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See the invisible. Achieve the impossible.

AESCULAP® Spinal navigation

Spinal navigation has evolved into a transformative technology, offering benefits that amplify surgeons' experiences while improving patient outcomes. Committed to empower surgeons with the most advanced healthcare solutions, B. Braun fuses cutting-edge navigation technologies with its spinal platforms to create a dynamic synergy.

Integrated design

Integrated design

Our instruments are navigation-enabled and part of the standard instrumentation. Experience the same workflows as in conventional procedures.

Versatile approaches

Versatile approaches

Experience the Ennovate® and AESCULAP® 3D Cages navigation solutions for open, hybrid and minimally invasive spinal procedures.

Holistic platform

Holistic platform

Our anterior and posterior stabilization implants can be navigated from the cervical to the sacropelvic spine.

More than screws

More than screws

Whether screws or interbody fusion devices, our instruments are ready for navigation. Just get started when you need it.

Performance. Precision. Possibilities.

Streamline your spinal workflows

Experience greater efficiency with fewer instruments. Unleash the power of minimalism and enhance your practice with the simplicity and precision of our instruments – because less is truly more.

Two surgeons during a surgical procedure with Ennovate® Cervical MIS
Two surgeons during a surgical procedure with Ennovate® TLSP drill guide
Two surgeons during a surgical procedure with Ennovate® 3D interbody fusion devices

Ennovate® Spine Surgery

One spinal platform designed around your needs

[1] Kim D-Y, Lee S-H, Chung SK, Lee H-Y. Comparison of multifidus muscle atrophy and trunk extension muscle strength: percutaneous versus open pedicle screw fixation. Spine (Phila Pa 1976). 2005;30(1):123-9.

[2] Ringel F, Stoffel M, Stüer C, Meyer B. Minimally invasive transmuscular pedicle screw fixation of the thoracic and lumbar spine. Neurosurgery. 2006; 59(4 Suppl 2):ONS361-6; discussion ONS366-7.

[3] Lee S-H, Choi W-G, Lim S-R, Kang H-Y, Shin S-W. Minimally invasive anterior lumbar interbody fusion followed by percutaneous pedicle screw fixation for isthmic spondylolisthesis. Spine J. 2004;4(6):644-9.

[4] Sun X-Y, Zhang X-N, Hai Y. Percutaneous versus traditional and paraspinal posterior open approaches for treatment of thoracolumbar fractures without neurologic deficit: a meta-analysis. Eur Spine J 2017; 26(5):1418-31.

[5] William D. Zelenty, John R. Renehan, Joseph Ferguson, Fred F. Mo, Intraoperative navigation: Current applications and future directions, Seminars in Spine Surgery, Volume 32, Issue 2, 2020, 100788, ISSN 1040-7383,

[6] Navarro-Ramirez, Rodrigo; Lang, Gernot; Lian, Xiaofeng; Berlin, Connor; Janssen, Insa; Jada, Ajit et al. (2017): Total Navigation in Spine Surgery; A Concise Guide to Eliminate Fluoroscopy Using a Portable Intraoperative Computed Tomography 3-Dimensional Navigation System. In World neurosurgery 100, pp. 325-355.

[7] La Rocca et al. (2022): DOI 10.1186/s10195-022-00661-8, in J Orthop Traumatol., 23(1).

[8] Matityahu, Amir; Kahler, David; Krettek, Christian; Stöckle, Ulrich; Grutzner, Paul Alfred; Messmer, Peter et al. (2014): Three-dimensional navigation is more accurate than two-dimensional navigation or conventional fluoroscopy for percutaneous sacroiliac screw fixation in the dysmorphic sacrum: a randomized multicenter study. In Journal of orthopaedic trauma 28 (12), pp. 707-710.

[9] Baldwin, K.D., Kadiyala, M., Talwar, D. et al. Does intraoperative CT navigation increase the accuracy of pedicle screw placement in pediatric spinal deformity surgery? A systematic review and meta-analysis. Spine Deform 10, 19-29 (2022).

[10] Compared to a standard Ennovate® TLSP open workflow.

[11] Beisemann, N., Gierse, J., Mandelka, E. et al. Comparison of three imaging and navigation systems regarding accuracy of pedicle screw placement in a sawbone model. Sci Rep 12, 12344 (2022).

[12] Zhang H, Hao D, Sun H, He S, Wang B, Hu H, Zhang Y. Biomechanical effects of direction-changeable cage positions on lumbar spine: a finite element study. Am J Transl Res. 2020 Feb 15;12(2):389-396. PMID: 32194891; PMCID: PMC7061850.