• While there are hundreds of thousands of lumbar decompressions performed every year, I believe that this device has the potential of reducing the number of fusions in these patients.

    Richard D. Guyer | MD
    Co-founder of the Texas Back Institute in Plano, TX, USA; Past president of the North American Spine Society

  • The Dreal™ allowed me to undercut foramen more than where I was using Kerrison alone… Amazing! I love it!

    Daniel Laich | DO
    A board-certified and fellowship-trained neurosurgeon with Chicago Brain & Spine Institute, Chicago IL, USA

  • This system is intuitive, it’s easy to use and has become a valuable work tool for me, in both lumbar and cervical cases using a minimally-invasive approach.

    John Peloza | MD
    Board certified by the American Board of Orthopedic Surgery, Center for Spine Care, Dallas, TX, USA

High speed rotation

Efficiently cuts bone

Integrated irrigation

2-3mm tip diameter

Fits Spinal Anatomy

9mm radius of curvature

Smallest in the market

Shielded cutter

with multiple orientations

Enhanced visibility

Due to curved design

Unique forward drilling

helps to minimize nerve manipulations

  • High speed rotation

    Efficiently cuts bone

  • Integrated irrigation

  • 2-3mm tip diameter

    Fits Spinal Anatomy

  • 9mm radius of curvature

    Smallest in the market

  • Shielded cutter

    with multiple orientations

  • Enhanced visibility

    Due to curved design

  • Unique forward drilling

    helps to minimize nerve manipulations

    MAXIMUM DECOMPRESSION. MINIMUM TRAUMA.

    MAXIMUM DECOMPRESSION. MINIMUM TRAUMA.

    23%

    larger remaining pars width

    (indication of stability)

    MAXIMUM DECOMPRESSION. MINIMUM TRAUMA.

    163%

    increase in foraminal clearance

    Kerrison Rongeur Dreal

    CLINICAL EXPERIENCE

    To date, dreal has been used to treat hundreds of patients, in more than 10 different spinal procedures, covering all anatomical segments of the spine (cervical, thoracic and lumber). Results have shown to support the efficacy, safety and wide versatility of the dreal system.

    • Safety results considerably improved compared to literature baseline data for both traditional and new devices
    • Reduction in fused levels demonstrated

    CASE STUDIES

    Lumbar Decompression

    #1 Removing Posterior Osteophytes Case study
    #2 Endplates Preparation Case study
    #3 Endplates Preparation Case study
    #4 Reducing fusion size Case study
    #5 Fast, Efficient Decompression; Avoiding Instability Case study
    #6 Lumbar Decompression Case study

    Cervical Decompression

    #1 Osteophytes Removal; ACDF Case study
    #2 Osteophytes Removal; ACCF Case study
    #3 Osteophytes Removal; ACCF Case study
    #4 Osteophytes Removal; ACDF Case study
    #5 Dens Tumor Removal Case study
    #6 Uncinate resection Facilitated Cervical Foraminotomy Case study

    Thoraco-Lumbar Discectomy and Fusion

    #1 Transforaminal Thoracic Interbody Fusion Case study

    PUBLICATIONS

    DREAL SYSTEM SINGLE-USE PRODUCT LINE

    Model Cutting Direction Application
    dreal-top
    3S45FUS
    Upcutting
    Lumbar decompression / foraminotomies & Posterior Cervical foraminotomies
    dreal-top
    3S45FUR
    Upcutting forward
    Lumbar decompression / foraminotomies
    dreal-top
    3S45FI
    Downcutting forward
    Lumbar/thoracic endplates preparation; bridging osteophytes
    dreal-top
    3L10DS
    Side-cutting
    ACDF posterior osteophyte removal
    dreal-top
    2L75FU
    Upcutting forward
    Cervical corpectomies