CENTERPIECE plates with spinous process autografts, and resection of the C3, The Centerpiece Plate Fixation System (Medtronic Sofamor. Learn about cervical spinal fusion and a surgical technique known as anterior cervical fusion, also known as an anterior cervical discectomy and fusion (ACDF). Medtronic Sofamor Danek. CENTERPIECE T M Plate Fixation System. (k) Summary – K( May Submitter: Medtronic Sofamnor.

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The Mayfield attachment is adjusted to a near-neutral cervical alignment to optimize access to centepriece posterior neck. The authors use somatosensory evoked potentials with preposition baselines obtained in individuals with severe stenosis or myelopathy.

The patient is then transferred prone onto a standard operating table with the appropriate padding.

At this point, the objective is to ensure that bone separation has been achieved. Universal system Modular packaging maximizes screw options Low-profile design More information. The surgeon should err on the side of leaving more bone, as fine-tuning can be done once every level is at or close to medtdonic desired thickness.

Traction from the tape can cause a stretch injury to the brachial plexus; therefore, only gentle traction is applied. The type of construct to be cfnterpiece for the case should be determined prior to beginning the surgery.

Minimally Invasive Lumbar Fusion.

Cervical Laminoplasty and Posterior Cervical Fusion Devices for Cervical Stenosis

Biomechanics is the study of the consequences of application of external force on the spine Motion More information. A successful result is not always achieved in every surgical case.


Utilizing the Graft Plate An alternative technique, which allows for the placement of allograft centerpicee the open side of the laminoplasty, can be performed using the graft plate. Bone fracture or stress shielding at, above, or below the level of surgery.


Technique After positioning the patient as described above, the cervical spine is prepared and draped in the standard fashion. While some fractures are very serious injuries that require emergency treatment, other fractures can More information. Diagnosis Instability of the thoracic spine. The patient should be warned to avoid falls, sudden jolts, or sudden blows to the spine. Two commonly described techniques are the Magerl technique and the Roy-Camille technique, [26] with slightly longer screw placement possible with the Magerl technique.

Page 5 Single Cable Therefore, meticulous multilayer closure is mandatory. Friday October 21 st Introduction Arthroscopic studies of. Federal law USA restricts these devices to the sale by or on the order of a physician. The muscles over the bone are moved. Early efforts at posterior instrumentation centered on wiring techniques.


Any patient unwilling to follow the postoperative instructions. Fractures of the Thoracic and Lumbar Spine. Information for the Patient About Surgical Decompression and Stabilization of the Spine Aging and the Spine Daily wear and tear, along with disc degeneration due to aging and injury, are common causes.

Dental Bone Grafting Options. Posterior cervical instrumentation Posterior cervical instrumentation and fusion can mrdtronic performed to treat pathology similar to that for which cervical laminoplasty is used, but with a broader scope. Mini-plates Historically, with the Hirabayashi-type open-door laminoplasty technique, the gap on the open-door side was kept open with suture passing around or through the spinous process and facet capsule on the closed side see image below.


The selection of the proper size, shape and design of the implant for each patient is crucial to the success of the procedure. Posterior cervical instrumentation The posterior cervical instrumentation centerpieece of 3.

Prior to placement of the rods, the Mayfield attachment on the operating table can be adjusted as needed to optimize lordosis and sagittal alignment. Risks of Cervical Fusion There are potential risks associated with the use of these devices some of which include: The lateral dissection follows the subperiosteal plane out to the mid-portion of the lateral masses.

The technical issues relevant to performing the laminoplasty and securing the laminae are discussed. Products Laminoplasty plates, suture anchors, and posterior cervical instrumentation with lateral mass screws and rod constructs are made by multiple manufacturers of orthopedic products, with similar design features.

The hinges are fashioned to be somewhat stiff.