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

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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 Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science Dec 6, 2010

Intramedulary Nailing of Spine?

Case 1 69 yo female, h/o multiple 8 prior back surg. W pseudo at at L5s1

Minimal Invasive?

Step 1 Access

Step 1-b finger palpation

Step 1 - c guide

Step 1-d guide wire

Step 2-a Dilator/working channel

Step 2-b drill S1

Step 3-a Disc Prep

Step 3-b bone graft/bmp

Step 3-c drill L5

Step 4 - a : Measure Implant

Step 4 - b exchange Cannula Exchange Bushing Exchange cannula

Step 4-C Rod insertion

Post op ap/lat xray

COMPLICATION