The XLIF (Lateral Lumbar Interbody Fusion) technique assesses the spine from the side of the body, avoiding retraction of internal organs and major blood vessels. This causes minimal internal disruption and thus results in an easier post-op recovery for the patient. XLIF utilizes the highly integrated MAS© (Maximum Access Surgery) System which provides significant benefits to patients, including reduced surgery time, less blood loss, shorter hospital stays, and significantly faster recovery time.

The XLIF approach does not require back muscle and bone dissection or nerve retraction; it also allows for a more complete disc removal and predictable implant insertion, compared with traditional posterior procedures. XLIF also does not require the delicate abdominal exposure or present the same risk of vascular injury as traditional anterior procedures.

Because the procedure is less disruptive than conventional posterior or anterior surgery, most patients are able to get up and walk around within a day of the surgery.

Vertebral Body Tethering or VBT is a new cutting edge fusionless technique used by only a handful of skilled surgeons to treat scoliosis.

Traditional spinal fusion surgery involves the placement of hardware: hooks / wires / screws on the curved part of the spine. Small pieces of bone are then placed over the spine; the bone pieces eventually grow together with the spinal bone and fuse it into the correct position.

VBT however, is a minimally invasive surgical procedure technique that places a compressive force over the convex side of the spine (slowing down growth) to permit the concave side of the spine to grow more. This in turn will create a straighter spine and correct scoliosis. The actual technique used for VBT varies based on the surgeon, but the premise of the surgery remains the same: titanium bone screws are anchored to the front of each vertebral bone within the curved area, and a flexible cord (the tether) is attached to each screw and tensioned to achieve the desired degree of spine straightening.

• Allows continued growth and mobility
• Less blood loss
• Faster recovery time
• Spinal motion sparing
• Less hardware placement resulting in decreased complications
• Very small surgical incision

It is important to note that VBT is mainly used only for children up to the ages of 8-18

During spine surgery, it is important to protect the nerves associated with the spinal column. These nerves carry messages to and from the brain, organs, and limbs, aiding them with proper movement and sensation.

The NeuroVision Intraoperative Monitoring System provides real-time, precise, and reliable feedback to ensure nerve and spinal cord safety. By using this unique and advanced technology, the surgeon is provided with intraoperative information about the location and function of the nerves, assisting with safe implant placement and surgical technique during minimally invasive spine procedures.

• Uniqueness - The only clinically validated neuromonitoring system for lateral spine approaches
• Discrete Thresholds – NVM5 delivers discrete thresholds, enabling the surgeon to assess proximity to the nerve in the lumbar plexus
• Directionality – XLIF Dilators’ directionality provides nuanced information via precise vectoring of the stimulation electrode within the lumbosacral plexus.
• Relative Proximity – Aids the surgeon in assessing how close the XLIF Dilator is to the nerve tissue
• Real-Time – 5 stimulations per second deliver a discrete, directional and relative proximity data to the surgeon in real-time!
• Surgeon-Driven – The surgeon controls stimulation from the sterile field – without delay, aiding in efficiency in the O.R.