What Nexxt Spine does

Nexxt Spine, LLC is a privately held medical device company founded in 2009 and headquartered in Noblesville, Indiana, specializing in the design, manufacture, and distribution of spinal implants and surgical instrumentation. The company's core platform is NEXXT MATRIXX®, a proprietary 3D-printed porous titanium technology featuring engineered pore sizes (300, 500, and 700µm), a 75% open porous lattice structure, a 7µm micro-roughened surface, and a modulus of elasticity comparable to PEEK. Around this core technology, Nexxt Spine has built a full procedural portfolio spanning cervical, TLIF, ALIF, lateral, corpectomy, vertebral body replacement, stand-alone, and sacroiliac fusion devices, complemented by INERTIA® pedicle screw systems, STRUXXURE® hybrid-locking plates, SAXXONY® posterior cervical thoracic system, HONOUR® PEEK interbodies, FACET FIXX® translaminar screws, and BLADE® self-locking plates. The company designs and manufactures 100% of its implants and 95% of its instruments in-house, operating from a 36,000 sq. ft. ISO Class 10,000 cleanroom facility equipped with multiple GE Additive Concept Laser Mlab 3D printers.

The company serves orthopedic surgeons and neurosurgeons performing spinal fusion procedures, as well as the hospitals and ambulatory surgical centers where those procedures occur. Its go-to-market combines a direct field sales organization of Regional Sales Managers (under VP of Sales Keith Cunnion and Chief Commercial Officer Tom O'Hara) with an independent distributor network accessed via a password-protected distributor portal; the company is actively recruiting both RSMs and distributors to broaden U.S. coverage. Revenue is generated through hardware sales of spinal implants and instrumentation under quote-based pricing through sales representatives and distributors, with no subscription, software, or service revenue disclosed. Clinical differentiation is anchored by the MATRIXX Trial with The Ohio State University Wexner Medical Center, which reported an 82% fusion rate at 6 months versus 25% for PEEK and an 11.8% subsidence rate versus 55% for PEEK.

Nexxt Spine operates exclusively in the United States with no disclosed international footprint, is bootstrapped (no disclosed funding rounds, investors, or M&A activity), and is led by President and CEO Andy Elsbury alongside a C-suite that includes COO Todd Puckett, CCO Tom O'Hara, CSO Ryan Campion, and CPO Susan Hofer. The company has received multiple FDA 510(k) clearances across its product lines and has been recognized for three consecutive years (2022–2024) as one of Indiana's Best Places to Work in Manufacturing.

Name

Nexxt Spine

Legal name

Nexxt Spine, LLC

Website

https://nexxtspine.com

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

1–10 employees

Short description

Nexxt Spine is a privately held medical device company that designs, manufactures, and distributes 3D-printed porous titanium spinal implants and surgical instrumentation, serving orthopedic surgeons and hospitals performing spinal fusion procedures across the United States.

Ownership category

akta.pro rank

Product category

Spinal Implants and Surgical Instrumentation

NAICS

Surgical Appliance and Supplies Manufacturing (339113), Surgical and Medical Instrument Manufacturing (339112)

SIC

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

akta.pro primary industry

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

akta.pro secondary industry

Surgical Navigation, Robotics & Patient-Matched Instrumentation (Ortho/Spine) (HLAHAEAL)

Keywords

• Spinal implants
• 3D printed titanium
• Interbody fusion devices
• Pedicle screw systems
• Spinal medical devices

Headquarters

HQ city

Noblesville

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

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

Revenue model

1. Spinal Implants and Instrumentation Sales: Nexxt Spine generates revenue through the sale of proprietary spinal implants and surgical instrumentation. The company designs, manufactures, and distributes its complete product portfolio, including interbody fusion devices, pedicle screw systems, cervical plates, and related instruments. Products are sold through direct sales teams and distributor networks to healthcare providers performing spinal surgeries.

Go-to-market motion2 records

Distribution channels2 records

Marketing channels6 records

Core offering

Nexxt Spine designs, manufactures, and distributes spinal implants and surgical instrumentation for spinal fusion procedures. The company sells proprietary 3D printed porous titanium interbody fusion devices (NEXXT MATRIXX family), pedicle screw systems (INERTIA), hybrid-locking plates (STRUXXURE), posterior cervical thoracic systems (SAXXONY), PEEK interbodies (HONOUR), and translaminar screws (FACET FIXX). Products are sold to hospitals, ambulatory surgical centers, and spine surgeons performing cervical, TLIF, ALIF, lateral, and corpectomy procedures.

