alif surgical technique pdf

SURGICAL TECHNIQUE Patient positioning For an anterior approach to the lower lumbar levels position the patient in a slight Trendelenburg position. invasive techniques that minimize approach-related compli-cations and patient morbidity. The procedure may be performed either as an open surgery or using minimally invasive techniques. Apache™ Anterior Lumbar Interbody Fusion Surgical Technique INDICATIONS: When used as an intervertebral body fusion device, the Genesys Spine Interbody Fusion System is indicated for intervertebral body fusion of the lumbar spine, from L2 to SI, in skeletally mature patients who have had six months of non-operative treatment. Kim KT, Lee SH, et al. These The system is comprised of: A PEEK optima cage surrounded by a titanium jacket . Proper surgical procedure is the responsibility of the medical professional. Adjunctive Posterior Stabilization 10 7. SYNMESH™ Surgical Technique DePuy Synthes 13 4. 10 Anterior Lumbar Interbody Fusion Rick C. Sasso, A. Kirk Reichard, and Shenil Shah Historical Background Anterior lumbar interbody fusion (ALIF) was first used AQ1 in the treatment of tuberculosis and lumbar spondylolis-thesis.1−3 Although described by Capener4 in 1932 as the “ideal’’ operation for spondylolisthesis, he further elab- Locking Screw 10 6. The DLIF procedure is different from other interbody fusion techniques in that to approach the spine, the surgeon makes a small incision in the skin of the patient’s side. The technique(s) actually employed ... 32-2210 10mm ALIF Distractor Bullet 32-2212 12mm ALIF Distractor Bullet 32-2214 14mm ALIF Distractor Bullet 32-2216 16mm ALIF Distractor Bullet … XLIF is one relatively new technique that appears to accomplish this goal. Information in the booklet may not apply to your condition, treatment, or outcome as surgical techniques vary with Surgical Technique for Zavation IBF (ALIF) Step 1 Surgical approach to the disc (anterior) Expose the midline of the intervertebral disc to position the center of the implant on the vertebral midline. The goal anterior lumbar interbody fusion (ALIF). Eur Spine J (2006) 15: 1352–1359 DOI 10.1007/s00586-006-0100-5 ORIGINAL ARTICLE Vincent Arlet Liang Jiang Harvesting local cylinder autograft Thomas Steffen from adjacent vertebral body for anterior Jean Ouellet Rudy Reindl lumbar interbody fusion: surgical technique, Max Aebi operative feasibility and preliminary clinical results Received: 23 July 2005 Abstract … Surgical technique 3 System overview The Aero-AL anterior lumbar interbody and fixation system is designed for use in anterior lumbar interbody fusion procedures . Nucleus Removal: 1. ANTERIOR LUMBAR INTERBODY FUSION Technique: Impacted ALIF Often, additional fi xation is achieved with posterior pedicle screws; however, the ideal solution would be to have anterior supplemental rigid fi xation device that helps provide immediate fi xation, which obviates the need for a second surgical procedure. Anterior Lumbar Interbody Fusion as a Salvage Technique for Pseudarthrosis following ... Fusion of the affected segments is influenced by surgical technique including end plate preparation, by patient factors ... ALIF as a Salvage Technique for Pseudarthrosis Mobbs et al. Mobbs RJ, Phan K, Daly D, et al. Anterior lumbar interbody fusion (ALIF) has become a widely recognized surgical technique for degenerative pathology of the lumbar spine. DOI: 10.1016/J.SPINEE.2005.08.012 Corpus ID: 20182059; Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Every physician should utilize his or her own discretion in This procedure makes space between the vertebral bodies, relieving pressure and creating more room for spinal nerves to exit. Spine surgeons count on Acuity Surgical's total support approach with the ALIGN System and other premiere evi-denced-based solutions. Implant design and construct review 7 4. (Figure la) Exposure The surgical approach depends on the level to be treated. The surgeon who performs any implant procedure is responsible for determining and using the appropriate techniques for implanting the device in each patient. The surgical approach, based on surgeon preference, determines the implant type. purposes only. lumbar spine to assist with anterior lumbar interbody fusion (R-ALIF). Vault® ALIF System Overview 2 Indications 2 Implant Features 3 Instrument Features 4 Surgical Technique 6 1. Mesh, round, B 15 mm and all oblong meshes Make diagonal or horizontal cuts. ... For implant and instrument parts numbers, as well as implant dimensions, refer to the S128 System Surgical Technique manual. The Cloward procedure did not gain immediate favor because of fairly high nonunion rates (30-40%). In this procedure, the surgeon works on the spine from the front (anterior) and removes a spinal disc in the lower (lumbar) spine. Anterior Lumbar Interbody Fusion (ALIF) Surgery. Working with renowned surgeons from all over the globe that share the same mission to try to do everything to avoid reoperations and strive for fi rst-time-right. For L2-5, because of the usual location of great vessels, a left-sided approach is more accessible. interbody fusion techniques that a surgeon is comfortable with (e.g., MIS-TLIF, LLIF, OLIF, ALIF) for this group of patients as long as segmental lordosis is maintained. It is called an anterior procedure because the An anterior lumbar interbody fusion (ALIF) is performed to remove a large portion of a degenerated disc that is frequently the source of back or leg pain. • Information about surgical treatment of the lumbar spine • ALIF surgical approach • What to expect before and after surgery Receiving medical treatment is individualized to the patient’s anatomy and symptoms. Sizing 6 3. This Paper. Surgical Technique Introduction The Stryker Spine AVS Anchor-L Lumbar Cage System includes a PEEK cage, three titanium bone screws, and a titanium locking plate that will be used together as an interbody fusion device for the lumbosacral spine (L2-S1) . Preoperative Evaluation AP and lateral radiographs, along with CT and MRI images may be needed for planning the side of approach and succession of surgical steps. The technique(s) actually employed in … Proper surgical procedure is the responsibility of the medical professional. Mesh, round, B 10 mm and 12 mm Make diagonal cuts. As a result, this case report will present the surgical technique of Brigade HL is a non-standalone hyperlordotic interbody implant designed to supplement the ALIF ACR surgical procedure, available in 20° and 30°. The ADVANTAGE ALIF device is plasma spray coated with Titanium on the superior and inferior endplate contact surfaces of … Convincing us that EIT Smart Spinal Fusion™ is the next best thing Step 1 • Patient Positioning 1 - 1 The patient is placed in a supine position on a radiolucent operating table. The goal of the study was to determine the effectiveness and safety of a novel technique in which the da Vinci S Surgical Robot (Intuitive Surgical Inc., Sunnyvale, CA, USA) was used in the dissection of the ventral lumbar spine to assist with anterior lumbar interbody fusion (R-ALIF). crest. 