San diego, ca 92121 pcm the cervical disc system instructions for use rx only. The surgical technique provides surgeon partners reproducible results. Xlif surgical technique study guide flashcards quizlet. Mar 01, 20 read the role of the minimally invasive extreme lateral interbody fusion procedure for complex spinal reconstruction. Patients the better way back provides hope, support, and information to patients suffering from chronic back, leg, and neck pain. The extreme lateral interbody fusion xlif procedure like any other surgical procedure has certain potential risks and complications associated with it possible risks and. Download fulltext pdf extreme lateral interbody fusion xlif. Reimbursement questions nuvasive reimbursement guide the nuvasive reimbursement guide contains current spine arthrodesis procedure codes and descriptions, medicare drg and apc payment. Unlike traditional open scoliosis surgery, the minimally invasive extreme lateral interbody fusion xlif is performed through a small incision, allowing the surgeon to complete the operation without causing undue trauma to the spine or surrounding spinal elements. Additionally, xlif avoids retraction of internal organs.
Surgical access system and related methods nuvasive, inc. We then made a flank incision on the left side and inserted the cannulas in the retroperitoneal space all the way to the disc spaces at the l45 and l34 level. The xlif technique can be utilized for access to the anterior column of the thoracic and thoracolumbar spine. Get nuvasive s xlif medtronic dlif other lateral fusion pdf file for free from our online library pdf file. Operative technique and literature overview of the lateral access. The mis lif procedure has been described previously. Apr 06, 2010 a surgical access system including a tissue distraction assembly and a tissue retraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of and. Reimbursement nuvasive is dedicated to offering resources for healthcare professionals seeking a better understanding of coding, coverage, and payment related to our technologies and therapies. Nuvasive portfolio now includes alif retractor platform. Shawn odriscoll, md, phd mayo foundation, ken yamaguchi, md washington university, barnes jewish hospital graham king, md, msc university of western ontario 2 table of contents table.
Description the osteomed spine primalok sp interspinous fusion system is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion of the thoracic, lumbar andor sacral spine. The goal of minimally invasive spine surgery is to decrease operative time. Reimbursement questions nuvasive reimbursement guide the nuvasive reimbursement guide contains current spine arthrodesis procedure codes and descriptions, medicare drg and apc payment values, relevant. Start studying xlif surgical technique study guide. The extreme lateral interbody fusion xlif corpectomy technique is a minimally disruptive surgical procedure performed through the side of the body. Jan 19, 2019 amaryl lids to download pdf you need some things, like my website and the name of the file. The alif access is nuvasive s first maximum access surgery alif retractor platform for both lateral and supine spine surgery. Coding xlif l34 and l45 with facet fusion l34 and l45. Nuvasive portfolio now includes alif retractor platform for lateral and supine approaches alif access aligns with companys focus on singleposition surgery. During a plif posterior lumbar interbody fusion procedure, the damaged disc is removed from between two vertebrae in. This surgical technique offers guidance but, as with any such technique guides each surgeon must consider the particular needs of each patient and make appropriate clinical decisions as required. Lateral alif, xlif crestline and lateral mas fixation. Unlike traditional back surgery, lateral lumbar interbody fusion xlif is performed through the patients side.
In the first stage, multilevel lif was performed using the nuvasive extreme lateral interbody fusion system. Nuvasive extends its leadership as lateral spine technology. Nuva said today that its planning a launch later this year for its reline posterior fixation system in japan, after winning shonin approval there. Nuvasive launched three new lateral solutions allowing surgeons to perform lateral singlepositions surgery. The system can be used to treat fractures, fusions, and.
Primalok sp is a bilateral locking plate system which attaches. Jun 05, 2012 the present invention is directed at a novel surgical access system and related methods which involve creating a distraction corridor to a surgical target site, thereafter retracting the distraction corridor to establish and maintain an operative corridor to the surgical target site, and optionally detecting the existence of and optionally the. Surgical outcome and related complications in an academic center. Lateral lumbar interbody fusion presented by spinenevada. The present invention is directed at a novel surgical access system and related methods which involve creating a. Jan 25, 20 the xlif technique can be utilized for access to the anterior column of the thoracic and thoracolumbar spine. Our technique is applicable from t34 through t1112 from either side of the chest cavity, and we used a readily available retractor system nuvasive xlif system without modifications. Pdf extreme lateral interbody fusion xlif researchgate. Endobutton surgical technique pdf the surgical technique of endobutton acufex microsurgical, inc.
