X-XP CORPECTOMY CAGE SURGICAL TECHNIQUE

X-XP CORPECTOMY CAGE SURGICAL TECHNIQUE Positioning: The procedure is performed under general anesthesia. The patient should be placed in a supine position. [A] Head is in the neutral position is more appropriate in the anterior cervical corpectomy. [B]

X-XP CORPECTOMY CAGE SURGICAL TECHNIQUE Perform Corpectomy and Prepare Endplates : Perform a partial or complete corpectomy as required by the pathology: Excise the disc material and the superficial layers of the cartilaginous parts of the adjacent endplates. Adequate cleaning of the endplate especially in the peripheral parts is important for the vascular supply.

X-XP CORPECTOMY CAGE SURGICAL TECHNIQUE Determine implant size : Determining the intervertebral distance; The measurement of the intervertebral distance is estimated using the measuring device. This will enable implant height to be chosen. The height of the implant in its neutral position should be less than the height of the defect. The implant height when expanded should exceed the height of the defect, including the desired.

X-XP CORPECTOMY CAGE SURGICAL TECHNIQUE Device Insertion and Placement : Expandable Corpectomy Cage is inserted into the resected part of the spinal column and align it in the sagittal and frontal plane.The optimal position for Expandable Corpectomy Cage is in the centre of the vertebral endplate. To allow bony fusion, maintain some space around the implant endplates.

X-XP CORPECTOMY CAGE SURGICAL TECHNIQUE Locking the Implant: When the implant is in its final position, corpectomy cage locking instruments are used. The expansion instrument is inserted into the rotation holes of the center piece. Distraction is achieved by turning the center piece as indicated by the arrows. After the correct position of the implant has been checked the end pieces are locked to

X-XP CORPECTOMY CAGE SURGICAL TECHNIQUE Apply Suplemental Fixation : For spinal stability and to maintain adequate compression on the construct, the expandable corpectomy cages are indicated for use with supplemental fixation. An anterior plate will be screwed into position to assist immobilization of the spine.

X-XP CORPECTOMY CAGE SURGICAL TECHNIQUE Verifying Cage and Plate Position : X-rays will be used to check the cage and plate's position. The muscles will be replaced, and the wound closed with sutures.

X-XP CORPECTOMY CAGE SURGICAL TECHNIQUE Summary: The patient will be lying on your back. Neck of the patient will be cleaned. An incision will be made and the overlying muscles moved to the side. Windpipe (trachea) and gullet (esophagus) will be retracted with the muscles to reveal the front of the spine. Any anterior vertebral body bone spurs (lipping, osteophytes) will be trimmed. Surgeon will confirm the correct vertebra for removal by using x-ray imaging. Pins will be used to open up the collapsed disc spaces to regain normal spine alignment. The discs will be removed. Then the vertebral...