Choice Spine

What Choice Spine does

ChoiceSpine, founded in 2006 and headquartered in Knoxville, Tennessee, is a privately held spinal implant manufacturer serving spine surgeons and hospitals across the United States and select international markets. The company designs, develops, and commercializes a broad implant portfolio spanning cervical, thoracolumbar, interbody, lateral, vertebral body replacement (VBR), sacroiliac (SI) fixation, and biologics product lines. Its central technical platform is the proprietary BioBond® 3D-printed porous trabecular titanium structure, applied across multiple product families to promote bony integration.

The company operates with approximately 70 employees and distributes its products through an independent distributor network that covers 35 US states and 5 international markets. ChoiceSpine's commercial model is built on FDA 510(k)-cleared devices sold into hospitals and ambulatory surgery centers via surgeon-trained distributor relationships, with an active cadence of new product introductions and regulatory clearances driving portfolio refresh. In January 2024 the founding team transitioned to advisory roles, with new Co-Presidents installed to professionalize operations ahead of the company's February 2026 acquisition by Zavation Medical Products, a Gemspring Capital portfolio company. ChoiceSpine was previously held by Altus Capital Partners.

Name

Choice Spine

Legal name

ChoiceSpine LLC

Website

https://choicespine.com

Company type

Private

Founded year

2006

Operating status

Acquired

Headcount range

51–100 employees

Short description

ChoiceSpine is a privately held Knoxville-based spinal implant manufacturer, founded in 2006, that designs and sells cervical, thoracolumbar, interbody, lateral, VBR, SI fixation, and biologics products built on its proprietary BioBond 3D-printed porous titanium platform, distributed to hospitals and surgeons across 35 US states and 5 international markets.

Ownership category

akta.pro rank

Product category

Spinal Implants

NAICS

Surgical Appliance and Supplies Manufacturing (339113)

SIC

Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842)

akta.pro primary industry

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

akta.pro secondary industries

3D-Printed & Patient-Specific Implants (Custom Ortho/Spine/Cranial) (HLAHAEAJ), Bone Graft Substitutes & Orthobiologics (Synthetic/Allograft/DBM) (HLAHAEAG), Orthopedic Trauma & Extremities Fixation (Plates/Screws/Nails/External Fixation) (HLAHAEAB)

Keywords

• Spinal implant manufacturing
• Minimally invasive spine surgery
• Cervical fusion devices
• Spine biologics products
• Orthopedic medical devices

Headquarters

HQ city

Knoxville

HQ country

United States

HQ region

North America

Offices1 record

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. Spinal Implant Hardware Sales: Sale of specialized spinal implants, instrumentation, and biologics for surgical treatment of complex spinal disorders. Revenue is generated through product sales to healthcare providers and distributors.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

ChoiceSpine designs, manufactures, and sells spinal implant hardware systems and biologic bone grafting materials for the surgical treatment of spinal disorders. Its portfolio covers cervical plates and spacers, thoracolumbar pedicle screw systems (open and minimally invasive), interbody devices for ALIF/TLIF/PLIF/lateral approaches, vertebral body replacement (VBR) devices, and sacroiliac (SI) joint fixation screws, alongside a biologics line including demineralized bone matrix, synthetic bone grafts, and amnion membranes. The company's differentiated offering is its proprietary BioBond® 3D-printed porous titanium structure technology that promotes bone growth through osteointegration.

Product overview

ChoiceSpine is a spinal implant company offering a comprehensive portfolio of hardware and biologic solutions for spinal surgery. The product portfolio spans cervical, thoracolumbar, interbody, lateral, vertebral body replacement (VBR), and SI joint fixation systems. Key technology differentiators include BioBond® - a proprietary 3D-printed porous trabecular titanium structure that promotes bone growth. The cervical portfolio includes Blackhawk® TI (standalone spacer), Tomcat™, Boomerang®, Ambassador®, Falcon™, TigerShark® C, and Stealth™ systems. Interbody solutions feature Harrier® SA (ALIF), TigerShark® (lumbar), and Shark™ products. The lateral systems include VEO® access system and TigerShark® L interbody. Biologic offerings under the Stratofuse® brand include demineralized bone matrix, fiber putty, sponges, synthetic grafts, and amnion membranes. ChoiceSpine also provides ChoiceSpine University for surgeon and distributor education.

