Expand your vertebral compression fracture (VCF) treatment possibilities with the SpineJack system
With over 150,000 implants placed worldwide1, the SpineJack system rises above2 traditional fracture treatments, which often overlook reduction, fixation and restoration due to limitations in instrumentation. The SpineJack system is designed for you to take control of the procedure, restore anatomy and protect patients from adjacent-level fractures.2
SAKOS pivotal trial results for SpineJack system2
- Restores midline vertebral body height
- Protects from adjacent level fractures
- Demonstrated improved VAS pain scores in patients at 1 month and 6 months post-procedure compared to BKP-treated patients
Please see Instructions for Use (IFU) for a complete listing of warnings, precautions and adverse events.
Product highlights
Product features
4.2mm implant
Control
The SpineJack implant expands in a craniocaudal direction, combatting the compression forces of the spine with up to 1,000 newtons of expansion force.1 It’s power and precision, met with uncompromising control.
5.0mm implant
Restore
The SpineJack system revolutionizes vertebral body height restoration, offering true restoration rather than just relief.2 The evidence confirms what we’ve long believed—VCF treatment is about more than just pain relief. Now, with the SpineJack system, you have the tools and confidence to restore vertebral body height like never before.
5.8mm implant
Protect
The SpineJack system protects against adjacent-level fractures, which may occur due to changes in the load distributed to adjacent vertebral bodies after a compression fracture.3,4 It’s long-term protection that’s been a long time coming.
Kit contents
Access cannula
Reamer with working cannula
Cannula plug
Guidewire (2)
Template
Working cannula
Expansion kit (2)
Cement pushers
Injector transfer tubes
Preparation and expansion kits
The SpineJack system offers three implant kit sizes: 4.2mm, 5.0mm and 5.8mm. Each kit contains the appropriate instrumentation for the procedure—first for preparation, then for expansion and fracture reduction. The range of sizes accommodates various anatomies and fracture types.
The SpineJack system gives you the tools to take control of the procedure. Whether it’s a painful osteoporotic, traumatic or malignant pathologic vertebral compression fracture,* the SpineJack system allows you to rise to more challenges.
Procedure highlights
Pre-procedure planning
Please refer to the Instructions for Use (IFU) for a full size guide.
Pedicle width
A pedicle width of 0.8mm larger than the desired implant size is recommended to ensure safe placement (e.g., 4.2mm implant + 0.8mm = 5mm minimum pedicle width).
Vertebral body height
The length of the vertebral body must also be measured, in order to define the largest implant size that can be opened in the vertebral body.
Procedure steps
1. 11g access cannula
Insert the access cannula through the pedicle into the posterior one-third of the vertebral body.
2. Guidewire
Insert the guidewire halfway into the vertebral body, then remove the access cannula.
3. Reamer
Following the path of the guidewire, drill until fluting of the reamer is entirely within the vertebral body.
4. Template
Insert the template into the working cannula to clean the implant site. The cannula plug is then inserted into the working cannula, which allows for visualization of depth of the implant.
5. Unexpanded
Insert the SpineJack implants into the vertebral body.
6. SpineJack implants expanded (no cement)
The SpineJack implants are expanded to reduce the fracture and restore the anatomical height of the body of the vertebra.
7. Releasing SpineJack implants
Unscrew the quick release pin counterclockwise to release the implants.
8. SpineJack implants expanded (with cement)
Bone cement is injected to stabilize the fracture.
Clinical cases collection
Interested in learning more?
Contact us.
Pain is unrelenting. But so are we.
Thank you for your interest in Stryker's Interventional Spine products—bold and innovative approaches for treating patients experiencing pain. Tell us how we can help by answering the following questions, and we’ll work to get you what you need.
To place an order, contact your Stryker's Sales Representative or Stryker's Customer Service at 1 800 253 3210.
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*Please see the IFU for a complete list of potential risks
- Stryker data on file.
- Noriega D, Marcia S, Theumann N, Blondel B, Simon A, Hassel F, Maestretti G, Petit A, Weidle PA, Mandly AG, Kaya JM, Touta A, Fuentes S, Pflugmacher R. A prospective, international, randomized, noninferiority study comparing an implantable titanium vertebral augmentation device versus balloon kyphoplasty in the reduction of vertebral compression fractures (SAKOS study). Spine J. 2019 Nov;19(11):1782-1795. doi: 10.1016/j.spinee.2019.07.009. Epub 2019 Jul 17. PMID: 31325625.
- U.S. Food and Drug Administration. (2018). 510(k) Premarket Notification: K181262. FDA Center for Devices and Radiological Health. Retrieved on June 16, 2025 from https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm?ID=K181262
- Tzermiadianos M et al. Altered disc pressure profile after an osteoporotic vertebral fracture is a risk factor for adjacent vertebral body fracture. European Spine Journal. 2008; 17:1522-1530.
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