Lateral lumbar surgery is typically used to treat leg or back pain caused by degenerative disc disease. 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. Our current principal product offering includes a minimally invasive surgical platform that. The approval furthers the companys ability to participate in the japanese market, adding the xlif approach to the cervical and posterior products. The extreme lateral interbody fusion xlif technique is a minimally disruptive. Lumbar interbody fusion is a surgical technique that attempts to eliminate. Nuvasive has also developed other products to support the xlif procedure, such as the xlp lateral plate. Nuvasiver announces first patients in japan treated with. Conference paper pdf available march 2016 with 351 reads. By accessing the spine from the side of the body, xlif lateral lumbar interbody fusion eliminates the debilitating effects of cutting back muscles, removing bone, and retracting the neural elements that are typically experienced. The nerves of the lumbar plexus reside within the psoas, and the technique. 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. The discussion of xlif includes indications, surgical technique, postoperative care, possible complications, and outcomes. It is designed to treat a range of spinal pathologies.
Xlif procedure minimally disruptive procedure for spine surgery. The x360 system, powered by surgical intelligence, includes xlif, xalif, and xfixation. A novel expandable titanium vertebral body replacement vbr provides enhanced stability following a corpectomy 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. The xlif technique is a minimally disruptive surgical procedure performed through the side of the body. 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. For the transition period from to commission file number.
The extreme lateral interbody fusion xlif technique is a minimally disruptive surgical procedure performed through the side of the body. The oblique lateral interbody fusion olif procedure provides spine surgeons with a complete minimally invasive solution for the treatment of degenerative lumbar conditions. During a plif posterior lumbar interbody fusion procedure, the damaged disc is removed from between two vertebrae in. Jan 20, 2015 extreme lateral interbody fusion xlif society of lateral access extreme lateral interbody fusion xlif. Nuvasive also presented evidence to support its contentions that there was a long felt need for a safe and reproducible lateral, transpsoas approach before the priority date and that nuvasives extreme lateral interbody fusion xlif surgical technique, which uses nerve monitoring to achieve safe passage through the psoas muscle, had first. Nuvasive launches retractor for lateral, supine approaches. Oct 03, 2015 also reported a fusion rate of 98% for xlif in their series of 77 patients using a combination of autologous bone, calcium triphosphate and attrax nuvasive. 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 osteomyelitis. Mark the skin at the anterior and posterior margins of the vertebral body, through the center and posterior third of the disc space.
In 11 2003, nuvasive launched a minimallyinvasive, lateral access surgical procedure for spinal 12 surgery, known as xlif. Nuvasive extends its leadership as lateral spine technology. The surgical technique is detailed step by step, stressing how to avoid complications. Nuvasives commitment to expandables, new materials and systems elizabeth hofheinz, m. Setup place the patient on a radiolucent operating table in the supine position.
Minimally invasive posterior lumbar interbody fusion plif. Nuvasive, inc, san diego, california is a minimally invasive technique developed to avoid complications associated with traditional or minimally. Clinical outcomes of extreme lateral interbody fusion in the. Laterally placed interbody spacers were supplemented with osteocel plus allograft cellular bone matrix nuvasive, inc.
Using nerve monitoring technology, the surgeon gains lateral side access. Threaded cylindrical cages made of titanium, cortical allograft donor bone or synthetic bone. The nuvasive maximum access surgery mas plif procedure is a minimally disruptive approach to traditional back surgery. Oblique lateral interbody fusion olif achieves effective anterior interbody fusion with mechanisms of indirect decompression, rigid stability, and alignment correction less invasively through a minimally invasive nonpsoassplitting procedure. 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. Xlif is the only lateral approach procedure proven by over 10 years of clinical evidence.
The body of literature regarding xlif compared to both open and minimally. May, 2014 lumbar interbody fusion is a surgical technique that attempts to eliminate instability in the back. Surgeons attempting to use this surgical technique are challenged by the required technical skills, steep learning curve, and continued requirement for access surgeon. The current main techniques of posterior lumbar interbody fusion plif surgery all incorporate a supplementary intervertebral implant. The current report describes a novel, minimally disruptive spine procedure called the extreme lateral interbody fusion or. 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. 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. Lateral lumbar interbody fusion minimally invasive. Clinical outcomes of extreme lateral interbody fusion in.
