RISE® L is an expandable lateral lumbar fusion device that offers up to 7mm of expansion coupled with a large graft chamber and the ability to introduce autogenous bone graft in situ.
The titanium implant provides continuous in situ expansion and is designed to restore disc height with proper anatomical fit. Available in multiple sizes, in parallel or lordotic profiles,RISE® L provides options for surgeons to address proper sagittal balance. A large single graft chamber can be filled with autogenous bone graft material after insertion and expansion to ensure even contact with both vertebral endplates.
Benefits:
- Minimize Impaction
- RISE® L is inserted at a reduced height to minimize impaction and preserve endplate integrity.
- Maximize Indirect Decompression
- RISE® L offers controlled continuous expansion to aid in restoring disc height and maximize indirect decompression.
- Optimize Fusion
- RISE® L’s large continuous graft chamber, in combination with the ability to introduce additional bone graft in situ, is designed to allow bone graft to contact the vertebral endplates and optimize fusion potential.
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 Globus Medical
Globus Medical, Inc. is a leading musculoskeletal solutions company and is driving significant technological advancements across a complete suite of products. Founded in 2003, Globus’ single-minded focus on advancing surgery has made it the fastest growing company in the history of orthopedics. Globus is driven to utilize superior engineering and technology to achieve pain free, active lives for all patients. Additional information can be accessed at www.globusmedical.com.