Tubular retraction systems emulate the "keyhole surgery" access of
abdominal single port laparoscopy in order to sidestep muscle incision
and give healing a head start. This retractor, inserted through a small inci-
sion, pushes the muscle fibers aside as it enters instead of tearing through,
then dilates to expand the hole it's made.
The 18-mm tube allows the entry of fusion or discectomy instruments
or implants, the removal of bone or disc tissue, and magnified views from
the operating microscope. Then, once the tube is removed, the undam-
aged muscle fibers just slide back into place.
Extreme lateral interbody fusion, also known as XLIF, accesses the
anterior lumbar spine from the side. Since this alternative approach pres-
ents less risk of muscular damage, it is ideal for the outpatient OR, once
physicians become trained in the technique. XLIF employs a small inci-
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