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The EVEREST Degenerative Spinal System is a top-loading polyaxial pedicle screw system with the ability to accommodate titanium and cobalt chrome rods of two different diameters. The dual-lead thread pattern allows for faster insertion and demonstrates increased pullout strength. [1] The mixed-metal (Ti/CoCr) tulip minimized head splay and demonstrated improved biomechanical performance when tested against an all-titanium alloy screw. [2]