Nexus Spine vs CupCalc
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
Nexus Spine
This medical application assists surgeons in spinal fixation procedures by providing guidance on screw insertion angles. It offers a tool to help ensure accurate placement during surgery. Further usage instructions are available on the developer's website.
- Screw insertion angle guidance
- Spinal fixation procedures
- Surgical assistance tool
- Accuracy enhancement
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This app helps surgeons check screw insertion angles for application in spinal fixation procedures. For instructions on how to use the app visit: www.nexusspine.com/presson/support.
CupCalc
This medical reference calculator assists orthopaedic surgeons and trainees in total hip arthroplasty by applying published mathematical formulas to compute acetabular cup targets. It provides detailed calculations based on pelvic incidence, sacral slope, and femoral mobility, with all data traceable to peer-reviewed literature.
- Acetabular cup target computation
- Pelvic incidence and sacral slope analysis
- Femoral mobility classification
- Functional anteversion and inclination targets
- Safe zone plot with CSI thresholds
- Exportable PDF planning summary
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CupCalc — Spinopelvic Planning Reference CupCalc is an educational reference calculator for orthopaedic surgeons and trainees performing total hip arthroplasty. It applies published mathematical formulas to compute mobility-specific acetabular cup targets based on pelvic incidence, sacral slope, and femoral mobility classification. The calculations in CupCalc are derived entirely from peer-reviewed literature. No proprietary algorithms. No black-box outputs. Every number traces back to a published source — accessible within the app. What CupCalc calculates: — Functional anteversion and inclination targets referenced to either the anterior pelvic plane or standing AP radiograph — Standing and sitting sacral slope with delta sacral slope mobility classification — Pelvic femoral angle (standing and sitting) — Anterior pelvic tilt correction for anatomic landmark guidance — Safe zone plot with CSI thresholds — Exportable PDF planning summary with full reference list Built on the published work of: Bodner, Dorr, Heckmann, Stefl, Kanawade, Wan, and colleagues whose research established the framework for functional spinopelvic planning in THA. For Fellows: CupCalc is free for 12 months for active arthroplasty fellows through the Fellow Access program. Apply within the app — program verification is handled automatically via e-mail. Privacy: CupCalc does not collect, store, or transmit protected health information. Do not enter patient-identifying information into any field. Anonymous case labels only. CupCalc is an educational reference tool intended for use by qualified medical professionals. It performs published mathematical formulas and presents results for independent professional evaluation. It does not provide surgical recommendations, replace clinical judgment, or constitute medical advice. Not a medical device. Not cleared by the FDA. All clinical decisions remain the sole responsibility of the treating surgeon. Terms of Use (EULA): https://www.apple.com/legal/internet-services/itunes/dev/stdeula/
Screenshots
Verdict
The clearest difference is in-app purchases: Nexus Spine at none against CupCalc's 2. Nexus Spine also leads on iOS requirement (12.0 vs 15.1). CupCalc's advantage is update cadence (fortnightly vs every 2 months). On price, rating, ratings volume and ads there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. CupCalc sells 2 in-app purchases, starting at $12.99 per year. Nexus Spine asks for nothing beyond the download.
On the App Store both sit at effectively the same score — 5.0 for Nexus Spine against 5.0 for CupCalc. Both are backed by a comparable volume of ratings — 2 and 1 respectively.
Nexus Spine ships an update every 2 months, CupCalc fortnightly. The most recent releases landed on November 3, 2026 and October 31, 2026 respectively.
| Parameter | Nexus Spine | CupCalc |
|---|---|---|
| Price | Free | Free |
| Rating | 5.0 (2 ratings) | 5.0 (1 ratings) |
| Number of ratings | 2 — better | 1 |
| Update frequency | Every 2 months | Fortnightly — better |
| Ads | No | No |
| In-app purchases | No — better | Yes |
| Monetization | Free — better | Free with in-app purchases |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Requires iOS | 12.0 — better | 15.1 |
| Further details — not scored | ||
| Size | 42 MB | 42 MB |
| Age rating | 4+ | 4+ |
| Developer | Nexus Orthopaedics L.L.C. | Zekko LLC |
In-app purchases
Nexus Spine
No in-app purchases
CupCalc
- CupCalc Express1 Year trial$12.991 Year
- CupCalc Pro1 Year trial$19.991 Year









