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. Instruments and implants approved by the ao foundation. Lumbar interbody fusion is a surgical technique that attempts to eliminate. Correction of coronal imbalance in degenerative lumbar spine disease following direct lateral interbody fusion dlif article pdf available. Refer to the pcm cervical disc system surgical technique manual for stepbystep instructions. Medial patellofemoral ligament mpfl reconstruction has become an accepted technique to treat patellofemoral instability, and numerous surgical techniques have been described to reconstruct the mpfl. Pdf extreme lateral interbody fusion xlif researchgate. We describe a mpfl reconstruction procedure where bonefascia tunnel fixation occurs at the medial margin of the patella for recurrent patellar dislocation. Case files surgery, third edition lange case files, a book by eugene toy, terrence liu, andre campbell medical students medical school medical textbooks obstetrics and gynaecology biochemistry education and training microbiology neuroscience ebook pdf. It features a true anatomical reconstruction latitude total elbow prosthesis of the joint, modular components, and is adaptable to a wide range of indications. Pdf on may 1, 2006, abdulrazzaq alobaid and others published surgical technique. A penetration trial of glenoid bone was performed with the flexible drill device using harvested porcine scapula fig.
San diego, ca 92121 pcm the cervical disc system instructions for use rx only graphical symbols read instructions before use. The anterior lumbar spine may be approached through either a. The following surgical technique describes a onelevel anterior lumbar interbody fusion alif procedure using the oic al peek spacer with a left sided anterior approach. Reproduced with permission from nuvasive, san diego, ca. Nuvasive is a world leader in minimally invasive, procedurally integrated spine solutions.
A novel flexible drill device enabling arthroscopic. This study describes the surgical technique for and presents early clinical validation of an evolutionary approach to nuvasives flagship xlif. Northwestern handbook of surgical procedures 2005 esophageal diverticulectomy. A corpectomy with corpus meaning body, and ectomy meaning remove is an effective procedure where the vertebral body and the adjoining discs are removed. The nerves of the lumbar plexus reside within the psoas, and the technique is dependent upon realtime electromyographic monitoring. Quality equipment personal service great variety 20. Surgical correction used to be the only solution, and was therefore only indicated for the most severe cases. If an adequate zone exists between the vessels and the disc, the pyramid plate is appropriate to use. The technique description herein is made available to the healthcare professional to illustrate the authors suggested treatment for the uncomplicated procedure. Surgical access system and related methods nuvasive, inc. Rouxeny truncal vagotomy and pyloroplasty highly selective parietal cell. Sinus surgical techniques from caldwellluc to mist. Use adobe reader to view, search, digitally sign, verify, print, and collaborate on adobe pdf files. In symptomatic patients with aiis extension to or below the acetabular rim, aiis.
The bone density and mechanical strength of porcine bone resemble that of the human bone. 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. Extreme lateral interbody fusion xlif is a relatively new technique whereby access to the disc space is. A technical skill refers to any psychomotor action or related mental faculty acquired through practice and learning pertaining to a particular craft or profession.
With the shell provisional in the appropriate alignment, use a. It is the only pdf file viewer that can open and interact with all pdf documents. Pectus carinatum is a chest wall deformity, sometimes associated with physical signs and symptoms, but always associated to significant psychological distress. If either iliac vein lies across the midline of the affected disc or the lower vena cava is too close to the disc, then the pyramid plate cannot be used. 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. It is our pleasure to introduce you to the brigade standalone alif system, a comprehensive interbody device with integrated screws, designed for anterior lumbar fusion and support through a single approach.
Extreme lateral interbody fusion xlif saint camillus medical. Xlif is the only lateral approach procedure proven by over 10 years of clinical evidence. Nonsurgical treatment of pectus carinatum with the fmf. For the interbody xlif approach, the surgeon was standing or sitting on.
After the porcine scapula was fixed onto a rigid mount, the tip of the guide pipe unit of the flexible drill device was placed about 5 mm posterior to the margin of the. Multicomponent instrument assemblies must be disassembled prior to cleaning. If an instrument malfunctions, do not try to fix any parts, return the machine to a validated service. Technical notes on reduction of thoracic spine fracture dislocation find, read and cite all the research you. Surgical technique this publication is not intended for distribution in the usa.
