Orthotw iconOrthotwSep 16, 2026 ~4 min source read

Pressio Spine Reports First Clinical Use of Continuum Compression Staple for Single-Level ACDF

Pressio Spine completed initial clinical cases using Continuum, a sterile, single-use nitinol compression staple designed to simplify single-level anterior cervical discectomy and fusion (ACDF) and provide continuous compression across the fusion site.

Pressio Spine Announces Successful Completion of Initial Continuumâ„¢ Cases

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Useful takeaways from this story.

Continuum is a superelastic nitinol compression staple positioned inline with the spine to deliver continuous compression without screws.

The system is supplied as a fully sterile, single-use instrument kit intended to simplify OR workflow, inventory, and last-minute case additions.

Pressio paired Continuum with Tidal, a porous 3D-printed titanium cage, to provide a bundled anterior fixation and interbody solution.

What happened

Pressio Spine announced the completion of its first clinical cases using the Continuum Compression Staple for single-level anterior cervical discectomy and fusion (ACDF). The initial user program was led by Dr. Daniel Leas at Carolina Neurosurgery and Spine Associates.

What Continuum is and how it differs

The system ships as a fully sterile, single-use kit that arrives ready for surgery. That means no sterile processing or loaner tray coordination is required, which the company says supports short-notice case scheduling and reduces inventory management tasks for ambulatory surgery centers (ASCs) and hospitals.

Early clinical observations

Pressio's CEO framed the device as moving beyond static anterior plates by delivering continuous compression that can support the fusion site over time. The company also emphasized the operational benefits of a single-use, sterile package for facility staff and scheduling flexibility.

The broader system: Continuum plus Tidal

Why facilities and surgeons might care

Pressio highlights two practical advantages:

  • Clinical: Continuous nitinol compression instead of static fixation, which the initial surgeon reported as immediately effective.
  • Operational: Ready-to-use sterile kits that reduce sterile processing, simplify inventory, and enable short-notice additions to the OR schedule.

These characteristics are pitched to both hospital operating rooms and ASCs where staff time, tray processing, and inventory complexity can affect throughput and scheduling.

What remains to see

The announcement reports initial user program cases and early validation of the device's compressive action and workflow simplicity. It does not include detailed clinical outcomes, comparative safety data, or longer-term fusion success metrics. Pressio is continuing enrollment with additional surgeons and centers interested in evaluating the combined Continuum and Tidal system.

Bottom line

Pressio Spine completed the first clinical uses of its Continuum nitinol compression staple for single-level ACDF and positions the product to simplify anterior cervical fixation through continuous compression and a sterile, single-use kit. The company is expanding surgeon and center participation to gather more clinical experience with the combined Continuum and Tidal offering.

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