CONCORDE® Inline Lumbar Interbody System

Division: Spine
Category: Lumbar Degenerative

The CONCORDE® Inline Lumbar Interbody System completes our CONCORDE System cage platform for posterior MIS and open lumbar procedures. The system provides a posterior approach interbody fusion solution with a front to back lordotic cage option to address proper spinal alignment.

Made of a proprietary material of Carbon Fiber Reinforced Polymer, it has large areas for bone graft placement within the cage which allows the design to be a load-sharing device with 33% more bone graft area.1 This open architecture also provides for good graft to endplate surface contact.

The bulleted nose of the implant creates a self-distracting device that is designed to address collapsed disc spaces minimizing damage to endplates. With an option of a 5° front to back lordotic cage and shorter lengths the system is optimized for the PLIF procedure.

1. William DF, McNamara A, Turner RM. Potential of polyetheretherketone (PEEK) and carbon fiber-reinforced PEEK in medical applications. Journal of Material Science Letters (1987) 6:188-190.

Indications for Use


The CONCORDE, CONCORDE Inline, CONCORDE Curve, COUGAR, DEVEX, and LEOPARD Systems are indicated for use as intervertebral body fusion devices in skeletally mature patients with degenerative disc disease (defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies) at one or two contiguous levels of the lumbar spine (L2-S1). Patients should have six months of non-operative treatment prior to surgery. These implants are used to facilitate fusion in the lumbar spine and are placed via either a PLIF (CONCORDE, CONCORDE Inline), TLIF (CONCORDE, CONCORDE Inline, CONCORDE Curve, DEVEX, LEOPARD) or anterior (COUGAR) approach using autogenous bone. When used as interbody fusion devices these implants are intended for use with DePuy Spine supplemental internal fixation products.


The CONCORDE, CONCORDE Inline, CONCORDE Curve, COUGAR, DEVEX, and LEOPARD Systems are indicated for use in the thoracolumbar spine (i.e., T1-L5) to replace a diseased vertebral body resected or excised for the treatment of tumors, to achieve anterior decompression of the spinal cord and neural tissues, and to restore the height of a collapsed vertebral body. These systems are also indicated for treating fractures of the thoracic and lumbar spine. These systems are designed to restore the biomechanical integrity of the anterior, middle and posterior spinal column even in the absence of fusion for a prolonged period. When used as a vertebral body replacement device these systems are intended for use with DePuy Spine supplemental internal fixation products.



  1. Use of these systems is contraindicated when there is active systemic infection, infection localized to the site of the proposed implantation, or when the patient has demonstrated allergy or foreign body sensitivity to any of the implant materials.
  2. Severe osteoporosis or osteopenia may prevent adequate fixation and thus preclude the use of these or any other orthopedic implants.
  3. Conditions that may place excessive stresses on bone and implants, such as severe obesity, pregnancy or degenerative diseases, are relative contraindications. The decision to use these devices in such conditions must be made by the physician taking into account the risks versus the benefits to the patient.
  4. Use of these implants is relatively contraindicated in patients whose activity, mental capacity, mental illness, alcoholism, drug abuse, occupation, or lifestyle may interfere with their ability to follow postoperative restrictions and who may place undue stresses on the implant during bony healing and may be at a higher risk of implant failure.
  5. Prior fusion at the level(s) to be treated.
  6. Any condition not described in the Indications for Use.


WARNING: This product has labeling limitations. See package insert for additional warnings, precautions and possible adverse effects.

CAUTION: USA law restricts this device to sale by or on the order of physician.

Features & Benefits

  Features Benefits
CONCORDE Inline Lumbar Interbody System bulleted nose cage | DePuy Synthes Companies
CONCORDE Inline Lumbar Interbody System rendering | DePuy Synthes Companies
CONCORDE Inline Lumbar Interbody System x-ray | DePuy Synthes Companies

CONCORDE Inline Lumbar Interbody System tantalum markers | DePuy Synthes Companies

Bulleted nose cage Allows access to collapsed spaces with minimal disruption of end plates
CFRP material Creates a strong base material that allows for an open implant design
Robust size offering Allows for varying patient anatomy
Lordotic trials Allows for precise cage orientation and size measurement
Tantalum markers Three markers allow for verification of placement and positioning


DSUS/SPN/0416/1251 02/2017

All medical devices have associated risks. Please refer to the package insert and other labeling for a complete list of indications, contraindications, precautions and warnings. For further information on DePuy Synthes Products, please contact your local DePuy Synthes Representative.