Product overview

Nexxt Spine is a medical device company specializing in spinal implants and instrumentation, offering a comprehensive portfolio of products for spinal fusion and stabilization procedures. The company's core product families include the NEXXT MATRIXX® family of 3D printed porous titanium interbody devices (covering Cervical, TLIF, TLIF Oblique, ALIF, Stand Alone ALIF, Lateral, Corpectomy, VBR, and SI Fusion applications), the INERTIA® pedicle screw systems (including standard, CONNEXX™ modular, and DEFORMITY Correxxion systems), STRUXXURE® hybrid-locking plates (cervical, MCS, ALIF, and lateral variants), SAXXONY® posterior cervical thoracic system, HONOUR® PEEK interbodies, FACET FIXX® translaminar screws, and BLADE® self-locking plates. The company designs and manufactures 100% of implants and 95% of instruments in-house at its Noblesville, Indiana facility, leveraging proprietary 3D printing technology with varied pore sizes (300, 500, 700μm), 75% porous lattice structures, and micro-roughened 7μm surface technology to promote bone integration.

Differentiator

Problem solved

Functional benefit

Brands

• NEXXT MATRIXX®: 3D Printed Porous Titanium interbody fusion system with proprietary pore technology for spinal fusion procedures.
• INERTIA®
• STRUXXURE®
• SAXXONY®
• HONOUR®
• FACET FIXX®

Products and services

• NEXXT MATRIXX Family A comprehensive family of 3D printed porous titanium interbody fusion devices and vertebral body replacement implants incorporating proprietary Matrixx Technology with varied pore sizes (300, 500, 700µm), 75% porous lattice structure, and 7µm surface roughness for enhanced bone integration. Used by spine surgeons for cervical, TLIF, ALIF, lateral, and corpectomy fusion procedures.
• NEXXT MATRIXX SI System Sacroiliac fusion system featuring HELIXX fully threaded/lag implants (10-12mm diameter, 35-80mm length) and IMPAXX implants (30-75mm length) for SI joint fusion procedures. Used by spine surgeons treating sacroiliac joint dysfunction.
• STRUXXURE Hybrid-Locking Plate System Hybrid-locking plate system for spinal fixation. Includes cervical plates (STRUXXURE-C), modular cervical system (MCS), ALIF plates (STRUXXURE-A), and lateral plates (STRUXXURE-L). Used by spine surgeons for anterior cervical plating and lumbar plating procedures.
• INERTIA Pedicle Screw System Pedicle screw system for spinal fixation and stabilization. Includes standard and smooth shank screws, cross connectors, and various connector configurations for posterior lumbar procedures. Used by spine surgeons for posterior spinal fusion.
• INERTIA CONNEXX Modular Pedicle Screw System Open and MIS modular pedicle screw system designed for flexibility in surgical approaches. Compatible with various Matrixx interbody devices. Used by spine surgeons for open and minimally invasive posterior fixation procedures.
• INERTIA DEFORMITY Correxxion System Deformity correction system for complex spinal deformity procedures. Features specialized screws, transition connectors, and cross-lynx connectors. Used by spine surgeons treating scoliosis and other spinal deformities.
• SAXXONY Posterior Cervical Thoracic System Posterior cervical thoracic system for stabilization of cervical (C1 to C7) and thoracic (T1 to T3) spinal segments. Features standard and smooth shank screws, low profile cross connectors, and various connector configurations. Used by spine surgeons for posterior cervical and thoracic fixation.
• HONOUR PEEK Interbody Devices PEEK interbody devices for spinal fusion. Available in cervical (footprints 12x12 to 16x18mm), TLIF (footprints 28x10 to 34x10mm), and tPLIF (footprints 22x9 to 30x10mm) configurations. Used by spine surgeons for cervical and lumbar fusion procedures.
• FACET FIXX Translaminar Screw System Translaminar screw system for facet fixation. Features 4.5mm and 5.0mm screws with self-tapping dual lead thread, washer angulation up to 28°, and tapered minor diameter on screw tip. Used by spine surgeons for facet fixation procedures.
• BLADE Self-Locking Plate System Self-locking plate system designed to work with Matrixx cervical interbodies. Features streamlined design for reduced soft tissue impact. Used by spine surgeons for cervical fixation procedures.
• Navigation Compatible Instrumentation System FDA-cleared navigation compatible instrumentation with specialized screw drivers, bone taps, and bone awls designed to work with the Inertia Pedicle Screw system. Enables navigated surgery with tightly toleranced instrumentation compatible with market leading navigation systems. Used by spine surgeons performing navigated spinal procedures.

