TLIF: Distraction, Annulotomy, Endplate Preparation, and …
2016年1月28日 · A review of the surgical distraction techniques, annulotomy and endplate preparation, and interbody template use.
Anterior Lumbar Interbody Fusion - Approaches - Orthobullets
2017年4月17日 · Annulotomy. remove disc using knife, pituitary, curettes, microcurettes, and ring curettes ; define endplates using Cobb elevator Implants . sequentially distract endplates continue posterior discectomy until posterior annulus visualized
Lumbar Interbody Fusion: Techniques, Pearls and Pitfalls - PMC
After cleaning the intervertebral space, it is measured using trial spacers and the cage or bone graft is inserted into the interspace through each of the two annulotomy procedures. Finally, supplemental pedicle screw and rod constructs are applied.
A simple minimally invasive technique of removing lumbar disc …
An obvious disc herniation can be removed piecemeal using pituitary forceps and an annulotomy allows access inside the disc. Removal requires work through a small incision at a depth that can be challenging and the anterior annulus must be left intact to avoid damaging vascular structures.
Step 2. Facetectomy and Annulotomy In order to gain transforaminal access to the disc space, a unilateral facetectomy is performed. The side chosen for the approach is often determined by the location of the pathology or the presence of scar tissue. • Reflect the ligamentum flavum from the anterior surface of the lamina with a curette (2a).
Section 11, Chapter 5: Lateral Approaches to the Lumbar Spine
LLIF allows a thorough discectomy from a lateral annulotomy. The approach utilizes wider cages and thereby larger footprints with a lower rate of pseudarthrosis and cage migration. Additionally, LLIF can be used in the treatment of a wide range of degenerative spinal diseases.
Transforaminal Lumbar Interbody Fusion (TLIF) - NYC
Our team of dedicated access representatives is here to help you make an appointment with the specialists that you need. A Transforaminal Interbody Lumbar Fusion treats spinal instability or weakness by permanently uniting bones of the lumbar (lower) spine.
Diagnosis and Management - Wheeless' Textbook of Orthopaedics
Aggressive disc clearance and, to a lesser extent, resection of a protrusion, requires an annulotomy, whereas a fragmentectomy for extrusion or sequestration requires little or no annular incision.
Expandable Cage Technology—Transforaminal, Anterior, and Lat ... - LWW
Annulotomy is performed sharply, followed by disc shavers and rongeurs to prepare the endplate. Extreme care is taken to preserve the bony endplate. Grafting materials and biologics are at the discretion of the surgeon and are all equally adaptable to expandable cages.
Anterior Lumbar Interbody Fusion and Transforaminal Lumbar Interbody ...
2021年4月1日 · Anterior lumbar fusion allows for complete discectomy, indirect decompression, maximal surface area for fusion under compression, and restoration of lumbar lordosis and sagittal alignment. The benefits of anterior fusion must be considered with the potential morbidity associated with the anterior approach or combined anterior/posterior procedure.