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Globus Medical previews an implant designed in software and placed by its robot, Q3 due November 5

FDA-cleared but not yet for sale, SCRIPT was previewed at NASS on October 14; its plans import straight into the ExcelsiusGPS robot. With Q3 results due November 5, the earnings test is whether US spine keeps taking share while the robotics business works through its leasing shift.

Richard TangRichard Tang · 2 min read
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Globus Medical's Excelsius surgical ecosystem: the ExcelsiusGPS robot at left, with Excelsius3D imaging, Excelsius Flex and the ExcelsiusHub navigation tower at right
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Globus Medical's Excelsius ecosystem. A SCRIPT plan designed in software imports directly into the ExcelsiusGPS robot (left) or the ExcelsiusHub navigation tower (right), the unbroken software-to-robot path the company previewed at NASS 2026.

Globus Medical+0.36% — Globus Medical, up 0.36 percent today has put its first patient-specific spinal implant on display, and the interesting part is not the implant. It is the plumbing behind it. SCRIPT, previewed this week at the North American Spine Society meeting in San Antonio, is FDA-cleared but not yet for sale. The company is showing that a surgeon's plan now flows, unbroken, from software to robot. 1

The plan now imports straight into the robot

In SCRIPT Studio, the surgeon controls alignment, implant position, geometry and fixation, essentially designing the implant for that one patient. The plan then imports directly into ExcelsiusGPS, Globus's surgical navigation robot, or ExcelsiusHub. That makes Globus's robot and implant a single product rather than two purchases. 1

Lock-in is the point, and the proof is still owed

That matters for the investment case. Globus's growth rests on US spine taking share, which it did again in Q2 with 7% growth, its fifth straight quarter above the market. 3 Its enabling-technologies reported sales fell 26% on the shift to leasing even as unit deployments grew 25%, a transition the company frames as strategic rather than lost demand. 4

Q2 spine grew 7% while leasing hid 25% more robot deployments

-40-2002040US spine revenue growth7Enabling-tech reported sales-26Enabling-tech unit deployments25
Data
Value
US spine revenue growth7
Enabling-tech reported sales-26
Enabling-tech unit deployments25
Percent change, Q2 FY2026 year over year, as reported by Globus Medical. The enabling-tech sales decline reflects the shift to flexible leasing models; deployment growth is measured in units, not dollars.3,4

A patient-specific implant is a way to deepen a surgeon's dependence on that ecosystem, at more revenue per case, against Medtronic−0.92% — Medtronic, down 0.92 percent today and Stryker−0.52% — Stryker, down 0.52 percent today, the two largest diversified spine competitors. The XLIF Prone positioner and MaXcess Air retractor announced alongside SCRIPT extend the same packaging of positioning, access and execution. 1 If SCRIPT commercializes well, it should deepen that tie; whether it also translates into pricing power is a hypothesis no source has tested yet, and it depends on launch terms Globus has not disclosed.

Globus Medical's NASS 2026 booth graphic for the XLIF Prone Procedural Solution, the prone positioner framed by the ExcelsiusGPS robot and imaging
The XLIF Prone Procedural Solution, announced alongside SCRIPT at NASS 2026: the new prone positioner with the ExcelsiusGPS robot and imaging arranged around it, per the company's booth graphic. · Globus Medical via LinkedIn

No launch date, no pricing, no forecast

The open link is commercialization. The company has given no launch date, no pricing and no revenue expectation, so this is a suite demo until a surgeon's schedule proves otherwise. 1

What to watch on November 5

Q3 results land after market close on November 5, against consensus of roughly $792 million in revenue and $1.20 in adjusted EPS, up modestly from $769 million and $1.18 a year ago. 3 The lock-in thesis needs two things in that print: US spine growth holding its above-market pace, and a sign the robotics business is past its leasing transition. If both show, the SCRIPT bet starts to look like a growth story rather than a trade-show display.

Q3 consensus of $792 million would top last year's $769 million by about 3%

  • Revenue
  • Estimate
$0M$500M$1,000MQ1 '24Q3 '24Q1 '25Q3 '25Q1 '26Q3 '26E$789.61M
Data
Revenue
Q1 '24$606.67M
Q2 '24$629.69M
Q3 '24$625.71M
Q4 '24$657.29M
Q1 '25$598.12M
Q2 '25$745.34M
Q3 '25$769.05M
Q4 '25$826.42M
Q1 '26$759.85M
Q2 '26$789.61M
Q3 '26E (estimate)$792M
Quarterly revenue in $ millions as reported in Globus Medical's SEC filings. Q3 2026 is the analyst consensus ahead of the November 5 report, not a company figure. Year-over-year comparisons through mid-2024 are inflated by the NuVasive merger.3,5

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