1
11 DePuy Synthes INSIGHT Lateral Access System Surgical Technique
2. Neuromonitoring
Instruments
03.662.027S
Neuromonitoring Stimulation Probe
03.662.028S
Electrode Kit for Neuromonitoring
03.662.029
Handle for Neuromonitoring
Stimulation Probe
or
02.809.002
Kirschner Wire
3.0 mm with blunt
tip, length 285 mm, Stainless Steel
In order to avoid neural structures it is recommended
to use triggered EMG neuromonitoring (detection of
motoric nerves). Additionally use direct visual control
(detection of sensoric nerves).
Note:
With the eccentric dilation technique the
retractor will be positioned a maximum of 8 mm
offcenter.
Map out a safe corridor through the psoas muscle to
the operating level by stimulating with the neuromoni-
toring probe (1). Once achieved, continue to perform a
blunt dissection of the psoas muscle under direct visual
control.
Access and Exposure
