Alphatec Spine

What Alphatec Spine does

Alphatec Spine (NASDAQ: ATEC), operating as Alphatec Holdings, Inc., is a Carlsbad, California-based medical device company that develops and commercializes surgical treatment technologies for spine disorders. The company serves spine surgeons, orthopedic and neurosurgeons, hospitals, and ambulatory surgery centers across the United States, France, Japan, Australia, and New Zealand through a direct field sales force embedded in operating rooms. Founded in 1990 and public since the early 2000s, ATEC has grown from a spine implant vendor into an integrated procedural platform company.

The company's product portfolio spans imaging (EOSedge bi-plane radiography with up to 80% radiation reduction, EOS Insight AI-driven planning software, ATEC Insight mobile application), robotics and navigation (Valence robotic navigation), neuromonitoring (SafeOp Neural InformatiX), biologics (AlphaGRAFT DBM, AmnioShield), and an extensive implant portfolio (IdentiTi porous titanium interbodies, Invictus fixation with helical flange technology, Calibrate expandable systems, Transcend PEEK, Novel interbodies, Sigma retractors, LTP and PTP patient positioners, pediatric-specific Invictus Small Stature). ATEC addresses nine surgical approaches including ACDF, ALIF, LTP, PTP, TLIF, PLIF, PCF, posterior fixation, and corpectomy. The technology stack was assembled through acquisitions of SafeOp Surgical (2018), EOS Imaging (2020), and the REMI robotic navigation system from Accelus (2023).

ATEC generates revenue primarily through hardware sales of implants, surgical instruments, imaging systems, and navigation/robotics platforms to hospitals and spine surgery centers, with recurring revenue from consumables and restocking. The go-to-market model is enterprise field sales targeting spine surgeons through society meetings, regional symposia, cadaver labs, and clinical collaboration events, supported by clinical specialists who work directly in operating rooms. FY2025 revenue reached approximately $764M with 25% YoY growth, and FY2026 guidance stands at $882M. The company is not yet GAAP-profitable, though Q1 2026 adjusted EBITDA reached $21M (11% margin), and 2026 EPS guidance of $0.04 suggests a path to marginal profitability.

Name

Alphatec Spine

Legal name

Alphatec Spine, Inc.

Website

https://atecspine.com

Company type

Public

Founded year

1992

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Alphatec Spine (NASDAQ: ATEC) is a medical device company that develops and sells integrated surgical technologies — imaging, robotic navigation, neuromonitoring, biologics, and implants — to spine surgeons and hospitals across the U.S., Europe, Japan, and Oceania.

Ownership category

akta.pro rank

Product category

Spine Surgery Medical Devices

NAICS

Surgical and Medical Instrument Manufacturing (339112), Surgical Appliance and Supplies Manufacturing (339113), Electromedical and Electrotherapeutic Apparatus Manufacturing (334510), Navigational, Measuring, Electromedical, and Control Instruments Manufacturing (33451)

SIC

Surgical & Medical Instruments & Apparatus (3841), Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842), Electromedical & Electrotherapeutic Apparatus (3845)

akta.pro primary industry

Spine Implants & Motion Preservation (Fusion/Disc/Interspinous) (HLAHAEAC)

akta.pro secondary industries

Surgical Navigation, Robotics & Patient-Matched Instrumentation (Ortho/Spine) (HLAHAEAL), Surgical Navigation, Tracking & Intraoperative Guidance (Ortho/Neuro/ENT) (HLAHADAG), Neurosurgical Implants & Cranial/CMF (Cranial Plates, Dural Repair, Shunts) (HLAHAEAD), 3D-Printed & Patient-Specific Implants (Custom Ortho/Spine/Cranial) (HLAHAEAJ)

Keywords

• Spine surgery devices
• Spinal implant systems
• Surgical navigation robotics
• Spinal fusion technology
• Medical imaging platforms

