Crestline is a supplemental solution that provides side access to challenging L4-L5 levels where XLIF
procedures are virtually impossible (i.e., high crest, anterior psoas, or an anterior plexus).
incorporates two systems developed by NuVasive: the MaXcess and NVJJB/M5 systems, the former providing better visualization as well as increased angulation and instrument positioning compared to non-MIS approaches, while the latter monitors the patient's nerve activity throughout the procedure to ensure safe implant placement.
NuVasive recently completed several of the first Extreme Lateral Interbody Fusion (XLIF
) surgical procedures in key cities and markets as a minimally disruptive option for lumbar spine fusion to patients and surgeons in Japan.
The acquisition is designed to augment NuVasive's NeuroVision nerve monitoring system, which is used with its XLIF
lateral lumbar interbody fusion system.
NuVasive's extreme Lateral Interbody Fusion (XLIF
) approaches the spine from the side of the body.
The publicly traded company, founded in 1997 and based in San Diego, CA, is expecting total 2008 revenue to be as high as $240 million, compliments of the success with the company's products devoted to minimally invasive surgery, such as the eXtreme Lateral Interbody Fusion (often marketed as "XLIF
") procedure, which allows surgeons to perform spine surgery from the side of the body instead of cutting through the belly or back muscle.
A number of them already exist on the market --Stryker's Tritanium PL (posterior lumbar) cage, Medtronic's ARTiC-L cage, and NuVasive's Modulus XLIF
cage being just a few of the options available.
He suggested XLIF
, a procedure which involved going in from the side of the body with less risk of nerve damage and infection.
On the other hand, for anterior and lateral approaches to interbody fusion such as oblique lateral interbody fusion (OLIF), extreme lateral interbody fusion (XLIF
), and lateral lumbar interbody fusion (LLIF), the larger tubular access sits right on the disc space allowing for a more complete removal of the disc.
reported two cases of contralateral femoral nerve compression after extreme lateral interbody fusion (XLIF