Feb 26, 20 nuvasive is a medical device company focused on developing minimally disruptive surgical products and procedurally integrated solutions for the spine. The nuvasive tlif philosophy, coupled with its comprehensive portfolio, provides open and mas procedural systems that include the requisite tools surgeons need to plan surgery, access affected levels, restore alignment and disc height, provide optimized fixation, and deliver graft material. Recovery time from an mis tlif is commonly much quicker than older more traditional approaches, with patients home from the hospital within a day and back to their usual activities by 68 weeks. Japan oks nuvasives reline spine fixation system massdevice. During a plif posterior lumbar interbody fusion procedure, the damaged disc is removed from between two vertebrae in the lower back the lumbar region. Nuvasive triad tricolumnar spinal endoarthrodesis via minimally invasive guidance, 1 page prior to sep. Nuvasive triad cortical bone allograft, 1 page prior to sep. Nuvasive portfolio now includes alif retractor platform for. Nuva is the leader in spine technology innovation, focused on transforming spine surgery and beyond with minimally disruptive, procedurallyintegrated solutions designed to deliver reproducible and clinicallyproven surgical outcomes. 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. Like the plif posterior lumbar interbody fusion procedure, bone graft is used to fuse the spinal vertebrae after the disc is removed. Surgical technique maxan one anterior cervical plate system designed to help minimize the potential for adjacent level ossification allows for screw placement up to 30 cephalad on the superior end of the plate and up to 30 caudal on the inferior end of the plate plate sizes that begin at 8.
Nuva, the leader in spine technology innovation, focused on transforming spine surgery with minimally disruptive. An introduction to this booklet is designed to inform you about the maximum access surgery mas transforaminal lumbar interbody fusion tlif surgical procedure. Nuvasive investor relations investor overview nuvasive inc. Nuva is the leader in spine technology innovation, focused on transforming spine surgery and beyond with minimally disruptive, procedurallyintegrated solutions designed. Innovative technology or even just novel improvements to antiquated systems can lead to. Gill laminectomy, mas plif at l5s1 using reline mas midline and mas plif ti. Lumbar interbody fusion indications, techniques, and complications dr praveen k tripathi 27jan16 1 2. This procedure should reduce the approachrelated muscle pain often seen in. Minimally invasive spine surgerycombines uptodate research on surgical techniques with highdefinition surgical video and concise algorithmic evidence.
During the mas tlif procedure, the surgeon starts off to one side. This booklet is designed to inform you about the maximum access surgery mas posterior lumbar interbody fusion plif surgical procedure. The x360 system, powered by surgical intelligence, includes xlif, xalif, and xfixation. Mas plif and mas tlif mas procedures requiring long construct double, fully threaded screws. 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.
The procedure is performed from the back posterior with the patient on his or her stomach. Nuvasive is a world leader in minimally invasive, procedurally integrated spine solutions. Nuvasive magnetic, noninvasive platforms featured in the. Open transforaminal lumbar interbody fusion tlif has been performed for many years with the aim of improving fusion rates and disc height restoration as compared with the traditional interbody fusion technique 1, 7, 8, 15. The implant must be seated firmly with a tight fit between the endplates when the segment is. Nuvasives commitment to expandables, new materials and systems elizabeth hofheinz, m. However, mis tlif is a technically challenging procedure. 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. Biomechanical evaluation of a standalone lumbar int erbody cage with integrated screws 1kornblum, m b. All nonsterile devices must be cleaned and sterilized before use.
Minimally invasive tlif transforaminal lumbar interbody fusion. Nuvasive launches retractor for lateral, supine approaches. The precice intramedullary limb lengthening system is an innovative, marketleading solution to help patients with limb length discrepancy lld. In a minimally invasive tlif, the surgeon inserts a small tube through the skin until it rests on the spine. 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. Nuvasive developed a minimally invasive approach for the tlif procedure, the mas tlif or maximum access surgery mas tlif. Transforaminal lumbar interbody fusion tlif in revision. Final locking three minimallydisruptive instrument options are available for tailoring the surgical technique to surgeon. Nuvasive extends porous peek interbody to tlif, plif. Nuvasives lateral porous peek has 1stinman elizabeth hofheinz, m.
