LDR is celebrating its latest milestone with the announcement that it has reached over 50, 000 implantations of its spinal cages utilizing VerteBRIDGE Plating Technology. Since its introduction in France in 2007 and in the United States in 2008, VerteBRIDGE—a novel system for integrated cage fixation—has grown to a comprehensive platform of products with integrated zero-profile plating technology adapted for use in anterior cervical, anterior lumbar, oblique lumbar, and lateral lumbar applications.
LDR Implants 50, 000 VerteBRIDGE

VerteBRIDGE is a minimally invasive, zero-profile, technology that utilizes a self-guided plating system that requires less exposure than other stand-alone systems on the market that must be secured with screws inserted at oblique angles. It has self-locking plates designed for initial and long-term stability, may be inserted through a mini-open technique in the transverse plane of the disc, and boasts adjustable placement of the cage prior to insertion of the plating. In addition, the inserter provides protection of vascular structures during plate placement.
Several LDR cages are available with VerteBRIDGE plating. The ROI-C Cervical Cage, which is used for anterior cervical interbody fusion, is available in two sagittal profiles that are designed to respect the patient’s anatomy and allow close contact between the bone and the implant as well as provide restoration of both height and lordosis
The ROI-A ALIF Cage, available in midline and oblique designs, is used for anterior lumbar interbody fusion, and provides an optimized cage shape for peripheral coverage of the endplates and strong support on cortical bone. The tapered posterior shape facilitates insertion. The oblique cage can be inserted from a 25° anterolateral angle that may reduce retraction of the great vessels and minimize the associated management of segmental vessels.
The most recent addition to the VerteBRIDGE portfolio is the Avenue L Lateral Lumbar Cage, which incorporates zero-profile, intradiscal, integrated fixation. The minimal, in-plane exposure afforded by VerteBRIDGE plating technology is especially well-suited to the lateral transpsoas approach where surgeons are concerned with minimizing the retraction of the psoas during insertion of the cage and integrated fixation.
Christophe Lavigne, CEO and President of LDR, told OTW, “We’ve seen tremendous success with our VerteBRIDGE Plating Technology and remain committed to developing innovative spinal solutions that benefit the surgeon and patient. We are proud of reaching this milestone and look forward to reporting on future developments and innovations.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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