Products & Implants

Products & Implants

HPS Hybrid Performance System

HPS Hybrid Performance System

Lowers Stresses and Reduces Risk of Adjacent Segment Disease 

HPS* is designed to combine modern, rigid spinal fixation with a topping-off option. It results in less stress on adjacent segments and a reduced risk of developing adjacent segment disease, which causes new symptoms after spine surgery. The key element, the DSS coupler, is the most efficient coupler available on the market and has been clinically proven in ten years with 28,000 implanted couplers all around the world.

The combination of the coupler with tulip screws and rods makes the Hybrid Performance System the most versatile and universal system available on the market, allowing for mono- and multi-level fusions. The low-profile, high-quality polyaxial screws and ergonomic instruments enable fast and optimal implant positioning and deformity correction techniques.

*Patent applied for Hybrid Performance System.

Regulatory approvals vary by country. Therefore, we kindly ask you to contact the distributor in your region regarding availability of specific products, implants and / or instrumentation in your region. Please note that this presentation is not valid for Germany. If you seek information on grafts and implants available in Germany, please visit the Germany section on this website.

HPS Hybrid Performance System

    • Standalone fusion system
    • Modularity of system allows for optional topping-off semi-rigid stabilization
    • Adjacent segment protection
    • Clinically proven DSS coupler technology
    • 5,000 cases treated in three years
    • Extremely low failure rate of the DSS coupler
    • Universal system for all indications
  • Indications

    The DSS Hybrid Performance System is indicated for skeletally mature patients with degenerative disc disease (DDD) or for painful segmental degeneration of the disc and/or facet joints.

    DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies.

    Semi-rigid stabilization

    Use of the rod coupler is indicated for segmental degeneration or minor segmental instability (disc and/or facet joints) including grade 1 spondylolisthesis.


    Use of the fusion components are indicated for monosegmental or multisegemental stabilization of the thoracic and lumbar spine for supporting fusion. Fusion may be necessary due to:

    • Degenerative instability
    • Pseudarthrosis / delayed union
    • Post-discectomy syndrome
    • Spondylolisthesis
    • Degenerative lumbar scoliosis
    • Lumbar spinal canal stenosis
    • Fracture
    • Tumor
    • Long idiopathic or congenital deformities


    Semi-rigid stabilization

    Do not use the DSS HP rod coupler in cases of:

    • Degenerative spondylolisthesis greater than grade 1 or isthmic spondylolisthesis
    • Degenerative scoliosis greater than 15 degrees
    • Dysplastic spondylolisthesis
    • Fracture
    • Tumor
    • Infection
    • Severe instabilities
    General contraindications

    In general, do not use the DSS Hybrid Performance System in cases of:

    • Any medical or surgical condition precluding the potential benefit of spinal surgery
    • Damage to the bone structure which counteracts stable implantation
    • Acute or chronic systemic, spinal or localized infections
    • Impaired wound healing
    • Active systemic and metabolic diseases
    • Obesity (BMI ≥ 30)
    • Fever
    • Pregnancy
    • Dependency on pharmaceutical drugs, drug abuse, or alcoholism
    • Lack of patient cooperation
    • Mental illness
    • Foreign body sensitivity to the implant material
    • Significant osteopenia
    • Osteoporosis
    • Neuromuscular disorders or disease
    • Bone tumors near the implant fixation
    • Other cases not listed under "Indications"

    Safety precautions

    • Prior to use, thoroughly read these instructions for use and become familiar with the surgical technique.
    • Keep the instructions for use accessible to all staff.
    • The operating surgeon must have a thorough command of both the hands-on and conceptual aspects of the established operating techniques.
    • Proper surgical performance of the implantation is the responsibility of the operating surgeon.
    • The manufacturer is not responsible for any complications arising from incorrect diagnosis, choice of incorrect implant, incorrect operating techniques, the limitations of treatment methods or inadequate asepsis.
    • Under no circumstances may modular implant components from different suppliers be combined.
    • Damage to the weight-bearing structures can give rise to loosening, dislocation and migration, as well as other complications.
    • To ensure the earliest possible detection of such catalysts of implant malfunction, the implant must be checked periodically post-operatively using appropriate techniques.
    • Only stabilize a segment with either rod couplers or fusion components.
    • Do not use both a rod coupler and a fusion component at the same level!
    • Never reuse an implant. Although the implant may appear undamaged, previous stresses may have created non-visible damage that could result in implant failure.
    • Never use implants if the packaging is damaged. An implant with damaged packaging might be damaged itself and thus may no longer be used.
    • Never use implants that are past their expiration date.
    • Each patient's record shall document the implant used (name, article number, lot number).
    • During the postoperative phase, in addition to mobility and muscle training, it is of particular importance that the physician keeps the patient well informed about post-surgical behavioral requirements.