Headquarters

HQ city

Carlsbad

HQ country

United States

HQ region

North America

Offices8 records

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

Supply Chain, Personnel, Technology or R&D, Operations, Marketing or Sales

Revenue model

1. Spine Surgery Products and Implants: ATEC generates revenue primarily through the sale of spinal implants, biologics, surgical instruments, and procedural solutions to hospitals and spine surgery centers. Revenue is driven by surgical case volume and new surgeon adoption, with recurring revenue from consumables and restocking.
2. EOS Imaging Systems: Revenue from EOSedge imaging systems and related software platforms (EOS Insight). The EOS segment experienced shortfalls in Q1 2026 but remains a growth driver for the company.
3. Surgical Technology (Navigation and Robotics): Valence robotic navigation system and related navigated instruments generate revenue as part of procedural sales. The company acquired the REMI system from Accelus in 2023 for $55M to expand this segment.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Alphatec Spine develops, manufactures, and commercializes a comprehensive portfolio of medical devices and procedural solutions for spine surgery, including spinal implants (interbody cages, posterior fixation systems), surgical instruments, biologics, neuromonitoring systems, robotic navigation platforms, and low-dose bi-plane imaging systems. The company sells these products primarily to hospitals and ambulatory surgery centers through a direct enterprise field sales force, with a go-to-market model that embeds clinical specialists directly in operating rooms to drive surgeon adoption across ACDF, TLIF, ALIF, LIF, PLIF, PTP, PCF, posterior fixation, and corpectomy procedures.

Product overview

Alphatec Spine (ATEC) offers a comprehensive spine surgery ecosystem comprising imaging systems, robotic navigation, neuromonitoring, biologics, and an extensive portfolio of interbody implants and fixation systems. The core platform includes EOSedge imaging and EOS Insight data platform for pre-operative planning, Valence robotic navigation for intraoperative guidance, and SafeOp neuromonitoring for real-time nerve protection. The company provides procedure-specific solutions across multiple surgical approaches (ACDF, ALIF, LIF/LTP, TLIF, PLIF, PCF, PF, PTP, Corpectomy) with complementary implant systems including IdentiTi porous titanium, Transcend PEEK, Calibrate expandable, and Novel interbody devices, supported by Sigma access systems and patient positioners. The biologics portfolio includes AlphaGRAFT DBM and AmnioShield tissue products. ATEC also maintains pediatric-specific offerings and acquired the REMI Robotic Navigation System in 2023 to expand its procedural technology portfolio.

Differentiator

Problem solved

Functional benefit

Brands

• EOS: EOS imaging technology platform including EOSedge imaging systems and EOS Insight software for spine and orthopedic imaging and surgical planning
• Alpha InformatiX
• Valence
• ATEC Insight
• Invictus
• IdentiTi
• AlphaGRAFT

