Nuvasive launches 3d printed modulus xlif titanium spine. Get nuvasive s xlif medtronic dlif other lateral fusion pdf file for free from our online library pdf file. Cervical corpectomy cage provides enhanced stability. Conference paper pdf available march 2016 with 351 reads. Jan 20, 2015 extreme lateral interbody fusion xlif society of lateral access extreme lateral interbody fusion xlif. Xlif extreme lateral interbody fusion is a minimally invasive surgical procedure where the spine is approached from the side of the body to. 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.
Nuvasive investor relations investor overview nuvasive inc. Resources nuvasive is dedicated to providing continued support and resources to patients and surgeons from preop to postop. The approval furthers the companys ability to participate in the japanese market, adding the xlif approach to the cervical and posterior products. By entering this way, major muscles of the back are avoided. Lessinvasive lateral lumbar interbody fusion xlif surgical.
The xlif surgical technique is different, however, because it incorporates two systems developed by nuvasive. Spine extreme lateral interbody fusion xlif neurodiagnostics. Over 400 published clinical studies support the procedure, documenting positive clinical. The extreme lateral interbody fusion xlif technique is a minimally disruptive surgical procedure performed through the side of the body. Additionally, xlif avoids retraction of internal organs and major blood vessels as is necessary in the conventional anterior surgical approach alif to reach the. Nuvasive extends its leadership as lateral spine technology.
Nuvasiver announces first patients in japan treated with. To date, advantages of minimal invasive llif, compared with open procedures, has been limited to early postoperative outcomes and complications, with the longest mean follow. Outpatient and ambulatory surgery centers are regularly utilized for procedures with lowrisk profiles and minimal need for extended postoperative observation, but little has been reported in lumbar spinal fusion producers. Biomechanical evaluation of a standalone lumbar interbody. Clinical benefits xlif is the only lateral approach procedure proven by over 10 years of clinical evidence. Nuvasive launched three new lateral solutions allowing surgeons to perform lateral singlepositions surgery. Mansfield, ma button fixation for anterior cruciate ligament reconstruction is. Alif minimally invasive xlif lateral interbody technique electronic supplementary material the online version of this article doi. A novel expandable titanium vertebral body replacement vbr provides enhanced stability following a corpectomy procedure.
The better way back spinetrack registry reach your height find a surgeon surgeons nuvasive is committed to continued. Apr 06, 2010 nuvasive letter re 510k neuro vision jjb system, dated oct. The extreme lateral interbody fusion xlif procedure, like any other surgical procedure, has certain potential risks and complications associated with it. Patients the better way back provides hope, support, and information to patients suffering from chronic back, leg, and neck pain. 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. Nuvasive letter re 510k neuro vision jjb system, dated oct. Using nerve monitoring technology, the surgeon gains lateral side access. 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. Lumbar interbody fusion is a surgical technique that attempts to eliminate. Xlif surgical technique study guide flashcards quizlet.
Xlif the industry changing procedure continues to transform patients lives, transform surgical practices, and transform hospitals ability to provide superior, bestincare patient results. This procedure is characterized by the use of a tubular retractor to minimize tissue damage and realtime neuromonitoring to ensure safe passage through the psoas muscle. During a plif posterior lumbar interbody fusion procedure, the damaged disc is removed from between two vertebrae in the lower back the lumbar region. Nuvasive letter re 510k ins1 intraoperative nerve surveillance system, dated nov. Japan oks nuvasives reline spine fixation system massdevice. Download fulltext pdf extreme lateral interbody fusion xlif. Records if the nerve fires while already in the surgical site if nerve gets hit twitch test 4 stimulations to test level of anesthetic used. A reproduced with permission from nuvasive, san diego, ca. Spinal fusion techniques including anterior lumbar interbody fusion alif have been used to alleviate chronic low back pain and segmental instability. Aug 22, 2017 get nuvasive s xlif medtronic dlif other lateral fusion pdf file for free from our online library pdf file. Nuvasive letter re 510k guided arthroscopy system, dated oct. Surgical outcome and related complications in an academic center.
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. The extreme lateral interbody fusion xlif corpectomy technique is a minimally disruptive surgical procedure performed through the side of the body. During a plif posterior lumbar interbody fusion procedure, the damaged disc is removed from between two vertebrae in. Xlif procedure minimally disruptive procedure for spine surgery. Nuvasive extends porous peek interbody to tlif, plif. Larger cage height than tlif but not quite xlif or alif pack graft into entire disc space multiple levels, single incision with time equivalent or faster than. Lateral alif, xlif crestline and lateral mas fixation. Lateral lumbar interbody fusion minimally invasive. Endobutton surgical technique pdf the surgical technique of endobutton acufex microsurgical, inc. Direct lateral interbody fusion transpsoas approach dlif surgical technique instrument set 2 preoperative planning 7 nimeclipse spinal system needle electrode placement 8 patient positioning 10 localization 12 dissection to the psoas neuromonitoring through the psoas 14 dilation 16 retractor placement 16 disc preparation 19 trialing 23. Extreme lateral interbody fusion xlif society of lateral access extreme lateral interbody fusion xlif. The current main techniques of posterior lumbar interbody fusion plif surgery all incorporate a supplementary intervertebral implant. The new 3dprinted, fully porous device provides a differentiated offering for the companys flagship xlif procedure, highlighting a continued commitment to innovation in developing firstofitskind technology to support its leading lateral spine procedure. Information you read on this website cannot replace the relationship that you have with your healthcare professional.
