Nuvasive is a world leader in minimally invasive, procedurally integrated spine solutions. This technique is novel in that it can be used to gain access to the lumbar spine via a lateral approach that passes through the retroperitoneal fat and psoas major muscle. Clinical benefits alif anterior approaches, such as in alif, allow access to the discs at the front of the spine and do not require muscle stripping as in posterior approaches. The body of literature regarding xlif compared to both open and minimally. The nuvasive maximum access surgery mas plif procedure is a minimally disruptive approach to traditional back surgery. Setup 6 access 7 midline verification 7 disc removal 7 trial 8 implant placement 9 pilot hole preparation 10 screw placement 11 threaded taper block locking mechanism brigade system 14 catalog 21 instructions for use 23 brigade from nuvasive. Using nerve monitoring technology, the surgeon gains lateral side access. 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. Information you read on this website cannot replace the relationship that you have with your healthcare professional. Xlif the industry changing procedure continues to transform patients lives, transform surgical practices, and transform hospitals ability to provide superior, bestincare patient results. Nov 18, 2010 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 implant between. The x360 system, powered by surgical intelligence, includes xlif, xalif, and xfixation. 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. Using the full mas tm platform from nuvasive maxcess system, neurovision jjb system, and specialized implants outpatient reconstructive spine surgery is now a reality. 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. Nuvasive continues to innovate the xlif procedure today by introducing lateral singleposition approach to surgery and thereby increasing o. The extreme lateral interbody fusion xlif technique is a minimally disruptive surgical procedure performed through the side of the body. Place pillows under the head, between the knees and.
Llif is suitable for conditions that require access to the interbody disc space from t12l1 to l45. Surgical technique lateral accesssurgical considerations xlif the xlif technique described in this guide utilizes a lateral, retroperitoneal, transpsoas approach to access the intervertebral disc. Nuvasives commitment to expandables, new materials and systems elizabeth hofheinz, m. 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. Xlif extreme lateral interbody fusion is a type of minimallyinvasive spinal fusion surgery used to treat lumbar spinal conditions. A surgical technique guide needs to be as precise as the surgery itself.
A video clip of an xlif is provided, and important perioperative considerations are listed in detail. A traditional plif procedure, or posterior lumbar interbody fusion, is performed by making a midline incision in the patients. According to nuvasive, the rmm solution utilises adaptable, streamlined instruments to support both cortical and standard trajectory techniques. The expedium spine system incorporates techniquesimplifying 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. According to nuvasives october 18, 2017 news release, the new 3dprinted, fully porous device provides a differentiated offering for the companys flagship xlif lateral lumbar interbody fusion procedure, highlighting a continued commitment to innovation in developing firstofitskind. The extreme lateral interbody fusion xlif procedure, like any other surgical procedure, has certain potential risks and complications associated with it. Xlif technique is a minimally disruptive surgical procedure performed through the side of the body. By utilizing a direct lateral approach to the spine, this procedure enables placement of a large interbody graft into the disc space for anterior column support while avoiding the. Xlif potential risks and complications spinehealth. Information provided by nuvasive, inc what is lateral access surgery.
The xlif procedure differs from an anterior interbody fusion alif because the surgeon performs the interbody fusion through an incision in the side of the body as opposed to the front of the body. Mas plif a maximum access approach to lower back surgery the nuvasive mas plif procedure is a minimally disruptive approach to traditional back surgery. Clinical benefits minimally disruptive, uncompromised surgical goals. Over 400 published clinical studies support the procedure, documenting positive clinical. One particular risk in the xlif approach is to the lumbar plexus. Nuvasive launches cohere xlif spinal device medical. 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. Using patented nerve monitoring technology, the surgeon gains lateral side access to. The surgical technique is detailed step by step, stressing how to avoid complications.
An alif approach requires the organs in the abdomen and some of the major blood vessels to be moved to the side so that the surgeon can reach the. Alif the xlif procedure differs from an anterior interbody fusion alif because the surgeon performs the interbody fusion through an incision in the side of the body as opposed to the front of the body. A traditional plif procedure, or posterior lumbar interbody fusion, is performed by making a midline incision in the patients back and retracting the attached muscles laterally to the side beyond the. Although llif technique itself is relatively novel, the basic concept is based on traditional. Alif anterior lumbar interbody fusion alif is a surgical procedure used to treat problems such as disc degeneration, spinal instability, and deformities of the spine.
Minimally invasive extreme lateral transpsoas approach to. Xlif is a new and advanced approach to spinal fusion that greatly reduces postop pain and recovery time when compared to traditional methods. 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. Nuvasiver announces first patients in japan treated with. The xlif technique is a minimally disruptive surgical procedure performed through the side of the body. Mas tlif is an efficient and reproducible technique. It is designed to treat a range of spinal pathologies. Our elearning platform contains high resolution images and a certified cme of the extreme lateral interbody fusion xlif nuvasive surgical procedure. Learn the extreme lateral interbody fusion xlif nuvasive surgical technique with step by step instructions on orthoracle. 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. Multilevel extreme lateral interbody fusion xlif and. The oblique lateral interbody fusion olif procedure provides spine surgeons with a complete minimally invasive solution for the treatment of degenerative lumbar conditions. Mas plif is an alternative solution to traditional. Nuvasive investor relations investor overview nuvasive inc.
