Spine PlanningThe backbone
of progress

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Progress begins with personalized planning. Prepare deformity, degenerative, trauma and tumor cases using our patient-specific avatar. Spine Planning¹ combines anatomical mapping and advanced alignment insights to enhance anatomy visualization, screw placement and accurate measurements. Our spine planning portfolio delivers software intelligence across the planning process.

Personalized planning accurate alignment

Enable intuitive visualization, manual refinement and accurate sagittal alignment correction with our patient avatar for personalized planning. The patient-specific spine model, generated from 2D imaging data, delivers automated real-time spinopelvic measurement updates and alignment comparisons, thereby supporting function-oriented planning tailored to each patient.

Smart automation seamless workflow

Define and capture patient-specific anatomy from the cervical spine to the sacrum using intelligent mapping algorithms that identify, segment and label vertebrae, while automated spinopelvic measurements streamline routine steps without compromising control. Paired with captured anatomy, advanced visualization enables efficient alignment correction and can contribute to improved surgical outcomes. Navigation and robotics enhance procedural accuracy and Elements Segmentation, Elements SmartBrush and Elements Object Management strengthen planning by uniting automation, intuitive structure definition and connected processes.

Prepared to act aligned to plan

Transfer your plans seamlessly to the O.R., where segmented anatomical structures and planned implants are ready for intraoperative use. Using Spine Navigation, surgeons can visualize rod shape to ensure that the planned alignment is accurately reproduced and clear screw trajectory views support execution. Rod bending guidance during navigation enables more accurate patient-specific bending-to-plan compared to conventional rod bending. As you plan, the software automatically generates comprehensive reports capturing all implant and spinopelvic alignment parameters, providing clear, traceable documentation from preoperative planning through surgery.

With the addition of the latest Spine Planning software, we now have a complete spine surgery ecosystem that lets you plan with intent, execute with control and learn from every case to improve the next one.²

Sleiman Haddad, MD, Hospital Quirón Barcelona

The software provides a clear, structured approach to preoperative planning for spinal instrumentation and deformity correction. The intuitive workflow supports accurate alignment analysis and integrates smoothly with intraoperative execution. Rod-bending support during surgery can enhance preoperative planning and help reduce time spent in the operating room.²

Stefan Motov, MD, HOCH Health Eastern Switzerland

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Innovation at every level

Get the right images right when you need them

Access patient datasets immediately through seamless PACS integration, making it easy to review and interact with DICOM images. Our intuitive interface reduces preparation time and helps keep attention where it belongs: on your patient. Mixed Reality Viewer helps visualize complex spine anatomy with a hyper-realistic and clear 3D view, supporting patient education, informed consent and shared decision making. The same visual clarity also facilitates productive discussions within tumor boards and multidisciplinary teams.

Work with anatomically relevant perspectives

Gain clear, anatomically relevant perspectives that support efficient review and confident evaluation. Elements Viewer uses anatomical mapping intelligence to calculate smart views in seconds, providing insights and perspectives by displaying outlined objects, fibers or captured label points. The software automatically aligns independent axial planes to the spine’s curvature and presents them together in a single view. Views prepared in the office, including measurements, remain accessible for intraoperative review at a planning station or directly on the navigation system.

Accelerate the planning process

Save time and speed up planning with automated level identification. Elements Spine Planning uses an intelligent segmentation algorithm to automatically propose labeling options for 2D and 3D datasets. Manual labeling and correction are always available and may be of particular use in cases that present with altered anatomy due to deformities or tumors.

Benefit from sagittal balance analysis

Analyze sagittal balance and gain actionable insights with automated measurements. Elements Spine Planning provides automated measurements for degenerative and segmental deformities. The software allows you to visualize proposed measurements on 2D images (AP and lateral) based on detected landmarks. Frequently used measurements can be saved to individualize and accelerate the planning process.

Plan spinal alignment with clarity

Explore and visualize complex spinal anatomy and surgical scenarios using an automated, AI-generated 3D patient-specific spine model built from 2D imaging data. Simulate surgical scenarios before entering the O.R. with an avatar that supports preoperative planning. During planning, simulation allows you to visualize how angles and measurements may shift after surgery, supporting function-oriented planning and informed decision making.

Optimize screw placement

Define desired screw trajectories on multiple imaging modalities including CT, CBCT and MR datasets. Automated screw planning, from cervical spine to sacrum, accelerates your spine planning workflow by allowing you to quickly review, fine tune and accept proposed positions. Rod line visualization provides further context for optimizing screw head alignment. Review, adapt and verify screws for thoracic, lumbar, cervical (pedicle C2-C7, pars C2 and lateral mass C1, C3-C7), sacrum (S1, S2), S2AI and ilium.

Streamline communication and documentation

Share planning and measurement results instantly with a single-click report that simplifies communication and record-keeping both before, as well as during, surgery. Export patient-specific rod templates in STL format, providing a practical option that simplifies rod bending. The report also provides detailed visualization of all planned pedicle screws, enabling you to clearly see implant positions, trajectories and sizes prior to and during surgery.

Bring accurate preoperative data into the O.R.

Ensure your plans reflect true spinal alignment despite differences between supine preoperative imaging and prone intraoperative imaging. Elements Curvature Correction Spine uses elastic fusion to account for natural spinal flexibility. The software supports fusing preoperative MR and CT scans with multilevel intraoperative CT and cone beam CT images, keeping your preoperative screw plans and soft tissue information current in the O.R.

Visualize rods in life size

Mitigate scaling issues and intraoperative guesswork during rod bending by pre-planning the sagittal alignment with Elements Spine Planning. Once you have adjusted the patient-specific spine avatar to the desired postoperative outcome, the planning software recommends the rod shape in the sagittal plane. During the procedure, Spine & Trauma Navigation offers a life-size, on-screen template to guide rod bending.

Learn how we’re redefining outcomes, one patient at a time

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The statements made by the surgeon during this interview represent their personal opinion and experiences. These statements may not be supported by scientific evidence or peer-review research. For verified information about the device, please refer to the manufacturer’s official documentation or consult clinical guidance.

Spine PlanningThe backboneof progress