Overview & Procedure 

The ZIP® device is Aurora Spine's minimally invasive interlaminar fixation implant for spinal fusion and was developed as an alternative to pedicle screw fixation. The ZIP® implant is designed for stabilization and load sharing during T1-S1 thoracolumbar fusion procedures specifically to treat degenerative disc disease, spondylolisthesis, trauma, and tumor. The proprietary ZIP ONE-STEP™ locking mechanism eliminates the use of a set screw. The ZIP®LP is designed in various sizes to accommodate variations in patient anatomy.  

A ZIP procedure is performed in an outpatient surgery center or hospital. This minimally invasive surgery is performed through an incision made in the patient’s back. After obtaining access, the physician dissects tissue and muscle off the spinous processes to make room for the device. Once the site preparation is complete, the physician places the ZIP implant on the spine and ratchets the two sides of the implant together for a full closure.  

After Care 

Immediately after the procedure, patients are sent to a separate room to recover. During this time, the patient’s vitals are monitored for any signs of an adverse reaction. An adult family member or friend will need to drive the patient home. Before leaving the clinic, patients are checked to be sure they have recovered from the anesthesia and are healthy enough to go home. A prescription for pain medication or other medications will be sent to the pharmacy following the procedure to be filled right away. A back brace may be recommended. Complications from this procedure are rare but may include fever, infection, bleeding, increased pain, or leg weakness. If the patient experiences these symptoms, they should report to the Southwest Spine and Pain Center. If it is after hours, they should report to the ER.