Predictika · Spine system construct orders

An AI sales agent's spine construct order, checked before it goes out

An AI sales agent prepares an order for a posterior spinal construct built from the RESPONSE 5.5/6.0mm system: pedicle screws, rods, hooks, cross connectors and large set screws. Before it goes out, the agent sends it to Predictika, which checks it against a declarative model of the system's published rules and returns a verdict, every reason and the figures it computed.

Scope: RESPONSE 5.5/6.0mm posterior construct orders: indication, approach, screw sizes, rods, hooks, cross connectors and set screws. See everything this validator covers

This validator models construct orders for the RESPONSE 5.5/6.0mm spine system, not just the scenarios shown below.

  • Indication and approach — the system is for posterior, non-cervical fixation; pedicle screws in children are indicated for adolescent idiopathic, neuromuscular and congenital scoliosis in the US, and for adolescent idiopathic scoliosis outside the US.
  • Screws, rods and hooks — the diameter and length must be a catalog size for the screw type (some sizes are optional and need a person to confirm availability); 600 mm rods are optional; closed hooks belong to the 5.5mm-only system, are not sold in the US and go with the 5.5mm rod.
  • Cross connectors and set screws — fixed cross connectors come in even sizes from 14 to 36 mm and link two rods; screw body extensions must not be stacked; one large set screw is needed for each pedicle screw and open hook, and the quote's stated count is compared with that.

Any RESPONSE 5.5/6.0mm construct order that touches these rules is in scope — not only the scenarios pictured here. Not covered: prices (OrthoPediatrics does not publish a price list, so this validator produces no price build-up or line-item quote), the 5.5mm-only system's own parts lists, other OrthoPediatrics systems, instruments and clinical judgment. This is an order-consistency check, not clinical advice.

The AI sales agentBuilds the construct order from the conversation and says it is ready.
Predictika validatorChecks every rule at once and returns the verdict, each finding, and the computed figures.

7 scenarios in 3 groups · each group runs from the agent’s first attempt to the outcome · click one to switch

What the agent proposes

The AI sales agent says

Illustrative agent statement. The validator receives the structured request below.

Proposing agent: AI sales agent (scripted)

Before sending, the agent must call Recorded run

Predictika validator


      
Waiting for the call.

Where rules-based CPQ gets it wrong

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Our assessment of what a typical rules-based CPQ (product rules, price rules and validation rules, as in Salesforce CPQ) does with the same cases. It is a judgment about effort and reliability, not a claim that nothing can be built.

What the validator caughtTypical rules-based CPQPredictika
A screw diameter and length that is not in the catalogOnly with care
Sizes differ by screw type and diameter, so the allowed lengths are a table of combinations that must be built and kept up to date.
The diameter, length and screw type are in one request and the combination is checked against the catalog together.
Optional sizes that need a person to confirmOnly with workarounds
Standard and optional sizes need separate lists and different outcomes, one blocking and one asking for approval.
Standard sizes pass, optional sizes ask for approval and anything else blocks, all from the same request.
Closed hooks: not in the US, 5.5mm rod onlyOnly with care
The hook type, the region and the rod diameter sit on different lines, so each needs a cross-line rule.
Region, hook type and rod diameter are checked together, and each broken rule is reported.
A cross connector with fewer than two rodsOnly with care
The rule depends on the rod quantity on a different line from the cross connector.
The cross connector and the rod quantity are in one request and compared on every call.
Set screw count that must match screws and open hooksOnly with workarounds
The needed count is a total across two lines and the stated figure is a free-entry field, so someone has to write and maintain the comparison.
The needed count is computed on every call and compared with the figure the quote states.
Every problem returned in one answerOnly with workarounds
Rules tend to fire as the order is saved or a step is completed, so a rep often fixes one error and meets the next.
All findings come back together, whatever order the choices arrived in.

What this validator catches: findings from its test cases

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Every rule is checked on every call, in any order the choices arrive; one problem never hides another. Blocking findings stop the quote; approval findings need a person to sign off; everything else is computed.