Our elearning platform contains high resolution images and a certified cme of the extreme lateral interbody fusion xlif nuvasive surgical procedure. Pdf easily view, print, and collaborate on pdf files with free adobe reader software. Pdf adobe reader academy of medicalsurgical nurses. Nonsurgical approaches have been developed and improved during the last 1520 years. The nerves of the lumbar plexus reside within the psoas, and the technique. Learn the extreme lateral interbody fusion xlif nuvasive surgical technique with step by step instructions on orthoracle. Surgical instruments within the pso set are manual medical tools designed solely for use in surgical procedures outlined by the orthofix pso set surgical technique. A surgical access system including a tissue distraction assembly and a tissue refraction 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. Nuvasive has also developed other products to support the xlif procedure, such as. Surg onc files podcast covering topics and research in. A lateral side approach is made safe with the use of nerve monitoring technology nvjjbm5 from nuvasive, inc. Nuvasive clinical services lessray advanced materials science pulse x360 procedures.
Results validating the versatility of nuvasives maxcess retractor. Over 400 published clinical studies support the procedure, documenting positive clinical outcomes such as reduced blood loss, less time in the o. The present invention is directed at a novel surgical access system and related methods which involve creating and maintaining an operative corridor to the surgical target site, and optionally detecting the existence of and optionally the distance andor direction to neural structures before, during andor after this process including the. Supplier of german and us made specialty surgical instruments for eye surgery, orthopedic surgery, spine surgery, micro surgery ent surgery and instrument. Pdf correction of coronal imbalance in degenerative. It is designed to treat a range of spinal pathologies. Case files surgery 4th edition 2014 pdf biochemistry. The extreme lateral interbody fusion xlif corpectomy technique is a minimally disruptive surgical procedure performed through the side of the body. Neural organization technique is a systematic protocol based primarily in applied kinesiology that organizes the nervous system through the primal survival reflex systems of. The alignment support frame on the shell inserter will not be vertical to the floor and should not be used as a positioning guide.
An efficient and accurate approach for fabricating dental implant surgical guides weichen lee, chinghang huang, shanchen chung and chingchih wei department of mechanical engineering, national taiwan university of science and technology, taipei 10607, taiwan, republic of china abstract. Adobe reader software is the global standard for electronic document sharing. Position the carm for an ap view of the proximal femur. Much has been written about the importance of developing good.
Instruments are made from different materials including stainless steels and medical grade silicone that comply with the standards applicable to. The simplest approach is usually through a lateral incision over the. Adenoma, pleomorphic, surgical removal of brief clinical notes, 17. The extreme lateral interbody fusion xlif technique is a minimally disruptive surgical procedure performed through the side of the body.
Subspinal impingement is an extracapsular cause for femoroacetabular impingement fai and is clinically significant because it results in decreased range of motion and groin pain with flexionbased activity. Our preference is to use nuvasive peek cages for discectomy and synthes. The goal of minimally invasive spine surgery is to decrease operative time, decrease blood loss. Prone singleposition extreme lateral interbody fusion proxlif. Proximal femoral nail antirotation surgical technique depuy synthes 11 2 confirm nail length and diameter instrument 309.
An introduction to xlif extreme lateral interbody fusion. The xlif, short for extreme lateral interbody fusion, is an approach to spinal fusion in. Extreme lateral interbody fusion xlif in the thoracic and. Although allinside meniscus repair devices have evolved significantly since their introduction and have become the repair technique of. San diego, ca 92121 pcm food and drug administration. X360 is a comprehensive approach to lateral singleposition surgery that leverages advanced techniques and technologies to deliver patient specificcare while enhancing or workflow and efficiency.
Warren, md a s the inaugural asaps 2014 aesthetic symposium was an unqualified success. On this episode of the so files, brad and linda cover the genetic basis of lynch syndrome, who should get screened, when patients should get surveillance, and go over two recent papers covering surgical options for colon cancer in. The xlif technique is a minimally disruptive surgical procedure performed through the side of the body. Meniscus repair over resection, when feasible, should be strongly considered in an effort to preserve meniscus integrity and function, especially in younger patients. Transanal minimally invasive surgery tamis is a technique that was originally devised as a hybrid between transanal endoscopic microsurgery tem and singlesite laparoscopy for resection of rectal lesions.
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. Surgical approach the approach chosen for the debridement, preparation and alignment of the hindfoot joint surfaces is based on factors such as surgical preference, patient positioning, and anatomy. All nonsterile devices must be cleaned and sterilized before use. Podcast covering topics and research in surgical oncology. It is clear since the very first recorded surgical operation in india circa 600bc by sushruta, that technical skills are important. 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. 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 oic al peek spacer is indicated for the treatment of degenerative spine disorders, discal and vertebral instability as well as spondylolisthesis and cases of. The first attempt at concealing external incisions for access to a sinus was the. Miniopen anterior retroperitoneal lumbar interbody fusion. It was developed out of the need for a practical alternative to tem that was both affordable and. The xlif technique can be utilized for access to the anterior column of the thoracic and. Not everyone is a candidate for minimally invasive spine surgery, once.
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