Acculif expandable lumbar interbody fusion technology surgical technique guide 2 acknowledgments stryker spine wishes to thank the following surgeons for their dedication and contributions to the development of the acculif. This cage is characterized by rough and porous surfaces of sprayed titanium particles. A posterior lumbar interbody fusion, called a plif, is a surgery designed to stop the motion at the targeted segment of the spine. Overview of plif cage specifications used in the study. The lumbar if cage depuy spine, raynham, ma was designed to enhance posterior lumbar interbody fusion results by. The device is intended for use at either one or two contiguous levels for the treatment of degenerative disc disease ddd with up to grade 1 spondylolisthesis. All procedurerelated postoperative complications and adverse events were tabulated. Posterior lumbar interbody fusion plif with cages and.
Expandable cage technology scott webb do florida spine institute calusa spine meeting. Lumbar transforaminal lumbar interbody fusion tlif. Stabilization for degenerative diseases of the lumbosacral spine l2 to s1 isthmic spondylolisthesis meyerding grades i and ii please refer to the instructions for use or surgical technique manual for a more detailed descriptios of the indications and precautions. This technique may be performed through an open, less invasive or minimally invasive procedure. 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. Posterior lumbar interbody fusion plif spine surgery. Lumbar interbody fusion lif is an established treatment for a range of spinal disorders including. Set screw fracture with cage dislocation after twolevel. Most editors only let you edit the text you add yourself, or they support text editing but then throw watermarks all over the place. The following technique describes a bilateral, open plif technique. Pdf we performed a biomechanical study on human cadaver spines to determine the effect of three different interbody cage designs, with and. Lnk lumbar interbody fusion cage system lnk plif t plif cage the lnk interbody fixation system implants are interbody fusion devices intended for use as an aid in spinal fixation.
For the rotatable series cages t plif r and plif r the device is inserted into the disc space with the endplate contacting serrations perpendicular to the endplates. Eit tlif cage surgical technique preparation and approach the patient is placed on the or table using the standard positioning in cases of transforaminal lumbar interbody fusion. While posterior lumbar interbody fusion plif is routine within the spinal surgeons repertoire, it is surgery with the potential to cause. Lif involves placement of an implant cage, spacer or structural graft within the intervertebral space after discectomy and endplate preparation. An introduction to this booklet is designed to inform you about the maximum access surgery mas posterior lumbar interbody fusion plif surgical procedure. Outcomes of l1l2 posterior lumbar interbody fusion with. 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.
Smaller cages height and width than aliflateral radiculitis. Clinically relevant migration of the cage in the dorsal direction was detected in one case. Zavation ibf system tlif, t plif and plif parallel lordotic convex rotatable tlif t plif t plif l t plif c t plif r. Perforation of the adjacent vertebral body by interbody cage during. Make sure the abdomen is free positioned to avoid pressure on the large vessels and to minimize blood loss. Oblique lateral lumbar interbody fusion ollif scott webb do florida spine institute calusa spine meeting. Available in three footprint sizes of 9, 11 and mm widths, the saber cage is offered in 1 mm incremental height options from 8 mm to. Most commonly it is performed on the l4l5 or l5s1 segment at the bottom of the lumbar spine. Is one cage enough in posterior lumbar interbody fusion. After the cage is placed in the disk space, your surgeon may add stability to your spine by using metal screws and rods to hold the cage in place. Longterm outcomes of posterior lumbar interbody fusion using. Initial experience of titaniumcoated peek cage capstone.
The capability to deliver a multiexpandable interbody cage with a. We present a rare case of a patient with a set screw fracture with cage dislocation after an open transforaminal lumbar interbody fusion procedure. Spine the maturation of grafted bone after posterior. Posterior lumbar interbody fusion and transforaminal. Expandable tlif and plif technology surgical technique. It is radiolucent, thereby allowing visualisation of the fusion when viewed by normal plan radiographs. Sejda pdf editor is one of the very few pdf editors that actually lets you edit preexisting text in the pdf without adding a watermark. Transforaminal lumbar interbody fusion is a popular procedure used to achieve spondylodesis in patients with degenerative lumbar spinal diseases. Revision and removal procedures are also discussed in this brochure. The signature orthopaedics arlington plif tlif cages are manufactured from peek optima lt1 per astmf2026. The arlington plif tlif cage is intended for implantation by a posterior or transforminal approach. Plif stands for posterior lumbar interbody fusion and is the angle taken when the surgeon gains access to the spine from a posterior through the back approach. Initial testing indicated that motion segments to which threaded interbody cages were fastened were as stable as those in which plif procedures with bone graft. Minimally invasive surgical procedures, without compromising.