1In the US, pedicle screw fixation in pediatric patients is indicated only for adolescent idiopathic, neuromuscular and congenital scoliosis; the quote has a different indication.
2Outside the US, pedicle screw fixation in pediatric patients is indicated only for adolescent idiopathic scoliosis; the quote has a different indication.
3The RESPONSE 5.5/6.0 system is intended for posterior fixation; the quote uses an anterior approach.
4The RESPONSE 5.5/6.0 system is intended for the posterior, non-cervical spine; the quote is for the cervical spine.
5The diameter and length (60 mm) on the quote are not a catalog size for the selected pedicle screw type.
6The diameter and length (45 mm) on the quote are not a catalog size for the selected pedicle screw type.
7The diameter and length (40 mm) on the quote are not a catalog size for the selected pedicle screw type.
8The screw size on the quote (90 mm) is listed as optional in the catalog, not in the standard set; a person should confirm availability with OrthoPediatrics.
9The screw size on the quote (110 mm) is listed as optional in the catalog, not in the standard set; a person should confirm availability with OrthoPediatrics.
10The diameter and length (47 mm) on the quote are not a catalog size for the selected pedicle screw type.
11Closed hooks belong to the 5.5mm-only system, which is available only outside the United States.
12Closed hooks belong to the 5.5mm-only system, which has its own screw, set screw and connector lists; a person should confirm those parts.
13Closed hooks belong to the 5.5mm-only system and are used with the 5.5mm rod; the quote has a 6.0mm rod.
14Fixed cross connectors come in even sizes from 14 to 36 mm; the quote has 37 mm.
15Fixed cross connectors come in even sizes from 14 to 36 mm; the quote has 12 mm.
16A cross connector links two rods, but the quote has fewer than two rods (rods on the quote: 1).
17Screw body extensions must not be stacked; the quote has 2 extensions on a screw.
18The quote states 16 large set screws, but one is needed for each pedicle screw and open hook, which is 18.
19The quote states 19 large set screws, but one is needed for each pedicle screw and open hook, which is 18.
20600 mm rods are listed as optional in the catalog; a person should confirm availability with OrthoPediatrics.

Scenarios and results

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The recorded result of the validator for each scenario on this page: the request the AI agent sent, the verdict, and every finding, in the order they appear above.

1. Screw size and set screws: A construct with a 6.0 mm x 60 mm screw and set screws that miss the hooks

The agent's request. Please quote a posterior construct for a US pediatric patient with adolescent idiopathic scoliosis (posterior approach): 16 polyaxial pedicle screws of 6.0 mm x 60 mm, 2 open hooks, 2 x 6.0 mm titanium rods of 500 mm and 2 fixed 24 mm cross connectors. The quote states 16 large set screws. It is ready to send.

Verdict: Blocked.

  • Screw size not in the catalog. The diameter and length (60 mm) on the quote are not a catalog size for the selected pedicle screw type.
  • Stated set screws differ from the quote. The quote states 16 large set screws, but one is needed for each pedicle screw and open hook, which is 18.

2. Screw size and set screws: The agent resubmits after fixing the errors

The agent's request. Please quote a posterior construct for a US pediatric patient with adolescent idiopathic scoliosis (posterior approach): 16 polyaxial pedicle screws of 6.0 mm x 55 mm, 2 open hooks, 2 x 6.0 mm titanium rods of 500 mm and 2 fixed 24 mm cross connectors. The quote states 18 large set screws. It is ready to send.

Verdict: Allowed.

  • Order summary. Pedicle screws 16, hooks 2, rods 2, cross connectors 2; large set screws needed 18.

3. Closed hooks and rods: A construct with closed hooks, a 6.0 mm rod and one rod for two cross connectors

The agent's request. Please quote a posterior construct for a US pediatric patient with adolescent idiopathic scoliosis (posterior approach): 14 polyaxial pedicle screws of 5.0 mm x 45 mm, 4 closed hooks, one 6.0 mm titanium rod of 500 mm and 2 fixed 26 mm cross connectors. The quote states 14 large set screws. It is ready to send.

Verdict: Blocked.

  • Closed hooks not sold in the US. Closed hooks belong to the 5.5mm-only system, which is available only outside the United States.
  • Closed hooks need the 5.5mm rod. Closed hooks belong to the 5.5mm-only system and are used with the 5.5mm rod; the quote has a 6.0mm rod.
  • Cross connector needs two rods. A cross connector links two rods, but the quote has fewer than two rods (rods on the quote: 1).

4. Closed hooks and rods: The agent resubmits after fixing the errors

The agent's request. Please quote a posterior construct for a US pediatric patient with adolescent idiopathic scoliosis (posterior approach): 14 polyaxial pedicle screws of 5.0 mm x 45 mm, 4 open hooks, one 6.0 mm titanium rod of 500 mm and 2 fixed 26 mm cross connectors. The quote states 18 large set screws. It is ready to send.

