spinal fusion: current concepts 2008

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SPINAL FUSION: SPINAL FUSION: Current Concepts Current Concepts 2008 2008

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SPINAL FUSION: Current Concepts 2008. Spinal Fusion 2008. Posterior fusion TLIF PLIF Intertransverse Process Anterior fusion 360 fusion XLIF AxiaLIF. Spinal Fusion 2008. Fixation devices: Pedicle Screws Facet screws Transfacetpedicle screws - PowerPoint PPT Presentation

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Page 1: SPINAL FUSION: Current Concepts 2008

SPINAL FUSION: SPINAL FUSION: Current Concepts Current Concepts

20082008

Page 2: SPINAL FUSION: Current Concepts 2008

Spinal Fusion 2008Spinal Fusion 2008

Posterior fusionPosterior fusion TLIFTLIF PLIFPLIF Intertransverse Intertransverse

ProcessProcess Anterior fusionAnterior fusion 360 fusion360 fusion XLIFXLIF AxiaLIFAxiaLIF

Page 3: SPINAL FUSION: Current Concepts 2008

Spinal Fusion 2008Spinal Fusion 2008

Fixation devices:Fixation devices: Pedicle ScrewsPedicle Screws Facet screwsFacet screws Transfacetpedicle Transfacetpedicle

screwsscrews Biomechanically Biomechanically

equivalent to pedicle equivalent to pedicle screwsscrews

Page 4: SPINAL FUSION: Current Concepts 2008

Spinal fusion 2008Spinal fusion 2008

Interbody devices:Interbody devices: Titanium cagesTitanium cages Peek cagesPeek cages AllograftAllograft STALIFSTALIF SynfixSynfix

Page 5: SPINAL FUSION: Current Concepts 2008

SPINAL FUSION 2008SPINAL FUSION 2008

Bone graft Bone graft substitutes:substitutes: InfuseInfuse ActifuseActifuse CortossCortoss OsteocelOsteocel Stem cellsStem cells

Page 6: SPINAL FUSION: Current Concepts 2008

SPINAL FUSION 2008SPINAL FUSION 2008

Disadvantages:Disadvantages: Adjacent segment Adjacent segment

degeneration (ASD)degeneration (ASD) NonunionNonunion Collateral damageCollateral damage

Page 7: SPINAL FUSION: Current Concepts 2008

SPINAL FUSION 2008SPINAL FUSION 2008 Dynamic Dynamic

stabilization:stabilization: DynesisDynesis

DTO implantDTO implant Stabilmax NZStabilmax NZ Peek rodsPeek rods Agile rodsAgile rods Isobar rodsIsobar rods Hybrid rodsHybrid rods DDSDDS

Page 8: SPINAL FUSION: Current Concepts 2008

SPINAL FUSION 2008SPINAL FUSION 2008

Dynamic Dynamic stabilization:stabilization: DIAMDIAM WALLIS WALLIS CoflexCoflex X-StopX-Stop

Page 9: SPINAL FUSION: Current Concepts 2008

SPINAL FUSION 2008SPINAL FUSION 2008

Artificial disc Artificial disc replacementreplacement Charite`Charite` Pro-DiscPro-Disc MaverickMaverick

Page 10: SPINAL FUSION: Current Concepts 2008

SPINAL FUSION 2008SPINAL FUSION 2008

Minimally invasive surgery:Minimally invasive surgery: XLIFXLIF AxiaLIFAxiaLIF SextantSextant ViperViper LuxorLuxor

Page 11: SPINAL FUSION: Current Concepts 2008

SPINAL FUSION 2008SPINAL FUSION 2008

Facet replacement Facet replacement systemssystems Impliant, TOPSImpliant, TOPS Archus, TFASArchus, TFAS Facet solutions, Facet solutions,

AFRSAFRS

Page 12: SPINAL FUSION: Current Concepts 2008

SPINAL FUSION 2008SPINAL FUSION 2008

Facet replacement Facet replacement systemssystems AFRSAFRS

Page 13: SPINAL FUSION: Current Concepts 2008

SPINAL FUSION 2008SPINAL FUSION 2008

Dynamic Dynamic stabilizationstabilization Stabilimax NZStabilimax NZ

Decreases the Decreases the neutral zone in neutral zone in destabilized spines destabilized spines while maintaining while maintaining max possible ROMmax possible ROM

Dual spring designDual spring design

Page 14: SPINAL FUSION: Current Concepts 2008

SPINAL FUSION 2008SPINAL FUSION 2008

Facet replacement Facet replacement systemssystems Archus, TFASArchus, TFAS

Page 15: SPINAL FUSION: Current Concepts 2008

SPINAL FUSION 2008SPINAL FUSION 2008

Dynamic Dynamic stabilizationstabilization DynesisDynesis

Page 16: SPINAL FUSION: Current Concepts 2008

SPINAL FUSION 2008SPINAL FUSION 2008

DIAMDIAM Spine stabilization Spine stabilization

systemsystem Spinal stenosisSpinal stenosis DDDDDD