Products and services

• EOSedge Revolutionary bi-plane radiography system that captures simultaneous frontal and lateral full-body images in a functional standing position, using Flex Dose technology to deliver up to 80% radiation reduction compared to standard imaging acquisitions. Used by spine and orthopedic surgeons and hospitals for low-dose preoperative and postoperative imaging.
• EOS Insight Data-informed peri-operative software platform built on EOSedge foundation that enables spino-pelvic alignment assessments, patient-specific surgical planning and simulation, patient trends, surgeon analytics, and AI-driven alignment measurement. Targets spine surgeons performing fusion and deformity correction procedures.
• Valence Purpose-built robotic navigation system for spine that unifies robotic guidance and navigation in a single platform, with a surgeon-controlled in-field camera, real-time instrument tracking, Delta Dilator real-time navigation, and integration with SafeOp neuromonitoring. Targets spine surgeons performing navigated fusion procedures.
• SafeOp Neural InformatiX multimodality neuromonitoring system providing objective, real-time actionable data to monitor nerve health during spine procedures using surgeon-driven tEMG, automated SSEPs, and MEP technology. Used by spine surgeons to reduce risk of nerve injury during fusion and deformity correction.
• Arcus Fully insulated guidewire deployment system for minimally invasive fixation procedures that integrates with SafeOp tEMG for real-time pedicle breach verification. Used by spine surgeons performing minimally invasive pedicle screw placement.
• ATEC Insight Intuitive mobile application that delivers precise real-time measurements from X-ray images for spinopelvic analysis, intra-operative validation, and integrated EOS workflow for implant sizing and surgical strategy. Targets spine surgeons seeking point-of-care alignment measurement.
• Invictus Comprehensive spinal fixation platform with intraoperative adaptability across open, MIS, or hybrid approaches, featuring patented helical flange tulip technology that reduces cross-thread potential and eliminates tulip splay. Used by spine surgeons for posterior fixation across multiple pathologies.
• SingleStep All-in-one driver system for simplified MIS pedicle screw placement that eliminates guidewires and targeting needles, reducing instrument passes, procedural steps, and fluoroscopy reliance. Used by spine surgeons performing minimally invasive pedicle screw placement.
• IdentiTi Line of lateral porous titanium interbody implants designed with subtractive manufacturing for predictable mechanical performance, enhanced imaging characteristics, and fully interconnected porosity promoting bony on-growth and in-growth. Used by spine surgeons performing lateral lumbar interbody fusion.
• IdentiTi II Next-generation 3D-printed titanium lateral interbody system with 76% average interconnected porosity balancing mechanical stiffness with radiolucency for clear intraoperative visualization. Used by spine surgeons performing lateral lumbar interbody fusion.
• Transcend PEEK-based lateral interbody implants designed for seamless integration with LIF procedures, featuring quick-connect inserter and anti-migration surface geometry. Used by spine surgeons performing lateral lumbar interbody fusion.
• Calibrate LTX Lateral expandable interbody system designed for continuous expansion to restore lordosis and disc height, with integrated expansion mechanism, rounded edges to minimize endplate disruption, and large graft aperture for maximum packing volume. Used by spine surgeons performing lateral lumbar fusion.
• Calibrate PSX Posterior straight expandable interbody system allowing precise surgeon-controlled adjustments to achieve physiological lordosis from 0-20 degrees. Used by spine surgeons performing posterior lumbar fusion procedures.
• Calibrate CCX Parallel expanding interbody spacer for TLIF and PLIF approaches with up to 6mm expansion for foraminal height restoration. Used by spine surgeons performing transforaminal and posterior lumbar interbody fusion.
• Novel PEEK intervertebral body fusion system available in multiple configurations including SD, Tapered TL, and CIS variants for varying anatomies and procedures. Used by spine surgeons performing PLIF and related lumbar fusion procedures.
• Sigma LTP Access System Two-bladed retractor system specifically designed for lateral transpsoas access with rigid single-piece design and independent blade movement for optimal exposure. Used by spine surgeons performing LTP procedures.
• IdentiTi ALIF ALIF-specific interbody implants including standalone, SW, and LW configurations for anterior lumbar interbody fusion procedures. Used by spine surgeons performing ALIF.
• Aspida Anterior plating system for ALIF procedures providing integrated fixation with interbody implants. Used by spine surgeons performing anterior lumbar interbody fusion.
• AMP Low-profile 4mm anti-migration plate system that attaches to lateral interbody implants to prevent migration, available in one and two-screw configurations. Used by spine surgeons performing lateral lumbar interbody fusion.
• AMP II Next-generation low-profile lateral plating solution designed to integrate with the IdentiTi II LIF interbody system with streamlined plate design. Used by spine surgeons performing lateral lumbar interbody fusion.
• LTP Patient Positioner Lateral positioning system designed to enable single-position 360-degree lumbar fusion surgery with independent anterior-posterior translation and bed rotation, integrating with retractor and posterior fixation systems for reproducible procedural workflow. Used by spine surgeons and OR staff performing LTP procedures.
• PTP Patient Positioner Prone transpsoas patient positioner designed for prone lateral access surgery with bilateral structural support and a radiolucent carbon fiber frame. Used by spine surgeons performing PTP procedures.
• AlphaGRAFT DBM 100% demineralized bone matrix fibers offering osteoconductive scaffold and osteoinductive potential for spinal fusion procedures. Used by spine surgeons as a bone graft substitute in fusion cases.
• AmnioShield Dual-sided amnion and chorion tissue membrane for wound covering and tissue protection from scarring in spinal procedures. Used by spine surgeons as a biologic barrier in spine surgery.
• Invictus Small Stature Pediatric-specific version of the Invictus fixation system with low-profile tulips and minimized implant prominence designed for smaller patient anatomies. Used by pediatric orthopedic and neurosurgeons for pediatric spinal deformity correction.
• Invictus-OCT Occipito-cervical-thoracic fixation system with low-profile tulips, helical flange technology, and multi-rod construct options for cervico-thoracic junction pathologies. Used by spine surgeons performing occipito-cervical and upper-thoracic fixation.
• Ascend NanoTec VBR Vertebral body replacement system for corpectomy procedures providing structural support and reconstruction capability. Used by spine surgeons performing corpectomy for tumor, trauma, or deformity reconstruction.

