login
  Password reminder
Spinal News
Contact the editor Visit Spinal News Twitter feed Visit Spinal News Facebook page
 

New technique safely allows lateral interbody fusion without the need for repositioning


Wednesday, 28 Mar 2012 11:38
Ali Araghi
Ali Araghi


According to a study presented at ISASS12, by Ali Araghi, The Core Institute, Phoenix, USA, the Guyer lumbar interbody fusion (GLIF) procedure offers the unique advantage of allowing surgeons to perform interbody fusion with the patient in the prone position without the need for a repositioning “flip”.


Araghi reported that GLIF is a new technique to treat degenerative disc disease, coronal and saggittal plane deformities or both. He said: “In the GLIF procedure, patients were positioned prone. Hence, the surgeon had the ability of implanting pedicle screws, distracting the disc space, or correcting sagittal or coronal plane deformities prior to advancing with the GLIF cage across the disc space but after having done an anterior column release, without the need for repositioning.”


He explained that the technique starts by “targeting apparatus to localise the optimum skin incision position for a curvilinear approach to the lateral aspect of the disc” and added that the dorsolateral aspect of the spine is navigated via a retroperitoneal approach through serial dilators placed and guided by the same targeting apparatus. This is then followed by the psoas being separated, with the assistance of neuromonitoring, and a curved port being placed on the lateral aspect of the disc and fixated with bone pins and tangs. Araghi said: “Expansion of the concave side of the curved port will now allow direct visualisation of the disc space.”

In their multicentre, retrospective study, Araghi et al assessed the safety and efficacy of the GLIF technique. Araghi said: “A total of 40 cases and 47 levels were performed: 35 single levels, three double levels and two triple levels.” According to Araghi, there were no GLIF-related complications except for one case of quad weakness and pain. However at the one-year follow-up point, although there was some residual thigh pain, the weakness had resolved. The average time to discharge was 3.6 days. Araghi reported: “It is important to note that 24 out of the 40 cases included multilevel posterior decompression or fusions and/or removal of hardware from adjacent levels.”


Araghi concluded that the new procedure “safely allowed” lateral interbody fusion without the need for lateral positioning or a “repositioning flip. He told Spinal News International that there were two advantages of the GLIF procedure, “The GLIF procedure not only saves time in the operating room, by allowing the surgeon to eliminate the lateral set up and the flipping to a prone position, but also enables the surgeon to access all three columns of the spine simultaneously. This allows the surgeon to perform posteriorly based sagittal and coronal plane correction manoeuvres after an anterior release/discectomy, but prior to placing the GLIF anterior column support cage. This enables the surgeon to optimise the intra-operative correction.”




Add New Comment

Most popular


Shilla growth guidance system cleared
Thursday, 28 Aug 2014
Medtronic has announced the 510(k) clearance and launch of the Shilla growth guidance system, designed for treatment of skeletally immature paediatric patients less than 10 years of age diagnosed ... Shilla growth guidance system cleared

More than half of spinal cord injury patients use inappropriate wheelchairs
Wednesday, 27 Aug 2014
A new study has found that, overall, 55% of patients with a spinal cord injury use an inappropriate wheelchair, including 66.7% of patients with inappropriate seat height—which could lead to pressure ... More than half of spinal cord injury patients use inappropriate wheelchairs

First surgery performed with Expanding Orthopedics’ FLXfit 3D expandable interbody cage
Wednesday, 03 Sep 2014
Expanding Orthopedics has announced that the first surgery ever, using its FLXfit, the world’s first 3D expandable interbody cage, has been performed by Jean-Charles Le Huec in France. First surgery performed with Expanding Orthopedics’ FLXfit 3D expandable interbody cage

Features


Intraspinal pressure monitoring improves management of patients with spinal cord injury
Thursday, 09 Oct 2014
Traumatic spinal cord injury is a devastating condition that mostly affects young men (about a third of whom will remain paralysed or wheelchair bound for the rest of their lives). In the USA, the ... Intraspinal pressure monitoring improves management of patients with spinal cord injury

Probing, tapping, toggling: Are we inserting pedicle screws correctly?
Tuesday, 30 Sep 2014
Robert Lee and John Schmidt write about pedicle screw insertion and their study which challenges the standard technique. Probing, tapping, toggling: Are we inserting pedicle screws correctly?

Profiles


Lori Karol
Wednesday, 13 Aug 2014
Lori Karol, Texas Scottish Rite Hospital, Dallas, USA, talks to Spinal News International about the ... Lori Karol

Luiz Pimenta
Thursday, 12 Jun 2014
Luiz Pimenta, immediate past president of the International Society for the Advancement of Spinal S... Luiz Pimenta

Cardiac Rhythm News Vascular News Cardiovascular News Interventional News Spinal News NeuroNews
BIBA Medical BIBA MedTech Insights CX Symposium ilegx
 
Password Reminder

BIBA Medical, 526 Fulham Road, Fulham, London, SW6 5NR.
TEL: +44 (0)20 7736 8788 FAX: +44 (0)20 7736 8283 EMAIL: 
info@bibamedical.com
© BIBA Medical Ltd is a company registered in England and Wales with company number 2944429.
VAT registration number 730 6811 50.
Site Map | Terms and Conditions