Theoretical advantages of tlif include increased fusion success, more complete foraminal decompression, better correction of deformity, and more effective treatment of discogenic pain. Markings on the trial spacer indicate the entry points of the locking screws in the anterior aspect of the adjacent verte. A transforaminal lumbar interbody fusion tlif is performed to remove a portion of a disc that is the source of back or leg pain. The tlif implant is available in a 25mm length x 10mm width footprint, and is provided with and without lateral windows. Back pain relief with minimally invasive tlif procedure depuy videos duration. Transforaminal lumbar interbody fusion tlif in revision. Viper 2 system guide depuy synthes 1 table of contents system overview 3 degenerative 4 deformity 6 trauma 10 tumor 14 surgical technique pedicle targeting 16.
No correction loss in frontal or sagittal plane except for one patient with deep infection. Using ap fl uoroscopy, position the guidewire such that its projection transects the center of both pedicles in the cephaladcaudal direction. It not only highlights the newest devices, but also the clinical guidelines needed to choose and apply the best implant. Depuy believes in an approach to total shoulder replacement. Mis spine system adaptable mis solutions for an evolving. Place the cage in the graft support and lock the cage by turning the graft support knob. Watch this video to learn more about using the sigma tc3 rp with mbt for revision surgeries and stem extensions.
The low profile neck increases the range of motion of the stem within the cup before the neck impinges on. Lumbar interbody fusion indications techniques and. 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. Perform the osteotomy, taking care to maintain the correct angle figure 1. A conventional tlif procedure can now be accomplished. Push the small button on the applicator knob and remove the trial implant 4. Coda plif spacercadence plif spacertraxis surgical technique. Depuy lps limb preservation system surgical technique significant bone loss requiring extensive reconstruction around the hip and knee is often required following the treatment of malignant bone tumors, aggressive benign bone tumors, infection. Expandable tlif and plif technology surgical technique. Coda plif spacercadence plif spacertraxis surgical technique sturmsnyderwebb spiral radius sr 90d instrumentation murreydarden discovery translaminar facet screw fixation depuy spine thalgottgiuffredrake minimally invasive transforaminal lumbar interbody fusion mi tlif and lateral mass fusion with the metrx system tredway. Along with an allinclusive list of the spinal instruments available today, the book offers direct comparisons of each system to help make an informed and confident.
Surgical technique guide tlifplif using expedium di polyaxial screws screw shank angulation can be locked by tightening the outer blue set screw of the closure mechanism using the cannulated thandle intermediate tightener. Remove remaining endplate cartilage with curettes, straight rasps or angled rasps. Center the resection guide along the neutral axis of the femur and mark the resection line. Depuy spine is a joint venture with biedermann motech gmbh. Provides guidance on the full range of surgical techniques required by all trainee surgeons. Minimally invasive transforaminal lumbar interbody fusion.
A mas tlif achieves this by using a less invasive approach to fuse one or more vertebrae. Perform glenoid exposure and sizing as outlined on pages 16 and 17 of the depuy global advantage shoulder arthroplasty system surgical technique cat. Like the plif posterior lumbar interbody fusion procedure, bone graft is used to fuse the spinal vertebrae after the disc is removed. Minimally invasive transforaminal lumbar interbody fusion mitlif is associated with improved patientreported. Compact the draft in the bone graft chamber of the cage using the graft compactor figure 6. Apr 23, 2011 back pain relief with minimally invasive tlif procedure depuy videos duration. Surgical technique transforaminal lumbar interbody fusion tlif page 2 of 5 preoperative planning preoperative planning is necessary for the correct selection of lumbar interbody fusion devices. Tlif back surgery indications and technique spinehealth. Provides a complete guide to all contemporary forms of spinal implant systems. Introduction a transforaminal lumbar interbody fusion tlif is performed to remove a portion of a disc that is the source of back or leg pain. This publication is not intended for distribution in the.
This document seeks to optimize surgical technique through detailed technique descriptions and advanced instrumentation. Full details on surgical exposure are provided in the standard depuy asr. Tlif procedure is performed through a posterior incision. Computerassisted surgery sensor tensor surgical technique. This information is intended for use by customers, patients, and healthcare professionals in the united states only. Make sure the endplates are wellcleaned to create a surface of bleeding bone in order to maximize bone. The animation cycles through various anterior cervical plate systems with their. Aug 28, 2019 ghost productions provided camloc with an internal promotion for their range of products at the nsm in 20. Over 62,000 transforaminal lumbar interbody fusion tlif procedures were estimated to occur in. Thats why we provide medical professionals with the innovative products they need to assist them in treating their patients.
