Alphatec Holdings, Inc. (ATEC) has announced the launch of the InVictus Occipital-Cervical-Thoracic (OCT) Spinal Fixation System, meaning that the InVictus Posterior Fixation Platform now covers the entire spine.
ATEC Launches InVictus for Cervical, Thoracic Spine
Chairman and CEO Pat Miles told OTW, “The speed by which we have created and fully launched a comprehensive occiput-to-ilium fixation system with InVictus is unprecedented. In less than two years, ATEC has orchestrated, from design to commercialization, the largest system our teams have ever released. This speaks to the prowess of the Organic Innovation Machine. With the release of InVictus OCT, we are obviating the last of the legacy Alphatec products and can now offer a clinically distinct platform capable of seamlessly treating the entire spine.”
OTW asked Miles in what ways is the InVictus system more adaptable and he explained, “InVictus OCT adapts intraoperatively to surgical requirements with robust instruments and customizable implants designed to accept multiple rod diameters and materials, which enables the treatment of more advanced pathologies. The system uniquely gives surgeons the option of utilizing single- or dual-rod tulips to create multi-rod constructs that cross the occipito-cervical junction with increased biomechanical stability.”
Among the key features of InVictus is the fact that it is applicable to a range of pathologies through open, minimally invasive surgery (MIS), or hybrid approaches. Miles explained to OTW that “InVictus OCT is a single system that addresses the entire spine from occiput to ilium with the familiar and consistent instrument design, color coding, and nomenclature that surgeons have become accustomed to through the InVictus Thoracolumbar systems. It also integrates with SafeOp Neural InformatiX System to more predictably provide surgeons with real-time, actionable information to detect and monitor the health of nerves at risk during posterior fixation.”
“InVictus OCT offers a thread design that simplifies screw insertion, visual and tactile feedback, proximal thoracic transition options and a 4-rod occipital module.”

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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