iFuse Granite Onyx™
Features
- Poly-Axial Tulip Up to 60 degrees of angulation with general rod compatibility (5.0, 5.5, 6.0 mm Ti alloy or CoCr)
- Full Height Thread Stop No thread lead out for increased proximal engagement
- Dual Diameter Increased proximal engagement
- Anatomy Specific Design Thin crested threads designed to reduce pull-out and thick crested threads designed to reduce toggle
- Trabecular Lattice Surface Mimics cancellous bone, providing a favorable environment for bone ingrowth and ongrowth
- Vertebral Body Fenestrations Designed to capture bone during insertion and to allow bone through growth
FDA: Breakthrough Device Designation
Video
Results
3-Week Preclinical Histology

iFuse Granite Onyx

Machined Pedicle Screw
iFuse Granite Onyx shows sheep bone ingrowth and ongrowth with its porous surface. Histologic imaging of the iFuse Granite Onyx at 3 weeks signifies through growth.
SI-BONE Technical Study 303358-TS. Sheep model data is not necessarily indicative of human clinical outcomes.
Progressive Fixation Through Osseointegration
iFuse Granite Onyx has a higher removal torque than a machined pedicle screw.
Details
News
Latest News for iFuse Granite Onyx
NTAP Candidate
FY28
Candidate for FY28 New Technology Add-on Payment (NTAP)
As a current BDD holder, and prospective NTAP applicant, Onyx will be a candidate for a future FY 2028 New Technology Add-on Payment (NTAP) which may provide incremental reimbursement above the MS-DRG to which the case is already assigned, for eligible case types and patients (e.g., Traditional Medicare patients).
May qualify for
New MS-DRGs
May qualify for new MS-DRG: 523, 524, 525
Cases involving Onyx may be assigned to MS-DRGs 523–525 through any of the following pathways:
- The procedure includes fusion of eight or more thoracic levels.
- The procedure includes fusion of at least two thoracic levels and at least two lumbar levels.
- The procedure includes iFuse Bedrock Granite® for SI joint fusion adjunctive to a multisegment spinal fusion and reported with one of the four Granite-specific ICD-10-PCS Section X codes.