Surgical technique is a critical variable in the success of any arthroplasty. The tlif implant consists of banana shaped blocks in a parallel configuration of various heights 8mm 16mm, in 2mm increments. No patient needed anterior approach p 0,000223 3,817e06 0,122777 0,367 0,00018 postop 28,9 53,5 1,8 53,0 2,9 preop 38,5 29,9 2,4 54,2 8,3. Impacted cages made of titanium, carbonfiber reinforced or plain peek polymer polyetheretheketone. Ortho research cincinnati orthopaedic research institute.
Open and minimally invasive transforaminal lumbar interbody. Pinnacle surgical technique depuy synthes 3 introduction hip reconstruction has become a successful answer for degenerative hip disease in a more demanding patient population. Transforaminal lumbar interbody fusion tlif utilizes a more lateral window in order to access the interbody space without excessive dural retraction. The implant must be seated firmly with a tight fit between the endplates when the segment is. Opal surgical technique depuy synthes 1 indications and contraindications intended use opal is an implant system for a unilateral transforaminal approach tlif or optionally for a bilateral posterior approach plif. The srom noiles rotating hinge knee is a system that allows intraoperative construction of a customized implant to handle any hard or soft tissue defects seen at revision surgery. Coda plif spacercadence plif spacertraxis surgical technique sturmsnyderwebb spiral radius sr 90d instrumentation murreydarden discovery translaminar facet screw fixation depuy spine thalgottgiuffredrake minimally invasive transforaminal lumbar interbody fusion mitlif and lateral mass fusion with the metrx system tredway. Pinnacle surgical technique depuy synthes 1 contents introduction 3 surgical technique templating and preoperative planning 4 acetabular reaming 6 acetabular cup trialling and positioning 7 implanting a pinnacle primary cup 10 polyethylene trial liners 11 alternative trial bearings 12 polyethylene liner configurations. Sufficient posterior displacement of the proximal humerus is required to provide necessary exposure for implanting the anchor peg glenoid. Tlif is designed to eliminate the disc as the source of mechanical back pain. Isass12 full abstract book the international society for the. It is specially designed for small incision, resulting in a relatively atraumatic operation for the patient. Corail hip system product rationale and surgical technique depuy synthes 8 the design of the extra medullary section improves the biomechanics of the stem. Lumbar transforaminal lumbar interbody fusion tlif.
Surgical technique guide concorde lift spinemarketgroup. This surgical technique provides instruction on the implantation of the sigma family of fixed bearing and rotating platform knees utilising. The cut will be approximately 1 cm above the lesser trochanter. The instruments, technique and components of this arthroplasty system are designed to address these challenges. Surgical technique tlif overview once the tube is placed in the proper position and with appropriate trajectory for a tlif, begin to remove residual soft tissue in a standard manner utilizing electrocautery and other standard instruments. Surgical techniques patient positioning place the patient in a semifowler position figure 6a. Viper 2 system guide depuy synthes 17 determine the skin incision location place a guidewire on the patient perpendicular to the axis of the spine at the targeted level. Pinnacle acetabular cup system surgical technique golden. Remove the tables standard headrest and replace it with a mcconnell headrest, which allows free access to the.
Royal oak ibfd system surgical technique transforaminal. 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. Coda plif spacercadence plif spacertraxis surgical technique chapter 8. As with all surgical procedures, the technique used in each case will depend on the surgeons medical judgment as the best treatment for each patient. However, the tlif procedure places a single bone graft between. Threaded cylindrical cages made of titanium, cortical allograft donor bone or synthetic bone. Clinical and radiological outcomes of minimally invasive versus open transforaminal lumbar interbody fusion. We recognize that the internet is a global communications medium. Advancing science, enhancements were made to corail to provide solutions for orthopaedic surgeons treating todays higherdemand patients. Viper 2 system guide depuy synthes 1 table of contents system overview 3 degenerative 4 deformity 6 trauma 10 tumor 14 surgical technique pedicle targeting 16 guidewire placement 19 pedicle preparation 21 tap pedicle 23 screw loading 24. The nerves of the lumbar plexus reside within the psoas, and the technique is dependent upon realtime electromyographic monitoring. Expedium surgical technique by apolineo comunicacion. Avenue t tlif cage surgical technique guide zimmer biomet. Along with an allinclusive list of the spinal instruments available today, the book offers direct comparisons of each system to help make an informed and confident selection.
Classification of minimally invasive techniques for transforaminal. The quantitative analysis of tissue injury markers after miniopen lumbar fusion. This publication is not intended for distribution in the usa. Introduction spinal fusion the ultimate goal of a fusion is the elimination of pathologic segmental motion and its accompanying symptoms achieved by the formation of osseous bridging across the previously mobile level. Over 250,000 doctors use vumedi to improve patient care and grow their practice. Avenue t tlif cagesurgical technique guide 9 cage preparation knob step 6 the graft fusion chamber must be filled with allograft or autograft. Discovery translaminar facet screw fixation depuy spine chapter 140. Compression once both cages are in place, final compression is applied symmetrically across the pedicle screw system to appropriately preload the cages and establish anatomic segmental lordosis. Surgical technique neck osteotomy the level of the neck resection is determined during preoperative templating. The unilateral transforaminal lumbar interbody fusion tlif represents an alternative surgical technique avoiding both the anterior approach and the approach through the spinal canal. Ghost productions provided camloc with an internal promotion for their range of products at the nsm in 20. Lumbar interbody fusion is a surgical technique that attempts to eliminate instability in the back. Solutions comprise innovative, biologically based products for surgical conditions that are often difficult or expensive to manage. At golden state orthopaedics we believe that movement is the very foundation of peoples health and well being.