Miniopen anterior retroperitoneal lumbar interbody fusion. Nuvasive extends porous peek interbody to tlif, plif. Nuvasives lateral portfolio expansion enables surgeons to treat pathologies from t6 to s1, delivering efficient and predictable clinical outcomes. Read the role of the minimally invasive extreme lateral interbody fusion procedure for complex spinal reconstruction. The extreme lateral interbody fusion xlif corpectomy technique is a minimally disruptive surgical procedure performed through the side of the.
Based on the concept of minimally invasive spinal surgery, the retroperitoneal lateral. Biomechanical evaluation of a standalone lumbar interbody. The nerves of the lumbar plexus reside within the psoas, and the technique is dependent upon realtime electromyographic monitoring. A method of accessing a surgical target site within a spine, comprising. The cages were 50, 55, or 60 mm in length lateral dimension, 18 or 22 mm in width anterior to posterior, and 8, 10, or 12 mm in height.
Advanced materials science ams through advanced materials science, nuvasive strives to develop proprietary surface and structural technologies to enhance the osseointegration and biomechanical properties of surgical materials. The role of the minimally invasive extreme lateral interbody. The x360 system, powered by surgical intelligence, includes xlif, xalif, and xfixation. Conference paper pdf available march 2016 with 351 reads. Nuvasive is a world leader in minimally invasive, procedurally integrated spine solutions. Videoassisted thoracoscopic surgery combined with a. Nuvasive s lateral portfolio expansion enables surgeons to treat pathologies from t6 to s1, delivering efficient and predictable clinical outcomes. The extreme lateral interbody fusion xlif procedure like any other surgical procedure has certain potential risks and complications associated with it possible risks and complications associated with the xlif include. The xlif approach allows for anterior access to the disc space without an approach surgeon or the complications of an anterior intraabdominal procedure. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Mansfield, ma button fixation for anterior cruciate ligament reconstruction is. Japan oks nuvasives reline spine fixation system massdevice. Reproduced with permission from nuvasive, san diego, ca.
The extreme lateral interbody fusion xlif technique is a minimally disruptive surgical procedure performed through the side of the body. Lateral alif, xlif crestline and lateral mas fixation here are five takeaways. Anterior lumbar interbody fusion alif is the technique commonly used to. Mar 10, 2016 download fulltext pdf extreme lateral interbody fusion xlif. Extreme lateral interbody fusion xlif exposure showing safe and reproducible path to spine with maxcess retractor and coroent interbody spacer. The nerves of the lumbar plexus reside within the psoas, and the technique. This minimallyinvasive procedure is generally used to treat leg or back pain caused by degenerative disc disease.
Technique 2 a lowprofile version of the allinone for inserting and compressing separate instruments are used for provisional locking and final locking select this technique when using 4mm and 6mm implants t3 technique 3 this is the most decoupled version of each instrument and surgical step. Clinical benefits xlif is the only lateral approach procedure proven by over 10 years of clinical evidence. Due to the devices failure, a screw was implanted near a nerve in a womans spine causing even more more pain. It is designed to treat a range of spinal pathologies. For the lateral approach, the system can be integrated with the nuvasive xlif procedure to perform singleposition surgery for multilevel cases. Nuva said today it launched its lessray software platform designed to reduced exposure to radiation in hospital operating rooms. Nuvasiver announces first patients in japan treated with the xlifr surgical technique. Severe coronal deformity correction with a modification of the. Nuvasive extends its leadership as lateral spine technology innovator with new lateral singleposition surgery procedure. Assessment and classification of subsidence after lateral. The materials on this website are for your general educational information only. Lateral interbody fusion combined with open posterior. Nuvasive introduces alif retractor for lateral, supine.
