Avenue
®
T TLIF Cage—Surgical Technique Guide
7
Figure 4a
Shaver
DISCECTOMY AND ENDPLATE PREPARATION
STEP 4
Use the shavers to continue the discectomy and prepare
the vertebral endplates
(Figure 4a)
.
Complete the discectomy and prepare the grafting
surfaces with straight and/or angled right or left curettes
(Figures 4b/4c)
.
Note:
Angled curettes can be used to complete the
resection in areas of reduced access or to clear an area for
additional bone graft insertion.
Caution:
Do not use shavers for distraction of the
interbody space.
Caution:
Endplate preparation should result in
vascularization between the endplate and bone graft
without weakening the cortical bone.
Figure 4c
Angled curette
Figure 4b
Straight curette