It not only highlights the newest devices, but also the clinical guidelines needed to choose and apply the best implant for any surgical situation. Expedium surgical technique by apolineo comunicacion issuu. In total, 75 consecutive patients who underwent either singlelevel open tlif or mitlif at the university of california, san francisco, between 2006 and 2011 were included, and patients were followed up for an average of 5. The implants used in the mitlif group were the viper depuy spine. Large bone graft windows are located through the body of the device to allow for. Minimally invasive surgery mis for spinal fusion is increasing for the treatment of. An adaptation of the posterior lumbar interbody fusion plif technique first described by cloward, the t. Mis spine system adaptable mis solutions for an evolving practice.
Minimally invasive transforaminal lumbar interbody fusion mitlif and lateral mass fusion with the metr x system chapter 141. Request pdf minimally invasive transforaminal lumbar interbody fusion during the past 75 years, surgical technique, spinal instruments and instrumentation, and molecular biology have advanced. Shortterm and longterm outcomes of minimally invasive and. The current main techniques of posterior lumbar interbody fusion plif surgery all incorporate a supplementary intervertebral implant. Clinical evaluation of an image guided approach to minimally invasive total hip replacement surgery igsmis hip.
Cut the transforaminal window prepare a window for transforaminal approach, using the osteotomes 389. The patient can be positioned in either a lateral or supine position depending on surgeon preference. A novel technique for awake, minimally invasive transforaminal. Washington, university of pennsylvania and depuy orthopaedics, inc. Interbody fusion device may be inserted via a plif or tlif. Shortterm and longterm outcomes of minimally invasive. The animation cycles through various anterior cervical plate. We describe our surgical technique and to confirm the theoretical advantages of combined distal and proximal tibial fixation, we determined activity level, subjective outcomes scores, rom, and knee stability in a homogenous, isolated pcldeficient population who underwent the.
The challenges encountered by shoulder arthroplasty surgeons include surgical exposure, soft tissue balancing and component fixation. This content is intended for health care professionals in the united states. These advances have allowed the development of more efficient instrumentation and increasingly sophisticated implant designs that enhance clinical outcomes. We offer one of the worlds most comprehensive portfolios of orthopaedic products and services in the areas of joint reconstruction, trauma, spine, sports medicine, craniomaxillofacial, power tools and biomaterials. Lumbar interbody fusion an overview sciencedirect topics. Conditions such as spondylolisthesis, degenerative disc disease or recurrent disc herniations are known to produce mechanical pain and may be indications for a spinal fusion. Jan 26, 2005 the unilateral transforaminal lumbar interbody fusion tlif represents an alternative surgical technique avoiding both the anterior approach and the approach through the spinal canal. Concentrates on the main principles behind the use of the surgical techniques key points boxes throughout provide hints and tips to reinforce the main aspects of each technique. Although a first detailed description of the tlif technique was given by harms and jeszenszky 14 as early as 1998 the number of published papers concerning. We deliver total solutions across disciplines that go beyond the products themselves. The surgical techniques of decompression and interbody fusion were. The pinnacle acetabular cup system primary surgical technique has been developed in consultation with an. Tlif procedure performed by 2 spine surgeons and practiced the. Mini open transforaminal lumbar interbody fusion motlif is a powerful minimally invasive surgical mis technique that achieves decompression, interbody fusion, posterolateral fusion, pedicle screw instrumentation and lowgrade spondylolisthesis reduction table 1.
Through a program of continuous development depuy now offers a single system of sigma high performance instruments that supports most approaches to knee replacement surgery. Care should taken to be sure there is no loosening of the pedicle screws during compression, particularly at l5 or s1. Training the scrub person on srom technique total hip. Minimally invasive surgical technique for treatment of cervical. There are several surgical techniques for mistlif that provide a spectrum of. Lumbar interbody fusion indications, techniques, and complications dr praveen k tripathi 27jan16 1 2. This surgical technique uses a standard posterior approach for illustration purposes. Includes valuable tips on insertion techniques and complication avoidance to maximize success in. It not only highlights the newest devices, but also the clinical. The x25 hexlobe driver should be used to center the intermediate tightener. Revision surgical technique using sigma tc3 rp with mbt.
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