How MIS and Motion Go Together
Many surgeons agree that spine surgery success focuses on the quality of the vertebrae decompression. This is always the first step, and it must work correctly before the spine implant can be added. After vertebrae decompression, the next goal focuses on making sure that the patient’s spine is stable afterward. Sometimes, this can’t happen without the help of a device. Instead of fusing the bones together (spinal fusion) a spine implant is the way to go.
The Premia Spine Nexus™ System is being introduced and rolled out to certain parts of Israel and Germany to address patients that have instability and require posterior vertebrae decompression with stabilization through the use of a spine implant.
With the Premia Spine Nexus™ System, surgeons can now remove elements that press down on the nerve roots without having to worry about fusion to attach the bones together. There’s no fusion at all! Surgeons can now stabilize the spine with the patented motion preservation device to avoid a rigid fixation of the spine.
Instead of having to permanently lock together two adjacent vertebrae, doctors can let both continue moving normally! This is only possible with the Premia Spine Nexus™ System because it protects that segment with metal while still allowing full functionality and flexibility.
Though the device looks a bit odd, it focuses on a central metal piece to act as the vertebrae that are damaged and could slip out of place. Metal rods come off of that centralized piece to allow for lateral bending, axial rotation, and extension/flexion. In a sense, the patient can move in all directions like they used to do without fear of doing more damage to the area.
What Can You Do with the Premia Spine Nexus™ System?
As with other Premia products, such as TOPS, the Nexus™ System is a spine implant that can be placed after decompression. Depending on the patient and other factors, this can be completed during the same procedure to save money and reduce recovery time.
The Nexus™ System allows surgeons to get a perfect balance between appropriate decompression and post-op stability. In fact, this is a minimally invasive procedure and device that can assist with spondylolisthesis and spinal stenosis.
With this system, you can:
- Recreate a full range of motion at operative levels
- Replace facet joint functionality to reduce excessive turning, bending, twisting, and translations at the affected segment of the spine while protecting the other areas
- Make fewer and smaller incisions because of the low profile of the Nexus system to create a more compact decompression and use MIS techniques to insert the spine implant.
How It’s Different than Traditional Spine Surgery
With both traditional fusion surgery and the Nexus spine implant, vertebrae decompression is required. This removes any affected bone and tissue to prevent compressing the nerves and causing pain.
Sometimes, this is enough, but often, people find that their spines move too much afterward. Therefore, fusion used to be the go-to option for spondylolisthesis and spinal stenosis when decompression didn’t do the trick.
Now, though the Nexus™ System is here, and it takes less time, fewer incisions, and offers faster recovery times. With that, the patient can move about freely as they normally do, just without pain. Fusion surgery doesn’t offer this advantage, and most patients never fully go back to their regular movements.
Clinical Usage Options
The Premia Spine Nexus™ System has been used in more than 1,000 procedures since 2006. It offers three top benefits for patients suffering from spinal stenosis, spondylolisthesis, and hypertrophy/degeneration of the facet joint.
First, this procedure can stabilize the posterior spine. With that, patients can see more controlled range of motion. Plus, and most importantly, patients have immediate pain relief that continues with time.
This modular TOPS System offers flexion, extension, lateral bending, and axial rotation, as mentioned earlier. However, it also works to block excessive anterior and posterior sagittal translation. It’s affixed to the spine with four polyaxial pedicle screws, which are proprietary. With the mini-posterior surgical approach, you have a minimally invasive procedure that patients are sure to appreciate.
There have been many changes to the TOPS™ System to downsize it and make it smaller. Then, the product line extension included the Premia Spine Nexus™ System brand. Extensive studies from 2006 onward show that leg and back pain improved significantly with time, and most patients had an improvement in their daily function from 50 percent disability to none.
What to Do Now
Though surgeons must still use vertebrae decompression to remove the impinging nerves and bone spurs, spine surgery has taken on a new form. Instead of fusing bones together, a spine implant makes life much easier for patients.
Consider the Premia Spine Nexus™ System today. Soon, it is sure to be in the USA and other countries. Contact us for questions, concerns, and updates!