E-Case report
Degenerative Disc Disease L4-L5Dr. med. Alessandro Rustia
![April-–-Dr.-Rustia](https://neo-medical.com/wp-content/uploads/2021/02/April-–-Dr.-Rustia.png)
Pre OP
![Vector](https://neo-medical.com/wp-content/uploads/2021/01/Vector-3.png)
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![dr-rustia](https://neo-medical.com/wp-content/uploads/2021/04/dr-rustia.jpg)
![Rectangle-11](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-11.png)
Clinical Case – Degenerative Disc Disease
Dr. med. Alessandro Rustia
Klinikum Ansbach
Dept. Neurosurgery
Ansbach
Germany
![Rectangle-10](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-10.png)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
Male patient, 45 years old, was diagnosed with a DDD, and slipped disc in level L4/5.
Pre OP :
- Radiograph, frontal
- MRIs, sagittal & axial views
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![slide-3](https://neo-medical.com/wp-content/uploads/2021/04/slide-3.png)
![Rectangle-11](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-11.png)
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
Intra OP
Mini-open surgery, Wiltse approach for placing a Neo Curved TLIF Cage 36/11 mm 5° in level L4/5 from the right side.
![slide-4](https://neo-medical.com/wp-content/uploads/2021/04/slide-4.png)
![ligne](https://neo-medical.com/wp-content/uploads/2021/01/ligne.png)
![slide-5](https://neo-medical.com/wp-content/uploads/2021/04/slide-5.png)
![Vector](https://neo-medical.com/wp-content/uploads/2021/01/Vector-3.png)
![slide-6-a](https://neo-medical.com/wp-content/uploads/2021/04/slide-6-a.png)
Touch-Free preparation of the Neo Cage + bone chips + BonAlive® putty.
The silicone cage sleeve prevents touching when filling the implant.
![slide-6-b](https://neo-medical.com/wp-content/uploads/2021/04/slide-6-b.png)
![Rectangle-10](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-10.png)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
Cage Implantation
![slide-7](https://neo-medical.com/wp-content/uploads/2021/04/slide-7.png)
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
![Vector](https://neo-medical.com/wp-content/uploads/2021/01/Vector-3.png)
Intra OP Radiographs, sagittal & frontal views, showing the cage in place.
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![slide-8](https://neo-medical.com/wp-content/uploads/2021/04/slide-8.png)
![Rectangle-11](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-11.png)
![Rectangle-10](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-10.png)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
Placing the Neo Pedicle Screw System
3 x Ø6.0 x 50mm
1 x Ø7.0 x 50mm (L5 right side screw)
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![slide-9](https://neo-medical.com/wp-content/uploads/2021/04/slide-9.png)
![Rectangle-11](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-11.png)
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
![slide-10](https://neo-medical.com/wp-content/uploads/2021/04/slide-10.png)
Placement of Pre-Bent 40 mm rods.
In one side, the rod is placed from cranial to caudal.
![ligne](https://neo-medical.com/wp-content/uploads/2021/01/ligne.png)
Neo innovative set screw technology allows for a stress-free reduction and final tightening.
![slide-11](https://neo-medical.com/wp-content/uploads/2021/04/slide-11.png)
![ligne-2b](https://neo-medical.com/wp-content/uploads/2021/01/ligne-2b-1.png)
Video final tightening
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![Rectangle-11](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-11.png)
Post OP
![slide-13](https://neo-medical.com/wp-content/uploads/2021/04/slide-13.png)
Post OP
Radiographs, sagittal and coronal views
![pre-op-3](https://neo-medical.com/wp-content/uploads/2021/01/pre-op-3.png)
Post OP CTs Sagittal & Axial views
![slide-14-a](https://neo-medical.com/wp-content/uploads/2021/04/slide-14-a.png)
![slide-14-b](https://neo-medical.com/wp-content/uploads/2021/04/slide-14-b.png)
![ligne-2b](https://neo-medical.com/wp-content/uploads/2021/01/ligne-2b-1.png)
Published with the approval of Dr. med. Alessandro Rustia