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Medtronic UNiD™ Patient-Specific Rods

AI-planned, pre-contoured spinal rods built to each patient’s target alignment — giving Dr. Hobbs a precise template for durable correction in complex and deformity spine surgery.

AI-plannedPatient-specificPre-contoured
Medtronic AiBLE technology ecosystem for spine planning, imaging, navigation, robotics, and analysis
Medically reviewed by Jonathan G. Hobbs, M.D. · Updated June 2026

From a target alignment to a patient-specific rod.

The rods used in spinal fusion hold the spine in its corrected position while it heals. UNiD™ translates an approved alignment plan into a physical, patient-specific template for the operating room.

01Plan the alignmentImaging and alignment goals are mapped with UNiD Adaptive Spine Intelligence.
02Pre-contour the rodsPatient-specific rods are industrially bent to match the approved plan.
03Execute with precisionThe planned rod shape provides a physical template in the operating room.

A different approach: Traditionally, the surgeon bends rods by hand in the operating room to match the desired curve. UNiD rods are industrially pre-bent to an AI-driven plan created from the patient’s imaging and target spinopelvic alignment.

Designed for complex correction: UNiD rods are FDA-cleared for use with Medtronic’s spinal fixation systems and are used to treat adult spinal deformity, scoliosis, and complex degenerative conditions.

UNiD rods in the nation’s first two-level patient-specific spinal fusion

Dr. Hobbs combined Medtronic’s patient-specific UNiD™ rods with Carlsmed’s patient-specific aprevo® TLIF interbody cages in a two-level lumbar fusion (L4–S1) at Northwest Health – Porter in Valparaiso, the first two-level fusion in the United States to pair the two technologies. The rods were manufactured to the approved alignment plan before surgery rather than bent by hand in the operating room, and the cages and rods were anchored with standard pedicle screws.

  • Northwest Health – Porter, Valparaiso, IN
  • TLIF, L4–S1 (two levels)
  • UNiD™ rods pre-contoured to the plan

Follow-up interview, October 9, 2026: Becker’s asked Dr. Hobbs where personalized implants go next. “Patient-specific technology offers another way to translate a detailed preoperative plan into the final construct. The objective is not customization for its own sake; it is greater precision and reproducibility.” Read the highlights.

Sagittal alignment is a dominant predictor of outcomes.

Achieving harmonious alignment of key spinopelvic parameters — such as the sagittal vertical axis (SVA), pelvic incidence/lumbar lordosis mismatch (PI-LL), and pelvic tilt (PT) — is a central goal of spinal deformity surgery.

Patients whose postoperative spinopelvic parameters fall within normative ranges tend to exhibit improved patient outcome scores. Getting alignment right is exactly what patient-specific rods are designed to help achieve.

SVAPI–LLPelvic tilt

Bending to a template yields better accuracy.

In a study by Sardi et al., ten experienced surgeons were asked to contour rods with a French bender to 40, 60, and 80 degrees.

Without a template, the surgeons overbent by a mean of 17.5 to 20.2 degrees for each desired angle. With a template, they came within an average of about two degrees of their target. A pre-bent UNiD rod gives Dr. Hobbs that template-level precision built in.

17.5–20.2° without templateAbout 2° with template

The UNiD workflow

From planning to post-operative review, the UNiD ASI workflow keeps the surgical plan connected at every step.

Step 01

Organize Imaging

Patient images and data are brought together for planning.

Step 02

Build the Plan

AI-driven surgical plans are created through the AiBLE™ clinic.

Step 03

Pre-Bend the Rods

UNiD™ rods are manufactured to the approved alignment plan.

Step 04

Navigate

The Stealth AXiS™ system helps execute the plan precisely.

Step 05

Confirm

LiveAlign™ tracking helps confirm the plan in real time.

Step 06

Review

Post-operative data is reviewed against the planned result.

What makes UNiD ASI different

Planning, manufacturing, navigation, and learning are connected around the approved surgical plan.

AI-Driven

Predictive models project compensatory changes in unfused spinal segments for adult deformity, pediatric, and degenerative procedures.

Concierge Surgical Planning

Dedicated engineers deliver complete surgical plans, including alignment goals, predictive models, and corresponding rod shape.

Patient-Specific Rods

UNiD™ rods are designed from the approved plan, providing a precise intraoperative template.

Longitudinal Data

The GAiTEWAY™ platform aggregates data across cases to identify trends and support continued refinement.

AiBLE™ Connectivity

Connected systems help surgeons plan, execute, reconcile, and analyze within one technology ecosystem.

Clinical evidence at a glance.

According to Medtronic’s published postoperative data analysis, UNiD™ rods are associated with a lower incidence of rod fracture compared with historic International Spine Study Group (ISSG) data.

