NuVasive, Inc. has introduced a new approach to positioning patients who are having lateral spine fusion surgery. The new system allows the surgeon to perform an XLIF (lateral lumbar interbody fusion) without having to reposition the patient. That, combined with other features, can reduce OR time, says NuVasive, by as much as one hour!
The system, which was launched at the American Association of Neurological Surgeons (AANS) Annual Scientific Meeting being held April 13–17, 2019 in San Diego, California, is called the X360 system and it is integrated with Pulse for lateral single-position surgery.
According to the company, the X360 system is “the most comprehensive approach to lateral single-position surgery, leveraging advanced techniques and technologies to deliver best-in-class, patient-specific care, while enhancing operating room (OR) workflow and efficiency…As a result of not having to reposition the patient, the X360 approach can reduce up to 60 minutes of operating time, therefore reducing the amount of time a patient’s under anesthesia and lowering intra-operative risk while saving the hospital on average nearly $5,000 per patient…”
“X360 has transformed my approach to treating patients, allowing me to customize my surgical workflow, reduce patient anesthesia time, and efficiently treat the patient in a single, lateral position,” said Anand Veeravagu, M.D., assistant professor of Neurosurgery and assistant professor of Orthopedic Surgery, by courtesy, and director of Minimally Invasive NeuroSpine Surgery at Stanford University Medical Center.
“Integrating planning, imaging, navigation, and automation throughout this entire surgical approach has become an integral component to the clinical outcomes of my patients.”
“The X360 system is the most comprehensive approach to lateral single-position surgery available on the market,” said Matt Link, NuVasive president. “NuVasive continues to extend its global leadership position in lateral surgery with the integration of X360 and Pulse, the only surgical automation platform designed for spine surgery. By incorporating Pulse and, in the future, robotic automation, with X360, we are enhancing the overall OR workflow and helping surgeons deliver greater clinical predictability and reproducible outcomes for their patients.
Matt Link told OTW, “The integration of XLIF, XALIF, XFixation, and Pulse in one single platform allows for significant time savings through the use of modern, less invasive techniques, all from a single, lateral position—no patient repositioning required. Pulse is a fundamental part of the X360 workflow, enabling surgeons to preoperatively assess alignment, reduce radiation, intraoperatively monitor and assess alignment, and postoperatively confirm alignment. Ultimately, this comprehensive approach enables our surgeon partners to deliver improved clinical predictability and reproducible outcomes to patients.”

