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Alphatec Spine Approach Technologies

Alphatec Spine is a U.S. medical technology brand focused on revolutionizing the approach to spine surgery through procedural solutions, navigation, and robotics.

Last updated September 26, 2026

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Overview

Alphatec Spine, often branded as ATEC Spine, is the spine-surgery-focused medical technology business of Alphatec Holdings, Inc. The company describes itself as an "Organic Innovation Machine" committed to "Revolutionizing the Approach to Spine Surgery," with the stated vision of becoming "The Standard-Bearer in Spine." Its business is built around the operating room: it develops procedural solutions, implants, instruments, navigation, and robotics intended to improve decompression, stabilization, and alignment in spine surgery. The brand's product architecture is organized around surgical approaches rather than standalone devices. ATEC Spine Approach Technologies covers procedures such as ACDF (Anterior Cervical Discectomy and Fusion), TLIF (Transforaminal Lumbar Interbody Fusion), ALIF (Anterior Lumbar Interbody Fusion), PCF (Posterior Cervical Fusion), PTP (Prone Transpsoas), PF (Posterior Fixation), LTP (Lateral Transpsoas), PLIF (Posterior Lumbar Interbody Fusion), and corpectomy. This approach-based framing is central to the company's clinical distinction strategy. A major recent platform is Valence, described by the company as purpose-built for spine surgery. Valence unifies navigation and robotics into a seamless platform, featuring a surgeon-controlled in-field camera, intentionally designed software, and a comprehensive suite of navigated instruments. ATEC positions Valence as delivering clarity and control at every step of the procedure. Alphatec Holdings is publicly traded on NASDAQ under the ticker ATEC, while Alphatec Spine operates as its principal operating subsidiary. Patrick S. Miles has served as Chairman and Chief Executive Officer of Alphatec Holdings and Alphatec Spine since October 2017; he previously served as Vice Chairman of NuVasive. Luiz Pimenta, MD, PhD, serves as Chief Medical Officer. The company reports ongoing growth in surgical revenue, net new surgeon users, and adjusted EBITDA, and in 2026 announced a refinancing of existing debt with an inaugural bank facility. The brand's identity is closely tied to surgeon education and collaboration, with participation in key society meetings and regional symposia. Its core values emphasize high performance, GRIT, curiosity, clinical distinction, and a familial culture captured in the hashtag #ATECPROUD.

History

Alphatec Spine is the spine-focused operating business of Alphatec Holdings, Inc., a U.S. medical technology company. The Alphatec name has been associated with spine surgery technology for decades, and the modern ATEC Spine brand has been reshaped around a procedural, approach-based strategy. The company's public identity centers on the mission of "Revolutionizing the Approach to Spine Surgery" and the vision of becoming "The Standard-Bearer in Spine." A pivotal leadership change occurred in October 2017, when Patrick S. Miles became Chairman and Chief Executive Officer of Alphatec Holdings and Alphatec Spine. Miles brought more than 20 years of orthopaedic industry experience, including a recent role as Vice Chairman of NuVasive from September 2016 to September 2017. Under his leadership, ATEC has emphasized organic innovation, clinical distinction, and direct engagement with surgeons. The company describes itself as an "Organic Innovation Machine," focused on developing new standards for spine surgery regardless of surgical approach. ATEC's strategy recognizes the wide variation in spine surgery and aims to deliver new approaches that achieve the goals of surgery: decompression, stabilization, and alignment. This has produced a portfolio organized around specific procedures, marketed under the ATEC Spine Approach Technologies banner, including ACDF, TLIF, ALIF, PCF, PTP, PF, LTP, PLIF, and corpectomy. A major recent chapter is the introduction of Valence, a platform the company describes as purpose-built for spine surgery. Valence unifies navigation and robotics into a seamless platform, featuring a surgeon-controlled in-field camera, intentionally designed software, and a comprehensive suite of navigated instruments. ATEC positions Valence as delivering clarity and control at every step of the procedure, extending the company's procedural strategy into the navigation and robotics arena. Financially, Alphatec Holdings is publicly traded on NASDAQ under the ticker ATEC, with Alphatec Spine as its principal operating subsidiary. In its first quarter 2026 results, ATEC reported surgical revenue growth of 17% and total revenue growth of 14%, with net new surgeon users up 23% year over year and adjusted EBITDA of $21 million, or 11% of revenue, expanding 460 basis points year over year. The company also announced a refinancing of existing debt with an inaugural bank facility, reducing interest expense by more than $6 million annually and extending maturities to 2031. Beyond products, ATEC invests heavily in surgeon education and collaboration, participating in key society meetings and regional symposia. Its culture is expressed through core values such as delivering high performance, demonstrating GRIT, being constantly curious, committing to clinical distinction, and being gracious and familial, captured in the hashtag #ATECPROUD.

  • Patrick S. Miles becomes Chairman and Chief Executive Officer of Alphatec Holdings and Alphatec Spine.

  • ATEC reports first quarter 2026 financial results: surgical revenue up 17%, total revenue up 14%, net new surgeon users up 23% year over year, adjusted EBITDA of $21 million (11% of revenue), and announces debt refinancing with an inaugural bank facility extending maturities to 2031.

Products and positioning

A spine-surgery-focused medical technology brand positioning itself as an "Organic Innovation Machine" and aspiring "Standard-Bearer in Spine," differentiated by approach-based procedural solutions and the Valence navigation and robotics platform.

  • Valence

    Purpose-built for spine surgery, Valence unifies navigation and robotics into a seamless platform featuring a surgeon-controlled in-field camera, intentionally designed software, and a comprehensive suite of navigated instruments.

  • ATEC Spine Approach Technologies

    A procedural portfolio covering ACDF, TLIF, ALIF, PCF, PTP, PF, LTP, PLIF, and corpectomy, organized around surgical approaches.

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