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Research ArticleArticle
Open Access

Changes in Neuroforaminal Height with 2 Level Axial Presacral Lumbar Interbody Fusion at L4-S1

Satyajit Marawar, Nathaniel Ordway, Jin Jung and Mike Sun
International Journal of Spine Surgery January 2014, 8 2; DOI: https://doi.org/10.14444/1002
Satyajit Marawar
Orthopedic Surgery, SUNY Upstate Medical University
MD
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Nathaniel Ordway
Orthopedic Surgery, SUNY Upstate Medical University
MS
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Jin Jung
Orthopedic Surgery, SUNY Upstate Medical University
MD
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Mike Sun
Orthopedic Surgery, SUNY Upstate Medical University
MD
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  • Fig. 1
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    Fig. 1

    Posterior view of a rendering of two lumbar vertebrae depicting the neuroforaminal height measurement (black line).

  • Fig. 2
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    Fig. 2

    Surgical preparation of the working channel from L4-S1 disc space and the L4-5 disc space preparation prior to insertion of the implant.

  • Fig. 3
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    Fig. 3

    Components of the AxiALIF 2 level implant. Indirect distraction at L4-5 is created as a result of a variable thread pitch of the L4-5 component. Manual indirect distraction at L5-S1 is created by rotating the distraction rod and the S1 anchor components.

  • Fig. 4
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    Fig. 4

    An example lateral fluoroscopic view of a lumbar specimen with the implant in place A) prior to manual distraction and B) after manual distraction is complete. Black arrows show the change in displacement of the distraction rod and the white arrows show the resulting change in the neuroforamen.

  • Fig. 5
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    Fig. 5

    The change in mean neuroforaminal height at L5-S1 based on the number of revolutions (turns) of the distraction rod. Changes in neuroforaminal height are similar between the left and right side and are approximately 1mm/revolution.

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International Journal of Spine Surgery
Vol. 8
1 Jan 2014
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Changes in Neuroforaminal Height with 2 Level Axial Presacral Lumbar Interbody Fusion at L4-S1
Satyajit Marawar, Nathaniel Ordway, Jin Jung, Mike Sun
International Journal of Spine Surgery Jan 2014, 8 2; DOI: 10.14444/1002

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Changes in Neuroforaminal Height with 2 Level Axial Presacral Lumbar Interbody Fusion at L4-S1
Satyajit Marawar, Nathaniel Ordway, Jin Jung, Mike Sun
International Journal of Spine Surgery Jan 2014, 8 2; DOI: 10.14444/1002
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Keywords

  • lumbar
  • AxiaLIF
  • decompression
  • discectomy
  • spinal fusion

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