Quantifiable outcome

• Up to 80% radiation reduction with EOSedge Flex Dose technology compared to standard acquisitions
• +5 more outcomes

Named customers8 records

Segments3 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability4 records

Feature11 records

Partnerships

Two partnerships are on record, tiered core.

• AcceluscoreTechnology or Integration · 20 April 2023ATEC acquired all assets related to the REMI Robotic Navigation System from Accelus for $55 million in April 2023. The system is designed to enhance spine surgeries through precise navigation and robotics, integrating into ATEC's procedural strategy. The REMI system was originally developed by Fusion Robotics.
• Fusion RoboticscoreTechnology or Integration · 20 April 2023Fusion Robotics' REMI intra-operative robotic navigation platform was acquired by ATEC as part of the Accelus asset acquisition. The REMI system integrates into ATEC's procedural strategy for spine surgery robotics and navigation, reflecting ATEC's expansion of its surgical technology portfolio.

Scale indicators13 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Globus Medical: Closest direct peer following its merger with NuVasive. Competes head-to-head in spine implants, MIS techniques, and the ExcelsiusGPS robotic navigation system. Operates with a similar procedural-ecosystem thesis and surgeon-focused sales model.
• ZimVie (now Highridge Medical): Spine-focused pure-play (formerly Zimmer Biomet Spine) competing in cervical and thoracolumbar fusion markets. Recently rebranded to Highridge Medical. Comparable in scale and product focus to ATEC's surgical implant business.
• Orthofix Medical: Spine and biologics competitor following merger with SeaSpine. Overlaps with ATEC in interbody implants, biologics (DBM products), and spinal fixation, with growing U.S. sales force expansion.
• NuVasive: Now part of Globus Medical but historically a major spine pure-play with strong MIS and lateral approach focus (XLIF). Direct overlap with ATEC's LTP and SingleStep technique portfolios.

Broad incumbents

• Medtronic: Largest spine player globally, with Mazor robotic spine platform and a broad spine implant portfolio across all approaches. Diversified across cardiology, diabetes, and neuroscience, giving it scale advantages in hospital contracting and capital sales.
• Stryker: Operates a spine division (acquired from Wright Medical/K2M) covering implants, MIS, and navigation. Deep hospital relationships across orthopedics enable bundled capital sales, competing with ATEC's procedural ecosystem approach.
• Johnson & Johnson (DePuy Synthes): Spine division within DePuy Synthes offers implants and surgical solutions across cervical, thoracolumbar, and deformity segments. Competes with ATEC on hospital contracts and surgeon education programs.
• Carl Zeiss (ZEISS Medical Technology): Provides surgical microscopes and intraoperative imaging used in spine procedures. Adjacent competitor to EOS imaging and surgical visualization, with deep hospital relationships and capital equipment expertise.

Emerging players

• Brainlab: Privately held surgical navigation and imaging company with growing spine navigation footprint. Comparable to ATEC's Valence platform in the navigation/workflow software layer.
• Renishaw: Develops the neuromate robotic neurosurgery system and is expanding into spine robotics. Comparable to ATEC's REMI robotic navigation capability as a smaller, focused competitor in surgical robotics.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/alphatecspine
• YouTubeyoutube.com/c/ATECSpine
• Facebookfacebook.com/ATECSpine
• LinkedInlinkedin.com/company/alphatec-spine
• Instagraminstagram.com/atecspine

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries3 records

Funding overview

Funding rounds11 records

Investors4 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A4 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Alphatec Spine