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AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science Dec 6, 2010 QuickTime™ and a decompressor are needed to see this picture

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Page 1: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

AxiaLIF AxiaLIF

Wayne Cheng, MDHead of Spine Service

Associate Professor, Department of Orthopedic Surgery

Loma Linda University Medical CenterBasic Science Dec 6, 2010

Wayne Cheng, MDHead of Spine Service

Associate Professor, Department of Orthopedic Surgery

Loma Linda University Medical CenterBasic Science Dec 6, 2010

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Page 2: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

Intramedulary Nailing of Spine?Intramedulary Nailing of Spine?

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Page 3: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

Case 169 yo female, h/o multiple 8 prior back surg.

W pseudo at at L5s1

Case 169 yo female, h/o multiple 8 prior back surg.

W pseudo at at L5s1

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Page 4: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

Minimal Invasive?Minimal Invasive?

Page 5: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

Step 1 Access Step 1 Access

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Page 6: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

Step 1-b finger palpationStep 1-b finger palpation

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Page 7: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

Step 1 - c guideStep 1 - c guide

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QuickTime™ and a decompressor

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QuickTime™ and a decompressor

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Page 8: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

Step 1-d guide wireStep 1-d guide wire

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Page 9: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

Step 2-a Dilator/working channelStep 2-a Dilator/working channel

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Page 10: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

Step 2-b drill S1Step 2-b drill S1

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Page 11: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

Step 3-a Disc PrepStep 3-a Disc Prep

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Page 12: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

Step 3-b bone graft/bmpStep 3-b bone graft/bmp

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Page 13: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

Step 3-c drill L5Step 3-c drill L5

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Page 14: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

Step 4 - a : Measure Implant Step 4 - a : Measure Implant

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Page 15: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

Step 4 - b exchange CannulaStep 4 - b exchange Cannula

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Exchange Bushing

Exchange cannula

Page 16: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

Step 4-C Rod insertionStep 4-C Rod insertion

Page 17: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

Post op ap/lat xrayPost op ap/lat xray

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Page 18: AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science

COMPLICATIONCOMPLICATION

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