
Orthofix Announces US Full Commercial Launch of the Reef L Interbody System for Lateral Lumbar Fusion Procedures
Advancing minimally invasive spine surgery with engineered precision and proven performance
Orthofix has announced the full U.S. commercial launch of the Reef™ L Interbody System for full commercial availability, marking a significant milestone in completing our comprehensive Reef interbody family. This innovative lateral lumbar interbody system represents the culmination of extensive research, development, and collaboration with spine surgeons to deliver a solution that enhances surgical precision, efficiency, and patient outcomes.

Reef L is a comprehensive lateral lumbar interbody system engineered to safely and reproducibly treat the spine through indirect decompression and restoration of sagittal alignment.
Engineered for Superior Performance
The Reef L system stands out in the lateral spine market through its unique combination of advanced surface technology and structural design. Built with proprietary Orthofix NanoMetalene™ surface technology and featuring distinctive Reef undercuts at both the endplate and within the apertures, the system delivers measurable advantages:
- Enhanced bone integration: Increased surface area for bone ongrowth1, 2
- Radiolucent imaging characteristics: Enables clearer evaluation of graft incorporation and fusion progression1
- Proven stability: 3x increase in biomechanical stability compared to smooth surface alternatives3
Surgeon-Driven Innovation
Throughout the development process, we worked closely with key surgeon partners to ensure the Reef L system addresses real clinical needs. Dr. Kenneth Nwosu of St. Francis Hospital in Washington shared his experience:
“The Reef L implant offers a distinct advantage in my lateral procedures due to its engineered surface and structural design. The addition of the undercuts on the endplates and within the apertures lets me pack in significantly more OsteoStrand™ Plus than before. The radiolucent design also makes it easier to evaluate graft incorporation and fusion progression on post-op imaging.”
Comprehensive Lateral Solution
The Reef L system is designed with an array of footprint and lordotic options, empowering surgeons to address specific anatomical needs intraoperatively. This flexibility is enhanced by our integrated lateral platform approach, which seamlessly connects with our proven lateral instrumentation — from the Lattus lateral retractor and disc preparation tools to lateral plating.
This alignment across platforms helps streamline surgical workflows and elevate procedural consistency.
“The commercial launch of Reef L marks a major milestone in completing our comprehensive Reef interbody family and reinforces our commitment to delivering a full-spectrum lateral solution,” said Max Reinhardt, President of Global Spinal Solutions. “By leveraging our proven lateral instrumentation, from retractor to disc prep and plating, we’re not only enhancing surgical efficiency but also driving continued growth across the entire lateral portfolio.”
Looking Forward
The Reef L system demonstrates how our lateral platform works as an integrated system, helping to streamline surgical workflows and elevate procedural consistency. This alignment across platforms represents our ongoing commitment to supporting spine surgeons with comprehensive, innovative solutions.
As we continue to advance minimally invasive spine surgery, we remain focused on developing technologies that enhance surgical precision, improve patient outcomes, and support the evolving needs of spine surgeons worldwide.
References:
- D0003269
- William Robert Walsh, Matthew H. Pelletier, Chris Christou, Jiawei He, Frank Vizesi, Scott D. Boden, “The In Vivo Response to a Novel Ti Coating Compared with Polyether Ether Ketone: Evaluation of the Periphery and Inner Surfaces of an Implant,” The Spine Journal. 2018 Feb;18(7);1231-1240 doi: 10.1016/j.spinee.2018.02.017
- Walsh W. R. et al, “Undercut Macrostructure Topography on and Within an Interbody Cage Improves Biomechanical Stability and Interbody Fusion,” submitted to The Spine Journal, April 2020.
For complete indications, contraindications, warnings, precautions, potential adverse effects, and patient counseling information, please refer to the Instructions for Use or contact your local representative. To learn more about the Reef L Interbody System and how it fits into our broader spinal solutions portfolio, visit Orthofix.com.