ACE Combined

What is a synonym for the anatomical term "anterior?"

Ventral

What feature of the vertebrae allows the passage of the spinal cord and cauda equina?

Vertebral foramen

What new benefits will ATEC's porous titanium product bring to the interbody fusion?

1. Bone's affinity for titanium, but with less material density for better stiffness and imaging characteristics 2. Open connectivity porosity mimicking the structure and function of bone 3. Superior clean-ability

When should you use Arsenal fixation?

1. Degenerative is typically 1-2, occasional 3 levels 2. Deformity can be 3+ levels 3. Trauma/Tumors

The Arsenal tulips are low profile. Give the dimensions for Run on Rod, Screw Width & Screw Height:

10.25 mm, 12.5 mm, 15 mm

The thoracic spine has how many vertebrae?

12

When was Alphatec founded?

1990

What is the dual lead Arsenal thread pitch?

2.6 mm

How much reduction does the Reduction Screw have?

20 mm

When was Alphatec Spine's IPO?

2006

OsseoScrew has a _____ increase in pull-out strength in comparison to a standard pedicle screw.

29%

The coccyx is _____ to _____ bones fused together.

3 - 5

How much reduction does the Pistol Persuader have?

30 mm

What length does the gold coating on the ATEC instruments indicate?

30 mm

How many bones make up the Vertebrae?

33

Which ATEC biologics product has both OC & OI properties alone?

3D Profuse & AlphaGRAFT DBM

How many sections does the Spine consist of?

5

What size rod diameter does the Arsenal tulip accept?

5.5 mm

What tap sizes are included in the OsseoScrew instrument tray?

5.5 mm, 6.5 mm & 7.5 mm

How much reduction does the Axial Reducer have?

50 mm

What are the OsseoScrew diameter options?

6.5 mm screw expands to 10 mm & 7.5 mm screw expands to 11 mm

Arsenal rods are available up to _____ long.

600 mm

The Arsenal Polyaxial Screw provides the user with up to _____ degrees of variability to accommodate varying anatomies.

76

There are how many cervical nerve pairs?

8

How many collective years of spine experience does the current senior leadership have?

>300

What approach to the cervical spine avoids direct manipulation of the spinal cord but sometimes results in problems swallowing postoperatively?

ACDF

What lumbar interbody fusion approach requires a vascular surgeon's assistance to gain exposure to the spine with the patient lying supine?

ALIF

The ligament most responsible for restraining hyperextension is what?

ALL

What ATEC solution would be used to prevent migration of a LIF interbody spacer if/when the anterior longitudinal ligament (ALL) is ruptured or released?

AMP

ATEC's Profuse product is what type of biologic?

Allograft

Bone graft borrowed from another human donor is known as what?

Allograft

What sales promotion is currently taking place for ATEC biologics?

AlphaGRAFT DBM Fiber + Identi-C

What of the following is NOT true about AlphaGRAFT DBM?

AlphaGRAFT DBM requires refrigeration and thawing.

Which of the following ATEC Biologics solutions could be used in an ALIF procedure?

AlphaGRAFT, Neocore, Profuse

From what view would you be seeing the spine in a coronal image?

Anterior-posterior

ATEC's legacy system for open posterior thoracolumbar fixation is called what?

Arsenal

How is Arsenal 2.0 different from Arsenal 1.0?

Arsenal 2.0 does not include a friction fit head nor a provisional lock. Arsenal 1.0 has a friction fit head and a provisional lock.

ATEC's ALIF plating system is called what?

Aspida

Being an ATEC Spine ACE means being what?

Audacious, Committed, Experts

ATEC's posterior cervical system that allows for occipito-cervical fixation is called what?

Avalon

A 6.5 x 45 mm poly screw will have a _____ colored tulip and a _____ colored shank. A 5.5 x 30 mm uniplanar screw will have a _____ colored tulip and a _____ colored shank.

Dark Blue, Light Blue, Magenta, Green

Which of the following is a goal of spine surgery?

Decompression, Stabilization, Alignment

What pathological condition is characterized by loss of water content and consequently loss of functional integrity of the intervertebral disc?

Degenerative disc disease

What pathological condition is characterized by displacement of the disc's nucleus through the annulus?

Disc herniation

Arsenal features a _____ lead thread screw.

Dual

It is typical for spine companies to design and provide procedure-specific patient positions.

False

Spine surgery is performed primarily to treat back pain.

False

T/F: All screws use the same blue screw driver including reduction screws.

False

T/F: OSSINS contains rods.

False

T/F: OsseoScrew can be used with PMMA cement.

False

T/F: OsseoScrew cannot be used during both MIS and Open procedures.

False

What category of spine surgical devices is used to provide internal stabilization while the fusion process progresses?

Fixation

AlphaGRAFT DBM is availed in the following forms:

Gel, Putty & Fiber

ATEC's AlphaGRAFT product is allograft that comes in what forms?

