Lumbar interbody fusion cage HONOUR® tPLIF

posteriortransforaminalPEEK

HONOUR® Spacer System - TLIF and tPLIF The HONOUR® Spacer System is a collection of radiolucent cage devices constructed of medical grade polyetheretherketone with tantalum markers as described in ASTM F-2026 and ASTM F-560. The TLIF and TPLIF implants are comprised of various heights and footprints to accommodate individual patient anatomy and to maximize bone graft material volume. PATIENT POSITIONING Following adequate general anesthesia, the patient is placed in the prone position on a radiolucent spine table (Fig. 1). Particular attention is applied to the positioning of the head and extremities to lessen the risk of ocular and nerve compression. EXPOSURE OF OPERATIVE LEVEL(S) Identify the affected level(s) using fluoroscopic imaging and palpation of the targeted anatomy (Fig. 2). Access the operative site using preferred instruments. Tissues should be retracted enough to allow for exposure and visualization of the targeted disc space. Insert a marker into the disc(s) to confirm the correct operative level(s) using a lateral radiograph (Fig. 3). NOTE: HONOUR® TLIF/tPLIF Interbodies are indicated for use at up to two contiguous levels in the lumbar spine, from L2-S1. DISCECTOMY Perform a complete discectomy using preferred surgical instruments. Pituitaries, cup curettes, rongeurs and interspace shavers may be used to remove the disc material (Fig. 4). If there is significant disc space collapse, a complete discectomy may not be possible until disc space distraction is accomplished. The main goal of this step is to provide entry to the disc space for distraction with minimal or no nerve root retraction.