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Zimmer, Inc.

Trinica® Anterior Lumbar Plate System

Product Description

Experience the perfect ending to a lumbar fusion procedure with the Trinica Anterior Lumbar Plate (ALP) System.  The bone deficit-filling design is available in multiple plate configurations and allows for enhanced bone-plate interface, which can increase stabilization and reduce effective profile.  To further meet anatomical variations, the Trinica ALP System plates accept both fixed and variable screws.  Complete the procedure with one twist of the wrist – lock the plate with the innovative Secure-Twist® Locking Mechanism anti-migration system – the perfect ending.




  • All-through-one guides accommodate drilling, tapping and screw insertion, saving time and reducing the number of procedural steps
  • Plates are pre-contoured and come in a number of different sizes, accommodating variations in anatomy and minimizing the need for additional contouring
  • Plates accept both fixed and variable angle screws, allowing for more configurable, patient specific fixation
  • The Trinica ALP System’s Secure-Twist Anti-Migration System saves time by locking multiple screws simultaneously




The Trinica Anterior Lumbar Plate System is indicated for use via the lateral or anterolateral surgical approach above the bifurcation of the great vessels or via the anterior surgical approach, below the bifurcation of the great vessels. This system is indicated in the treatment of lumbar or lumbosacral (L1-S1) spine instability as a result of fracture (including dislocation and subluxation), tumor, degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), pseudoarthrosis, spondylolisthesis, scoliosis, lordotic deformities of the spine, spinal stenosis, or a failed previous fusion.



Contraindications for the Trinica Anterior Lumbar Plate System include:

  • Use in the cervical spine
  • Active systemic or local infection
  • Local inflammation with or without fever or leukocytosis
  • Pregnancy
  • Obesity
  • Alcohol or drug abuse
  • Use in the posterior elements (pedicles) of the cervical, thoracic, or lumbar vertebrae
  • Where attempted correction exceeds the limits of physiological conditions
  • Uncooperative patients or patients with neurological disorders or mental illness rendering the patient incapable of or unwilling to follow instructions
  • Inability to restrict high activity level
  • Suspected or documented metal allergy or intolerance
  • Any case needing to mix metals from different components
  • Poor prognosis for good wound healing (e.g. decubitus ulcer, end-stage diabetes, severe protein deficiency and/or malnutrition)
  • Any medical or surgical condition that would preclude the potential benefit of spinal implant surgery or prevent secure component fixation that has the potential to decrease the useful life of the device, such as the presence of tumors or congenital abnormalities, elevation of sedimentation rate unexplained by other diseases, elevation of white blood count (WBC), or a marked left shift in the WBC differential count
  • Rapid joint disease, bone absorption, osteopenia, and/or osteoporosis
  • Osteoporosis is a relative contraindication because the condition may limit the degree of obtainable correction and/or the amount of mechanical fixation
  • Any case not needing a bone graft and fusion or requiring fracture healing
  • Any patient with inadequate tissue coverage over the operative site, or inadequate bone stock or bone quality such as in the sacrum
  • Any time implant utilization would interfere with anatomical structures or expected physiological performance
  • Diseases or conditions other than those specifically described here or in the Indications section

Contraindications of this device are consistent with those of other anterior spinal instrumentation systems. This spinal implant system is not designed, intended, or sold for uses other than those indicated.