Xlif potential risks and complications spinehealth. San diego, ca 92121 pcm food and drug administration. They describe the technique for disc herniations between t5 to t10 only, and the approach in all cases was from the right side. Information you read on this website cannot replace the relationship that you have with your healthcare professional. Multicomponent instrument assemblies must be disassembled prior to cleaning. Nuvasive launches lessray radiationreducing surgical software. The alif access is nuvasives first maximum access surgery alif retractor platform for both lateral and supine spine surgery. Nuvasive is the only medical device company to offer porous interbody technology across both peek cohere and coalesce and titanium. A surgical access system including a tissue distraction assembly and a tissue retraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of and optionally the distance andor direction to neural structures before, during, and after the establishment of an operative corridor to a surgical target site. A corpectomy with corpus meaning body, and ectomy meaning remove is an effective procedure where the vertebral body and the adjoining discs are removed.
Nuvasiver announces first patients in japan treated with. Pdf anterior and posterior approaches for lumbar interbody fusion can. By entering this way, major muscles of the back are avoided. Spinal fusion techniques including anterior lumbar interbody fusion alif have been used to alleviate chronic low back pain and segmental instability. Our sales force is achieving deeper penetration in our accounts and further establishing nuvasive as a technology leader in the spine industry. Nuvasive portfolio now includes alif retractor platform for. Xlif is typically used to treat leg or back pain caused by degenerative disc disease. Lnk lumbar interbody fusion cage system surgicaltechnique. Xlif is the only lateral approach procedure proven by over 10 years of clinical.
Nuvasive offers 3 lateral solutions for lateral single. Feb 26, 20 nuvasiver announces first patients in japan treated with the xlifr surgical technique. The better way back spinetrack registry reach your height find a surgeon surgeons nuvasive is committed to continued. Lateral lumbar interbody fusion minimally invasive. Aug 22, 2017 this are a summary of resource articles related to nuvasive s xlif medtronic dlif other lateral fusion file id title status looppdfserialno nuvasive s xlif medtronic dlif other lateral fusion download looppdfserialno nuvasive s xlif medtronic dlif other lateral fusion free looppdfserialno nuvasive s xlif medtronic dlif other lateral. Coding xlif l34 and l45 with facet fusion l34 and l4.
Prone singleposition extreme lateral interbody fusion proxlif. The integration of these procedures into a single system allows for significant time savings through the use of modern, less invasive techniques performed with the patient in lateral throughout the entire surgery. The advantages of this minimally invasive technique include avoidance of the need for an access surgeon and for lung deflation during surgery. Extreme lateral interbody fusion xlif is a relatively new technique whereby access to the disc space is achieved through a minimally invasive lateral, retroperitoneal, transpsoas approach. Oblique lateral interbody fusion for lumbar spinal. From complex spinal deformity to degenerative spinal conditions, nuvasive is transforming spine surgery with innovative technologies designed to deliver reproducible and clinically proven surgical outcomes. The october 5, 2018, clearance came less than three months after the company submitted its request. Additionally, xlif avoids retraction of internal organs and major blood vessels as is necessary in the conventional anterior surgical approach alif to reach the spine. The advantages of this minimally invasive technique include avoidance of the need for an access surgeon and for lung deflation during surgery as well as excellent visualization of the spinal pathology. Learning curve of the surgical technique of xlif takao nakajima 1, yong kim 2, masabumi miyamoto 3 dept. Over 400 published clinical studies support the procedure, documenting positive clinical. Resources nuvasive is dedicated to providing continued support and resources to patients and surgeons from preop to postop. Please refer to the pcm surgical technique manual for stepbystep.
All patients underwent interbody xlif fusion at one level and posterior procedures at one or more levels. Mas plif maximum access surgery the nuvasive maximum access surgery mas plif procedure is a minimally disruptive approach to traditional back surgery. By accessing the spine from the side of the body, xlif lateral lumbar interbody fusion eliminates the debilitating effects of cutting back muscles, removing bone, and retracting the neural elements that are typically experienced after a conventional posterior surgical approach plif. Ensure that all the nuvasive instruments necessary for implantation are available in intact andor sterile condition. Lateral lumbar surgery is typically used to treat leg or back pain caused by degenerative disc disease.
1221 666 700 1413 824 406 1225 1337 713 1221 1319 972 933 1141 779 1301 608 242 383 27 1318 426 1514 31 1414 964 673 527 1440 392 404 652 680 325 1327 1155 1327 1229 789 163