Lumbar interbody fusion cage NEXXT MATRIXX®

posteriortransforaminaltitanium

PRODUCT SPECIFICATIONS Footprints: 22x9, 26x9, 30x10mm Heights: 7-13 // 14-17mm Lordosis: 0o, 6o NEXXT MATRIXX® SYSTEM Nexxt Matrixx® straight and curved Interbodies may be used in posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), or transforaminal posterior lumbar interbody fusion (tPLIF) procedures utilizing supplemental internal fixation such as the Nexxt Spine Inertia® Pedicle Screw System, Inertia® MIS Pedicle Screw System, or Facet Fixx® Screw System. PATIENT POSITIONING Following adequate general anesthesia, the patient is placed in the prone position on a radiolucent spine table (Fig. 1). Particular attention is applied to the positioning of the head and extremities to lessen the risk of ocular and nerve compression. EXPOSURE OF OPERATIVE LEVEL(S) Identify the affected level(s) using fluoroscopic imaging and palpation of the targeted anatomy (Fig. 2). Access the operative site using preferred instruments. Tissues should be retracted enough to allow for exposure and visualization of the targeted disc space. Insert a marker into the disc(s) to confirm the correct operative level(s) using a lateral radiograph (Fig. 3). NOTE: Nexxt Matrixx® TLIF/TLIF Oblique Interbodies are indicated for use at up to two contiguous levels in the lumbar spine, from L2-S1 DISCECTOMY Perform a complete discectomy using preferred surgical instruments. Pituitaries, cup curettes, rongeurs and interspace shavers may be used to remove the disc material (Fig. 4). If there is significant disc space collapse, a complete discectomy may not be possible until disc space distraction is accomplished.