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RealSpine lumbar spine models
Three lumbar models on one base. Lumbar Posterior for endoscopic and microscopic decompression, L2 to S1, with eight herniations and a stenosis to clear. Lumbar Anterior Lateral for ALIF, OLIF and LLIF, L3 to S1. Lumbar Posterior Lateral for ATP and transpsoas approaches, L2 to L5.
Uniportal and biportal endoscopy with irrigation and bleeding management
TLIF, PLIF, ALIF, OLIF and LLIF cages, plates and screws
X ray, navigation and RealImaging compatible
Watch
Endoscopic training on a RealSpine lumbar cartridge, filmed by Realists. Five minutes on what the trainee sees and what the anatomy does back.
Go to the Lumbar Posterior
Posterior access
RealSpine Lumbar Posterior, PRO344 on base PRO301.
01
Posterior access
Endoscopic and microscopic decompression from L2 to S1, with eight herniations, a stenosis to clear and bleeding to manage. Realists rates it at up to eight training sessions on one simulator.
8
herniations, two per level
8
training sessions on one simulator
1
canal stenosis, L4 to L5
Fully workable from L2 to S1, at real dimensions. Every level listed on this model is a level a trainee can operate, with anatomy at the size a surgeon meets in the OR. When you compare simulators, ask which listed levels can actually be operated, and at what size.
Level
L2 to S1
Pathology
8 herniations, two per level. Stenosis at L4 to L5 with a hypertrophied flavum
Approaches
Posterior. Transforaminal, interlaminar and extraforaminal. Endoscopic, uniportal or biportal. Microscopic
Procedures
8 herniectomies, 4 discectomies, 4 flavectomies and laminectomies, 1 canal stenosis, endoscopic bleeding management L2 to S1
Anatomy
Vertebrae and intervertebral discs, spinal cord and nerve roots, ligamentum flavum, interspinal and posterior longitudinal ligaments, capsular ligaments of the facet joints, epidural fat, paravertebral and paraspinal muscles
Works with
Water irrigation, X ray and fluoroscopy, drilling and screws, external navigation, TLIF and PLIF cages, Fluid Pumping System, RealImaging Lite and Advanced
Parts
Lumbar Posterior cartridge PRO344 on the Lumbar Posterior base PRO301, RealImaging Lite QR code tracker included
Anterior and lateral access
RealSpine Lumbar Anterior Lateral, PRO347 on base PRO237.
02
Anterior and lateral access
The anterior lumbar environment from L3 to S1 for ALIF, OLIF and LLIF, with a spondylolisthesis at L4 to L5 and the complications that come with getting there.
3
approaches: ALIF, OLIF, LLIF
2
positions on one platform
L3 to S1
four levels of access
Level
L3 to S1
Pathology
Spondylolisthesis L4 to L5
Approaches
Anterior. ALIF, OLIF and LLIF. Microscopic, exoscopic and open. Modular, two positions, one platform
Procedures
Surgical access, complication management, implant placement, ALIF, OLIF and LLIF approach
Anatomy
Vertebrae L3 to S1 and intervertebral discs L3 to L5, spinal cord and nerve roots, ligamentum flavum, interspinal and anterior longitudinal ligaments, epidural fat
Works with
X ray and fluoroscopy, plates and screws, external navigation, ALIF, OLIF and LLIF cages, RealImaging Lite and Advanced
Parts
Lumbar Anterior Lateral cartridge PRO347 on the Lumbar Anterior Lateral base PRO237, RealImaging Lite QR code tracker included. Modular parts available
Lateral access
RealSpine Lumbar Posterior Lateral, PRO96.
03
Lateral access
Lateral lumbar surgery from L2 to L5: ATP and transpsoas approaches, lateral access on the left, posterior percutaneous fixation, with five modular parts that rebuild the anatomy between attempts.
5
modular parts
2
approaches: ATP, transpsoas
L2 to L5
lateral levels
Level
L2 to L5
Pathology
Spondylolisthesis L4 to L5
Approaches
Lateral access left. ATP approach. Transpsoas approach. Posterior percutaneous. Modular, two positions, one platform
Procedures
Screw fixation, discectomies, transpsoas approach, ATP approach
Anatomy
Vertebrae L2 to L5 and intervertebral discs L2 to L4, ligamentum flavum, interspinal ligament, epidural fat
Works with
Water irrigation, X ray and fluoroscopy, drilling and screws, external navigation, TLIF and PLIF cages, RealImaging Lite and Advanced
Parts
Lumbar Posterior Lateral with five modular parts, PRO96, RealImaging Lite QR code tracker. Modular parts 1 to 5 available separately
Who trains on it
Decompression, fusion, lateral access. The cases a rep sees first and a resident sees most.
For MedTech companies
TLIF and PLIF on the posterior model. ALIF, OLIF and LLIF with your plates and screws on the Anterior Lateral. Lateral access on the Posterior Lateral. The rep and the surgeon place the same implant on the same spondylolisthesis before the first live case.
How OEMs use RealSpine
For hospitals and residencies
Endoscopic decompression, uniportal or biportal, with irrigation running and bleeding to manage. Every resident works the same L4 to L5 stenosis, and the one who missed the step works it again on the next herniation.
How programs use RealSpine
Part of RealSpine 2026
Every lumbar model ships with its own base and works independently. Lumbar Anterior Lateral shares its base with Cervical Anterior, so a program that runs both buys one base. Full Modular and Deformity are separate products in the same RealSpine family.
01
After the last herniation, a new cartridge goes on the same base. The base stays, the anatomy renews. See the Full Modular simulator
02
Bleeding starts on cue and resets for the next attempt on the Lumbar Posterior. Water irrigation for endoscopic work on both posterior models.
03
Real time, radiation free visualization of anatomy and instrument position on an iPad, compatible with all three lumbar models. See RealImaging
“
RealSpine is an excellent training model. It feels like operating a real patient.
Dr. Roger Härtl
Weill Cornell Medicine, New York
Book a demo
Thirty minutes with Greg Rhinehart, in person at your site or online. He replies with available times and brings the platform.
Book a Demo
Prefer email? grhinehart@realistsusa.com, Greg answers.
Before you book
Which lumbar model do we need?
Pick by approach. Programs that train all three run all three cartridges on one base.
How many cases fit on one Lumbar Posterior?
Eight herniations, two per level, plus a canal stenosis at L4 to L5. Realists rates it at up to eight training sessions on one simulator.
Does it work with endoscopy and irrigation?
Yes. Lumbar Posterior is built for uniportal and biportal endoscopy with water irrigation and bleeding management. Lumbar Posterior Lateral also supports water irrigation.
Can we place our own cages, plates and screws?
Yes. TLIF and PLIF cages on the posterior models, ALIF, OLIF and LLIF cages with plates and screws on the Anterior Lateral, drilling and screw fixation throughout, with your instruments.
Can we use fluoroscopy or navigation?
Yes. All three models are compatible with X ray and fluoroscopy and with external navigation. RealImaging Lite and Advanced provide radiation free visualization when imaging is not in the room.
Book a demo on the Lumbar Posterior, the Anterior Lateral or the Posterior Lateral, in person or online.
Book a Demo