2. The following surgical technique describes a one-level anterior lumbar interbody fusion (ALIF) procedure using the OIC™ AL PEEK Spacer with a left sided anterior approach. The Oblique Lateral Interbody Fusion (OLIF) Procedure provides spine surgeons with a complete minimally invasive solution for the treatment of degenerative lumbar conditions. This price tag associated with this could range between $5,000 – $10,000 USD. The final expenses that you can expect can be calculated with help from your physician. These expenses will include a special back brace, any pain medications that will be needed, and possibly anti-biotic medicine for after your procedure. together with OLIF and ALIF. the device is intended for use at either one or two contiguous levels elucidating the surgical corridor used for modern L5-S1 OLIF. Operative techniques are furnished as an informative guideline. (Figure la) Exposure The surgical approach depends on the level to be treated. As surgeons become more proficient in the operation and as surgical technique is refined, sensory dysesthesias and psoas trauma associated with the procedure are becoming less prevalent. Potential Risks and Complications with ALIF Surgery. There is a major risk that is unique to the ALIF approach. The procedure is performed in close proximity to the large blood vessels that go to the legs . Damage to these large blood vessels may result in excessive blood loss. Quoted rates in the medical literature put this risk at 1% to 15% ... Stand-alone ALIF may be a suitable surgical option in carefully selected patients that can provide good clinical results and adequate fusion rates without the need for posterior instrumentation. Anterior lumbar interbody fusion (ALIF) is one of the surgical procedures for the relief of chronic back pain, radiculopa-thy and neurogenic claudication in patients with degenerative lumbar spine disease that is refractory to conservative therapy, low … Remove enough disc and anterior longitudinal ligament for the implant to fit properly. A spine fusion is a surgical technique that connects two bones of spine together with new bone. Lastly, scraping the endplates clean of cartilage completes the disc preparation. We performed a retrospective chart review of 11 patients who underwent R-ALIF between 2009 and 2010 at our institution. surgical technique table of contents aliF cage Indications (United States) the rOi-a implant system is indicated for intervertebral body fusion of the lumbar spine, from l2 to s1, in skeletally mature patients who have had six months of non-operative treatment. Each surgeon must evaluate the appropriateness of a technique based on his or her personal medical credentials and experience. Contact data; Contact form @article{Ozgur2006ExtremeLI, title={Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Restore disc height 3. Peng CW, et al. Subsidence following anterior lumbar interbody fusion (ALIF): a prospective study ... Full PDF Package Download Full PDF Package. Patient Positioning 6 2. It has not been found to be limited by approach, cage positioning or facet degeneration. SURGICAL TECHNIQUE A2L ALIF Double Locking Cage Classe IIb TO-A2L-A04 Manufacturer : EUROSPINE SARL 3 Avenue des Dahlias, 94240 L’Hay les Roses, France. Until 1990, the Louis technique of anterior screw fixa-tion for interbody fusion of the L4–5 segment or the lumbosacral junction3 had been our surgical technique of choice for ALIF procedures at the L5–S1 and L4–5 seg-ments. We performed a retrospective chart review of 11 patients who underwent R-ALIF … SURGICAL TECHNIQUE Patient positioning For an anterior approach to the lower lumbar levels position the patient in a slight Trendelenburg position. Fill the ALIF Cage with bone graft material Select the correct size of cage … TEL: +33 1 46 86 60 07 Fax: +33 1 46 86 66 52 Email: company@eurospine.com site: www.eurospine.com The S128 Anterior Lumbar Interbody Fusion (ALIF) System is an internal spinal fixation system comprised of PEEK or Titanium Interbody cages, Titanium screws and Titanium cover plate assemblies. Anterior lumbar interbody fusion (ALIF) has become a widely recognized surgical technique for degenerative pathology of the lumbar spine. Working with renowned surgeons from all over the globe that share the same mission to try to do everything to avoid reoperations and strive for fi rst-time-right. (A) Surgical approaches to the lumbar spine for interbody fusion techniques. Operative techniques are furnished as an informative guideline. Convincing us that EIT Smart Spinal Fusion™ is the next best thing Patients in this group usually have mild to moderate sagittal deformity with SVA between 5–15 cm and pelvic Using additive manufacturing, we have created an ideal trabecular structure for bone … It has only been since the publication of this study and the discovery Spinal fusion has … VAULT™ALIF System Overview 2 Indications 2 Implant Features 3 Instrument Features 4 Surgical Technique 6 1. 7. Surgical technique Surgical technique for anterior lumbar approach . PDF (5.98 MB) ALIF This booklet is designed to inform you about the Anterior Lumbar Interbody Fusion (ALIF) surgical procedure. 15. Determine surgical approach (anterior or anterolateral). 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