Precision Spine

What Precision Spine does

Precision Spine, Inc. is a privately held spinal medical device company founded in 2012 and headquartered in Parsippany, New Jersey, with manufacturing operations in Pearl, Mississippi. The company operates in the orthopedic/spine surgery segment, offering the Reform family of products for spinal fusion procedures. These include the existing Reform Ti and Reform Ti MIS CT implant systems, and most recently the Reform Ti FS Modular Fenestrated Screw System, launched on 2026-06-03, which delivers PMMA bone cement through the screw shaft to enable cement augmentation in patients with compromised bone quality (osteoporotic bone, post-tumor resection cases, and situations where standard pedicle screws risk loosening). The modular tulip design of the new system is compatible with the existing Reform Ti line, enabling surgeons already trained on the legacy platform to integrate the fenestrated screw into their practice.

The company employs 101-250 people and reaches spine surgeons and hospitals through a direct enterprise field-sales motion, with sales representatives engaging hospital procurement departments and surgical decision-makers. Its single revenue stream is hardware sales of spinal implant devices; pricing is not publicly disclosed. Precision Spine is led by CEO James Pastena and President Rich Dickerson, and it currently serves only the USA market, with no global footprint claim. The business is positioned in a niche segment of the broader orthobiologics/spine device market, which was cited at $5.4 billion in 2021 with projected 7% annual growth through 2026.

No funding rounds, M&A activity, partnerships, regulatory actions, or leadership changes are disclosed in the available sources, and ownership structure is opaque beyond confirming the firm is an independent, privately held US corporation.

Name

Precision Spine

Legal name

Precision Spine, Inc.

Website

https://precisionspineinc.com

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

101–250 employees

Short description

Precision Spine is a privately held US spinal medical device company offering the Reform family of pedicle screw systems for spinal fusion procedures, including a cement-augmented fenestrated screw for compromised bone, sold directly to hospitals and spine surgeons.

Ownership category

akta.pro rank

Product category

Spinal Implant Medical Devices

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 industry

Orthopedic Trauma & Extremities Fixation (Plates/Screws/Nails/External Fixation) (HLAHAEAB)

Keywords

• Spinal implant devices
• Spinal fusion systems
• Orthopedic medical devices
• Fenestrated screw systems
• Cement augmentation devices

Headquarters

HQ city

Parsippany

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

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

Revenue model

1. Spinal Implant Device Sales: Revenue generated from the sale of spinal implant products including pedicle screw systems, bone cement augmentation devices, and related surgical instruments for spinal fusion procedures.

Go-to-market motion1 record

Distribution channels1 record

Core offering

Precision Spine designs, manufactures, and sells spinal implant devices used in spinal fusion procedures. Its product portfolio centers on the Reform family of pedicle screw systems, including the Reform Ti, Reform Ti MIS CT, and the newly launched Reform Ti FS Modular Fenestrated Screw System, which delivers PMMA bone cement through the screw shaft for augmentation in patients with compromised bone quality such as osteoporosis or post-tumor resection.

Product overview

Precision Spine offers the Reform family of spinal implant products for spinal fusion procedures. The portfolio includes the Reform® Ti FS Modular Fenestrated Screw System (newly launched), which is designed for cement augmentation in patients with compromised bone quality and is compatible with the existing Reform® Ti and Reform® Ti MIS CT systems. The modular tulip design allows the new system to integrate with the established Reform product line, enabling surgeons to address stabilization needs in osteoporotic bone, post-tumor resection cases, and other situations where standard pedicle screws risk loosening.

Differentiator

Problem solved

Functional benefit

Brands

• Reform® Ti FS: Modular Fenestrated Screw System for spinal implant procedures delivering PMMA bone cement through screw shaft for cement augmentation.
• Reform® Ti
• Reform® Ti MIS CT

Products and services

• Reform Ti FS Modular Fenestrated Screw System A spinal implant device designed to deliver PMMA bone cement through the screw shaft for cement augmentation in patients with compromised bone quality. Features a modular tulip design compatible with existing Reform Ti and Reform Ti MIS CT systems. Intended for spine surgeons performing fusion procedures on patients with osteoporosis, tumors, or other conditions compromising bone quality.
• Reform Ti Existing spinal implant system within the Reform family; the foundational pedicle screw platform compatible with the new Reform Ti FS Modular Fenestrated Screw System, used in spinal fusion procedures.
• Reform Ti MIS CT Existing minimally invasive spinal implant system within the Reform family, designed for less invasive spinal fusion procedures and compatible with the new Reform Ti FS Modular Fenestrated Screw System.

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Scale indicators1 record

Recent moves3 records

Expansion highlights3 records

Direct peers

• SeaSpine: Spine and orthopedics specialist with a portfolio of fusion hardware, MIS instrumentation, and orthobiologics; competes in similar surgeon accounts and shares a comparable mid-size commercial footprint.
• Globus Medical: One of the largest U.S. spine hardware companies offering pedicle screw systems, interbody devices, and cement augmentation solutions; competes head-to-head with Precision Spine for hospital and surgeon accounts across lumbar fusion indications.
• NuVasive (Globus Medical): Spine-focused medical device company (now part of Globus) selling pedicle screws, MIS platforms, and biologics; directly comparable product mix and surgeon-call-point to Precision Spine's Reform family.
• Alphatec Holdings (ATEC): Pure-play spine company developing and commercializing pedicle screw, MIS, and lateral systems for degenerative and complex deformity cases; mirrors Precision Spine's spine-only focus and emerging-stage commercial profile.

Emerging players

• Captiva Spine: Privately held spine device company offering pedicle screw and MIS systems; closely aligned small/mid-size private competitor with comparable U.S. hospital-channel focus.
• Spinal Elements: Spine-focused competitor offering pedicle screw systems and procedural solutions; an emerging mid-size player with overlapping fixation technology comparable to Precision Spine's Reform line.

Broad incumbents

• Medtronic: Largest spine franchise globally (CD Horizon, Mazor robotics) and a leader in bone-cement and augmentation indications; sets the standard of care and pricing benchmarks in lumbar fusion.
• Stryker: Diversified orthopedic leader with a substantial spine division (legacy Wright Medical, acquired K2M) selling pedicle screws, MIS, and cervical hardware; broad incumbent that competes for the same hospital procurement contracts.
• Zimmer Biomet: Major orthopedic and spine device company offering pedicle screw and fusion hardware lines; competes for hospital contracts at the broader portfolio level rather than as a spine specialist.
• Orthofix: Spine and orthopedics manufacturer with pedicle screw systems, MIS solutions, and biologics; broader portfolio than Precision Spine but overlapping products and surgeon-customer base.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 Precision Spine