Plif tlif problems muscle dissection, denervation acute postop pain blood loss longer length of stay. Pdf compressive strength of interbody cages in the lumbar spine. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Anterior approaches for lumbar interbody fusion glen manzano, md. Lnk lumbar interbody fusion cage system lnk tlif cage the lnk tlif cage is designed to fit anatomy of vertebral endplate by restoring actual lordosis of vertebral body and normal alignment and to provide stability and optimal environment for fusion. Pdf interbody cage stabilisation in the lumbar spine. Posterior lumbar interbody fusion plif demonstrated using contact fusion cage and clickx. Objectives to determine the validity of posterior lumbar interbody fusion plif using a titanium cage filled with excised facet joint bone and a pedicle screw for degenerative spondylolisthesis. Safety of a novel modular cage for transforaminal lumbar interbody. Plif with a titanium cage and excised facet joint bone for. The effects of bone microstructure on subsidence risk for. One and two level posterior lumbar interbody fusion plif using.
Therefore objective of this study is to evaluate the stability of decompressed spine with the two different interbody cages expandable plif cage and tlif cage, designated for the respective surgical approaches. Plif for degenerative disk disease using standalone cages has lost its popularity owing to implantrelated complications and pseudoarthrosis. Limitations of plif included inadequate compression strength of allograft bone 5 and low fusion rates 6. Pdf multiexpandable cage for minimally invasive posterior lumbar. The device consists of a rectangular cage geometry with a bulleted tip to ease insertion and serrated teeth on the inferior and superior. One and two level posterior lumbar interbody fusion plif. This surgery may be done to treat lumbar degenerative disc disease, in.
Plif tlif cages allow a larger footprint minimally invasive to local tissues allow for improved sagittal alignment better fill of interbody space. Posterior lumbar interbody fusion plif was introduced by cloward 14 more than 50 years ago. Tlif and plif cages a small incision, a gentle interface with soft tissues and an atraumatic technique may offer valuable benefits to the patient. Two common types are posterior lumbar interbody fusion and transforaminal lumbar interbody fusion. Posterior lumbar interbody fusion plif, as recommended with bilateral lumbar interbody cages and pedicle screw. Based on our experience, posterior lumbar interbody fusion plif can be recommended for the treatment of monosegmental and bisegmental spinal stenosis, with or without segmental instability. Small incisions 1reduced blood loss 3reduced site infection risks potential reduced vascular disruption minimised soft tissue and muscle damages 2. Generic alif, llif, plif, and tlif cages made of polyether ether ketone were implanted on the superior endplates of all vertebrae and subsidence testing was performed. The roia alif cage is indicated for intervertebral body fusion of the lumbar spine, from l2 to s1, in skeletally mature patients who have had six months of nonoperative treatment. These bullet type tip implants are offered in a variety of widths, lengths, heights and lordotic angles designed.
To the best of our knowledge, this case is the first of its kind to be reported. Pdf the increasing adoption of minimally invasive techniques for spine. Tlif versus plif in spondylolisthesis maastricht university. An interbody fusion can be performed using a variety of different approaches. One or two plif t plif cages should be implanted at each surgical level. Like the plif posterior lumbar interbody fusion procedure, bone graft is used to fuse the spinal vertebrae after the disc is removed. Here we present two cases of tlif with posterior migration of cage producing neurological features requiring a redo procedure with. The medacta mectalif posterior interbody fusion devices are shaped for solid initial fixation, and long term spine stabilization. Fill in the space between the cages with cancellous. The saber plif cage is made of a carbon fibre reinforced peek material a nd is supplied non sterile. In adjunct to pedicle screw system no significant differences exist between the two cages. Complications of posterior lumbar interbody fusion when using a. The plif t plif cage should not be implanted in patients with severe osteoporosis or osteopenia.
Anterior techniques alif lateral transpsoas approaches xlifdlif anterior approaches contraindications. Migra on of posterior lumbar interbody fusion cage int o the endplates or. Randomized controlled trial of posterior lumbar interbody fusion. This technique was developed in conjunction with health care. One and two level posterior lumbar interbody fusion plif using an. The surgeon should consider the levels of implantation, patient weight, patient activity level, other patient conditions, etc. A radiolucent or table is recommended, as xray shall be. The physical properties of this cage compared to a cage with no titanium coating are a 2. Patients with osteoporosis are at high risk of tlif cage subsidence. The results indicated that tlif cages had significantly lower p cages. Pdf posterior revision of lumbar interbody fusion cages. Lumbar transforaminal lumbar interbody fusion tlif a transforaminal lumbar interbody fusion tlif is performed to remove a portion of a disc that is the source of back or leg pain.
Surgical interventions such as posterior lumbar interbody fusion. Pdf one goal of interbody fusion is to increase the height of the degenerated disc space. Made of peek and titanium coated peek material, the mectalif fusion devices offer biocompatibility and anatomic shaping to address your unique patients. Lnk tlif cage features wide window that facilitates bone growth with bone graft substitutes. Gently insert into the disc space to its final position. Expandable cage technology foundation for orthopaedic. A comparison of unilateral single cage interbody fusion to bilateral cages guy r.