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. Nuvasive, san diego, ca, united states, has been introduced. The xlif procedure turning spine surgery on its side when performing xlif back surgery, your surgeon will approach your spine from the side of your body. During a plif posterior lumbar interbody fusion procedure, the damaged disc is removed from between two vertebrae in. We are a medical device company focused on the design, development, and marketing of products. Xlif, lateral approach, interbody fusion, minimally invasive, spinal deformity. The extreme lateral interbody fusion xlif technique is a minimally disruptive surgical procedure performed through the side of the body. 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. Nuvasive portfolio now includes alif retractor platform for lateral and supine approaches alif access aligns with companys focus on singleposition surgery. Japan oks nuvasives reline spine fixation system massdevice. Combined intradiscal insertion tool and intradiscal shim. Simultaneous lateral interbody fusion and posterior percutaneous. Lateral interbody fusion using the xlif system clinical gate. Surgical technique for intramedullary fixation of proximal femoral fractures instruments and implants approved by the ao foundation.
Review of risks and complications of extreme lateral. During a plif posterior lumbar interbody fusion procedure, the damaged disc is removed from between two vertebrae in the lower back the lumbar region. The nerves of the lumbar plexus reside within the psoas, and the technique is dependent upon realtime electromyographic monitoring. This study describes the surgical technique for and presents early clinical validation of an evolutionary approach to nuvasives flagship xlif. This study describes the surgical technique for and presents early clinical validation of an evolutionary approach to nuvasive s flagship xlif procedure, said kyle malone, vice president of. One of the incisions will be made on your side this is the incision from which most of. The oblique lateral interbody fusion olif procedure provides spine surgeons with a complete minimally invasive solution for the treatment of degenerative lumbar conditions. Xlif extreme lateral interbody fusion is a minimally invasive surgical procedure where the spine is approached from the side of the body to replace damaged disc material with an. Feb 05, 2014 the xlif technique is a minimally disruptive surgical procedure performed through the side of the body. The system is designed to provide anterior spinal column support and.
Nuvasive extends its leadership as lateral spine technology. This approach can be performed using two 3 to 4cm incisions. Nuvasive is expanding its lateral procedural solutions with lateral alif anterior lumbar interbody fusion, xlif lateral lumbar interbody fusion crestline and lateral mas fixation, enabling surgeons to treat pathologies from t6s1 for true, lateral singleposition surgery. Lateral access is a safe and reproducible means of addressing certain spine disorders with an approach from the side of the patient, as opposed to an approach from the back posterior or the front anterior. Feb 28, 20 san diego, camarketwire february 26, 20 nuvasive, inc. Biomechanical evaluation of a standalone lumbar interbody. The newly launched system features lowprofile modular implants. Pdf lateral approach spine surgery provides effective interbody stabilization, and. A reproduced with permission from nuvasive, san diego, ca. Nuvasive has received regulatory shonin approval for several products to offer the xlif surgical technique as a minimally invasive option for lumbar spine fusion to.
Extreme lateral interbody fusion xlif exposure showing safe and reproducible path to spine with maxcess retractor and coroent interbody spacer. Case report and discussion of surgical technique extreme lateral interbody fusion xlif. 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 upper hip is extended to facilitate access to the l5s1 disk space. Traditionally, direct anterior or posterior surgical approaches have been employed that take advantage of natural tissue planes and midline orientation.
Lessinvasive lateral lumbar interbody fusion xlif surgical. With the dlif technique, some surgeons have chosen to perform this procedure through a single. The october 5, 2018, clearance came less than three months after the company submitted its request. Inserted through a conventional tlif approach, the tlx interbody implant system provides anterior column stability and restoration of sagittal alignment with up to 15 degrees of customizable lordosis. In searching for ways to improve patient care and reduce operative morbidity there have been many significant improvements in instru mentation and technique. Mas plif maximum access surgery mas posterior lumbar interbody fusion plif is a surgical procedure that was developed to provide spinal stability and help reduce pain in the lower back and lower extremities by using a less disruptive surgical procedure. Building on the concept and technique of minimally invasive spinal approaches, we have developed the extreme lateral interbody fusion xlif, nuvasive, inc. Posterior lumbar interbody fusion plif is a surgical technique that attempts to eliminate instability in the back and pain in the lower back and lower extremities. Nuvasive portfolio now includes alif retractor platform for. An introduction to this booklet is designed to inform you about the maximum access surgery mas posterior lumbar interbody fusion plif surgical procedure.
