Interspinous fusion devices. (a) CD Horizon spire (Medtronic, Memphis, TN, USA), (b) Aspen (Lanx, Inc., Broomfield, CO, USA), (c) Prima LOK (OsteoMed, Addison, TX, USA), and (d) Axle (X-Spine, Miamisburg, OH, USA) are currently being studied (website).