A novel application to the bone graft bone delivery tool involves simultaneous application of the fusion cage with the introduction of graft through the cage and into the prepared disk space. This strategy allows on-label application of autograft through the cage into the prepared disk space and prevents dilution of bone graft volume due to cage distraction. (See the tutorial)
Posterior cervical spinal fusion surgery currently involves application of a long, extensile approach to the back of the neck. There is substantial morbidity associated with the exposure including bleeding, infection prolonged hospitalization. Minimally invasive approaches to the neck have not kept pace with the lumbar spine procedures due to anatomical issues.
The novel invention involves endoscopic fusion of the cervical spine utilizing a 20mm midline portal and allows simultaneous fusion and fixation from C2-T1 without pedicle screw fixation. This unique process is simpler and faster than the standard open procedure and can be performed with a proprietary illumination/3D magnification system which does not rely on the operating microscope. (See the tutorial)
Lateral approaches to the lumbar spine are gaining popularity, however, a concern for the spinal surgeon relates to operating in the unfamiliar retroperitoneal space. This novel invention allows for visualization and neurostimulation of the retroperitoneum and the lumbar plexus during the transpsoas approach. A safer and more secure exposure results.
A novel transpsoas retractor which allows for superior illumination and 3D visualization of the operative field along with a the ability to operate upon the non-perpendicular (e.g. L4-5) disc space separates itself from the other “me too” designs on the market. This piece of IP is a truly comprehensive design which allows a much more versatile approach to lateral-based fusion than any design currently available. (See the tutorial)