Bringing Novel Titanium Integrated Surface Technology to the Proven Platform
Spinal Elements Launches Luna® Ti
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TLIFPEEKSpinal Elementstransforaminal lumbar interbody fusionLuna TIposterior approachOrbit® discectomyKohlberg & Company
CARLSBAD, Calif., July 29, 2026 /PRNewswire/ — Spinal Elements®, a spine technology company known for developing innovative surgical solutions that prioritize clinical performance and surgical efficiency, today announced the first clinical cases using Luna Ti, the newest addition to its Luna family of transforaminal lumbar interbody fusion (TLIF) interbodies. Building on the clinically proven Luna platform, Luna Ti combines the trusted Luna implant design with a titanium integrated surface engineered to support fusion while preserving the radiographic advantages of PEEK (a commonly used medical-grade plastic).
Designed to be delivered through a posterior approach with a low-profile 7 mm insertion height, Luna Ti enables surgeons to place a large-footprint interbody implant through a minimally invasive approach. The implant is engineered to restore disc height and sagittal alignment while maximizing endplate coverage to resist subsidence. Its advanced titanium integrated surface is designed to support osseointegration while maintaining the radiolucency of the underlying PEEK implant, allowing for clear postoperative visualization. Combined with the Orbit® discectomy platform, Luna Ti provides surgeons with a comprehensive solution for efficient disc preparation, implant delivery, and fusion.
Luna Ti Post-Op image – Spinal Elements
“In recent years we have seen continued growth of TLIF procedure volume (nationally) for lumbar fusions,” said Ron Lloyd, Chief Executive Officer. “The TLIF market is growing due to market factors such as an increase in procedures being performed at ambulatory surgical centers, where traditional anterior approaches are typically not performed, as well as surgeon and patient preferences. TLIF procedural technologies are a cornerstone of Spinal Elements MIS strategy. We pride ourselves on having a comprehensive TLIF portfolio but are committed to continually improve and expand our offering to meet surgeon and patient needs. Luna Ti compliments our Luna XD implant by giving surgeons the option of a PEEK or Titanium integrated surface. The Luna implants offer several meaningful clinical benefits and we are excited to give surgeons another option with this technology.”
Dr. Ernest Braxton, a neurosurgeon, commented, “I was initially drawn to the Luna platform because of the Orbit discectomy instrumentation, which I believe is among the best available for efficient and thorough disc preparation. After using Luna in clinical practice, I became a strong believer in the system because it integrates seamlessly into my existing TLIF workflow while providing design advantages that are difficult to achieve with many traditional interbody devices. The implant’s ability to facilitate restoration of disc height and alignment has expanded the range of cases in which I consider it, including some patients who may have previously required an ALIF approach. Luna Ti represents a logical next step in the evolution of the platform, combining the proven Luna design with the benefits of a titanium integrated surface to support fusion and osseointegration.”
Dr. Ryan Johnson added, “I’ve been using the Luna and Orbit platform for some time and have significantly expanded the clinical applications of this system. Adding a titanium integrated surface to an implant I’m already familiar with made a great deal of sense. It combines the radiographic advantages of PEEK with a titanium surface designed to support the fusion process, making an implant I already trusted even more compelling in my practice.” Dr. Johnson will be presenting on the Luna Ti technology at the upcoming Society for Minimally Invasive Spine Surgery Meeting in Las Vegas, NV on September 10, 2026.
About Spinal Elements
Spinal Elements is a technology-driven company headquartered in Carlsbad, California. A leading designer, developer, manufacturer, and marketer of innovative medical devices used in spinal surgical procedures, Spinal Elements combines leading medical device technologies, biologics, and instrumentation to create positive surgical outcomes that exceed surgeon and patient expectations. Spinal Elements has built a reputation delivering innovative and differentiated technologies that enable fundamental shifts in solutions for spine surgery. The company markets a complete portfolio of advanced spinal implant technologies. To learn more about Spinal Elements, please visit: www.spinalelements.com.
For more information about Spinal Elements, contact:
Rick Simmons
Chief Marketing Officer
Spinal Elements
rsimmons@spinalelements.com
About Kohlberg & Company
Kohlberg is a leading U.S. middle market private equity firm based in Mount Kisco, New York. Over the firm’s 36-year history, the firm has organized 11 private equity vehicles totaling in aggregate over $14 billion. Since inception, the firm’s private equity investments have generated over $10 billion in realized returns with no realized losses since Fund VI (2007 vintage). The firm invests in leading middle market businesses that are identified through its rigorous thematic research and the firm’s White Paper Program in its six core practice areas. For more information, please visit www.kohlberg.com.
For more information about Kohlberg & Company, contact:
Sasha Kim
Kohlberg & Company, L.L.C.
545 Madison Avenue, 12th Fl.
New York, NY 10022
Phone: (646) 595-9438
www.Kohlberg.com
MM-420-0022 Rev 20260721
Why This Matters
Two Perspectives
MBA Lens: Economic and industry impact
Spinal Elements launched Luna Ti, expanding its TLIF interbody portfolio to capitalize on growing lumbar fusion volumes, particularly in ambulatory surgical centers. This strategic move addresses surgeon and patient preferences for posterior approaches, offering a titanium-integrated PEEK option. The system aims for competitive advantage by integrating with the Orbit discectomy platform, enhancing surgical efficiency and potentially expanding clinical applications beyond traditional ALIF cases.
- The TLIF market is growing due to increased procedures in ASCs and evolving surgeon/patient preferences.
- Luna Ti complements the existing Luna XD, offering surgeons a choice between PEEK and titanium-integrated surfaces to meet diverse clinical needs.
PhD Lens: Clinical and outcomes impact
Luna Ti is a transforaminal lumbar interbody fusion (TLIF) implant combining a PEEK core with a titanium integrated surface. This design aims to support osseointegration while preserving PEEK's radiographic advantages for clear postoperative visualization. Delivered via a posterior approach with a low-profile 7 mm insertion, it is engineered to restore disc height, sagittal alignment, and maximize endplate coverage to resist subsidence, facilitating fusion.
- The implant's titanium integrated surface is designed to support osseointegration, while the underlying PEEK maintains radiolucency for clear imaging.
- Surgeon feedback suggests the system aids in disc height and alignment restoration, integrating efficiently into TLIF workflows.
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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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