Surgeon Feedback
Complete preparation of the disc space is a critical part of successful lumbar fusion surgery.
Here’s what top surgeons are saying:
“It's simple. Cartilage results in lysis and a pseudoarthrosis. Good end plate and disc prep is a prerequisite for fusion. Regardless what approach. Once that's achieved then you have a good chance.”
- Orthopedic Spine Surgeon, UK
“I’ve revised a heap of TLIF anteriorly and often seen no attempt at proper endplate preparation.. lazy surgery = bad results.”
- Orthopedic Spine Surgeon, Australia
“Disc prep is more challenging in MIS cases then open cases as the limited incision does not allow us to reach everywhere we would like to reach to get the end plates prepared. Therefore the right instruments is a major need in MIS surgery plus the right bone graft is necessary for fusion to take place.”
- Orthopedic Spine Surgeon, Ohio
“In my opinion a big problem is surgeons rushing to clean disc space but not really taking the time to get to the subchondral layer and seeing the paprika sign (ortho guys would know what it is). This part of the case is where I spend more time. I see that in a lot of the revisions that I perform. Believe it or not this happens even in ALIFs where the view is fantastic!”
- Neurosurgeon, Arizona