Were featuring the next development and marketing leaders to give you an inside look into what its like innovating at nuvasive. Lateral approach corpectomy and reconstruction after. Nuvasive is a world leader in minimally invasive, procedurally integrated spine solutions. Some examples of when this procedure is not an option include. Jul 19, 2016 the ornamental design for a combined intradiscal insertion tool and intradiscal shim, substantially as shown and described. Lateral lumbar interbody fusion minimally invasive. Oblique lateral interbody fusion olif achieves effective anterior interbody fusion with mechanisms of indirect decompression, rigid stability, and alignment correction less invasively through a minimally invasive nonpsoassplitting procedure. It is not meant to replace any personal conversations that you might wish to have with your physician or other member of your healthcare team. When the condition is in the lowest levels of the spine l5s1. Nuvasiver announces first patients in japan treated with. The xlif extreme lateral interbody fusion what is lateral access surgery. The nerves of the lumbar plexus reside within the psoas, and the technique. The xlif technique is a minimally disruptive surgical procedure performed through the side of the body. The efficacy of surgical treatment for this condition has been.
The approval furthers the companys ability to participate in the japanese market, adding the xlif approach to the cervical and posterior products. Early complications of extreme lateral interbody fusion in. The technique was first described in 2006 1 and has gained widespread acceptance within the spine community. Xlif is a safe and reproducible approach with minimal disruption, making postop recovery easier for the patient. Additionally, xlif avoids retraction of internal organs. You will be positioned on your side on the surgical table and two small incisions will be made. Nuvasive has received regulatory shonin approval for several products to offer the xlif surgical technique as a minimally invasive option for lumbar spine fusion to patients and surgeons in japan. Nuvasive launches reline mas midline spine implant system. This publication is not intended for distribution in the usa. Nuvasives ceo and chairman alex lukianov held a quickly organized conference call with wall street analysts on november 30 to address questions about the future of reimbursement for the companys xlif extreme lateral interbody fusion procedure. Mas plif maximum access surgery the nuvasive maximum access surgery mas plif procedure is a minimally disruptive approach to traditional back surgery. Using patented nerve monitoring technology, the surgeon gains lateral side access to.
A corpectomy with corpus meaning body, and ectomy meaning remove is an effective procedure where. Nuvasive investor relations investor overview nuvasive inc. Results validating the versatility of nuvasives maxcess. The objective is to analyze the outcomes and clinical results from anterior interbody fusions performed through a lateral approach and compare these with traditional surgical. Pulse brings surgical intelligence to life in the operating room by integrating all of the required technologies for spine surgery into a single platform. A maximum access surgery posterior lumbar interbody fusion mas plif achieves this by using a less disruptive approach to decompress nerve roots and fuse one or more vertebrae together to reduce their motion. Rodgers serves as a consultant to nuvasive, the designers of the xlif procedure. Oblique lateral lumbar interbody fusion ollif scott webb do florida spine institute calusa spine meeting. Nuvasive s xlif medtronic dlif other lateral fusion its immensely important to start browse the introduction section, next towards the short discussion and find out all the topic coverage on this pdf individually. Lumbar interbody fusion is a surgical technique that attempts to eliminate. This single tlf layer anterolaterally merges with the. Pdf understanding retroperitoneal anatomy for lateral approach. Major factors prompted the development of minimally invasive mis extreme lateral interbody fusion xlif.
