Orthofix has initiated the full U.S. commercial launch of its Reef L Interbody System, a comprehensive lateral lumbar system engineered to safely and reproducibly treat the spine through indirect decompression and sagittal alignment restoration.

The rollout helps complete the company’s Reef interbody product lineup. The lateral lumbar interbody system is the culmination of extensive research, development, and collaboration with spine surgeons to deliver a solution that enhances surgical precision, efficiency, and patient outcomes.

The Reef L system combines advanced surface technology and structural design. Built with proprietary Orthofix NanoMetalene surface technology and featuring distinctive Reef undercuts at both the endplate and within the apertures, the system delivers measurable advantages:

• Enhanced bone integration: Increased surface area for bone ongrowth^1,2
• Radiolucent imaging characteristics: Enables clearer evaluation of graft incorporation and fusion progression¹
• Proven stability: A three-fold increase in biomechanical stability compared to smooth surface alternatives³

Orthofix worked closely with key surgeon partners throughout the development process to ensure the Reef L system addresses real clinical needs. “The Reef L implant offers a distinct advantage in my lateral procedures due to its engineered surface and structural design,” said Dr. Kenneth Nwosu of St. Francis Hospital in Washington. “The addition of the undercuts on the endplates and within the apertures lets me pack in significantly more OsteoStrand Plus than before. The radiolucent design also makes it easier to evaluate graft incorporation and fusion progression on post-op imaging.”

The Reef L system is designed with numerous footprint and lordotic options, empowering surgeons to address specific anatomical needs intraoperatively. This flexibility is enhanced by Orthofix’s integrated lateral platform approach, which seamlessly connects with the firm’s proven lateral instrumentation— from the Lattus lateral retractor and disc preparation tools to lateral plating.

This alignment across platforms helps streamline surgical workflows and elevate procedural consistency.

“The commercial launch of Reef L marks a major milestone in completing our Reef interbody family and reinforces our commitment to delivering a full-spectrum lateral solution,” stated Max Reinhardt, president of Global Spinal Solutions at Orthofix. “By leveraging our lateral instrumentation, from retractor to disc prep and plating, we’re not only enhancing surgical efficiency but also driving continued growth across the entire lateral portfolio.”

The Reef L system demonstrates the way in which Orthofix’s lateral platform works as an integrated system, helping to streamline surgical workflows and elevate procedural consistency. This alignment across platforms represents the company’s commitment to supporting spine surgeons with comprehensive, innovative solutions.

Headquartered in Lewisville, Texas, Orthofix provides medical technologies that heal musculoskeletal pathologies. Orthofix offers spinal hardware, bone growth therapies, specialized orthopedic solutions, biologics and enabling technologies, including the 7D FLASH navigation system.

References
¹ D0003269
² William Robert Walsh, Matthew H. Pelletier, Chris Christou, Jiawei He, Frank Vizesi, Scott D. Boden, “The In Vivo Response to a Novel Ti Coating Compared with Polyether Ether Ketone: Evaluation of the Periphery and Inner Surfaces of an Implant,” The Spine Journal. 2018 Feb;18(7);1231-1240 doi: 10.1016/j.spinee.2018.02.017
³ Walsh W. R. et al, “Undercut Macrostructure Topography on and Within an Interbody Cage Improves Biomechanical Stability and Interbody Fusion,” submitted to The Spine Journal, April 2020.