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Home/Spine/Lanx Claims First in Lateral Interbody Fusion
Spine

Lanx Claims First in Lateral Interbody Fusion

May 30, 2013 2 min read Premium comments

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Lanx Claims First in Lateral Interbody Fusion
Timberline MPF / Courtesy: Lanx, Inc.
Secondary

Lanx, Inc. says it is launching the first modular anchored interbody device for lateral fusion.

The Timberline MPF Lateral Modular Plate Fixation System, according to the company’s May 28, 2013 announcement, enhances the Timberline system platform, which has seen “strong” adoption since its launch last year.

“As thought leaders across the country adopt our technology, we will continue to introduce new innovations that support this less invasive fusion technique and help establish Timberline as the most advanced system for lateral interbody fusion, ” said company CEO, Dan Gladney.

Timberline System

The company says the system features a modular peek intervertebral spacer and a low-profile titanium plate implant with either a two- or four-screw design. The spacer is available in various widths, heights and lengths that can be assembled to multiple plate styles and sizes intraoperatively for customized fit and fixation. The system also includes streamlined instrumentation for assembly and implantation to accommodate patient anatomy.

The complete lateral fusion system includes rectangular PEEK interbody devices, a fiber optic lighting system and a low profile, modular and radiolucent retractor system designed for improved visibility and access to the disc space.

Cappuccino Testimonial

Andrew Cappuccino, M.D., with Buffalo Spine Surgery, Lockport, New York, said: “The modular plate allows for tailored fixation based on the specific patient pathology and helps ensure rigid stability at the fusion site by optimizing purchase in the sub-chondral bone of the vertebral body.” He further states that he likes the fact that the system allows him the option of attaching the plate in situ after the peek interbody spacer has been inserted into the disc space. “These advanced implant options further enhance the clinical benefits of the system, with its low-profile, radiolucent retractor and disc preparation instrumentation.”

Hieu Ball, M.D., with California Comprehensive Spine Institute, Walnut Creek, California said the anchored cage offers a new level of flexibility for the lateral approach, and his initial experiences with the technology have been very positive. “The MPF implant is easy to assemble and position, with a single-step cover plate for the prevention of screw back out. The unique design of the plate screw interface allows for cephalad-caudad screw trajectory flexibility through a minimally invasive access work portal, while confining the anterior-posterior trajectory in a safe plane of screw delivery and placement. This feature is a vast improvement over competitive lateral plating systems for direct lateral interbody fusion devices.”

React:

Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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