Verdict: Blocked.

  • Cross connector needs two rods. A cross connector links two rods, but the quote has fewer than two rods (rods on the quote: 1).

5. Closed hooks and rods: The agent resubmits after fixing the errors

The agent's request. Please quote a posterior construct for a US pediatric patient with adolescent idiopathic scoliosis (posterior approach): 14 polyaxial pedicle screws of 5.0 mm x 45 mm, 4 open hooks, 2 x 6.0 mm titanium rods of 500 mm and 2 fixed 26 mm cross connectors. The quote states 18 large set screws. It is ready to send.

Verdict: Allowed.

  • Order summary. Pedicle screws 14, hooks 4, rods 2, cross connectors 2; large set screws needed 18.

6. Optional sizes: A construct with an optional 90 mm screw and 600 mm rods

The agent's request. Please quote a posterior construct for a US pediatric patient with adolescent idiopathic scoliosis (posterior approach): 18 polyaxial pedicle screws of 7.0 mm x 90 mm, 2 open hooks, 2 x 6.0 mm titanium rods of 600 mm and 2 fixed 24 mm cross connectors. The quote states 20 large set screws. It is ready to send.

Verdict: Needs approval.

  • Optional screw size to confirm. The screw size on the quote (90 mm) is listed as optional in the catalog, not in the standard set; a person should confirm availability with OrthoPediatrics.
  • Optional 600 mm rod to confirm. 600 mm rods are listed as optional in the catalog; a person should confirm availability with OrthoPediatrics.
  • Order summary. Pedicle screws 18, hooks 2, rods 2, cross connectors 2; large set screws needed 20.

7. Optional sizes: The agent resubmits after fixing the errors

The agent's request. Please quote a posterior construct for a US pediatric patient with adolescent idiopathic scoliosis (posterior approach): 18 polyaxial pedicle screws of 7.0 mm x 100 mm, 2 open hooks, 2 x 6.0 mm titanium rods of 500 mm and 2 fixed 24 mm cross connectors. The quote states 20 large set screws. It is ready to send.

Verdict: Allowed.

  • Order summary. Pedicle screws 18, hooks 2, rods 2, cross connectors 2; large set screws needed 20.

Narration transcript

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The text of the narrated walkthrough, step by step.

  1. Welcome to a demo of Predictika's Validator. An AI sales agent prepares an order for a posterior spinal construct built from the RESPONSE 5.5/6.0mm system: pedicle screws, rods, hooks, and more. Before it goes out, the agent sends it to Predictika, which checks it against a declarative model of the system's published rules and returns a verdict, every reason and the figures it computed.
  2. I will start with the first request by the agent.
  3. The agent says. Please quote a posterior construct for a US pediatric patient. The quote states 14 large set screws. The rest of the request is on screen.
  4. Before it goes out, the agent calls the validator.
  5. Blocked, with three findings, all in one answer. Closed hooks belong to the 5.5mm-only system, which is available only outside the United States. Closed hooks belong to the 5.5mm-only system and are used with the 5.5mm rod; the quote has a 6.0mm rod. A cross connector links two rods, but the quote has fewer than two rods (rods on the quote: 1).
  6. The validator returned three blocking findings in one answer. A check that reads one field at a time would pass most of this; it shows only when the choices in the quote are checked against each other.
  7. What this shows: for a cross connector with fewer than two rods, a rules-based CPQ is error-prone for this.
  8. Now the agent resubmits.
  9. The corrected request. It changes the hooks to 4 x open and the stated large set screws to 18.
  10. It calls the validator again.
  11. Still blocked, with one finding, all in one answer. A cross connector links two rods, but the quote has fewer than two rods (rods on the quote: 1).
  12. Two findings cleared. Still blocking: cross connector needs two rods.
  13. The agent resubmits once more.
  14. The revised request. It changes the rods to 2 x 6.0 mm titanium rods of 500 mm.
  15. It calls the validator once more.
  16. This time the validator clears it.
  17. The earlier finding is cleared.
  18. Three problems caught in one call, fixed in two passes, and a clean quote. That is the value of Predictika's validator: catching mistakes before they reach the customer. Now you can try the other scenarios yourself.