Gel, Putty, Fibers

This ATEC product line expands the function of spacers to active participation in the biological process of fusion:

IdentiTi Porous TI implants

What all is required to complete an OsseoScrew case?

Illico or Zodiac, OSSIMP & OSSINS

Restoration of disc height and alignment coincidentally increases the size of the foramen, taking pressure off of nerves. What is this benefit known as?

Indirect decompression

What is ATEC's new ACP called?

Insignia

What conditions might be considered indications for fusion?

Instability, Deformity, Trauma requiring reconstruction

Fusing across the interbody space is called what?

Interbody fusion

What type of spine surgical devices/technology increases the safety of surgical procedures by measuring for and mitigating iatrogenic neural injury?

Intraoperative neuromonitoring

ATEC's new posterior cervical system extends the benefits of what other platform into the cervical spine?

Invictus

ATEC's premier posterior fixation solution includes designs for both open and percutaneous next-generation fixation, as well as a tool for a Guidewire-less MIS technique.

Invictus

Which of ATEC's posterior thoracolumbar fixation systems facilitates use with our screw-based retractor for MIS TLIF?

Invictus MOD

That tool for efficient Guidewire-less screw placement is called:

Invictus SingleStep

Lumbar is _____ to _____ .

L1 - L5

The spinal cord ends at what level?

L1-2

The aorta and vena cava bifurcate at about what level to perfuse each leg?

L4

The vertebra "cephalad" to the sacrum is which level?

L5

What is a form of direct decompression?

Laminectomy, Facetectomy, Discectomy

The type of curvature where the apex points anteriorly, as in the cervical and lumbar regions, is called what?

Lordosis

What feature does ATEC ACP system boast?

Low Profile, Zero-Step Locking Mechanism, Large Graft Windows

The network of mixed spinal nerves that travels within the psoas muscle laterally adjacent to the lumbar spine is called what?

Lumbar plexus

What is the main anatomical risk of a lateral approach to the lumbar spine?

Lumbar plexus injury

What anatomical term is the opposite of "lateral?"

Medial

What is the clinical benefit of cortical screws?

Medialized exposure is less invasive

What deep midline back muscle is small but due to its attachments from one spinous process and laminate to the next makes it an important segmental stabilizer?

Multifidus

Compression of the spinal cord can cause pain, limb weakness and numbness, and bowel and bladder disorders, a collection of symptoms called what?

Myelopathy

A muscle group whose innervation comes from a single spinal nerve level is called what?

Myotome

The PCF procedure uses what interbody spacer platform?

NOT Cervical Structural Allograft, NOT Novel CIS, NOT Novel XS

The PLF procedure uses what interbody spacer platform?

NOT Novel SD, Novel TL, Battalion PC or Battalion PS

What is the property of bone grafts that describes their structure as a scaffold for bone to grow onto/into/through?

Osteoconductivity

What is the property of bone grafts that describes their inherent capacity to grow bone based on having cells?

Osteogenesis

What is the property of bone grafts that describes their having signals that elicit new bone formation?

Osteoinductivity

What is the property of bone grafts that describes their having signals the elicit new bone formation?

Osteoinductivity

Instability triggers the body to grow bone around the unstable joint; such bone spurs are known as what?

Osteophytes

What pathological condition is characterized by loss of bone mineral and mass?

Osteoporosis

What surgical procedure removes significant amounts of bone posteriorly to create angulation and correct sagittal malalignments?

Osteotomy

Fusing along the back bones only in the lumbar spine is referred to as what?

PLF

What lumbar interbody fusion approach allows for direct decompression in the same approach and requires bilateral retraction of the cauda equina to gain access to the disc space?

PLIF

What IS different between the LTP and PTP procedures?

Patient position

Internal fixation in the anterior column is generally by this type of fixation device?

Plates

What is the ATEC terminology used to describe being thoughtful about all of the aspects of a given surgical procedure, and innovating around those needs toward the "perfect procedure?"

Proceduralization

Compression of a nerve can cause pain down the path of that nerve, a symptom called what?

Radiculopathy

Sacrum is _____ to _____ .

S1 - S5

This ATEC platform increases the neurological safety of the lateral approach.

SafeOp

What strategic acquisition was made in early 2018?

SafeOp

Spineopelvic parameters such as pelvic incidence and pelvic tilt are measured to assess alignment in what plane?

Sagittal

The plane that cuts the body into right and left parts and in which flexion/extension occurs is called what?

Sagittal

What application does the SafeOp platform include that is a uniquely positive addition to the safety of the LIF procedure?

Saphenous nerve SSEP

What pathological condition is characterized by an abnormal curvature in the coronal plane?

Scoliosis

What is ATEC's retractor system for LIF-PTP called?

