ALEUTIAN® has been designed to work in concert with the RAVINE® Lateral Access System, provides anterior column support, bridging the disc space, and includes a full line of instrumentation designed specifically for the far lateral transpsoas approach.The Aleutian Lateral Interbody System is designed to work in concert with the Ravine or Niagara Lateral Access Systems.
- Aleutian Lateral-Brochure.Stryker.pdf
- Niagara-Retractor.Brochure-Stryker.pdf
- RAVINE Retractor VIDEO ANIMATION(OLD K2M VERSION
- NIAGARA Retractor VIDEO ANIMATION
Benefits:
- Access Provided by RAVINE, a Dual Flat Blade, Spine-Based Retractor Designed From the Ground Up for a Muscle Splitting Transpsoas Approach
- Complete Offering of Disc Preparation Instruments, Including Curettes, Rongeurs, Rasps, Disc Spreaders, Scrapers, and Cobb Elevators
- Anterior Complement to the Award Winning SERENGETI® Minimally Invasive Retractor System, the Industry’s Only Disposable Malleable Screw-Based Retractor
About LLIF
The Lateral Lumbar Interbody Fusion (LLIF) procedure is a minimally disruptive surgical technique in which the surgeon approaches the spine from the side of the patient’s body, rather than the front or back as in traditional spine surgeries. This side (lateral transpsoas) approach can reduce the risk of injury to muscles, nerves, and blood vessels.
The XLIF and DLIF are types Lateral Lumbar Interbody Fusion, or LLIF, which is a category of fusion in which the disc in the front of the spine is removed and replaced with an implant containing a bone graft to set up the condition for the two vertebrae to fuse together through the disc space.
XLIF uses a minimally invasive, transpsoas approach to the spine. The surgeon uses his or her finger to perform blunt dissection through a posterior paraspinal incision to escort dilators and a guide wire into position directly over the psoas muscle. Using his or her finger the surgeon is able to create a retroperitoneal space and protect the viscera and prevent possible injury.
With the DLIF technique, some surgeons have chosen to perform this procedure through a single miniopen lateral approach without the use of the posterior incision to create the retroperitoneal space. With the single incision, the layers of the abdominal wall are directly visualized, and the retroperitoneal space is created under direct vision with passage of instruments through the psoas. In addition, the use of electrophysiological monitoring, including triggered and freerunning electromyography (EMG), reduces the likelihood of injury to the lumbosacral plexus when accessing the disc space through the psoas muscle. Dilators, which contain insulated tips allow for EMG monitoring as they are introduced via the transpsoas approach to the disc space. If a dilator passes in proximity to the lumbosacral plexus, the surgeon is warned both visibly on a graphic display and also via auditory feedback. The surgeon can then adjust his or her trajectory to reduce the likelihood of neural injury.
About Stryker Spine
Stryker’s Spine division also introduced its Tritanium® first product 3D-printed interbody fusion cage intended for use in the cervical spine, at the North American Spine Society (NASS) Annual Meeting, Oct. 25-28, 2017.Tritanium Cages are built using Stryker’s proprietary Tritanium In-Growth Technology, a novel, highly porous titanium material designed for bone in-growth and biological fixation.AMagine™ technology, Stryker’s proprietary approach to implant creation using additive manufacturing, allows for the production of randomized yet reproducible porous structures.