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. The primary surgeon must be fully experienced with the required spinal fusion techniques, as well as the lateral surgical approach to the spine. With hundreds of thousands xlif surgeries since its inception, the procedure continues to transform patients lives through reduced blood loss. Xlif surgical technique extreme lateral interbody fusion or xlif19,23,24 is a 90degree o. Prone singleposition extreme lateral interbody fusion proxlif. Although xlif can be used to successfully treat these lumbar spine conditions with fusion, it may not be used in all cases. The first innovation we dived into was xlif crestline last month view the interview here, and now were showcasing modulus xlif.
Lateral approach corpectomy is a useful surgical technique for adult spinal deformity with vertebral deformity. Xlif uses a minimally invasive, transpsoas approach to the spine. Spine extreme lateral interbody fusion xlif neurodiagnostics. Morgan 36 annual healthcare conference nuvasive inc. Results validating the versatility of nuvasives maxcess retractor. This section is below the pelvic brim, making surgical access from the side unmanageable. Expandable implants for optimal fusion opportunity. The extreme lateral approach to interbody fusion xlif nuvasive, inc. Nuvasive, inc, san diego, california is a minimally invasive technique. A substantial difference exists between these two techniques olif and xlif in terms of the first.
Less invasive corrective surgery using oblique lateral interbody fusion olif including l5s1 fusion for severe lumbar kyphoscoliosis due to l4 compression fracture in a patient with parkinsons. Using nerve monitoring technology, the surgeon gains lateral side access to the spinal column, avoiding any major nerves in the area between the incision and the column. Data were collected through a prospective registry, with retrospective analysis performed of the first 30 consecutive patients treated with extreme lateral interbody fusion xlif, nuvasive inc. Intended use the nuvasive sage lateral plate system is indicated for use via a lateral or anterolateral surgical approach above the bifurcation of the great vessels in the treatment of thoracic and. Clinical and radiographic outcomes of extreme lateral. Apr 02, 2018 for lateral entry, the lateral alif access system enables singleposition surgery for multilevel cases when integrated with the nuvasive xlif procedure, increasing o. Nuvasive extends its leadership as lateral spine technology innovator with new lateral singleposition surgery procedure nuvasive launches lateral alif, xlif crestline and lateral mas. A novel, fully porous titanium implant created through an additive, 3dprinted manufacturing process.
Lnk lumbar interbody fusion cage system surgicaltechnique. 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. In addition to broad applications in spine surgery, our mas platform has enabled innovative procedures such as extreme lateral interbody fusion, or xlif, which offers advantages over other minimally invasive procedures. By utilizing an oblique lateral approach to the spine, this procedure enables placement of a large interbody graft into the disc space for anterior column support while avoiding obstacles associated with. A corpectomy with corpus meaning body, and ectomy meaning remove is an effective procedure where the vertebral body and the adjoining discs are removed. Adam kanter, md, director of the minimally invasive spine program at upmc presbyterian, narrates a stepbystep video and animation of the xlif extreme lateral interbody fusion spine.
A mas tlif achieves this by using a less invasive approach to fuse one or more vertebrae. Stabilization and arthrodesis of the lumbar spine may be achieved by various surgical approaches. Xlif is the only lateral approach procedure proven by over 10 years of clinical evidence. Xlif is typically used to treat leg or back pain caused by degenerative disc disease. Nuva said today that its planning a launch later this year for its reline posterior fixation system in japan, after winning shonin approval there. Multicomponent instrument assemblies must be disassembled prior to cleaning. Lateral lumbar interbody fusion presented by spinenevada. The xlif, short for extreme lateral interbody fusion, is an approach to spinal fusion in which the surgeon accesses the intervertebral disc space and fuses the lumbar spine low back using a surgical approach from the side lateral rather than from the front anterior or the back posterior. Nuva said today it launched its reline mas midline system designed to treat adjacent segment transition syndrome. Modulus xlif provides a differentiated offering for the nuvasive flagship xlif procedure. Further or efficiencies can be achieved by multitasking during procedures. This is in direct contradistinction to a typical transpsoas approach in which the upper hip is. Surgical outcome and related complications in an academic center. Nuvasive fights back walter eisner mon, december 7th, 2009.
