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Research ArticleSpecial Issue

Bidirectional Expandable Technology for Transforaminal or Posterior Lumbar Interbody Fusion: A Retrospective Analysis of Safety and Performance

Domagoj Coric, Raphael R. Roybal, Mark Grubb, Vincent Rossi, Alex K. Yu, Isaac R. Swink, Jason Long, Boyle C. Cheng and Jason A. Inzana
International Journal of Spine Surgery December 2020, 14 (s3) S22-S30; DOI: https://doi.org/10.14444/7123
Domagoj Coric
1Carolina Neurosurgery & Spine Associates, Atrium Musculoskeletal Institute, Charlotte, North Carolina
MD
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Raphael R. Roybal
2Chatham Orthopaedic Associates, Savannah, Georgia
MD
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Mark Grubb
3Northeast Ohio Spine Center, Akron, Ohio
MD
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Vincent Rossi
1Carolina Neurosurgery & Spine Associates, Atrium Musculoskeletal Institute, Charlotte, North Carolina
MD
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Alex K. Yu
4Neuroscience Institute, Allegheny Health Network, Pittsburgh, Pennsylvania
MD
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Isaac R. Swink
4Neuroscience Institute, Allegheny Health Network, Pittsburgh, Pennsylvania
MS
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Jason Long
5Department of Radiology, Allegheny Health Network, Pittsburgh, Pennsylvania
MD
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Boyle C. Cheng
4Neuroscience Institute, Allegheny Health Network, Pittsburgh, Pennsylvania
PHD
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Jason A. Inzana
6Telos Partners, LLC, Salt Lake City, Utah
PHD
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    Figure 1

    Illustration of (A) initial insertion, (B) bidirectional expansion, and (C) injection of bone graft.

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    Figure 2

    Flowchart of subject screening and follow-up data availability.

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    Figure 3

    Patient-reported outcomes, including the Oswestry Disability Index (ODI), visual analog scale (VAS) for leg pain, and VAS for back pain were significantly improved (decreased) from baseline (BL) to last follow-up (FU). *** indicates P < .001 based on Wilcoxon matched-pairs signed rank test.

  • Figure 4
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    Figure 4

    Examples of fusion in (A, B) a 2-level TLIF procedure and (C, D) a 1-level PLIF procedure. TLIF, transforaminal lumbar interbody fusion; PLIF, posterior lumbar interbody fusion.

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International Journal of Spine Surgery
Vol. 14, Issue s3
1 Dec 2020
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Bidirectional Expandable Technology for Transforaminal or Posterior Lumbar Interbody Fusion: A Retrospective Analysis of Safety and Performance
Domagoj Coric, Raphael R. Roybal, Mark Grubb, Vincent Rossi, Alex K. Yu, Isaac R. Swink, Jason Long, Boyle C. Cheng, Jason A. Inzana
International Journal of Spine Surgery Dec 2020, 14 (s3) S22-S30; DOI: 10.14444/7123

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Bidirectional Expandable Technology for Transforaminal or Posterior Lumbar Interbody Fusion: A Retrospective Analysis of Safety and Performance
Domagoj Coric, Raphael R. Roybal, Mark Grubb, Vincent Rossi, Alex K. Yu, Isaac R. Swink, Jason Long, Boyle C. Cheng, Jason A. Inzana
International Journal of Spine Surgery Dec 2020, 14 (s3) S22-S30; DOI: 10.14444/7123
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  • Biplanar Expandable Cages for Transforaminal Lumbar Interbody Fusion Are Safe and Achieve Good 1-Year Clinical and Radiological Outcomes in an Asian Population
  • Biplanar Expandable Cages for Transforaminal Lumbar Interbody Fusion Are Safe and Achieve Good 1-Year Clinical and Radiological Outcomes in an Asian Population
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  • Letter to the Editor: Rasch Analysis and High Value Spinal Endoscopy—Another Perspective
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  • Potential Applications of Artificial Intelligence and Machine Learning in Spine Surgery Across the Continuum of Care
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Keywords

  • lumbar interbody fusion
  • degenerative disc disease
  • tlif
  • PLIF
  • expandable
  • spacer

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