DSS HPS™ is designed to combine modern, rigid spinal fixation with a topping-off option. It results in less stress on adjacent segments and a reduced risk of developing adjacent segment disease, which causes new symptoms after spine surgery. The key element, the DSS® coupler, is the most efficient coupler available on the market and has been clinically proven in about 5,000 cases all around the world. The combination of the coupler with tulip screws and rods makes the Hybrid Performance System the most versatile and universal system available on the market, allowing for mono- and multi-level fusions. The low-profile, high-quality polyaxial screws and ergonomic instruments enable fast and optimal implant positioning and deformity correction techniques.