Differentiator

Problem solved

Functional benefit

Brands

• BioBond®: Proprietary porous trabecular structure technology used in 3D-printed titanium spinal implants to promote bone growth and osseointegration.
• ChoiceSpine University

Products and services

• Blackhawk® TI 3D Printed Anterior Cervical Standalone Spacer System featuring proprietary BioBond® porous trabecular structure for anterior cervical spinal fusion, with preassembled integrated anchor technology, single-step anchor deployment, and standalone indication without requiring a plate.
• Tomcat™ Standalone Cervical Spinal System made with PEEK-OPTIMA™ HA Enhanced for biomechanical stabilization of the cervical vertebral column (C2-T1), with self-locking retention mechanism and simple instrumentation.
• Boomerang® Low-profile two-screw anterior cervical plate system with integrated single-step screw locking mechanism, designed for use with TigerShark® C and Stealth™ cervical interbody implants in multi-level anterior cervical discectomy and fusion.
• Ambassador® Versatile anterior cervical plate system with a 1.9mm thin profile, plate curvature matching natural cervical lordosis, large window for visualization, and a cam-locking mechanism for final locking, available in variable and fixed screw options.
• Falcon™ Anterior cervical plating system with one-step locking mechanism, large graft windows for visualization, and self-drilling/self-tapping fixed and variable angle screws for cervical fusion procedures.
• TigerShark® C 3D-printed titanium cervical interbody system with proprietary BioBond® porous structure technology for anterior cervical discectomy and fusion (ACDF), featuring 6° lordosis and large open graft windows for bone graft placement and visualization.
• Stealth™ Anterior cervical spacer system made of PEEK-OPTIMA for patients with degenerative disc disease, available in parallel and 6° lordotic options for ACDF procedures.
• Blackbird™ HLS Titanium hinged laminoplasty system eliminating trial-and-error plate bending through pre-tapped design and grit-blasted lamina contact ends, used in cervical laminoplasty procedures.
• Blackbird™ Posterior cervical thoracic spinal fixation system offering a 3.5mm rod system for versatile and simplified posterior fixation across cervical and thoracic anatomies.
• Harrier® SA Standalone ALIF System made of 3D-printed titanium with proprietary BioBond® porous trabecular structure, featuring four titanium dual-threaded corticocancellous screws and an integrated cam-locking mechanism for standalone anterior lumbar interbody fusion.
• Harrier® Anterior lumbar interbody fusion system consisting of PEEK implants designed for use with supplemental fixation, featuring windows for bone graft to maximize bone in-growth in ALIF procedures.
• TigerShark® Straight 3D printed titanium lumbar interbody with proprietary BioBond® porous trabecular structure, featuring a generous graft window and smooth bullet-shaped distal nose for fast insertion in lumbar interbody fusion procedures.
• TigerShark® Threaded TL 3D printed curved titanium interbody spacer for TLIF procedures with 6° lordosis and smooth bullet nose design, intended for use with supplemental fixation.
• Shark™ PEEK-OPTIMA® polymer lumbar interbody spacer with self-distracting nose and asymmetric teeth for endplate engagement in lumbar interbody fusion procedures.
• Harpoon™ PEEK-OPTIMA® polymer lumbar interbody spacer with a large graft window for bone graft, available in various heights and lengths for lumbar interbody fusion.
• Sabre™ Spinal stabilization system made from PEEK-OPTIMA™ polymer for lumbar interbody spinal fusion in PLIF and TLIF procedures.
• Octane® PEEK spacer system with plasma-sprayed titanium coating providing a bone-friendly environment and radiolucency benefits for interbody fusion procedures.
• Octane® M Modular self-distracting PEEK spacer system designed for controlled delivery while minimizing impaction force in interbody fusion procedures.
• Ascendant® PEEK anterior cervical spacer system with optimized graft chamber window, multiple footprints and heights, featuring plasma-sprayed titanium coating for cervical fusion procedures.
• TigerShark® L 3D printed lateral interbody spacer with BioBond® porous trabecular structure for lateral lumbar interbody fusion, available in 0°, 6°, and 12° lordosis options with large central graft openings.
• VEO® Lateral access system providing direct visualization for lateral fusion surgery, featuring dual-stage retraction designed to minimize trauma to the psoas muscle and lumbar nerve plexus.
