E-Case report
Degenerative Disc Disease L4‑L5Dr. med. Stefan Heinze
![September-Dr.-med.-Stefan-Heinze](https://neo-medical.com/wp-content/uploads/2021/09/September-Dr.-med.-Stefan-Heinze.png)
Pre OP
![Vector](https://neo-medical.com/wp-content/uploads/2021/01/Vector-3.png)
Clinical Case – Degenerative Disc Disease
Dr. med. Stefan Heinze
Neurosurgeon
ANregiomed
Klinik Rothenburg
Rothenburg ob der Tauber
Germany
![logo-anregiomed](https://neo-medical.com/wp-content/uploads/2021/09/logo-anregiomed.png)
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![Stefan-heinze](https://neo-medical.com/wp-content/uploads/2021/09/Stefan-heinze.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)
Patient Information:
- 59 years old male patient
- Level L4/L5
- Spondylolisthesis
- Grade 1
- Slipped disc
- Stenosis
![ligne-2b](https://neo-medical.com/wp-content/uploads/2021/01/ligne-2b-1.png)
![pre-op](https://neo-medical.com/wp-content/uploads/2021/09/pre-op.png)
Pre OP radiograph and CT scan sagittal views
Intra OP
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
Surgical Procedure:
- Spinal Fusion L4/5
- TLIF from the right side
- Midline approach
![intra-op-1](https://neo-medical.com/wp-content/uploads/2021/09/intra-op-1.jpg)
Midline approach
![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)
Placing the Neo pedicle markers in levels L4 and L5
![intra-op-2](https://neo-medical.com/wp-content/uploads/2021/09/intra-op-2.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)
Disc space preparation
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![intra-op-3](https://neo-medical.com/wp-content/uploads/2021/09/intra-op-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)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
- Neo Cage System™
- Inserting the Neo Cage
![intra-op-4](https://neo-medical.com/wp-content/uploads/2021/09/intra-op-4.png)
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
- Neo Cage System™
- The cage is pushed into place anteriorly
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![intra-op-5](https://neo-medical.com/wp-content/uploads/2021/09/intra-op-5.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)
![Vector](https://neo-medical.com/wp-content/uploads/2021/01/Vector-3.png)
- Neo Pedicle Screw System™
- Totally 4 pedicle screws in L4 & L5
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![intra-op-6](https://neo-medical.com/wp-content/uploads/2021/09/intra-op-6.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)
Post OP
![post-op-1](https://neo-medical.com/wp-content/uploads/2021/09/post-op-1.png)
Post OP radiographs, sagittal & frontal views
![post-op-2](https://neo-medical.com/wp-content/uploads/2021/09/post-op-2.png)
![ligne-2b](https://neo-medical.com/wp-content/uploads/2021/01/ligne-2b-1.png)
Published with the approval of Dr. med. Stefan Heinze