For spine surgeons & hospitals
INTRAOPERATIVE OPTIONS
YOU DON’T ALWAYS HAVE
Pre-operative planning sets the target. Axis Modular ALIF gives you options at the moment it matters – after disc preparation, with the anatomy fully visible and understood.
LORDOTIC ANGLE
Cleared up to 40°
FORAMINAL HEIGHT
Set independently from lordotic angle
CORONAL PLANE
Independent capability if required
VERTEBRAL ENDPLATE MATCH
Anatomical fit
INSERTION METHOD
Endplate-first, low-profile insertion
Each parameter is set independently and in sequence – after disc preparation, with the anatomy fully visible. Not a preoperative approximation. A genuine intraoperative decision.
MODULAR PRECISION
WHAT THE PLATFORM ENABLES
Four independent parameters. One anterior approach. Axis Modular ALIF offers independent control compared to many conventional static cages.
01
ENDPLATE-FIRST LOW-PROFILE INSERTION
Axis Modular ALIF endplates insert closed – in a low-profile configuration – and expand within the disc space. The low-profile, endplate-first insertion method is designed to support controlled placement within the disc space.
02
ANATOMY-MATCHING ENDPLATE GEOMETRY
No two disc spaces are identical. Axis Modular endplates can be selected pre-operatively, which may be amended intraoperatively, providing the best option to match the patient anatomy – after preparation, with the bone surface fully visible – independently matched to the superior and inferior endplates as they actually are. Designed to support endplate contact and load distribution across available configurations.
03
SELECT FORAMINAL HEIGHT AND LORDOSIS INDEPENDENTLY
Most conventional cages use a fixed anterior height as their reference – increasing lordosis inevitably affects posterior implant height. You cannot optimize both simultaneously. Axis Modular ALIF is designed to allow separate intraoperative selection of foraminal height and lordosis within available configurations. Two parameters. Two independent intraoperative decisions. Both matched to what the patient requires.
04
SAGITTAL AND CORONAL OPTIONS THROUGH AN ANTERIOR APPROACH
The spine is a multiplanar structure. Sagittal and coronal deformity are not separate problems – they interact. Axis Modular ALIF features independent modular coronal correction options (up to 20°) – a cleared design feature enabling intraoperative customization within labeled indications.
Intra-op selection of desired height
Intra-op determination of ideal angle of lordosis
Ability to correct coronal plane if required
Endplate options to match patient anatomy
WHAT SURGEONS SAY ABOUT AXIS MODULAR ALIF
“I’ve worked with Total Disc Replacement and ALIF inserters throughout my career. The Axis Modular ALIF inserter applies a similar working corridor principle allowing for a shielded passing of instruments when trialing for the desired implant geometry.”
“You position the endplates first, exactly where you want them, and then build the implant through the center of the inserter. Even our access surgeon was impressed at the small size of the working corridor, a result of the in-vivo assembly design.”
“The ability to decouple foraminal height from lordotic angle, combined with patient anatomy-matching endplate options, gives me flexibility to tailor treatment intraoperatively.”
“The Axis Modular ALIF design lets me correct three-dimensional geometry segment by segment, on the fly. For multilevel degenerative scoliosis, that intraoperative adaptability influences how I approach reconstruction.”
SURGICAL PROCEDURE
ASSEMBLE TO ANATOMY. THREE STEPS
1. TRIAL
Endplate size and fit
2. CORRECT
Foraminal height and lordosis
3. LOCK
Bone screw fixation
EVIDENCE & PROOF POINTS
THE DATA BEHIND THE PLATFORM
A phased, systematic evidence program: biomechanical validation, KOL-documented clinical introduction, followed by radiographic and clinical outcome tracking.
Existing evidence is being extended through a short- and long-term clinical research program including retrospective and prospective studies focused on both clinical and patient outcomes.
| SOURCE | TITLE | SIGNIFICANCE |
| Cureus 2026 | Radiographic evaluation of a modular ALIF cage: subsidence and segmental lordosis Bhatti H et al. Cureus, 2026 | Clinical outcome data including lordosis maintenance and subsidence metrics |
| North American Spine Society Journal 2025 | Fusion cage design, materials, and coatings: Science versus hype | Peer-reviewed narrative review featuring modular technology in context of protecting vertebral endplates and maintaining lordosis |
| Clinical Biomechanics 2025 | A modular cage may prevent endplate damage and improve spinal deformity correction Jansen JU et al. Clinical Biomechanics, 2025 | Peer-reviewed biomechanical validation confirming endplate interaction and correction-related measures |
| Cureus 2023 | Endplate trauma during implant insertion and expulsion risk in ALIF Kienle A et al. Cureus, 2023 | Establishes endplate-first insertion as a mechanistically important differentiator for fusion outcomes |
| Abstract ISASS 2025 | Comparison of modular and one-piece ALIF implants: Radiographic analysis Guyer R et al. ISASS Annual Meeting, 2025 | Head-to-head comparative data from KOL presenter, Texas Back Institute |
| Conference 2025 | Modular ALIF: The scalable future of customizable spine surgery Sullivan TB. State of Spine Surgery 2025 | Positioning versus custom implants as a health economics solution |
| Conference 2024 | The impact of cage design on spinal alignment Rush AJ. Spine: Base to Summit 2025 | Modular implant design rationale confirmation through biomechanics and early clinical validation |
| Conference 2023 | If all you have is a hammer, everything looks like a nail Guyer R. State of Spine Surgery 2023 | Endplate-first insertion methodology: biomechanical and clinical validation from KOL presenter |
| Conference 2022 | Can a novel, modular ALIF cage help reduce loss of lordosis and provide 3D spinal alignment? Deol GS. Spine: Base to Summit 2022 | Implant design validation from KOL presenter to address multiplanar spine correction |
(k)
FDA Cleared
+
US procedures
%
Up to 70% reduction in implant inventory
