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Solutions beyond fusion

AESCULAP® Ennovate® Thoracolumbar & Sacropelvic

With Ennovate® TLSP, we introduce an unprecedented modular platform that adapts to your needs and workflows. Empowered by Ennovate® PolyLock® and Ennovate® PentaCore®, surgical versatility and intraoperative experiences reach new heights, enabling for the best possible clinical outcome.

Surgical solutions

Do you know that you unconsciously compromise in every surgery?

Let's dive into a situation you know. The patient is being prepared for surgery. Mentally, you go through every single step and detail. Everything is planned. The surgery is proceeding smoothly so far. And then – it's that moment you've been calculating in the back of your mind, the one that wants to challenge you.

See how Ennovate® supports you and has your back:

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    more control during spinal correction with Ennovate® PolyLock®

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    less screw loosening thanks to Ennovate® PentaCore® [4], [10], [11]

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    more long-term screw stability due to Ennovate® performance design [12]

“PolyLock® gives us the possibility of switching between the polyaxial and monoaxial screw at any time during the surgery, without the need for any further implants. This is a unique screw, which is useable, really useable, for perfect derotation maneuvers and curvature restoration, no matter if sequential or en-bloc. [17]”

Professor Martin Repko, Department of Orthopaedic Surgery, Faculty Hospital Brno, Brno, Czech Republic

“In our clinic we have a high number of elderly patients with osteoporosis, where we really appreciate the ease of use and the safe application of the cement, as well as the high intraoperative flexibility and versatility of the Ennovate® screws and the whole Ennovate® platform. [17]”

Professor Michael Rauschmann, Department for Spine & Reconstructive Orthopaedic Surgery, Sana Clinic Offenbach, Germany

Smart interface

Smart interface

Precision where it counts – The smart pressure mechanism enables toggle-free connection. This enables precise work in hands-free as well as navigated surgical steps.

Pedicle inspired thread

Pedicle inspired thread

The design reflects the natural shape of the pedicle and shows a larger thread diameter in the upper part of the screw. In combination with the Dual Core design, the large proximal flanks create pullout resistance. [12-14]

Patented dual core

Patented dual core

PentaCore® for voluminous anchorage in cancellous bone. Cylindrically shaped core for cortical bone compactation and stable anchorage. Plus 28% less tensile stress within the screw for improved long-term performance.[9,12,13]

Slotted fenestration

Slotted fenestration

The fenestrated screws can be used for the application of various fluids. In case of poor bone quality, the combination of slots and the PentaCore® allows for a unique form fit which is more stable against rotational force.



Smooth insertion of the self-tapping and self-centering thread – bone purchase and grip from the very first turn. Rounded, flat tip and quick-start thread allow improved bicortical anchorage of the screw. [12-14]

Ennovate® spinal navigation

Discover Ennovate®

Your platform within AESCULAP® Spine Surgery

Scientific publications

From clinical cases to biomechanical papers, immerse yourself in the impressive data base about our spinal products.

Read more

[1] Ye B, Yan M, Zhu H, Duan W, Hu X, Ye Z, Luo Z. Novel Screw Head Design of Pedicle Screw for Reducing the Correction Loss in the Patients With Thoracolumbar Vertebral Fractures: A Biomechanical Study. Spine (Phila Pa 1976). 2017 Apr 1;42(7):E379-E384.

[2] Wang H, Li C, Liu T, Zhao WD, Zhou Y. Biomechanical efficacy of monoaxial or polyaxial pedicle screw and additional screw insertion at the level of fracture, in lumbar burst fracture: An experimental study. Indian J Orthop. 2012;46(4):395-401.

[3] Çetin, Engin & Özkaya, Mustafa & Güler, Ümit & Acaroglu, Emre & Demir, Teyfik. (2015). Evaluation of the Effect of Fixation Angle between Polyaxial Pedicle Screw Head and Rod on the Failure of Screw-Rod Connection. Applied Bionics and Biomechanics. 2015. 1-9.

[4] Galbusera F, Volkheimer D, Reitmaier S, Berger-Roscher N, Kienle A, Wilke HJ. Pedicle screw loosening: a clinically relevant complication? Eur Spine J. 2015;24(5):1005–1016. doi: 10.1007/s00586-015-3768-6. Epub 2015 Jan 24. PMID: 25616349.

[5] Tomé-Bermejo F, Piñera AR, Alvarez-Galovich L. Osteoporosis and the Management of Spinal Degenerative Disease (I). Arch Bone Jt Surg. 2017;5(5):272-282.

[6] Martín-Fernández M, López-Herradón A, Piñera AR, Tomé-Bermejo F, Duart JM, Vlad MD, Rodríguez-Arguisjuela MG, Alvarez-Galovich L. Potential risks of using cement-augmented screws for spinal fusion in patients with low bone quality. Spine J. 2017 Aug;17(8):1192-1199. 7 Chevalier Y, Matsuura M, Krüger S, Fleege C, Rickert M, Rauschmann M, Schilling C. Micro-CT and micro-FE analysis of pedicle screw fixation under different loading conditions. J Biomech. 2018 Mar 21;70:204-211.

[8] Wu Z, Ovaert TC, Niebur GL. Viscoelastic properties of human cortical bone tissue depend on gender and elastic modulus. J Orthop Res. 2012;30(5):693-699.

[9] Krenn MH, Piotrowski WP, Penzkofer R, Augat P. Influence of thread design on pedicle screw fixation. Laboratory investigation. J Neurosurg Spine. 2008 Jul;9(1):90-5.

[10] El Saman A, Meier S, Sander A, Kelm A, Marzi I, Laurer H. Reduced loosening rate and loss of correction following posterior stabilization with or without PMMA augmentation of pedicle screws in vertebral fractures in the elderly. Eur J Trauma Emerg Surg. 2013 Oct;39(5):455-60. doi: 10.1007/s00068-013-0310-6. Epub 2013 Jul 4.

[11] Rometsch E, Spruit M, Zigler JE, et al. Screw-Related Complications After Instrumentation of the Osteoporotic Spine: A Systematic Literature Review With Meta-Analysis. Global Spine J. 2020;10(1):69-88.

[12] Schilling C, Krueger S, Lindner S, Weiß JB, Grupp TM. In Silico Optimization Of A Novel Pedicle Screw Design And Validation By Experimental Results (Conference Abstract). 22nd Congress of the European Society of Biomechanics, July 10-13, Lyon (France) 2016.

[13] Chevalier Y, Matsuura M, Krüger S, Fleege C, Rickert M, Rauschmann M, Schilling C. Micro-CT and micro-FE analysis of pedicle screw fixation under different loading conditions. J Biomech. 2018 Mar 21;70:204-211.

[14] Demir, Teyfik., Basgül, Cemile. The Pullout Performance of Pedicle Screws. Deutschland: Springer International Publishing, 2015.

[15] Giacaglia, Giorgio & Lamas, Wendell. (2015). Pedicle Screw Rupture: A Case Study. Case Studies in Engineering Failure Analysis. 4. 64-75.

[16] Yuan HA, Garfin SR, Dickman CA, Mardjetko SM. A Historical Cohort Study of Pedicle Screw Fixation in Thoracic, Lumbar, and Sacral Spinal Fusions. Spine (Phila Pa 1976). 1994 Oct 15;19(20 Suppl):2279S-2296S.