The growing number of surgical procedures performed in the spine has highlighted the problem of screws loosening in patients with poor bone stock due to osteoporosis and/or tumors. Different methods of increasing screw purchase have been reported but the fenestrated screws for cement augmentation have provided an effective and lasting purchase in those cases.The use of cement-augmented fenestrated pedicle screws can be an effective strategy for achieving improved pedicle screw fixation in patients with osteoporosis. A potential risk is cement extravasation; however, this complication will typically be asymptomatic.
Today we have gathered the most relevant fenestrated screws from different companies and continents:

MIS Z-Pecicle Screw | PROXiphias-F™ | SmartLoc Omega | DIPLOMAT® | Reborn ® | Ventotene Fenestrated | NORM SiILVER | ART®Fixation System | Trend II | Intra Inter Vertebral Body Cage
List of the relevant fenestrated-screws (alphabetic order)
- ART®Fixation System (NG Medical)
- DIPLOMAT® (SIGNUS)
- Intra Inter Vertebral Body Cage (LfC)
- MIS Z-Pedicle Screw System (Z-Medical GmbH)
- NORM SILVER Antibacterial Fenestrated Screw (NORMMED)
- PROXiphias-F™ (PRODORTH)
- Reborn ® Spinal Fixation System (BAUI)
- SmartLoc Omega (A-Spine)
- Trend II – Bone Cement Screw (BIOMECH)
- Ventotene Fenestrated Screws (Tsunami Medical)
- Alpha FEN (GESCO)
- CREO® Fenestrated (Globus Medical)
- Cypress (Safe Orthopedics)
- CD Horizon Solera Fenestrated Screws (Medtronic)
- HPS™ 2.0 Hybrid Performance System (Surgalign)
- JANUS Fenestrated Screws (Orthofix)
- Mantis Augmentable Spinal System (Stryker)
- Reline Fenestrated (Nuvasive)
- VIPER® Fenestrated Cortical Fix (Johnson&Johnson)
- VADER® MIS (Icotec)
- VENUS® Augmentation (HumanTech)
- uCentum® (Ulrich USA)
- WSI MX/PX-Titan Expertise Augmentable Screw (Peter Brehm)
We have updated this list including the Brochures, Surgical Techniques and Videos availble. We hope you find it useful and we appreciate and welcome any suggestions or comments.We may have missed some and we apologize for this.
All video parts, images and documents related to the products are of the sole property of the different companies. All the information is for Educational purpose only! No copyright infringement intended.