A cadaver gives you one case, once. Train the same spine procedure until it is right.
RealSpine is a cadaver independent spine surgery training platform for the OEMs who train reps and surgeons and the programs who train residents. Same spine, same pathology, as many attempts as it takes. Designed and produced in Germany, now sold and supported in the US.
See the platform before you read another word.
Realists' own 2026 film: the platform, the cartridges, a surgeon's hands on it. Then the rest of this page will make more sense.
Explore the platformThe cadaver lab has a ceiling.
Everyone who runs one knows its limits.
One case per specimen.
A specimen gives you one procedure. If the screw goes in wrong, there is no second try on that spine.
Booked months out.
Lab days get scheduled months ahead and are over in an afternoon. Anyone who needed one more attempt waits for the next date, and a product launch waits with them.
A different spine every time.
No two specimens match, so no two reps and no two residents work the same case. A standard curriculum, across a residency or across sales regions, is impossible.
RealSpine gives your team the same spine, the same pathology, and as many attempts as it takes.
One family. Three product lines and Deformity, each complete on its own.
Rebuilt for 2026. Every model ships with its own base and works on its own. Add cartridges, modules and pathologies as your program grows, and train with your own instruments.
One pump drives five anatomies.
Bleeding starts on cue from the Fluid Pumping System and resets for the next attempt. Lumbar and cervical models, each on its own base, with variable bone density, ligament tension and tissue resistance.
Build the full construct from modules.
The full spine in true dimensions, built for robotics and navigation. Three spans, each a module that works on its own.
Deformity has its own line.
Lenke 1 and Lenke 3 as standard curves, plus patient specific models configured from preoperative imaging. A separate product with its own base.
RealImaging
Real time, radiation free visualization of anatomy and instrument position on an iPad. Launching in the US at NASS 2026. Add Apple Vision, an optional upgrade, to explore the 3D anatomy in an immersive spatial environment.
Which one are you?
Each page below is written for one buyer and answers that buyer's questions.
Train your reps and your surgeons on the same spine, in every region.
Rep training, surgeon education and product launches on one platform. A rep in Phoenix works the same case as a rep in Boston, and a launch never waits for a lab date.
How OEMs use RealSpineGive every resident the same case, and let them repeat it.
The same case for every resident, on a Tuesday at 4 pm if that is when you have the room, and a second attempt for the one who missed the step.
How programs use RealSpineA Realists lab that is ready when your team is.
A fully equipped lab in Dallas, Texas, where you bring the team and the instruments and we handle everything else, with no specimen logistics on your side.
Visit a RealLabSurgeons have already put their hands on it.
RealSpine is an excellent training model. It feels like operating a real patient.
Dr. Roger HärtlWeill Cornell Medicine, New York
RealSpine is such an excellent model, especially for training and education of spine surgery. This is expected to significantly ease the hassle of the expensive cadaver course for minimally invasive spine surgery, especially in the endoscopic field.
Prof. Dr. Jin-Sung Luke KimDirector of Minimally Invasive and Endoscopic Spine Surgery, Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea
See it with your own hands.
Greg Rhinehart runs Realists USA from Columbus, Ohio. Book a demo and he will tell you which of your training days RealSpine can take over, and which ones it cannot.
Greg Rhinehart
Introducing Realists into the US spine industry allows us to provide a standardized training platform that produces a consistent and realistic training program for all spine procedures.
Every US demo, in person or online, is run by Greg.
Thanks, there. Greg has your request.
He replies by email with available times, in person at your site or online, your call. If you would rather write to him directly: grhinehart@realistsusa.com.
Tell Greg what to bring (optional)
Your request goes to Greg Rhinehart at Realists USA. Nothing else, nobody else.
Latest from Realists.
Realists opens US operations and launches a dedicated American website ahead of NASS 2026
Realists USA now sells and supports RealSpine from Columbus, Ohio, with a website built for American spine programs.
Meet Realists in a private suite at NASS 2026
Thirty minutes away from the show floor to operate on RealSpine 2026 and see the US launch of RealImaging.
Realists rebuilds its spine surgery simulation portfolio for 2026 and launches in the United States
One platform, three product families, an expanded Deformity line, and Realists USA, Inc.
Questions we get before the demo.
What exactly are we buying?
You acquire the RealSpine platform once, then add cartridges, modules, and pathologies as your needs grow.
Can we use our own instruments?
Yes. Bring the instruments your team already uses. If you need a set for the session, Realists can rent instruments.
Which parts of the spine does it cover?
One platform across the spine, from cervical to sacroiliac, including deformity, with new pathologies added as cartridges and modules.
Where can we see RealSpine in the US?
Book a demo with Greg Rhinehart, or meet the team in a private suite at NASS 2026 in San Antonio, October 14 to 17.
Who supports us in the US?
Realists USA, Inc. in Columbus, Ohio, led by Greg Rhinehart, with product and engineering from Realists in Leipzig, Germany.
Real training begins where compromise ends.
Thirty minutes with Greg, in person or online, and you will know whether RealSpine fits your program.
Book a Demo