The mis lif procedure has been described previously. The nerves of the lumbar plexus reside within the psoas, and the technique. 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. 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. For the lateral approach, the system can be integrated with the nuvasive xlif procedure to perform singleposition surgery for multilevel cases.
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. Impacted cages made of titanium, carbonfiber reinforced or plain peek polymer polyetheretheketone. 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. A corpectomy with corpus meaning body, and ectomy meaning remove is an effective procedure where the vertebral body and the adjoining discs are removed. Nuvasive has also developed other products to support the xlif procedure, such as the xlp lateral plate. Mas plif maximum access surgery the nuvasive maximum access surgery mas plif procedure is a minimally disruptive approach to traditional back surgery. Particular attention is given to indications, surgical technique, advan. Mar 10, 2016 download fulltext pdf extreme lateral interbody fusion xlif. 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.
Unlike traditional back surgery, lateral lumbar interbody fusion xlif is performed through the patients side. All nonsterile devices must be cleaned and sterilized before use. Nuva said today that its planning a launch later this year for its reline posterior fixation system in japan, after winning shonin approval there. The nerves of the lumbar plexus reside within the psoas, and the technique is dependent upon realtime electromyographic monitoring. 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. Assessment and classification of subsidence after lateral. Nuvasive introduces alif retractor for lateral, supine. A probe is inserted through the incision, and the surgeon uses a combination of 3d xray imaging and live nerve monitoring to safely guide the probe to the proper position. What is our minimally invasive extreme lateral interbody fusion xlif.
The procedure, called xlif extreme lateral interbody fusion, involves a lateral, or side, approach to spine. 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. Extreme lateral interbody fusion xlif exposure showing safe and reproducible path to spine with maxcess retractor and coroent interbody spacer xlif is typically used to treat leg or back pain caused by degenerative disc disease. The access driver allows 2 different points of attachment. Nuvasive offers 3 lateral solutions for lateral single. The discussion of xlif includes indications, surgical technique, postoperative care, possible complications, and outcomes. Larger cage height than tlif but not quite xlif or alif pack graft into entire disc space multiple levels, single incision with time equivalent or faster than xlif possible l5s1 option approx. One particular risk in the xlif approach is to the lumbar plexus. A lateral side approach is made safe with the use of nerve monitoring technology nvjjbm5 from nuvasive, inc. Xlif potential risks and complications spinehealth. Using the alif access system for the supine approach delivers enhanced imaging and direct visualization of the spine as well as access from the lateral decubitus position. The xlif technique is a minimally disruptive surgical procedure performed through the side of the body. 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.
Threaded cylindrical cages made of titanium, cortical allograft donor bone or synthetic bone. Two analyses were undertaken, an examination of patient characteristics to determine predictors of early. The october 5, 2018, clearance came less than three months after the company submitted its request. The surgeon begins by making one small incision in the patients side. Xlif is a safe and reproducible approach with minimal disruption, making postop recovery easier for the patient. Nuvasive launches lessray radiationreducing surgical. 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. In this list are all medical devices registered by the ministry of health that are produced by the manufacturer nuvasive, inc.
Nuvasives lateral portfolio expansion enables surgeons to treat pathologies from t6 to s1, delivering efficient and predictable clinical outcomes. The better way back spinetrack registry reach your height find a surgeon surgeons nuvasive is committed to. The extreme lateral interbody fusion xlif corpectomy technique is a minimally disruptive surgical procedure performed through the side of the. The nuvasive xcore mini cervical expandable vbr system is indicated for use in the cervical spine area c3c7 vertebral bodies in skeletally mature patients in order to replace a diseased or damaged vertebral body caused by tumor, fracture, or. Xlif is the foundation on which nuvasive is built, and the lateral alif access system empowers the surgeon to take xlif to another level by incorporating a singleposition protocol for a better. It is designed to treat a range of spinal pathologies. Possible risks and complications associated with the xlif include but are not limited to. Nuvasive fights back walter eisner mon, december 7th, 2009. The body of literature regarding xlif compared to both open and minimally. Nuvasive has also developed other products to support the xlif procedure, such as the. Apr 24, 2015 alif minimally invasive xlif lateral interbody technique electronic supplementary material the online version of this article doi.
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