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Spinal Balance designs and develops pioneering technologies in the field of spinal care. To achieve this, our team of surgeons and engineers work in synergy to design holistic products that provide turnkey solutions to existing problems in healthcare. One of our main innovations lie in the fact that our implants carry a proprietary implant guard, NT², which has been clinically proven to protect the implants intraoperatively, and thus reducing contamination from users and the surfaces in the sterile field.


To advance patient-care by improving surgical experiences and outcomes while reducing health care costs.”

Code of Ethics

We are committed to maintaining long-term, productive business relationships with every one of our customers. We view each interaction we have with healthcare professionals, patients, and hospitals as an opportunity to demonstrate our integrity. We will not engage in any unethical or illegal conduct as we conduct Company business. We do not disparage or make untrue statements about our competitors’ products or services. Instead, we stress the advantages that we offer and only make accurate and fair comparisons between our offerings and those of our competitors.

Meet Our Leadership

Anand Agarwal, MD

President & CEO, Co-founder, Chairman of the Board of Directors

Dr. Agarwal is an experienced life science business strategist, entrepreneur and well known orthopaedic spine surgeon. Dr. Agarwal brings decades of clinical experience as a world-renowned orthopaedic spine surgeon to the company’s leadership team, and has served as a key resource and guide for various leading medical device companies. Since becoming CEO in 2014, he has focused on leveraging the “No Touch Pedicle Screw” concept technology platform with an emphasis on strong execution and the highest ethical standards. Dr. Agarwal holds approximately 100 US/foreign patents granted/pending.

Vijay K. Goel, PhD

Co-Founder, Board Member, and Chief Technical Officer (CTO)

Dr. Goel is known for his four decades of contributions as a distinguished professor of bioengineering, a globally recognized researcher of spine biomechanics, a mentor to many scientist-clinicians, and a contributor to device development as an industrial advisor and entrepreneur. He has received four life-time achievement awards from four different professional societies for the training of students, residents and fellows, scholarly research, and entrepreneurship.

Arthur Karas, MBA

Co-Founder, Board Member, and Director of US Sales

Mr. Karas has over 15 years of experience as an entrepreneur. Mr. Karas is an accomplished sales, operations, and management professional who is driven to achieve goals and overcome obstacles in today’s competitive environment. He is known for consistently delivering strong and sustainable revenue and profit gains in highly competitive markets. He has been recognized for his strategic planning capabilities and implementation of successful sales and marketing programs and initiatives.