San diego, ca 92121 pcm food and drug administration. This is a mis technique that is performed for patients with refractory mechanical low back and radicular pain associated with spondylolisthesis, degenerative disc disease and recurrent disc herniation. Minimally invasive transforaminal lumbar interbody fusion. Sep 30, 2010 a minimally invasive transforaminal lumbar interbody fusion mis tlif has recently been introduced. Using special surgical instruments the surgeon then does the entire tlif procedure through the tube. The unilateral transforaminal lumbar interbody fusion tlif represents an alternative surgical technique avoiding both the anterior approach and the approach through the spinal canal.
Plif posterior lumbar interbody fusion plif is a surgical technique for placing bone graft between adjacent vertebrae interbody. Typically, screws and rods or other types of spinal instrumentation are used to hold the spine in position while the bone heals. The nerves of the lumbar plexus reside within the psoas, and the technique. For a video of the technique i use with the nuvasive mas system, please click here.
Spinal fusion techniques including anterior lumbar interbody fusion alif have been used to alleviate chronic low back pain and segmental instability. This booklet is designed to inform you about the maximum access surgery mas transforaminal lumbar interbody fusion tlif surgical procedure. Each of its sixteen chapters begins with a brief summary followed by imaging indications, instrumentation, a stepbystep surgical technique and video guide, as well as the potential complications and adverse outcomes that may develop. Minimally invasive transforaminal lumbar interbody fusion in. 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. Surgical technique medtronic sofamor danek, 200, 24 pages. Royal oak ibfd system surgical technique transforaminal. Tlif back surgery indications and technique spinehealth. The companys portfolio includes access instruments, implantable hardware, biologics.
Transforaminal lumbar interbody fusion san antonio, tx. Tlif is designed to eliminate the disc as the source of mechanical back pain. In a mas tlif procedure, rather than starting from the middle of the back and spreading the muscles to the sides like in a traditional back. Provides guidance on the full range of surgical techniques required by all trainee surgeons. The nuvasive maximum access surgery mas plif procedure is a minimally disruptive approach to traditional back surgery. Posterior lumbar interbody fusion plif is a surgical technique that attempts to eliminate instability in the back and pain in the lower back and lower extremities. Lumbar transforaminal lumbar interbody fusion tlif. Nuvasive launches tlx 20 degree spinal implant orthopedics. San diego, ca 92121 pcm the cervical disc system instructions for use rx only graphical symbols read instructions before use. Mas plif maximum access surgery spine surgeons, physical.
Portfolio to offer porous titanium spine implants for all tlif procedures. Cavicchioli5 abstract transforaminal lumbar interbody fusion tlif is a relatively new technique of lumbar arthrode. Nuvasive specialized orthopedics is a nuvasive division focused on the design and innovation of disruptive orthopedic solutions. Mas plif is designed with the intention of allowing conventional surgical goals under minimally disruptive exposure to be achieved. No correction loss in frontal or sagittal plane except for one patient with deep infection. However, the tlif procedure places a single bone graft between. Nuvasive launches reline trauma posterior fixation portfolio. Nuva ivek121619 nuvasive polyaxial spinal screws r4\n vs ive august 21, 2012 nu vasiveo precepffm spinal system when used as a pedicle screw fixation system, the nuvasive precept spinal system is intended to provide immobilization and stabilization of spinal segments in skeletally. A mas tlif achieves this by using a less invasive approach to fuse one or more vertebrae together to reduce their motion. 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. The sixth edition of this highly regarded title for surgical trainees gives clear, concise guidance on all aspects of acquiring surgical skills to ensure operative success. Apr 20, 2017 nuvasive claims that its portfolio of products will allow surgeons to transition from open to mas spinal procedures, and to customize implant types and support a number of different techniques.
