Financial Data and Key Metrics Changes - Total global net sales reached $203.4 million, a 6% increase over the prior year, driven by strong performance in US spine and orthopedic segments [13] - Pro forma non-GAAP adjusted gross margin reached 72.1%, up 80 basis points from Q3 2024, driven by the discontinuation of M6 and productivity improvements [15] - Pro forma non-GAAP adjusted EBITDA was $24.6 million, or 12.1% of net sales, with year-over-year margin expansion of 230 basis points [16] - Generated positive free cash flow of $2.5 million, ending the quarter with $65.9 million in total cash [16] Business Line Data and Key Metrics Changes - US spine fixation segment net sales increased 8%, with procedural volume up 10% [5] - US orthopedics grew 19%, marking the fifth consecutive quarter of double-digit growth [9] - Bone Growth Therapies (BGT) achieved $61.2 million in net sales, reflecting 6% growth [15] Market Data and Key Metrics Changes - International spine fixation net sales grew by 86% year-over-year [14] - The US pedicle screw market, valued at approximately $2 billion in 2025, is projected to grow at a steady 4%-5% compound annual growth rate through 2030 [8] Company Strategy and Development Direction - Focus on sharpening commercial execution, improving gross margin, and maintaining disciplined capital allocation [10] - Advancing a data-driven deformity strategy with access to pre-operative planning and patient-specific roads beginning in Q1 of next year [9] - Aiming for a full launch of the Virada Spinal Fixation System in the second half of next year [8] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the ability to deliver strong operational and financial performance through the remainder of 2025 [19] - The company is well-positioned for its next phase of profitable growth with a streamlined product portfolio and optimized commercial channel [10] - Anticipated continued momentum in spine, BGT, and orthopedics businesses supported by a robust innovation pipeline [18] Other Important Information - The company is raising the bottom end of its full-year 2025 pro forma non-GAAP adjusted EBITDA guidance range to $84 million, with an updated range of $84 million-$86 million [17] - The guidance excludes revenue from the discontinued M6 product lines and implies fourth-quarter pro forma net sales will be approximately $219 million [17] Q&A Session Summary Question: Near-term revenue guidance and Q4 expectations - Management indicated that guidance was set appropriately, considering a strong Q4 last year and comparability issues [23] Question: Long-term financial targets for 2027 - Management suggested that growth will be more weighted towards 2027, driven by the full launch of Virada and continued acceleration of TrueLok Elevate [25] Question: Key drivers of strong results in US spine - Management identified three key points: distributor transitions, innovation pipeline, and the success of the 7D technology [32] Question: Q4 free cash flow expectations - Management expects to be free cash flow positive for the second half of 2025 but does not anticipate exceeding last year's Q4 figure [34] Question: Distributor transitions and increases - Management explained that the transition involves both consolidation and expansion of distributors to enhance market presence [37] Question: Clinical validation of TrueLok Elevate - Management expressed confidence in clinical validation efforts and the potential for more studies and publications in the future [40]