Monaco Pedicle Screw System Market Introduction

West Chester, PA – January 15, 2018 – Altus Spine, a leader in the development and
innovation of medical devices used in spinal correction surgery, announces the FDA
clearance and market introduction of the Monaco Pedicle Screw System. The system, that
is based on a low profile screw head design, is used to stabilize the spine during noncervical
pedicle fixation and targeted to correct deformities of the lumbar spine.

The Monaco Pedicle Screw System provides the market with a low profile screw head,
manufactured from Cobalt Chrome, that accommodates Ø5.5 & Ø6.0mm Cobalt Chrome
and Titanium Alloy Rods. The unique design of the thread yields minimal to no wear debris
during rod reduction and final tightening. The screw head and Locking Cap thread design
deters splay along with the Cobalt Chrome material stiffness. This combination has proven
that Monaco splays less than other similar and larger screw heads currently on the
market. The bone screw thread design combines a single to dual lead thread design with a
dual core diameter optimizing thread purchase with superior thread purchase. Straight and
curved Cross Links are also available in range of sizes and can be easily assembled via a
top-down technique. The implants are paired with a streamlined set of instruments
designed to provide intra-operative flexibility.

The Monaco Pedicle Screw System includes: Pedicle Screws (Ø4.5-Ø9.5mm; 30-120mm
lengths), Straight and Curved Cobalt Chrome and Titanium Alloy Rods, Straight and
Curved X-Connectors, and Locking Caps, along with the required instrumentation to
implant. The screw head maintains position which eliminates fiddle factor during surgery by
allowing the rods to be easily implanted into the screw heads. Indicators are marked on the
screw head and Locking Caps to identify the insertion position to eliminate cross threading
and makes starting the Locking Caps easy.

First surgeries were completed at NYU Langone Orthopedic Center, by Dr. Anthony
Petrizzo, DO and Dr. Aaron Buckland, MD. Dr. Petrizzo commented, “Screws are well
designed with everything I need for straight forward degenerative and complex deformity
cases.” He further added, “Ergonomically designed instrumentation with a wide array of
tools to optimally secure the construct, the system will perform well in a variety of
situations.”

Indications
The Monaco Pedicle Screw System is intended to provide immobilization and stabilization
of spine segments as an adjunct to fusion in the treatment of acute and chronic
instabilities or deformities of the thoracic, lumbar, and sacral spine.

Altus Spine
Based in West Chester, PA, Altus Spine is dedicated to creating the next generation of
medical devices. Altus strives to improve patient care by designing and manufacturing
products to meet the highest standards in an ever changing and evolving
field. Implemented and used by over 100 hospitals across the United States, Altus is
among the fastest growing spinal implant companies in the world. For additional
information, or to inquire about distribution opportunities, please visit www.altusspine.
com.

Forward Looking Statements
All statements made in the above press release, with the exception of historical fact, may
be forward-looking statements that include risk, uncertainty, and assumptions. These
factors could cause Altus Spine’s results to differ from those predicted if they do not occur
as expected. These uncertain factors include, but are not limited to: acceptance and
clearance of the company’s surgical products and procedures, development of new
products and procedures, innovations and alterations to existing products and
procedures, clinical and statistical verification of the success using Altus Spine’s products,
company’s ability to maintain and monitor inventory as it releases new products, its ability
to hire and retain personnel, and any other risks stated in prior or subsequent news
releases. All risks and potential complications can be found in our most recent 510(k)
report from the Food and Drug Administration (FDA). Given the constantly changing
market, readers are encouraged to not place undue reliance on forward-looking
statements. Altus Spine assumes no obligation to update forward-looking statements as
these changes occur, or as events and circumstances are altered, after the date they are
posted.