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.

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

How VBO works

01

VBO targets the source of compression.

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

02

VBO restores height within one vertebra.

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

03

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 provide ipsilateral fixation. A proprietary deployable staple mechanism, protected by issued and pending patents, extends across the vertebral body to provide contralateral fixation, all through the same lateral approach.

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.

Contralateral fixation: the deployable staple.

Vertiwedge® staple stowed within the implant
Stowed
Vertiwedge® staple extended across the vertebral body
Extend
Vertiwedge® staple rotated into contralateral fixation orientation
Rotate
Vertiwedge® staple retracted into its seated contralateral position
Seated

Our technologies

One fixation platform. Two applications.

Motion preservation is our focus. VBO® with Vertiwedge® restores height within a single vertebra without fusing across the disc. When fusion is clinically appropriate, LLIF180™ with the Interwedge® implant offers a standalone lateral interbody solution built around the same bilateral fixation platform.

Product information for healthcare professionals

Motion-preserving

Vertiwedge® + VBO®

Intraosseous correction within a single vertebral body, designed to preserve motion at the disc.

Explore VBO →
Vertiwedge® intraosseous implant with bone screws, lateral plate, cover plate, and deployable staple
When fusion is the right choice

LLIF180™ + Interwedge®

A standalone lateral lumbar interbody fusion procedure performed with the Interwedge® implant, with bilateral fixation from a single lateral position.

Explore LLIF180 →
Interwedge® Standalone Lateral implant with bone screws, pivoting lateral plate, cover plate, and deployable staple
Randal Betz, MD, Founder and CEO of Foundation Surgical
“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.