Companion Spine LLC has announced a landmark agreement to acquire Paradigm Spine GmbH, along with its globally recognized Coflex® and CoFix® dynamic spine stabilization systems, from Xtant Medical Holdings, Inc. This strategic acquisition unites two complementary portfolios and reinforces Companion Spine’s leadership in motion-preserving and minimally invasive spine surgery solutions. Paradigm Spine, with over two decades of clinical success and a presence in more than 60 countries, brings a deep foundation of evidence-based spine implants that have been used in the treatment of over 390,000 patients globally. The integration of these products with Companion Spine’s existing offerings—such as DIAM™, APERIUS™, and LISA™—creates the world’s most comprehensive platform for posterior dynamic spine stabilization.
The purpose of this acquisition is to provide surgeons and patients with indication-specific solutions across the full progression of lumbar spinal stenosis (LSS) and degenerative disc disease (DDD), while maintaining motion and minimizing surgical invasiveness. The combined portfolio enables treatment ranging from early-stage intervention with APERIUS™, to mid-stage stabilization with Coflex®, to cases requiring greater support via CoFix® or HPS™ 2.0. Additionally, with the inclusion of DCI™ for cervical motion preservation, Companion Spine expands its reach into anterior cervical procedures with a minimally invasive alternative to fusion. The acquisition enhances the company’s ability to serve ambulatory surgery centers (ASCs) and supports its strategy of developing FDA-approved, clinically validated solutions that align with modern outpatient care models.
This move not only cements Companion Spine’s position as the largest global provider of dynamic stabilization implants, but also reflects a long-term vision to innovate within spine care by preserving motion, reducing pain, and improving patient outcomes. With the backing of the Viscogliosi Brothers and their proven track record in spine innovation, the company is poised for rapid global expansion. The acquisition underscores the growing importance of motion-preserving technologies in addressing chronic spinal conditions and highlights Companion Spine’s commitment to transforming spine surgery with patient-specific, stage-appropriate, and clinically advanced implant systems.
MedTech Spectrum's Summary
Strategic Expansion of Spine Portfolio: Companion Spine’s acquisition of Paradigm Spine GmbH and its Coflex® and CoFix® implants creates the world’s most comprehensive offering in posterior dynamic spine stabilization and motion preservation.
Full-Spectrum, Minimally Invasive Solutions: The combined portfolio enables surgeons to address all stages of lumbar spinal stenosis and degenerative disc disease with indication-specific, motion-preserving technologies tailored for outpatient settings.
Global Leadership in Spine Innovation: This acquisition positions Companion Spine as the leading global provider in its category, advancing its mission to deliver safer, more effective, and clinically validated spine pain management solutions.
