Based on the concept of minimally invasive spinal surgery, the retroperitoneal lateral. 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 extreme lateral interbody fusion xlif technique is a minimally disruptive surgical procedure performed through the side of the body. Jan 25, 20 the xlif technique can be utilized for access to the anterior column of the thoracic and thoracolumbar spine. Xlif is typically used to treat leg or back pain caused by degenerative disc disease. Severe coronal deformity correction with a modification of the. Reproduced with permission from nuvasive, san diego, ca. Mar 01, 20 read the role of the minimally invasive extreme lateral interbody fusion procedure for complex spinal reconstruction. Multicomponent instrument assemblies must be disassembled prior to cleaning.
The extreme lateral interbody fusion xlif corpectomy technique is a minimally disruptive surgical procedure performed through the side of the body. Lnk lumbar interbody fusion cage system surgicaltechnique. The system can be used to treat fractures, fusions, and. Jan 19, 2019 amaryl lids to download pdf you need some things, like my website and the name of the file. Lateral lumbar interbody fusion minimally invasive. Nuvasive is the only medical device company to offer porous interbody technology across both peek cohere and coalesce and titanium. It is designed to treat a range of spinal pathologies. Mas plif maximum access surgery the nuvasive maximum access surgery mas plif procedure is a minimally disruptive approach to traditional back surgery. Our sales force is achieving deeper penetration in our accounts and further establishing nuvasive as a technology leader in the spine industry. Surgical outcome and related complications in an academic center. Videoassisted thoracoscopic surgery combined with a. 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. Nuvasive portfolio now includes alif retractor platform for. The materials on this website are for your general educational information only.
Nuvasive portfolio now includes alif retractor platform. June 30, 2006, based upon the closing sale price for the registrants common stock on that day as reported by the nasdaq national market. 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. Nuva said today it launched its lessray software platform designed to reduced exposure to radiation in hospital operating rooms. The october 5, 2018, clearance came less than three months after the company submitted its request. Xlif or dlif include minimally invasive access to the. Nuvasive s lateral portfolio expansion enables surgeons to treat pathologies from t6 to s1, delivering efficient and predictable clinical outcomes. Lateral alif, xlif crestline and lateral mas fixation here are five takeaways. 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. 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 extreme lateral interbody fusion xlif corpectomy technique is a minimally disruptive surgical procedure performed through the side of the. 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 xlif technique can be utilized for access to the anterior column of the thoracic and thoracolumbar spine. The nerves of the lumbar plexus reside within the psoas, and the technique. 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. Get nuvasive s xlif medtronic dlif other lateral fusion pdf file for free from our online library pdf file. 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. Nuvasive extends porous peek interbody to tlif, plif. Xlif is the only lateral approach procedure proven by over 10 years of clinical. Primalok sp is a bilateral locking plate system which attaches. Nuvasive launches lessray radiationreducing surgical software. San diego, ca 92121 pcm food and drug administration. Minimally invasive extreme lateral interbody fusion xlif. Pdf anterior and posterior approaches for lumbar interbody fusion can.
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. Biomechanical evaluation of a standalone lumbar interbody. The better way back spinetrack registry reach your height find a surgeon surgeons nuvasive is committed to continued. Mansfield, ma button fixation for anterior cruciate ligament reconstruction is. Learning curve of the surgical technique of xlif takao nakajima 1, yong kim 2, masabumi miyamoto 3 dept. The role of the minimally invasive extreme lateral interbody.
Nuvasive is a world leader in minimally invasive, procedurally integrated spine solutions. Nuvasive extends its leadership as lateral spine technology. Nuvasiver announces first patients in japan treated with. 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. 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. 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. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The x360 system, powered by surgical intelligence, includes xlif, xalif, and xfixation. 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. 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. The mis lif procedure has been described previously. Feb 26, 20 nuvasiver announces first patients in japan treated with the xlifr surgical technique. Clinical benefits xlif is the only lateral approach procedure proven by over 10 years of clinical evidence.
For the lateral approach, the system can be integrated with the nuvasive xlif procedure to perform singleposition surgery for multilevel cases. They describe the technique for disc herniations between t5 to t10 only, and the approach in all cases was from the right side. The xlif approach allows for anterior access to the disc space without an approach surgeon or the complications of an anterior intraabdominal procedure. Coding xlif l34 and l45 with facet fusion l34 and l45. Ensure that all the nuvasive instruments necessary for implantation are available in intact andor sterile condition. The nerves of the lumbar plexus reside within the psoas, and the technique is dependent upon realtime electromyographic monitoring. Information you read on this website cannot replace the relationship that you have with your healthcare professional. Anterior lumbar interbody fusion alif is the technique commonly used to. Lateral lumbar surgery is typically used to treat leg or back pain caused by degenerative disc disease. Lateral interbody fusion combined with open posterior. Pdf extreme lateral interbody fusion xlif researchgate.
