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

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Intramedulary Nailing of Spine?Intramedulary Nailing of Spine?

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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

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Minimal Invasive?Minimal Invasive?

Step 1 Access Step 1 Access

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Step 1-b finger palpationStep 1-b finger palpation

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Step 1 - c guideStep 1 - c guide

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Step 1-d guide wireStep 1-d guide wire

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

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Step 2-b drill S1Step 2-b drill S1

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Step 3-a Disc PrepStep 3-a Disc Prep

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

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Step 3-c drill L5Step 3-c drill L5

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

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Step 4 - b exchange CannulaStep 4 - b exchange Cannula

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Exchange Bushing

Exchange cannula

Step 4-C Rod insertionStep 4-C Rod insertion

Post op ap/lat xrayPost op ap/lat xray

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COMPLICATIONCOMPLICATION

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