6. About Back and Leg Pain
• An estimated 10 million adults suffer
from chronic back pain annually.
• Back pain is the #1 cause of healthcare
expenditures in the U.S.
– Direct cost of over $50 billion
for diagnosis, treatment, and
rehabilitation
7. Back Pain Symptoms
• Acute pain
• Chronic pain
• Back pain can be felt constantly or
intermittently and may be a dull ache or
a sharp, piercing, or burning sensation.
• The pain can stay in one place or refer
or radiate to other areas, such as the
front, side, back, legs, and neck.
8. Back Pain Causes
• Muscles
– Sudden, awkward movement,
strained back muscles and
ligaments, lifting heavy
objects, or using improper
form when lifting objects
• Nerves
– Pressure or impingement of
nerve roots in the spinal canal
can be caused by:
• Herniated discs
• Collapsed disc spaces
• Arthritic conditions
• Bone spurs
• Displacement of vertebrae
9. Back Pain Prevention
• Body Position
– Lifting
– Sitting
– Sleeping
– Standing
• Exercise
– Aerobics
– Stretching
• Other Considerations
– Smoking
– Weight
11. Surgical Treatment Options
• Once all non-surgical treatments have
been exhausted, surgery may be the
next step.
• “Symptoms and indications for back
pain have not changed, but surgical
treatment options have.”
• Spinal surgery treatment options are
defined by the “approach,” or the way in
which the surgeon accesses the spine.
• Each option has its own set of risks
and benefits.
13. Surgical Approach
XLif TLif ALif PLif
• eXtreme Lateral Interbody Fusion (XLIF)
• Advantages:
– Does not require entry through sensitive
back muscles, bones, or ligaments or the
retraction of major blood vessels
anteriorly
– Made safe with the use of nerve
monitoring technology
Side
23. • Only FDA-approved
mechanical guidance system
for spinal surgery
• Over over 5,000 procedures
performed
• Available in only 63 sites
worldwide
• Reduce fluoroscopy/risk
• High confidence and Safety in
difficult surgeries
Mazor Robotics Renaissance™
24. Patient Benefits
Minimally Invasive Surgery
Source:
*Wright N, XLIF – the United States experience 2003-4, International Meeting on Advanced Spine Techniques, 2005, Banff, Canada.
*
*
*
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25. Benefits
• Reduced post-op pain
• Shorter hospital stays
• Faster recovery
Rapid
return to
normal
activity
Minimally
Invasive
Procedure
• Less tissue disruption
• Minimal blood loss
• Nerve safety (NeuroVision
®
)
28. Indication
Degenerative Disc Disease (DDD)
• Symptoms
– Pain in the back, buttocks,
or leg
• XLIF Correction
– Reduces motion between
the vertebrae
– Corrects alignment
– Restores proper disc height
– Alleviates pain
Disc Degeneration
before XLIF
Restoration of Height
after XLIF
29. Indication
Degenerative Disc Disease (DDD)
• Symptoms
– Pain in the back, buttocks,
or leg
• XLIF Correction
– Reduces motion between
the vertebrae
– Corrects alignment
– Restores proper disc height
– Alleviates pain
Disc Degeneration
before XLIF
Restoration of Height
after XLIF
34. Indication
Spondylolisthesis
• Symptoms
– Impingement of nerves and
fatigue of back muscles
• XLIF Correction
– Reduces motion between
vertebrae, corrects alignment,
and restores disc height Spondylolisthesis
(Malalignment)
before XLIF
Restoration of Alignment
and Disc Height after XLIF
38. Indication
Degenerative Scoliosis
• Symptoms
– Back and/or leg pain due to muscle
fatigue and nerve impingement
• XLIF Correction
– Restores proper alignment and
disc height
Degenerative Scoliosis
before XLIF
Restoration of Alignment
after XLIF