Nuvasive extends its leadership as lateral spine technology innovator with new lateral singleposition surgery procedure. Nuva said today that its planning a launch later this year for its reline posterior fixation system in japan, after winning shonin approval there. 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. 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. 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 values, relevant. This minimallyinvasive procedure is generally used to treat leg or back pain caused by degenerative disc disease. Lateral alif, xlif crestline and lateral mas fixation. Using nerve monitoring technology, the surgeon gains lateral side access.
All patients underwent interbody xlif fusion at one level and posterior procedures at one or more levels. Nuvasives lateral portfolio expansion enables surgeons to treat pathologies from t6 to s1, delivering efficient and predictable clinical outcomes. Operative technique and literature overview of the lateral access. The extreme lateral interbody fusion xlif procedure like any other surgical procedure has certain potential risks and complications associated with it possible risks and. The alif access is nuvasives first maximum access surgery alif retractor platform for both lateral and supine spine surgery. Due to the devices failure, a screw was implanted near a nerve in a womans spine causing even more more pain. Conference paper pdf available march 2016 with 351 reads. Miniopen anterior retroperitoneal lumbar interbody fusion. Please refer to the pcm surgical technique manual for stepbystep. Extreme lateral interbody fusion xlif exposure showing safe and reproducible path to spine with maxcess retractor and coroent interbody spacer. Reimbursement questions nuvasive reimbursement guide the nuvasive reimbursement guide contains current spine arthrodesis procedure codes and descriptions, medicare drg and apc payment. In the first stage, multilevel lif was performed using the nuvasive extreme lateral interbody fusion system. We then inserted the cannula with adequate retractors into the l45 disc, removed the disc, and inserted the appropriate cage in position.
Oblique lateral interbody fusion for lumbar spinal. 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. 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. 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. 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. Japan oks nuvasives reline spine fixation system massdevice. Nuvasiver announces first patients in japan treated with the xlifr surgical technique. Xlif surgical technique study guide flashcards quizlet.
Additionally, xlif avoids retraction of internal organs. The present invention is directed at a novel surgical access system and related methods which involve creating a. During a plif posterior lumbar interbody fusion procedure, the damaged disc is removed from between two vertebrae in the lower back the lumbar region. Over 400 published clinical studies support the procedure, documenting positive clinical. The surgical technique provides surgeon partners reproducible results. Xlif potential risks and complications spinehealth. A method of accessing a surgical target site within a spine, comprising. Nuvasive offers 3 lateral solutions for lateral single. Mar 10, 2016 download fulltext pdf extreme lateral interbody fusion xlif. Patients the better way back provides hope, support, and information to patients suffering from chronic back, leg, and neck pain. Coding xlif l34 and l45 with facet fusion l34 and l4. Endobutton surgical technique pdf the surgical technique of endobutton acufex microsurgical, inc. Nuvasive portfolio now includes alif retractor platform for lateral and supine approaches alif access aligns with companys focus on singleposition surgery.
Spinal fusion techniques including anterior lumbar interbody fusion alif have been used to alleviate chronic low back pain and segmental instability. The advantages of this minimally invasive technique include avoidance of the need for an access surgeon and for lung deflation during surgery. Nuvasive introduces alif retractor for lateral, supine. The goal of minimally invasive spine surgery is to decrease operative time. Xlif the industry changing procedure continues to transform patients lives, transform surgical practices, and transform hospitals ability to provide superior, bestincare patient results.
Nuvasive launched three new lateral solutions allowing surgeons to perform lateral singlepositions surgery. Resources nuvasive is dedicated to providing continued support and resources to patients and surgeons from preop to postop. Start studying xlif surgical technique study guide. By entering this way, major muscles of the back are avoided. A corpectomy with corpus meaning body, and ectomy meaning remove is an effective procedure where the vertebral body and the adjoining discs are removed. 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. Assessment and classification of subsidence after lateral. All nonsterile devices must be cleaned and sterilized before use. During a plif posterior lumbar interbody fusion procedure, the damaged disc is removed from between two vertebrae in. Surgical access system and related methods nuvasive, inc. Prone singleposition extreme lateral interbody fusion proxlif. San diego, ca 92121 pcm the cervical disc system instructions for use rx only.1295 1449 654 794 1558 920 911 510 1510 58 123 1495 110 348 1543 1319 392 519 1077 709 1486 245 152 842 232 225 852 1233 417 1417 690 10