SPINE CARE
ExcelsiusGPS and Excelsius3D is the next revolution in robotic spine surgery from Globus Medical, a developer of spinal and orthopedic implants and surgical instruments for patients with spine disorders. ExcelsiusGPS™ is designed to improve accuracy and optimize patient care by using robotics and navigation, much like a GPS in your car. On the day of surgery medical images are taken and imported into ExcelsiusGPS™. The surgeon uses these images to determine the size and placement of implants and creates a patient plan based on your anatomy. This is used to guide the rigid robotic arm to a specific region of your spine, similar to a planned route or pathway on a GPS. The surgeon uses this pathway or route to accurately place the implants using instruments. Throughout the procedure, the surgical instruments and implants are continuously displayed on the screen for the surgeon and staff to monitor. This display allows the surgeon to view live feedback during your procedure for more precise implant placement.
Spine Procedures
Minimally Invasive Spine Surgery
Conventionally, spine surgery has been performed using “open surgery,” which entails making a long incision to provide the surgeon with a direct view and access to the affected area. Nonetheless, advancements in technology have led to the emergence of minimally invasive surgical techniques for addressing various back and neck conditions.
Minimally invasive spine surgery (MISS) achieves the same objective as open surgery but involves smaller incisions instead.

Cervical Disc Replacement (Arthroplasty)
Cervical disk replacement surgery comprises the removal of a damaged cervical disk, which is then substituted with an artificial disk.

Lumbar Disc Replacement (Arthroplasty)
In this surgical procedure, the painful spinal disc is replaced with an artificial device crafted to replicate the natural movement of the disc.

Anterior cervical discectomy and fusion (ACDF)
Anterior cervical discectomy and fusion (ACDF) refers to a neck surgery aimed at relieving spinal cord or nerve root pressure and alleviating related pain, weakness, numbness, and tingling. This procedure involves removing a damaged disc, which is a form of surgical decompression, leading to its alternative name as an anterior cervical decompression. The surgery also involves fusing the adjacent vertebrae with the goal of restoring stability and function.
Anterior Lumbar Interbody Fusion (ALIF)
During an anterior lumbar interbody fusion (ALIF), the surgeon gains access to the spine through an incision in the front of the patient, as opposed to their back.
Oblique Lumbar Interbody Fusion (OLIF)
OLIF, short for oblique lateral interbody fusion, is a minimally invasive method for spinal fusion surgery where the surgeon accesses and repairs the lower (lumbar) spine from the front and side of the body (passing at an angle about halfway between the middle of the stomach and the side of the body).

MIS Transforaminal Lumbar Interbody Fusion (TLIF)
Transforaminal lumbar interbody fusion (TLIF) is a lower back spinal fusion method where two spinal bones (vertebrae) are interconnected by extracting a section of the spinal disc between them. A spacer (cage) is then inserted in the gap, along with screws and rods for additional support. By removing the disc and fusing the vertebrae, movement in that specific spinal segment (comprising two vertebrae and the intervertebral disc) is eliminated, leading to a reduction in back pain. Additionally, the placement of the spacer creates more space, reducing pressure on the nerves and providing relief from sciatica back and leg pain.

Posterior Spinal Fusion
Posterior spinal fusion is a surgery where doctors fix and stabilize the spine. They make an incision in your back, reposition the vertebrae if needed, and then use metal rods, screws, or other devices to hold them in place. They also encourage the vertebrae to fuse, or grow together, over time. This helps improve spine alignment, relieve pain, and make your back stronger.

Complex Spine Surgery
Complex spine surgery involves intricate procedures aimed at treating challenging spinal conditions, often requiring precise adjustments and stabilization of the vertebrae to relieve severe pain and neurological issues. Advanced techniques and tools may be used to navigate the intricate spinal structure, striving to achieve optimal outcomes and improve your quality of life.

Adult Deformity Correction
Adult Deformity Correction is a complex surgical procedure aimed at correcting significant irregularities in the shape of the spine that have developed in adults. These irregularities can lead to discomfort, pain, and difficulty in moving. Advanced surgical techniques and tools are utilized to carefully realign and stabilize the spine, often involving the repositioning of vertebrae, the bones that make up the backbone. This procedure aims to improve both the physical appearance of the spine and the overall quality of life for the patient by reducing pain and enhancing mobility.
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