How many times have you wondered if there was a better retractor?
San Diego, California-based NuVasive, Inc., using the results from a new prospective study of its MaXcess retractor in prone, single-position eXtreme Lateral Interbody Fusion (XLIF) and posterior fixation, would like you to check this one out.
The study, “Prone single-position extreme lateral interbody fusion (Pro-XLIF): preliminary results,” appears in the February 2020 edition of The European Spine Journal.
The researchers compared perioperative outcomes between a consecutive series of prone single-position XLIF with posterior fixation patients (pro-XLIF) and patients treated with XLIF in the lateral position who were then repositioned prone for posterior fixation.
According to the study, the research team reported that there were no major complications found in either group. The authors documented that the average Pro-XLIF patient preparation and fluoroscopy times were slightly longer those in the XLIF group. However, the overall procedure time was almost 50 minutes shorter for the single-position XLIF patients. Patients from each group reported similar levels of disability and pain improvements.
Kyle Malone, vice president of medical, clinical, and regulatory affairs at NuVasive, summarized the study for OTW, “The results of the study build on prior literature validation of NuVasive’s X360 lateral single-position surgery system and shows the versatility of our MaXcess retractor’s ability to perform single-position XLIF in a number of patient positions.”
“Pro-XLIF provides an opportunity for surgeons who feel more comfortable with the traditional prone position to incorporate the advantages of both XLIF and single-position surgery in select patients,” said Dr. Pedro Berjano, orthopedic spine surgeon at IRCCS Istituto Ortopedico Galleazzi in Milan, Italy. “For those facing complex deformity and revision cases, Pro-XLIF may allow for a wider range of posterior corrective maneuvers with the patient in the prone position with enhanced intraoperative efficiency and reduced operative time for the patient.”
