The researchers compared perioperative outcomes between a consecutive series of prone single-position XLIF with posterior fixation patients pro-XLIF and patients treated with XLIF in the lateral position who were then repositioned prone for posterior fixation. According to the study, the research team reported that there were no major complications found in either group.

However, the overall procedure time was almost 50 minutes shorter for the single-position XLIF patients. Patients from each group reported similar levels of disability and pain improvements.

Your Name required. Your Email required. Friend's Email required. Email Address will not be published. NuVasive, Inc. Alex Thomas, M. NuVasive has addressed these clinical concerns with their new ALIF Access platform, whether it is a traditional supine approach or as the surgeon moves towards single-position surgery, they've created a real game changer for ALIF approaches.

Asked to elaborate on the repositioning issue, Dr. This allows the surgeon to perform the ALIF and then place bilateral pedicle screw fixation without having to reposition the patient to the prone position as is typically done. Not only is repositioning the patient time consuming, it can increase risk to the patient and is also burdensome on OR staff.

San Diego-based NuVasive, Inc. With leading advanced materials in surface, structure and imaging characteristics, the portfolio includes the Company's recently launched Modulus XLIF, its 3D-printed porous titanium implant, porous PEEK polyetheretherketone technology following last month's acquisition of Vertera Spine, including the COHERE cervical interbody fusion device….

NuVasive has also embraced the 3D printing revolution—which has opened the design possibilities of implants and instruments. Modulus XLIF is one example. NuVasive is the only medical device company to offer porous interbody technology across both PEEK Cohere and Coalesce and titanium materials Modulus implant familythereby addressing the spectrum of surgeons' needs and preferences for interbody implants.

Cohere implants are manufactured through a proprietary extrusion process which results in a unified and durable porous-to-solid structure. Phillips, M. This cage provides the advantages of ideal stiffness and excellent radiographic visualization of fusion progress, as well as robust science validating the advantages of Porous PEEK in providing surface architecture that was designed to allow bone in-growth.

Porous PEEK allows for this feature with the additional advantage of promoting bony ingrowth through the porous surface structure of the cage. Asked for details on the radiographic visualization, Dr. Unfortunately, with these metal cages it is exceedingly difficult to assess for bony fusion on either plane radiographs or CT scans. In contradistinction, PEEK allows for clear visualization of bone growth and fusion through the cage.

The October 5,clearance came less than three months after the company submitted its request. The devices are to be used in patients who have had at least six months of non-operative treatment.

The porous architecture is derived directly from the implant body and is not a sintered or otherwise additive coating. In addition to PEEK, the device assembly may contain two or more radiolucent markers, depending on footprint, to enable visibility under x-ray in vivo. The device is intended to be used with supplemental spinal fixation systems that are cleared by the FDA for use in the lumbar spine.

The new system allows the surgeon to perform an XLIF lateral lumbar interbody fusion without having to reposition the patient. That, combined with other features, can reduce OR time, says NuVasive, by as much as one hour!

By incorporating Pulse and, in the future, robotic automation, with X, we are enhancing the overall OR workflow and helping surgeons deliver greater clinical predictability and reproducible outcomes for their patients.

nuvasive xlif

Weekly News, Analysis, and Commentary. Spine Feature. Leave a Reply Click here to cancel reply. Elizabeth Hofheinz, M. Read more.NuVasive is a world leader in minimally invasive, procedurally integrated spine solutions. 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 prevailing strategy in designing the XLIF Decade Plate was to incorporate the Company's ten years of XLIF experience into a fixation system built upon the latest technologies while offering uncompromised biomechanical characteristics. This option could significantly reduce the O.

Description of XLIF Surgery

The plate is a simple, yet comprehensive stabilization solution which was designed with four points of fixation for enhanced rigidity and load sharing properties. Through a reduction in operative steps and improved plate geometry, the product was designed to help facilitate a faster XLIF surgical technique.

Additionally, the product represents the pinnacle in single-approach lateral spinal stabilization and fusion with minimized exposure. NuVasive is an innovative global medical device company that is changing spine surgery with minimally disruptive surgical products and procedurally-integrated solutions for the spine. NuVasive offers a comprehensive spine portfolio of more than 80 unique products developed to improve spine surgery and patient outcomes.

MAS was designed to provide safe, reproducible, and clinically proven outcomes, and is a highly differentiated solution with fully integrated neuromonitoring, customizable exposure, and a broad offering of application-specific implants and fixation devices designed to address a variety of pathologies. NuVasive's solutions are increasingly being adopted internationally, as the Company lays the groundwork to continue growing as a global business and to offer industry-leading, Absolutely Responsive customer service to surgeons worldwide.

NuVasive cautions you that statements included in this press release that are not a description of historical facts are forward-looking statements that involve risks, uncertainties, assumptions and other factors which, if they do not materialize or prove correct, could cause NuVasive's results to differ materially from historical results or those expressed or implied by such forward-looking statements.