However, the tlif procedure places a single bone graft between. Cervical corpectomy cage provides enhanced stability. Mar 10, 2016 download fulltext pdf extreme lateral interbody fusion xlif. The procedure, called xlif extreme lateral interbody fusion, involves a lateral, or side, approach to spine. Conclusion the xlif approach is a safe procedure allowing an approach to the lateral lumbar spine. Nuvasive also presented evidence to support its contentions that there was a long felt need for a safe and reproducible lateral, transpsoas approach before the priority date and that nuvasive s extreme lateral interbody fusion xlif surgical technique, which uses nerve monitoring to achieve safe passage through the psoas muscle, had first. The goal of minimally invasive spine surgery is to decrease operative time. Plif posterior lumbar interbody fusion plif is a surgical technique for placing bone graft between adjacent vertebrae interbody. 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. Multicomponent instrument assemblies must be disassembled prior to cleaning. Olif25 procedure oblique lateral interbody fusion for l2 to l5 surgical technique as described by. Extreme lateral interbody fusion xlif is a relatively new technique. Lateral approaches were made from the concave side. Nuvasive investor relations investor overview nuvasive inc.
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. Interbody fusion was completed using the xlif technique nuvasive, inc. All nonsterile devices must be cleaned and sterilized before use. Xlif extreme lateral interbody fusion is a minimally invasive surgical procedure where the spine is approached from the side of the body to.
The october 5, 2018, clearance came less than three months after the company submitted its request. 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. Extreme lateral interbody fusion xlif society of lateral access extreme lateral interbody fusion xlif. Surgical approach single incision after making the skin incision and dividing the subcutaneous tissue, the oblique muscles of the abdomen will be visible. In a prospective series of 100 patients with adjacent segment degeneration after prior lumbar fusion, rodgers et al. Many lumbar fusion techniques have been developed and popularized, each with its own advantages and disadvantages. 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. 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 procedure is performed through the patients side, avoiding the major muscles of the back. Get nuvasive s xlif medtronic dlif other lateral fusion pdf file for free from our online library pdf file. Lumbar transforaminal lumbar interbody fusion tlif. 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. The extreme lateral interbody fusion xlif technique, which uses a transpsoas retroperitoneal approach, has been popularized as a minimally invasive alternative surgical option.
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. Surgical outcome and related complications in an academic center. 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. During a plif posterior lumbar interbody fusion procedure, the damaged disc is removed from between two vertebrae in the lower back the lumbar region. Although lateral interbody fusion technique itself is relatively novel, the basic concept is based. 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. Although llif technique itself is relatively novel, the basic concept is based on traditional. Aug 22, 2017 get nuvasive s xlif medtronic dlif other lateral fusion pdf file for free from our online library pdf file. The access driver allows 2 different points of attachment. A transforaminal lumbar interbody fusion tlif is performed to remove a portion of a disc that is the source of back or leg pain. Anterior lumbar interbody fusion alif initially introduced in the 1930s, has become a common and widely accepted. The fluoroscope should have adequate access to the surgical field for both the lateral and anteroposterior views. Lumbar interbody fusion is a surgical technique that attempts to eliminate instability in the back. 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.
The incidence of lumbar fusion for the treatment of various degenerative lumbar spine diseases has increased dramatically over the last twenty years. Nuvasive extends porous peek interbody to tlif, plif. Exact name of registrant as specified in its charter. Nuvasive also presented evidence to support its contentions that there was a long 6 in re. Extreme lateral interbody fusion xlif in the thoracic and. Pdf extreme lateral interbody fusion xlif researchgate. The nerves of the lumbar plexus reside within the psoas, and the technique is dependent upon realtime electromyographic monitoring. 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.
Like the plif posterior lumbar interbody fusion procedure, bone graft is used to fuse the spinal vertebrae after the disc is removed. Nuvasive, inc, san diego, california is a minimally invasive technique developed to avoid complications associated with. Nuvasive has also developed other products to support the xlif procedure, such as. Nuvasive portfolio now includes alif retractor platform. Feb 26, 20 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. For the 7 reasons set forth on the record at the hearing and as discussed below, the motion is 8 denied. Lateral lumbar interbody fusion xlif is a minimallyinvasive procedure used to treat leg or back pain generally caused by degenerative disc disease. The xlif surgical technique is different, however, because it incorporates two systems developed by nuvasive. Reproduced with permission from nuvasive, san diego, ca.
The current report describes a novel, minimally disruptive spine procedure called the extreme lateral interbody fusion or xlif nuvasive, inc. Impacted cages made of titanium, carbonfiber reinforced or plain peek polymer polyetheretheketone. 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. Xlif surgical technique study guide flashcards quizlet. Typically, screws and rods or other types of spinal instrumentation are used to hold the spine in position while the bone heals. Over 400 published clinical studies support the procedure, documenting. 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.
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