Quantifiable outcome

• 82% fusion rate at 6 months for NEXXT MATRIXX® vs 25% for PEEK devices
• +3 more outcomes

Named customers6 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

Feature5 records

Partnerships

Three partnerships are on record, tiered core.

• The Ohio State University Wexner Medical CentercoreStrategic or Co-development Partner · 12 July 2022Clinical trial partnership for the MATRIXX Trial comparing NEXXT MATRIXX® 3D-printed titanium interbody devices to PEEK devices. Physician researchers at The Ohio State University Wexner Medical Center conducted the 6-month clinical data review. This was the first ever clinical evaluation of novel 3D-printed lumbar interbody fusion devices relative to PEEK.
• GE AdditivecoreTechnology or Integration · 24 April 2019Nexxt Spine invested in multiple GE Additive Concept Laser Mlab 100R machines for additive manufacturing of spinal implants. The company began its additive journey in 2017 with its first Mlab machine and expanded to five machines, enabling full control over design, production, and distribution in-house. GE Additive's Mlab machine serves as both R&D and serial production platform.
• MTS Systems CorporationcoreTechnology or Integration · 27 February 2019MTS Systems Corporation provided material test systems for developing 3D-printed porous titanium spinal implants. MTS testing platform was used for quantifying and tailoring biomechanical performance attributes of the intricate micro-geometries in Nexxt Spine's additive manufactured implants.

Scale indicators5 records

Recent moves8 records

Expansion highlights4 records

Broad incumbents

• Globus Medical: Globus Medical (now merged with NuVasive) is one of the largest spine medical device companies globally, offering 3D-printed titanium interbodies (HEDRON, COHERE) alongside a comprehensive motion-preservation and fusion portfolio. It competes with Nexxt Spine across cervical, lumbar, and deformity segments.
• Orthofix: Orthofix (which combined with SeaSpine in 2023) is a broad spine and orthopedic medical device company offering cervical, lumbar, and biologics solutions. As a larger incumbent, it overlaps with Nexxt Spine across multiple spine fusion procedure categories.
• Medtronic: Medtronic is the largest spine implant company globally and acquired Titan Spine to add 3D-printed titanium technology to its portfolio. It competes with Nexxt Spine across virtually all spinal fusion categories with vastly greater commercial scale, surgeon relationships, and R&D resources.
• Stryker (Spine division): Stryker's spine division (post-K2M acquisition) markets Tritanium 3D-printed titanium interbody cages alongside a full spinal portfolio. As a much larger incumbent with broad hospital relationships, Stryker is a key competitive benchmark for Nexxt Spine's 3D-printed titanium technology adoption.

Direct peers

• Alphatec Spine: Alphatec Spine (ATEC) is a publicly traded spine-focused medical device company building a portfolio of fusion, lateral, and biologics solutions with a similar go-to-market approach of organic product development. It is a comparable growth-stage spine company competing for the same surgeon accounts as Nexxt Spine.
• 4WEB Medical: 4WEB Medical is a privately held orthopedic device company specializing in 3D-printed porous titanium spinal implants using its proprietary Truss Implant Technology. It is the closest direct competitor to Nexxt Spine in the 3D-printed titanium spine interbody category, serving spine surgeons and competing on similar clinical and biomechanical claims.
• SI-Bone: SI-Bone is the market leader in minimally invasive SI joint fusion with its iFuse Implant System. It is the most direct comparable for Nexxt Spine's newly launched NEXXT MATRIXX® SI System, which targets the same SI joint fusion procedure category with a differentiated 3D-printed porous titanium implant.
• Centinel Spine: Centinel Spine is a privately held spine medical device company focused on cervical and lumbar fusion solutions, including the STALIF standalone interbody platform. It is a comparable mid-sized peer competing in similar cervical and lumbar procedure categories as Nexxt Spine.
• Camber Spine: Camber Spine is a privately held spine medical device company offering 3D-printed titanium interbody fusion devices (SPIRA line) along with a broader portfolio of cervical, lumbar, and SI joint fusion products. It directly competes with Nexxt Spine in the additive-manufactured spinal implant space.

Emerging players

• Carlsmed: Carlsmed is an emerging spine medtech company focused on patient-specific, personalized spine surgery using 3D-printed porous titanium interbodies (aprevo). It targets a similar additive-manufactured spine thesis to Nexxt Spine but emphasizes patient-matched implants, representing an emerging adjacent competitor.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCuTdteIxQer4eNus8aUyfMw
• LinkedInlinkedin.com/company/nexxt-spine-llc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 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 Nexxt Spine