1
INSIGHT Lateral Access System Surgical Technique DePuy Synthes 7
Preparation
1. Patient Positioning
Instruments
03.662.028S
Electrode Kit for Neuromonitoring
03.809.942
Table Clamp for Universal Arm
03.816.800
Strong Arm
or
03.809.941
Universal Arm
For the lateral approach, the patient is placed and taped
in the lateral decubitus position as illustrated (1).
Note:
Ensure that the position of the operative level
is perpendicular to the floor for easier orientation of
fluoroscopy and approach by confirming:
•
In lateral fluoroscopy, the endplates are parallel
with superimposed pedicles.
•
In A/P fluoroscopy, the endplates are parallel, the
pedicles reside in the cranial portion of the verte
bral body and the spinous process is equidistant
to both pedicles.
For further information, please refer to the dedicated
implant surgical techniques. If neuromonitoring is being
used, refer to the respective neuromonitoring surgical
technique.
Precaution:
A thorough education and a compre
hensive understanding of the respective anatomy
as well as practical experience in performing
the lateral approach to the thoracolumbar spine
is a prerequisite for use of this system.