and ISO 5832-3.

    When used as a pedicle screw fixation system, the NuVasive SpheRx Spinal System is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the posterior thoracic, lumbar, and sacral spine:

    1. Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)
    2. Degenerative spondylolisthesis with objective evidence of neurologic impairment
    3. Fracture
    4. Dislocation
    5. Scoliosis
    6. Kyphosis
    7. Spinal tumor and/or
    8. Failed previous fusion (pseudoarthrosis)

    The NuVasive SpheRx Spinal System is also indicated for the treatment of severe spondylolisthesis (Grades 3 and 4) of the L5-S1 vertebral joint in skeletally mature patients receiving fusion by autogenous bone graft, having the device fixed or attached to the lumbar and sacral spine (L3 to sacrum), with removal of the implants after attainment of a solid fusion.

    When used as an anterolateral non-pedicle screw system in the thoracic and lumbar spine, the NuVasive SpheRx Spinal System is also intended for the following indications:

    1. Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)
    2. Spinal stenosis
    3. Spondylolisthesis
    4. Spinal deformities
    5. Fracture
    6. Pseudoarthosis
    7. Tumor resection and/or
    8. Failed previous fusion
  • Radian®

    Facet screw system

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    The NuVasive® Facet Screw System is intended to stabilize the spine as an aid to fusion through immobilization of the facet joints. The NuVasive Facet Screw System is indicated for facet fixation, with or without bone graft, at single or multiple levels, from C2 to S1 (inclusive). The Facet Screw System is indicated for treatment of any or all of the following:

    1. Pseudoarthosis and failed previous fusion
    2. Spondylolisthesis
    3. Spondylolysis
    4. Degenerative disc disease (DDD) as defined by neck and/or back pain of discogenic origin as confirmed by radiographic studies
    5. Degeneration of the facets with instability
    6. Fracture

    The NuVasive Facet Screw System is intended for conventional or percutaneous surgical placement.

  • Affix® II

    Spinous process plating system

    View Indications for Use

    The NuVasive® Spinous Process Plate System is a posterior, non-pedicle supplemental fixation device, intended for use in the non-cervical spine (T1 – S1). It is intended for plate fixation/attachment to spinous process for the purpose of achieving supplemental fusion in the following conditions: degenerative disc disease – defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies; spondylolisthesis; trauma (i.e., fracture or dislocation); and/or tumor. It is not intended for stand-alone use.

  • Affix II Mini

    Spinous process plating system

    View Indications for Use

    The NuVasive® Spinous Process Plate System is a posterior, non-pedicle supplemental fixation device, intended for use in the non-cervical spine (T1 – S1). It is intended for plate fixation/attachment to spinous process for the purpose of achieving supplemental fusion in the following conditions: degenerative disc disease – defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies; spondylolisthesis; trauma (i.e., fracture or dislocation); and/or tumor. It is not intended for stand-alone use.

Note: References to specific products as components of a MAS TLIF, TLIF, PLIF, ILIF, or posterior fixation procedure or other surgical procedure/approach do not imply that such products have FDA regulatory clearance or approval for all of the pathologies or indications described. The surgical procedures described on this website may not require the use of some or all of the NuVasive products found on this website. Please refer to the professional product labeling of the NuVasive products for their specific FDA cleared or approved indications of use.