E-Case report

Degenerative Disc Disease L4-L5Dr. med. Alessandro Rustia

April-–-Dr.-Rustia

Pre OP

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Clinical Case – Degenerative Disc Disease

Dr. med. Alessandro Rustia
Klinikum Ansbach
Dept. Neurosurgery
Ansbach
Germany

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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

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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.

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Touch-Free preparation of the Neo Cage + bone chips + BonAlive® putty.

The silicone cage sleeve prevents touching when filling the implant.

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Cage Implantation

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Intra OP Radiographs, sagittal & frontal views, showing the cage in place.

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Placing the Neo Pedicle Screw System

3 x Ø6.0 x 50mm

1 x Ø7.0 x 50mm (L5 right side screw)

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Placement of Pre-Bent 40 mm rods.

In one side, the rod is placed from cranial to caudal.

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Neo innovative set screw technology allows for a stress-free reduction and final tightening.

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Video final tightening

Post OP

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Post OP

Radiographs, sagittal and coronal views

Post OP CTs Sagittal & Axial views

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Published with the approval of Dr. med. Alessandro Rustia