Surgical Technique

 

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bullets_squares_green_004.gif (86 bytes) Operative Setup

The surgery is performed through a small opening 1 inch and several puncture wounds < 1 cm.  The spine is visualized by camera on monitors.   Flouroscopy is used to monitor certain aspects of the procedure.

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bullets_squares_green_004.gif (86 bytes) Image of disk on monitor showing placement of guide holes for insertion of implants.
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bullets_squares_green_004.gif (86 bytes) The disk space is distracted (separated) by plugs impacted into the guide holes.
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bullets_squares_green_004.gif (86 bytes) A protective sleeve is placed over the distractor plugs to guide reaming, tapping and implant insertion into each channel.
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bullets_squares_green_004.gif (86 bytes) A reamer is advanced under x-ray guidance to cut a channel for the implant.
bullets_squares_green_004.gif (86 bytes) The channel bone walls are tapped.
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bullets_squares_green_004.gif (86 bytes) The implant is inserted and is visualized from th front and side views.