Rod fracture rate — adult deformity (>5 levels)

9%18 of 200
Historic ISSG data
2.2%10 of 453
UNiD™ rod data

Rod fracture rate — cases involving a PSO

22%11 of 50
Historic ISSG data
4.7%6 of 127
UNiD™ rod data

Figures reflect Medtronic’s published comparison of UNiD™ rod postoperative data against historic International Spine Study Group datasets with comparable parameters. These are device-level data, not Dr. Hobbs’s individual outcomes, and individual results vary.

Why choose Dr. Hobbs for complex and deformity surgery

Deformity & Alignment ExpertiseSpecialty-trained in correcting complex spinal deformities and restoring spinopelvic alignment.
Predictive PlanningUses AI-driven planning and patient-specific rods to translate the plan into a precise result.
Image-Guided NavigationPairs UNiD rods with StealthStation navigation for exceptional intraoperative accuracy.
Board-Certified NeurosurgeonBoard-certified by the American Board of Neurological Surgery.
Elite TrainingUniversity of Chicago neurosurgery residency, serving as chief resident; now a clinical associate in the university’s Department of Neurosurgery.
Lakeshore Bone & Joint InstitutePracticing at Northwest Indiana’s most preferred orthopedic and spine practice.

Frequently Asked Questions About UNiD Rods

UNiD rods are spinal rods designed individually for each patient and industrially pre-bent before surgery to match an AI-driven preoperative surgical plan. The plan is created with Medtronic's UNiD Adaptive Spine Intelligence (ASI) software to precisely align the patient's spine. Dr. Hobbs uses them to achieve more accurate, durable correction in complex and deformity spine surgery.
Manually contouring a rod in the operating room is difficult to do precisely. In a study by Sardi et al., experienced surgeons asked to hand-bend rods to set angles overbent by an average of about 17.5 to 20.2 degrees, but when they used a template they came within roughly two degrees of the target. UNiD rods are pre-bent to the surgical plan, giving the surgeon a precise template to reproduce the planned alignment.
Sagittal alignment is one of the most dominant radiographic predictors of patient outcomes. Achieving harmonious alignment of key spinopelvic parameters — such as the sagittal vertical axis (SVA), pelvic incidence/lumbar lordosis mismatch (PI-LL), and pelvic tilt (PT) — is a central goal of spinal deformity surgery, and patients whose postoperative alignment falls within normative ranges tend to have better outcome scores.
According to Medtronic's published postoperative data analysis, UNiD rods are associated with a lower incidence of rod fracture. In adult deformity cases of more than five levels, UNiD rods showed a fracture rate of 2.2% (10 of 453 patients) versus 9% (18 of 200) in a comparable International Spine Study Group dataset. In cases involving a pedicle subtraction osteotomy (PSO), the reported rate was 4.7% versus 22%. These are device-level data, and individual results vary.
UNiD patient-specific rods are used in complex spine procedures where restoring alignment is critical, including adult spinal deformity, scoliosis, and complex degenerative conditions. Dr. Hobbs determines whether patient-specific rods are appropriate based on each patient's anatomy, alignment, and surgical goals.
Yes. Jonathan G. Hobbs, M.D. uses Medtronic UNiD patient-specific rods, pre-contoured to each patient's planned alignment with predictive planning software, to support precise and durable correction in complex and deformity surgery. He practices at Lakeshore Bone & Joint Institute, with offices in Crown Point & Chesterton, Indiana.
Yes. In 2026, Jonathan G. Hobbs, M.D. combined Medtronic UNiD patient-specific rods with Carlsmed aprevo TLIF interbody cages in a two-level (L4–S1) lumbar fusion at Northwest Health – Porter in Valparaiso, Indiana, the first two-level fusion in the United States to pair the two technologies. The rods were manufactured to the approved alignment plan before surgery rather than bent by hand in the operating room. Becker's Spine Review reported the case on September 28, 2026.
In an October 9, 2026 interview with Becker's Spine Review, Dr. Hobbs said patient-specific rods and cages are a way to translate a detailed preoperative alignment plan into the final construct, with precision and reproducibility as the goal, and that conventional, manually contoured rods remain effective in experienced hands. He described the evidence as early and largely industry-supported, said access should depend on clinical need rather than ZIP code, and called for measured adoption with rigorous follow-up. Read the coverage.

Planning Complex Spine Surgery?

If you're facing spinal deformity or complex fusion surgery, ask Dr. Hobbs how patient-specific rods and AI-driven planning can help achieve a precise, lasting correction. Call today to schedule a consultation.

(219) 250-5010

Monday – Friday · 8:00 AM – 4:30 PM

Crown Point Office

500 E. 109th Avenue
Crown Point, IN 46307

Chesterton Office

601 Gateway Boulevard
Chesterton, IN 46304

Your next step

Discuss your spine care with Dr. Hobbs

Jonathan G. Hobbs, M.D. is a board-certified neurosurgeon at Lakeshore Bone & Joint Institute. For questions about medtronic unid™ patient-specific rods, call the office to arrange an individual evaluation and discuss which options may be appropriate.

Consultation offices: Crown Point, Chesterton. Your symptoms, examination, imaging, and prior treatment help guide the discussion.

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