The potential risks and uncertainties that could cause actual growth and results to differ materially include, but are not limited to those risks and uncertainties more fully described in NuVasive's press releases and periodic filings with the Securities and Exchange Commission. NuVasive's public filings with the Securities and Exchange Commission are available at www. NuVasive assumes no obligation to update any forward-looking statement to reflect events or circumstances arising after the date on which it was made.

The materials on this website are for your general educational information only. Information you read on this website cannot replace the relationship that you have with your healthcare professional. We do not practice medicine or provide medical services or advice as a part of this website. You should always talk to your healthcare professional for diagnosis and treatment.

Skip to main navigation. NuVasive Investor Relations NuVasive is a world leader in minimally invasive, procedurally integrated spine solutions.

About NuVasive. NuVasive R Announces the U.The Neurosurgery Spine Center is on the forefront of spine surgery, offering our patients the most innovative and proven surgical procedures and technologies available today. One such example is the Lateral Interbody Fusion procedure. The Lateral Interbody Fusion procedure is an innovative approach to spinal fusion, accessing the spine from the side of the body instead of the front or back like traditional methods.

The spine can be approached from the mid-thoracic spine to the L disc space in the lower back. This side entry means sensitive back muscles are not disturbed and no bone removal is required. This means less postoperative pain and early return to normal function.

Minimal muscle dissection, less bone removal and smaller incisions means there is less blood loss, less operative time, and less pain to the patient. Utilizing a specialized soft tissue retraction system to access the spine, Dr. Blankenship generally performs the procedure with only an overnight stay.

Depending on your general health and other factors, a same day discharge to home is also possible. The procedure is done under general anesthesia. After you are asleep, you will be placed on your side and an X-ray will be taken of your spine to show Dr. Blankenship the location of the operative disc space. Your skin will be marked to show the site for the side incision. Before any surgical incision is made, Dr.

Blankenship will perform a spinal injection to bathe the nerves in the spine in narcotics to allow pre-emptive analgesia to occur.

Spine Feature

Blankenship will then make a small incision on your side, and using his finger will guide tubular dilators into position moving between, not through, the abdomen and the spinal muscles.

As he advances the tubes through the psoas muscle on the side of your vertebrae, X-ray and nerve monitoring help guide him to the correct position on your spine and away from nearby nerves. Once the dilators are in place, Dr. Blankenship will insert the specialized soft tissue retractor over them to provide lighted visibility and instrument access to the disc space.

NuVasive Investor Relations

With the disc now visible and all nerves in the muscle safely retracted, Dr. Blankenship will remove the disc and prepare the disc space for fusion. A fixation device will be plate will frequently be placed over the implant to stabilize the construct.

When the implant and plate is in position, the retractor is removed and final confirmation X-rays are taken.Because nerves exiting the spinal column are close to the psoas muscle and can even run right over the surface of it, it is critical that the surgeon be provided with real-time information about the position of the nerves relative to his instruments. Neuromonitoring, the testing of the nerves during surgery to make sure that they are not harmed or irritated during the process, is a critical part of this procedure.

This type of nerve monitoring is known as electromyography or EMG. The NeuroVision probe is designed to detect the position of the nerves to help avoid disturbing them during surgery.

Although NeuroVision helps identify neural compromise before it is clinically relevant, it is not a perfect process and there is still a risk of neural damage during the procedure. Sometimes, depending on the diagnosis of the patient, additional support is needed to hold the vertebrae in place.

In this case, the surgeon may also decide to put in an additional implant, such as screws, plates or rods for added support. The XLIF procedure can be used for a variety of lumbar spinal disorders that may be treated with spinal fusion. These conditions may include:. Preoperative Preparation for Spine Fusion Surgery.

Spine Fusion Surgery Video. Bone Graft for Spine Fusion. Spine Fusion Instrumentation. By Vedat Deviren, MD. Peer Reviewed. XLIF Video. Editor's Top Picks. Health Information Sponsored.The company intends to include at least 10 surgeon investigators and enroll approximately patients across the U.

In addition, within each implant group, randomization between Osteocel Pro and cancellous allograft chips with bone marrow aspirate will allow for procedural comparisons using Level I biologic outcome evidence. Many companies currently rely on pre-clinical along with short follow-up, non-comparative data to suggest implant superiority.

NuVasive is committed to collecting objective insights to build out smarter solutions.

nuvasive xlif

Your Name required. Your Email required. Friend's Email required.

15 Years of XLIF

Email Address will not be published. The October 5,clearance came less than three months after the company submitted its request.

The devices are to be used in patients who have had at least six months of non-operative treatment. The porous architecture is derived directly from the implant body and is not a sintered or otherwise additive coating. In addition to PEEK, the device assembly may contain two or more radiolucent markers, depending on footprint, to enable visibility under x-ray in vivo.