About europe pmc funders joining europe pmc governance roadmap. Nuvasive launches retractor for lateral, supine approaches. One of these techniques, extreme lateral interbody fusion xlif has been. Clinical benefits minimally disruptive, uncompromised surgical goals. Although lateral interbody fusion technique itself is relatively novel, the basic concept is based. About us we use cookies to optimize site functionality and give you the best possible experience. Apr 24, 2015 ozgur bm, aryan he, pimenta l, taylor wr 2006 extreme lateral interbody fusion xlif. Extreme lateral interbody fusion xlif saint camillus. They found comparable surgical duration and length of staylos, but the xlif showed decreased ebl, and greater alignment correction. The oblique lateral interbody fusion olif procedure allows for minimally invasive retroperitoneal access to the lumbar spine for surgeons who want to address degenerative pathologies. Download fulltext pdf extreme lateral interbody fusion xlif. This booklet is designed to inform you about the extreme lateral. Mas tlif maximum access surgery mas transforaminal lumbar interbody fusion tlif is a surgical procedure that was developed to provide spinal stability and help reduce pain in the lower back and lower extremities by using a less disruptive surgical procedure.
Description the primalif liff interbody fusion system is a peek interbody cage system implanted to replace collapsed, damaged, or unstable vertebral discs due to degenerative conditions, tumor or trauma. Feb 26, 20 nuvasiver announces first patients in japan treated with the xlifr surgical technique. Nuvasive clinical services lessray advanced materials science pulse x360 procedures. X360 powered by surgical intelligence preop intraop postop surgical intelligence nvm5 lessray 1 2 3 confirm plan x360 provides significant or time savings3 by keeping the patient in lateral decubitus throughout the entire surgery. Nuva, a medical device company focused on developing minimally disruptive surgical products and procedures for the spine, is proud to announce that the very first extreme lateral interbody fusion xlif procedures were performed yesterday and today at two different hospitals in japan. Nuvasive has also developed other products to support the xlif procedure, such as. Nuvasive extends porous peek interbody to tlif, plif. Nuvasive named this procedure as xlif extreme lateral interbody fusion designing an. Llif is a minimally invasive lumbar fusion technique with excellent surgical. Nuvasive launches brigade lateral orthopedics this week. Pdf less invasive corrective surgery using oblique lateral. 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. Nuvasive is a leading medical device company focused on transforming spine surgery with minimally disruptive, procedurallyintegrated solutions.
It is designed to treat a range of spinal pathologies. Minimally invasive extreme lateral transpsoas approach to. The expedium spine system incorporates technique simplifying designs, including a state of the art internal closure mechanism and a comprehensive set of implants designed in harmony with the instruments, which maximise performance and meet the challenge of even the most difficult pathologies. After the incision, all the surgical steps were identical to the standard procedure. Multilevel extreme lateral interbody fusion xlif and. Premier pediatric posterior fixation system optimized to treat early onset scoliosis with competitively sized pediatric implants.
Lumbar interbody fusion is a surgical technique that attempts to eliminate instability in the back. Aug 22, 2017 nuvasive s xlif medtronic dlif other lateral fusion migfkfbdpx pdf subject. Spinal fusion techniques including anterior lumbar interbody fusion alif have been used to alleviate chronic low back pain and segmental instability. Over 400 published clinical studies support the procedure, documenting positive clinical outcomes such as reduced blood loss, less time in the o. Place an auxiliary roll, bean bag or other device underneath the patients greater trochanter. All nonsterile devices must be cleaned and sterilized before use. Clinical outcome and fusion rates after the first 30. The xlif extreme lateral interbody fusion spine clinic. The extreme lateral interbody fusion xlif corpectomy technique is a minimally disruptive surgical procedure performed through the side of the body.
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