• VEO® PEEK PEEK lateral interbody spacer system compatible with the VEO Lateral Access System, offering direct visualization of the psoas and nerves during lateral lumbar fusion.
• Raven® L Two-screw lateral lumbar plate system with integrated cam lock mechanism for screw blocking, compatible with the VEO Lateral Access System for lateral lumbar fusion.
• Hawkeye™ TI 3D additively manufactured titanium vertebral body replacement device for cervical (C2-T1) and thoracolumbar (T1-L5) corpectomy procedures, featuring 8° lordosis and multiple footprints.
• Hawkeye™ PEEK vertebral body replacement implant device for vertebral body replacement procedures in cervical and thoracolumbar corpectomy surgeries.
• Thunderbolt™ Minimally invasive pedicle screw system with a secure connection between pedicle screws and screw extenders, featuring internal reduction capability and a small/sleek tulip design for MIS thoracolumbar fixation.
• Thunderbolt™ EXTAB Minimally invasive extended tab pedicle screw system with a removable tab stabilizer for a hybrid open-closed system, providing 25mm of internal reduction in MIS thoracolumbar procedures.
• Lancer™ Open pedicle screw system with a comprehensive portfolio of polyaxial screws, rods, hooks, and connectors addressing various spinal anatomies in open thoracolumbar fixation.
• Typhoon™ Transfacet pedicular screw fixation system for facet arthrodesis and posterior stabilization of the lumbar spine.
• Raven® Anterior Four-screw anterior lumbar plate system with variable screw angulation and a cam-locking mechanism for anterior lumbar fusion procedures.
• Proliant® Pedicle screw system with low-profile design, secure interlocking mechanism, and Tightlok™ thread technology engineered to reduce screw pullout in thoracolumbar fixation.
• Triton® 3D-printed titanium sacroiliac joint fixation system with proprietary BioBond® porous trabecular structure, featuring cannulated screw design for in-situ graft delivery, available in 8mm, 12mm, and 14mm diameters for SI joint fusion.
• Stratofuse® Sponge 100% demineralized cancellous compressible allograft sponge in multiple block and strip sizes, osteoconductive and osteoinductive with every lot tested for osteoinductivity, used for bone grafting in spinal fusion procedures.
• Stratofuse® Fiber Putty Demineralized bone matrix (DBM) fiber putty providing increased scaffold surface area for new bone formation with optimal handling properties in spinal fusion bone grafting.
• Stratofuse® DBM 100 Granular-based scaffold demineralized bone matrix offering excellent handling for packing into interbody cages or MIS bone graft funnels in spinal fusion procedures.
• Stratogen® Membrane Dual-sided amnion membrane regenerative tissue matrix processed from healthy placental tissue, containing collagen substrates, growth factors, and extracellular matrix proteins for use as a biologic barrier and regenerative scaffold.
• Stratofuse® HA/TCP Synthetic bone graft composed of purified fibrillar collagen and resorbable ceramic granules (60% hydroxyapatite and 40% β-tricalcium phosphate) for optimal bone healing in spinal fusion procedures.
• Stratofuse® BA Bioactive putty and strips composed of carbonate apatite anorganic bovine bone mineral, 45S5 bioactive glass, and Type I collagen for uniform bone formation in spinal fusion procedures.
• MATRIX OI™ Cortical fibers providing increased scaffold surface area for new bone formation as a demineralized bone matrix product for spinal fusion bone grafting.
• BioBond® Technology Platform Proprietary porous trabecular structure technology used in ChoiceSpine 3D-printed titanium spinal implants. Creates an osteoconductive and osteopromotive environment for bone growth using submicron, micro, and macro interconnected architecture, with cell-study evidence demonstrating mesenchymal stem cell adhesion, proliferation, and osteoblastic differentiation on the porous surface.
• ChoiceSpine App for eCential Robotics Op.n™ Platform Navigation and robotic-assisted surgical application that integrates ChoiceSpine's spine implant portfolio with the eCential Robotics Op.n™ platform, supporting open and minimally invasive spine procedures with Thunderbolt™ MIS and Lancer™ pedicle screw systems.
• ChoiceSpine University Online training suite with in-depth courses on ChoiceSpine products, featuring visual animations and 3D demonstrations of surgical procedures plus certification quizzes for distributors and sales representatives.