Nuvasive launches 3dprinted porous titanium implant. The objective of this study was to describe our initial experience with an adaptation of the extreme lateral interbody fusion xlif technique allowing access to the anterior aspect of the thoracic and thoracolumbar spine with specific reference to 1 early pulmonary complications, 2 nonpulmonary complications, and 3 ability of this technique to successfully achieve spinal. The procedure, called xlif extreme lateral interbody fusion, involves a lateral, or side, approach to spine surgery, rather than from the back or front. Conclusion the xlif approach is a safe procedure allowing an approach to the lateral lumbar spine. Sep 08, 2006 interbody fusion with the xlif technique.
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 direct lateral interbody fusion procedure provides spine surgeons with a complete minimally invasive solution for the treatment of degenerative lumbar conditions. The objective of this study was to describe our initial experience with an adaptation of the extreme lateral interbody fusion xlif technique allowing access to the anterior aspect of the thoracic and thoracolumbar spine with specific reference to 1 early pulmonary complications, 2 nonpulmonary complications, and 3 ability of this technique to. The midline approach is simplified with the integration of access, interbody and fixation, while modular screw assembly is confirmed with visual and tactile feedback. Nvm5 was designed to enable a safer trajectory surgical technique. The implant is designed for xlif and lateral singleposition surgery. 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 implant between. Nuvasive launches retractor for lateral, supine approaches. The discussion of xlif includes indications, surgical technique, postoperative care, possible complications, and outcomes. Place an auxiliary roll, bean bag or other device underneath the patients greater trochanter. In a prospective series of 100 patients with adjacent segment degeneration after prior lumbar fusion, rodgers et al. Technique the patient is placed on a flexible surgical table in a true lateral decubitus 90 position so that the patients greater trochanter or iliac crest is directly over the table break. Usngi the balltip driver or the second posterior handle provided in the kit, loosen the kit screws until the toeing pads are completely flush against the. Timberline lateral fusion systemsurgical technique guide 11 step 10 ensure that both toeing pads on the cranialcaudal arms are all the way down at the zero position.
The current report describes a novel, minimally disruptive spine procedure called the extreme lateral interbody fusion or xlif nuvasive, inc. Clinical benefits xlif is the only lateral approach procedure proven by over 10 years of clinical evidence. According to nuvasives october 18, 2017 news release, the new 3dprinted, fully porous device provides a differentiated offering for the companys flagship xlif lateral lumbar interbody fusion procedure, highlighting a continued commitment to innovation in developing firstofitskind technology. Nuvasive recently announced that it has launched its cohere xlif lateral porous peek implant.
Olif25 procedure oblique lateral interbody fusion for l2 to l5 surgical technique as described by. Possible risks and complications associated with the xlif include but are not limited to. Xlif surgical technique guide surgical tech classes. Brigade surgical technique 6 equipment requirements 6 patient positioning and o. 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. Physicians use current procedural terminology cpt codes to report all of their services. 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. Nuvasives new spinal implant is part of the companys ongoing multicenter study that will evaluate advanced implant technologies in xlif procedures. Mean lateral operative time for the xlif procedure was 177.
It is a technique used when doing a mammogram on a woman with breast implants. The materials on this website are for your general educational information only. The xlif procedure is the first clinicallyvalidated lateral approach to the. 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. An introduction to xlif extreme lateral interbody fusion this booklet is designed to inform you about the extreme lateral interbody fusion xlif surgical procedure. 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. 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 procedure is a technique that allows spine surgeons to achieve a direct lateral approach to the patients intervertebral disc space through the psoas muscle as compared to more traditional open procedures which utilize an anterior through the abdomen or posterior through the back muscle approach.
Among several llif procedures, oblique lateral interbody fusion olif is a nonpsoassplitting approach which suppresses postoperative neural symptoms such as thigh pain, numbness, and motor weakness compared with psoassplitting llif xlif. Oct 18, 2015 the llif or extreme lateral interbody fusion xlif technique was described by ozgur et al. An alif approach requires the organs in the abdomen and some of the major blood vessels to be moved to the side so that the surgeon can reach the spine. Extreme lateral interbody fusion xlif in the thoracic and. The extreme lateral interbody fusion xlif approach may offer various clinical advantages over more traditional techniques for treating adult degenerative scoliosis. 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. Extreme lateral interbody fusion xlif in the thoracic. The objective is to analyze the outcomes and clinical results from anterior interbody fusions performed through a lateral approach and compare.
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