Sigma

What is ATEC's screw-based retractor system for MIS TLIF called?

Sigma

ATEC's legacy posterior cervical system with a comprehensive set of hooks, screws, and rods for cervico-thoracic fixation is called what?

Solanas

ATEC's ALIF implant that provides integrated fixation through a one-step deployment of internally rotating blades is called what?

Solus

What category of spine surgical devices is used to create distance between vertebrae, increasing disc and foraminal height?

Spacers

What is NOT different between ATEC's LTP and PTP retractors?

Split-blade design

What feature of specialized access systems facilitates instrument maneuverability?

Split-blade retraction

What pathological condition is characterized by displacement of one vertebra forward over the one below it?

Spondylolisthesis

What is ATEC's retractor system for LIF-LTP called?

Squadron

What environmental factors influence the process of fusion?

Stability, Loading, Nutrients

What pathological condition is characterized by narrowing of a neural foramen?

Stenosis

Degenerative disc disease may be associated with what concomitant conditions?

Stenosis, Spondylolisthesis, Scoliosis

What anatomical term refers to something closer to the head?

Superior

ATEC's Neocore product is what type of biologic?

Synthetic

Thoracic is _____ to _____ .

T1 - T12

How do you know the OsseoScrew implant is expanded into its final position?

The red line is visible

What do the tap colors correlate to?

The shank diameter color

What rod material options are available in the Arsenal implant sets?

Ti, CoCr

From an A/P, the entry point of a lumbar screw is at the intersection of 4 parts:

Top of the facet, Mid transverse process, Lateral border of the superior articular facet & Pars

ATEC's PEEK device for LIF surgery is called:

Transcend

What does TLIF stand for?

Transforaminal Lumbar Interbody Fusion

What feature is unique to the cervical vertebrae?

Transverse foramen

Fractures of the spine are considered what type of pathology?

Trauma

ATEC's system for anterior cervical plating (ACP) is called what?

Trestle Luxe

ATEC's pedicle screw fixation systems can be used with 3D stereotactic navigation platforms.

True

ATEC's porous titanium interbody systems include implant options for ACDF.

True

T/F: Arsenal taps are line to line.

True

T/F: Deployment shafts are "single use" and are billable.

True

T/F: OsseoScrew is intended for patients with advanced stage tumors involving the thoracic and lumbar spine.

True

T/F: The MA rod bender is designed to allow more ease when bending CoCr rods.

True

True or False: Barrier properties of Amnioshield helps to reduce scar tissue formation and scar attachment to the dura in in-vino studies.

True

ATEC's interbody implants for PLIF and TLIF that have the advantageous stiffness and imaging characteristics of PEEK as well as the bone-affinity characteristics of titanium as a coating?

Battalion PC or PS

What category of spine surgical devices is used to help the body grow new bone across a fusion defect?

Biologics

What materials are commonly used as spinal spacers?

Bone, PEEK, Metal

What type of locking cap mechanism does the Arsenal system feature?

Buttress

Cervical is _____ to _____ .

C1 - C7

What is the feature that defines whether a pedicle screw system is MIS vs Open?

Cannulation

What ATEC systems are for use as interbody spacers for the ACDF procedure?

Cervical Structural Allograft, Novel CIS, Novel XS

What are the (5) sections of the Spine?

Cervical, Thoracic, Lumbar, Sacrum & Coccyx

Tumor, trauma and infection conditions may require this type of reconstructive procedure?

Corpectomy

What is the standard screw type offered in CBx?

Cortical Cancellous

What feature is unique to the thoracic vertebrae?

Costal facets

Who are the ATEC marketing contacts for posterior fixation?

Elizabeth Lukianov & Colton Giorgi

Who is the top priority at ATEC?

Employee

What are small, cartilage - lined points of contact where each individual backbone (vertebra) meets the one above and below it; control flexion and limit the range of motion?

Facet Joints

The superior articular process of one level meets up with the inferior articular process of the vertebra above it, creating what?

Facet joint

Screws that immobilize the segment by crossing directly through a joint are known as what?

Facet screws

Fusion is the only way to stabilize the spine?

False

When hydrated with BMA, which of ATEC biologics becomes OC, OI and OG?

Neocore

Which ATEC Biologics product is synthetic?

Neocore

ATEC's Novel platform of PEEK devices includes this one for ALIF.

Novel ALS

Which of ATEC's cervical interbody systems features a trapezoidal shape designed to minimize the risk of subsidence by a footprint that sits on the harder margins of bone?

Novel CIS

ATEC's Novel platform of PEEK devices includes this one for corpectomy?

Novel CP

ATEC's platform of PEEK-only interbody implants includes this version fo the PLIF procedure?

Novel SD

Which of ATEC's cervical interbody systems features a large central aperture to maximize the area for fusion?

Novel XS

The inner gel-like part of the intervertebral disc is called what?

Nucleus