Nuvasive is a medical device company focused on developing minimally disruptive surgical products and procedurally integrated solutions for. Nuvasive portfolio now includes alif retractor platform. The authors performed retrospective analysis about mis tlif using a single interbody cage. May 26, 2016 the maximum access surgery transforaminal lumbar interbody fusion mas tlif procedure is a technique that attempts to eliminate instability in your back through a less invasive approach to fuse one or more vertebrae together to reduce their motion. A mas tlif achieves this by using a less invasive approach to fuse one or more vertebrae. Maximum access surgery mas transforaminal lumbar interbody fusion tlif is a surgical procedure that was developed to provide spinal stability and help. The nuvasive mas maximum access surgery tlif is a minimally invasive back. Large bone graft windows are located through the body of the device to allow for. Nuvasiver announces first patients in japan treated with. Nuvasive vertebral body access system, 1 page prior to sep. 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. 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. The tlif implant is available in a 25mm length x 10mm width footprint, and is provided with and without lateral windows.
Multicomponent instrument assemblies must be disassembled prior to cleaning. Using a medialized approach, the mas plif procedure is. The nerves of the lumbar plexus reside within the psoas, and the technique is dependent upon realtime electromyographic monitoring. Spinal fusion techniques including anterior lumbar interbody fusion. 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. Nuvasive claims that its portfolio of products will allow surgeons to transition from open to mas spinal procedures, and to customize implant types and support a number of different techniques. The tlif implant consists of banana shaped blocks in a parallel configuration of various heights 8mm 16mm, in 2mm increments. Apr 06, 2010 nuvasive vector cannulae, 1 page prior to sep. Nuva said today that its planning a launch later this year for its reline posterior fixation system in japan, after winning shonin approval there. Lumbar interbody fusion indications techniques and. Clinical benefits minimally disruptive, uncompromised surgical goals. Meet the innovators behind reline mas midline nuvasive.
Nuvasive expands its advanced materials science portfolio to. Patented insert and rotate technique used to protect the endplates saline processed and packaged. 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. 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. 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.
Nuvasive brings porous titanium spine implants to its tlif offerings. Mas plif is an alternative solution to traditional. The technique for using a primalok sp implant includes these basic steps. A maximum access surgery posterior lumbar interbody fusion mas plif achieves this by using a less disruptive approach to decompress nerve roots and fuse one or more vertebrae together to reduce their motion. The october 5, 2018, clearance came less than three months after the company submitted its request. The maximum access surgery transforaminal lumbar interbody fusion mas tlif procedure is a technique that attempts to eliminate instability in your back through a less invasive approach to fuse one or more vertebrae together to reduce their motion. Minimally invasive posterior lumbar interbody fusion plif. 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. Maximum access surgery transforaminal lumbar interbody fusion.
Mas plif and mas tlif mas procedures requiring long construct. Were featuring reline mas midline innovators, tyler, hayden, and matt, to give you an inside look into what its like helping drive innovation at nuvasive. Transforaminal posterior atraumatic lumbar cage system. Tlif procedures can avoid the risks of the anterior lumbar interbody fusion technique alif, such as, vessel injury, sympathetic nerve injury and injury to. Surgical access system and related methods nuvasive, inc. 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. Today there is a minimally invasive tlif technique that is proving to be an effective alternative to open fusion surgery. Mas tlif is an efficient and reproducible technique. 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. Tlif back surgery video o arm ct vail colorado youtube. During a plif posterior lumbar interbody fusion procedure, the damaged disc is removed from between two vertebrae in.
Tlif procedure is performed through a posterior incision. Inserting it into the surgical site at the appropriate level 3. Lumbar interbody fusion is a surgical technique that attempts to eliminate instability in the back. Surgical technique product information tpal 2 ao principles 4 indications and contraindications 5 preoperative planning and preparation 6 patient positioning 7 access and exposure 8 minimally invasive transforaminal approach 8 open transforaminal approach 10 discectomy 11 disc space preparation 12. Tlif transforaminal lumbar interbody fusion nicandro figueiredo 1, johnny wesley g. 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. Biomechanical evaluation of a standalone lumbar interbody. Rmm was driven by market analysis, mainly the opportunity to broaden the reline portfolio. Corenmans website to learn more about the anatomy of the spine. With the launch of its latest spine implant, nuvasive has expanded its porous titanium portfolio to all transforaminal lumbar interbody fusion surgeries, or tlif procedures.
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