Spinal Elements receives expanded indications for the Lotus posterior cervical/thoracic spinal system


Spinal Elements has recently received clearance through the US Food and Drug Administration to market its Lotus posterior cervical/thoracic spinal system with expanded indications for posterior cervical screw placement.

Previous clearance had allowed for screw placement only in the thoracic (T1-T3) spine. The new clearance now broadens Lotus’ indications for the placement of screws in the cervical (C1-C7) spine, providing surgeons with more surgical treatment options for improved treatment of various posterior cervical and thoracic pathologies.

Spinal Elements is one of only three companies in the posterior cervical-thoracic space to receive clearance for these expanded indications.

“The use of screws in the posterior cervical spine as an effective treatment option is well documented in the literature. Pursuing this clearance illustrates Spinal Elements’ drive to facilitate the best possible care of my patients,” said John G Devine, chief, Spine Surgery Service and professor of Orthopaedic Surgery at Georgia Regents University in Augusta, USA. Jason Blain, president of Spinal Elements added, “Achieving these expanded indications for our posterior cervical-thoracic fixation system aligns with our company’s mission to set a new standard. We endeavour to provide our surgeons with the most advanced implants, instruments and techniques available.”

The Lotus system is intended to provide immobilisation and stabilisation of spinal segments as an adjunct to fusion for the following acute and chronic instabilities of the cervical spine (C1-C7) and the thoracic spine from T1-T3:

  • traumatic spinal fractures and/or traumatic dislocations;
  • instability or deformity; failed previous fusions (eg. pseudoarthrosis);
  • tumours involving the cervical/thoracic spine; and
  • degenerative disease, including intractable radiculopathy and/or myelopathy, neck and/or arm pain of discogenic origin as confirmed by radiographic studies, and degenerative disease of the facets with instability.

Lotus is also intended to restore the integrity of the spinal column even in the absence of fusion for a limited time period in patients with advanced stage tumours involving the cervical spine in whom life expectancy is of insufficient duration to permit achievement of fusion.

In order to achieve additional levels of fixation, Lotus may be connected to the Mercury spinal system with the Lotus posterior cervical/thoracic rod connectors. Transition rods with differing diameters may also be used to connect Lotus to the Mercury system.