Guidelines

What is a Xlif procedure?

What is a Xlif procedure?

Extreme lateral interbody fusion (XLIF) is a minimally invasive procedure performed through the side of the body to treat spinal disorders and reduce long-term back or leg pain that has not responded to other treatments, such as steroid injections, physical therapy and pain medication.

What is ACDF procedure?

Anterior cervical discectomy and fusion (ACDF) is a surgery to remove a herniated or degenerative disc in the neck. An incision is made in the throat area to reach and remove the disc.

What is a PLIF procedure?

A posterior lumbar interbody fusion (PLIF) is performed to remove a disc that is the source of back or leg pain and fuse spinal vertebrae with bone grafts. It is called a posterior procedure because the spine is approached through an incision on the back.

How painful is XLIF surgery?

Pain is typically very limited and is gone quickly. Prognosis for patients undergoing XLIF surgery is excellent. Patients have a greater than 95 percent successful fusion rate with XLIF surgery and decreased rates of infection when compared to traditional spinal fusion approaches.

Is XLIF safe?

Nevertheless, XLIF/MIS XLIF pose significant additional risks and complications that include; multiple nerve injuries (e.g. lumbar plexus, ilioinguinal, iliohypogastric, genitofemoral, lateral femoral cutaneous, and subcostals (to the anterior abdominal muscles: abdominal oblique), and sympathectomy), major vascular …

Is ACDF a major surgery?

ACDF surgery is a major procedure, and you will need to take it easy during your recovery. However, if you are unable to do daily activities within 4-6 weeks of your appointment, you should see your surgeon right away.

How serious is ACDF?

While uncommon, as with all surgery there are a number of risks and potential complications that can occur as a result of a cervical decompression and fusion surgery, including: Hemorrhage or formation of a wound hematoma. Damage to the carotid or vertebral artery resulting in a stroke or excessive bleeding, even death.

Which is better TLIF or PLIF?

Conclusions: The available evidence suggests that both TLIF and PLIF could achieve similar clinical satisfaction and fusion rate in the management of degenerative lumbar diseases. However, TLIF was superior to PLIF with shorter operation time, less blood loss, and lower incidence of nerve root injury and dural tear.

Where is the incision for XLIF?

​Unlike traditional back surgery, XLIF® is performed with the patient positioned on their side. A small incision is made on one side in the flank region below the rib cage. By approaching the spine in this way, major muscles at the back of the spine are avoided and not damaged. This reduces post-operative back pain.

How long is XLIF surgery?

Reduced operative time – Traditional procedures can take many hours to perform, the while XLIF procedure can be successfully completed in as little as one hour, reducing the amount of anesthesia time.

How many years does ACDF last?

Conclusion: ACDF leads to significantly improved outcomes for all primary diagnoses and was sustained for >10 years’ follow-up. Secondary surgeries were performed for pseudarthrosis repair and for symptomatic adjacent-level degeneration.

When can I shower after ACDF?

It is good to let soapy water run over the incision but not to scrub or directly wash the incision. Surgeons may have different advice for when it is OK to take a first shower; it’s usually about 2 to 3 days after the surgery. Incisions should be gently patted dry and a new dressing applied daily for the first 5 days.

Is TLIF a laminectomy?

The PLIF technique includes performing a wide laminectomy and bilateral partial facetectomy to allow visualization and removal of the intervertebral disc. The TLIF technique includes performing a complete unilateral (one side only) facetectomy to allow visualization and removal of the intervertebral disc.

What is an X-Stop spacer?

During a surgical procedure that is less invasive than traditional open back surgery, the X-STOP Spacer is implanted between two bones in the back of the spine called the spinous processes-at the level of the pinched nerve. These spinous processes can be felt when you run your fingers down your spine.

What is the X-Stop surgery?

Explanation of the X-STOP Surgery. The surgical approach to the spine is from the back with the patient typically lying on his or her side or belly on the operating table Local anesthesia may be used so the patient remains awake, although many surgeons recommend a general anesthetic A 2 to 3 inch long incision in the skin…

What is X Stop implantation?

X-STOP implantation. X-STOP is a minimally invasive surgical device designed to alleviate the painful symptoms of lumbar spinal stenosis. The X-STOP device is also called an Interspinous Process Decompression System.

What is the X-Stop system for LSS?

The X-STOP System is indicated for patients aged 50 or older who have LSS. A diagnosis of LSS should be confirmed by a doctor with X-ray, MRI or CT scans. The X-STOP System is indicated for patients with moderately impaired ability to function, who experience relief from their pain symptoms when bending forward.