AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery...

AxiaLIF AxiaLIF

Wayne Cheng, MDHead of Spine Service

Associate Professor, Department of Orthopedic Surgery

Loma Linda University Medical CenterBasic Science Dec 6, 2010

Wayne Cheng, MDHead of Spine Service

Associate Professor, Department of Orthopedic Surgery

Loma Linda University Medical CenterBasic Science Dec 6, 2010

QuickTime™ and a decompressor

are needed to see this picture.

Intramedulary Nailing of Spine?Intramedulary Nailing of Spine?







Case 169 yo female, h/o multiple 8 prior back surg.

W pseudo at at L5s1

Case 169 yo female, h/o multiple 8 prior back surg.

W pseudo at at L5s1





Minimal Invasive?Minimal Invasive?

Step 1 Access Step 1 Access



Step 1-b finger palpationStep 1-b finger palpation



Step 1 - c guideStep 1 - c guide









Step 1-d guide wireStep 1-d guide wire



Step 2-a Dilator/working channelStep 2-a Dilator/working channel





Step 2-b drill S1Step 2-b drill S1



Step 3-a Disc PrepStep 3-a Disc Prep





Step 3-b bone graft/bmpStep 3-b bone graft/bmp



Step 3-c drill L5Step 3-c drill L5



Step 4 - a : Measure Implant Step 4 - a : Measure Implant



Step 4 - b exchange CannulaStep 4 - b exchange Cannula







Exchange Bushing

Exchange cannula

Step 4-C Rod insertionStep 4-C Rod insertion

Post op ap/lat xrayPost op ap/lat xray





COMPLICATIONCOMPLICATION



AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery...

Documents

Transcript of AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery...