• The technology described in this briefing is the Neo Pedicle Screw System. It is a set of single‑use instruments and implantable screws and rods used for spinal fusion surgery in adults.

  • The innovative aspects are that it contains fewer components in fewer trays than standard instrument sets. This is designed to provide the same function as a standard system but take up less storage space. By using fewer instruments and fewer screws it could potentially streamline surgery. It also has a proprietary soft-tissue protector that covers the screws from sterilisation until contact with the pedicle, which is designed to reduce the risk of infection.

  • The intended place in therapy is instead of single‑use and reusable pedicle screw systems during spinal fusion surgery in adults.

  • No publically available evidence was found about the use of the Neo Pedicle Screw System.

  • A key uncertainty is the lack of technical success or efficacy evidence. Studies assessing length of surgery, implant failure rates, rates of successful correction and maintenance of deformity, rates of infection, and functionality compared with other pedicle screw systems would be beneficial.

  • The cost of the Neo Pedicle Screw System is £1,880 for a single-level system (excluding VAT). This includes training by the distributor, which is minimal. The resource impact would be similar to standard care but with a potential reduction in costs, space and instruments needed.