The device is intended to be used with supplemental spinal fixation systems that are cleared by the FDA for use in the lumbar spine.

nuvasive xlif

The researchers compared perioperative outcomes between a consecutive series of prone single-position XLIF with posterior fixation patients pro-XLIF and patients treated with XLIF in the lateral position who were then repositioned prone for posterior fixation. According to the study, the research team reported that there were no major complications found in either group.

However, the overall procedure time was almost 50 minutes shorter for the single-position XLIF patients. Patients from each group reported similar levels of disability and pain improvements. NuVasive, Inc. NuVasive is the only medical device company to offer porous interbody technology across both PEEK Cohere and Coalesce and titanium materials Modulus implant familythereby addressing the spectrum of surgeons' needs and preferences for interbody implants.

Cohere implants are manufactured through a proprietary extrusion process which results in a unified and durable porous-to-solid structure.

Phillips, M. This cage provides the advantages of ideal stiffness and excellent radiographic visualization of fusion progress, as well as robust science validating the advantages of Porous PEEK in providing surface architecture that was designed to allow bone in-growth. Porous PEEK allows for this feature with the additional advantage of promoting bony ingrowth through the porous surface structure of the cage.

Asked for details on the radiographic visualization, Dr. Unfortunately, with these metal cages it is exceedingly difficult to assess for bony fusion on either plane radiographs or CT scans. In contradistinction, PEEK allows for clear visualization of bone growth and fusion through the cage. According to NuVasive, Inc. The company indicates that all patients experienced positive results.

Patients came from all walks of life and with various comorbidities. Thirteen of them had previously had an unsuccessful anterior cervical fusion procedure. At 12 months post-operative ACDF surgery, all 50 patients demonstrated improved motion, decreased neck pain and average disc height increased by more than 4 mm.

XLIF: Lumbar Spinal Fusion

In addition, each of them showed radiographic fusion. Burkus demonstrated remarkable results with the Cohere Porous PEEK device in as little as six months with improved clinical outcomes and excellent fusion rates. We look forward to sharing these exciting findings with our surgeon and hospital customers.

The Porous PEEK technology was designed for enhanced osseointegration and this study provides additional evidence of its clinical value. Gregory T. Chris Lee, CEO of Vertera Spine, said, "Vertera Spine is excited to join NuVasive to further proliferate our game-changing material technology, as they bring to bear the industry's leading product innovation capability as well as the scale and resources necessary to realize our full potential.Subscribe to get full access to this operation and the extensive Spine Surgery Atlas.

The lumbar spine is commonly approached posteriorly but can also be approached from anterior and laterally. The trans-psoas approach is designed to approach the lumbar disc space and allow good removal of disc material whilst avoiding the posterior neural structures. The anterior and posterior longitudinal ligaments are left intact to provide stability to the disc space but good disc clearance is achievable. In Ozgur et al.

LLIF aims to address the challenges and morbidity of anterior or posterior inter body fusion techniques but has its own risks and complications as a result. The main problems the lateral approach are iatrogenic injury to structures during the approach kidney and bowel injuries are describedinjury to the psoas muscle itself leading to hip flexor weaknessand injury to the lumbar plexus which is contained within the psoas injury risk increases with prolonged retractor use.

The eXtreme terminology is particular to NuVasive. The implants and equipment that have been developed by NuVasive are designed to make access safer neural monitoring is attached to all dilators and is directional in natureclearer light attachment onto the retractorand easier the blades of the retractor can all be moved independently and the posterior shim docks into the disc space.

The original LLIF technique called for two incisions and successive dilators with no direct look. The technique that has found favour and is employed here is one of slightly larger single incision mini-open and a more direct look and blunt dissection down onto psoas. LLIF is grouped under minimally invasive spine surgery which has the intended benefits of reduced muscle dissection and trauma, reduced blood loss, decreased hospital stays, and reduced postoperative pain.

OrthOracle Office Log Out. Sacro-iliac Lumbar Thoracic Cervical. Select procedure.The XLIF 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.

Lumbar DDD. Lumbar Herniated Disc. Lumbar Stenosis. The XLIF is one of a number of spinal fusion options that a surgeon may recommend to treat specific types of lumbar spinal disorders, such as lumbar degenerative disc diseasespondylolisthesis, scoliosis and deformity and some recurrent lumbar disc herniations and types of lumbar stenosis. It cannot be used for all types of lumbar conditions for which spinal fusion is a treatment option.

For example, it cannot treat conditions at the lowest level of the spine, L5-S1 or for some people at L4-L5. It is a minimally invasive type of spine surgery designed to accomplish a spinal fusion with several advantages including:. Because of the above factors, it is one of a number of options for spinal fusion that are relatively minimally invasive.

The XLIF is a type of interbody fusionwhich is a category of fusion in which the disc in the front of the spine is removed and replaced with an implant containing a bone graft to set up the condition for the two vertebrae to fuse together through the disc space.

Spine Fusion Surgery Video. Lumbar Spinal Fusion Surgery. By Vedat Deviren, MD. Peer Reviewed. XLIF Video. Editor's Top Picks. Health Information Sponsored.


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