A new option in spine surgery

Motion is our Foundation.

Foundation Surgical develops spine procedures designed to relieve nerve compression without giving up motion. Our flagship procedure, Vertebral Body Osteotomy (VBO®), restores height within a single vertebra, so neighboring vertebrae aren’t fused across the disc.

Learn about VBO Info for Surgeons Info for Patients

Lateral anatomical rendering of Vertiwedge® positioned within a lumbar vertebral body — An anatomical rendering of the Vertiwedge® intraosseous implant positioned within a lumbar vertebral body.

The VBO difference

VBO®

VBO (Vertebral Body Osteotomy) is a motion-preserving procedure that restores height within a single vertebra.

Restore height within the vertebra. Preserve motion across the disc.

Instead of joining two vertebrae together, VBO is designed to create more room for the nerve by restoring height within a single vertebra. Correction and bone healing stay within one bone, and the discs above and below it are left to move.

Lumbar segment before VBO showing a compressed exiting nerve — Conceptual illustration. VBO restores height through an osteotomy within one vertebral body. Patient anatomy and results vary.

Lumbar segment after VBO showing restored foraminal height around the exiting nerve — Conceptual illustration. VBO restores height through an osteotomy within one vertebral body. Patient anatomy and results vary.

How VBO works

VBO targets the source of compression.

For appropriately selected patients whose nerve compression comes from lost foraminal height.

VBO restores height within one vertebra.

A controlled osteotomy, supported by the Vertiwedge® implant, restores and holds vertebral body height.

VBO leaves the discs free to move.

Because neighboring vertebrae aren’t fused across a disc space, VBO is designed as a motion-preserving option.

Vertiwedge® Intraosseous System

Bilateral fixation through a single incision.

Bone screws and a lateral plate secure the near side of the vertebra. A proprietary deployable staple mechanism, protected by issued and pending patents, extends across the vertebral body to secure the far side, all through the same lateral approach.

Review the system

Complete Vertiwedge® construct with bone screws, lateral plate, cover plate, and deployable staple — Complete Vertiwedge® construct: bone screws, lateral plate, cover plate, and deployable staple.

Far-side fixation: the deployable staple.

Stowed

Extend

Rotate

Seated

Talk to our team

Choose the contact path that fits you.

I’m a patient looking to learn more. Ask about VBO availability → I’m a surgeon or professional looking to learn more. Start a professional inquiry →

“When patients hear they need a fusion, too many feel their only options are to live with the pain or accept a fusion that limits how they move. VBO was built to give them another choice.”

Randal Betz, MD, Founder and CEO. Past President of the Scoliosis Research Society and former Chief of Staff at Shriners Hospitals for Children–Philadelphia, Dr. Betz pioneered intravertebral correction, the principle behind VBO, more than 25 years ago.

Motion is our Foundation. Let’s build on it.

Whether you’re evaluating VBO for your practice, your hospital, or yourself, we’ll help you find the right next step.

Talk to our team How VBO works