Quantifiable outcome

• 3D printed titanium implants with BioBond demonstrate mesenchymal stem cell adhesion, proliferation, and osteoblastic differentiation in cell studies
• +1 more outcomes

Named customers2 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature3 records

Partnerships

One partnership is on record.

• eCential RoboticscoreTechnology or Integration · 21 June 2022Long-term strategic partnership for robotic spine implant surgery. ChoiceSpine developed an application for use on eCential Robotics' Op.n robotic and navigation platform, enabling navigation and robotic-assisted technology for ChoiceSpine spinal implants including Thunderbolt MIS Pedicle Screw System and Lancer Open Pedicle Screw System. The partnership combines ChoiceSpine's spinal implant portfolio with eCential Robotics' unified 2D/3D robotic imaging and surgical navigation technology.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Spinal Elements: Mid-market spine company with cervical, lumbar, interbody, and biologics offerings that competes head-to-head with ChoiceSpine for the same surgeon accounts and IDN contracts.
• Alphatec Holdings: Independent spine-focused pure-play of similar mid-market scale, offering cervical, thoracolumbar, interbody, and biologics portfolios with surgeon-led product development and a similarly sized US distributor network.
• Xtant Medical: Spine hardware and biologics manufacturer of comparable size, with overlapping DBM, synthetic graft, and spinal fixation product lines targeting the same ambulatory surgery centers and hospital segment.
• Captiva Spine: Privately held spine implant company offering cervical, lumbar, and interbody solutions with a surgeon-collaborative development model similar to ChoiceSpine's GTM approach.
• Life Spine: Privately held spine specialist focused on minimally invasive and procedural spine solutions (micro-invasive, expandable interbody, SI joint), directly comparable to ChoiceSpine's Thunderbolt MIS and lateral portfolios.
• Zavation Medical Products: Direct peer and now sister company under Gemspring Capital; Zavation designs and manufactures spinal implants (cervical, lumbar, interbody, biologics) with vertically integrated manufacturing, making it the closest comparable in size, geography, and product mix.
• Camber Spine: Mid-market spine company with cervical, thoracolumbar, interbody, and biologics products competing for the same distributor channels and surgeon relationships as ChoiceSpine.

Broad incumbents

• Orthofix Medical: Larger diversified spine and biologics company with overlapping cervical, thoracolumbar, and biologics products, plus bone growth stimulation; competes broadly but is not exclusively spine-focused like ChoiceSpine.
• Globus Medical (now Globus + NuVasive): One of the largest pure-play spine implant companies with comprehensive cervical, thoracolumbar, interbody, lateral, and robotics (ExcelsiusGPS) offerings that compete directly across ChoiceSpine's entire portfolio.
• Stryker Spine: Large incumbent spine business within Stryker's medical surgical portfolio offering cervical, thoracolumbar, interbody, and enabling technologies (Mako spine) competing across ChoiceSpine's portfolio.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/choicespine
• LinkedInlinkedin.com/company/choicespine-lp

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Choice Spine