Spinal Spacer System

Cervicalino

Spinal spreader system with a ‘side load’ function

Features

  • For minimally invasive approaches to the anterior cervical spine
  • Artifact-free rendering of the surgical gown
  • ‘Side-load’ function
  • Simplified handling
  • Satin-finished valve seat
  • Reduction of oesophageal ischaemia

CERVICALINO SL

An overview of design details

Standard vs Cervicalino

Size comparison: a direct comparison between the standard retractor and the Cervicalino SL

Side-load function

Simplified handling when positioning the blades and the retractor

Retaining arm – coupling

Option for attachment to a support arm For safe and stable intraoperative fixation

The Cervicalino retractor supports both fusion and motion-preserving surgical techniques:

01

Fusion technology

Anterior cervical decompression and fusion




Anterior cervical vertebral body replacement

02

Non-fusion technique

Anterior disc replacement



Anterior cervical foraminotomy

CERVICALINO SL

Radiolucent aluminium valves

A-Form (All fit)

Miniaturized or anatomically very narrow access

B-Form (Bay)

Minimal pressure on the oesophageal wall whilst offering high stability; it is also radiolucent and, thanks to its ‘side-load’ design, easy to position

C-Form (Corpectomy)

Wide-angle view of the anterior cervical spine for plate osteosynthesis and corpectomies

Valves

Bay Valves

Ischämie der Speiseröhre – herkömmliche Valven48 %
Ischämie der Speiseröhre – Bay-Valve17,4 %

[1] KIESLICH (2015) Ventrale Eingriffe an der Halswirbelsäule: Einfluss der Retraktion mit verschiedenen Valven auf die Durchblutung der Oesophaguswand (Dissertation, Universitätsklinikum Hamburg-Eppendorf)

  • Artifact-free thanks to ultra-thin aluminum
  • High stability despite the thin material
  • Less tissue spreading is required—a less invasive procedure
  • Cleaning at pH values > is not a problem due to the special anodized coating
  • Minimised pressure on the oesophageal wall with reduced retraction ischaemia, whilst simultaneously exposing the anterior cervical spine for plate osteosynthesis
  • Reduces the pressure exerted on the wall of the oesophagus and minimises ischaemia during retraction
  • Whilst a 12 mm-wide valve causes a 48 per cent reduction in blood flow to the oesophageal wall, the 20 mm-wide ‘Bay’ valve reduces blood flow by only 17.4 per cent.
  • Optimal visualisation of the lateral intervertebral disc space
    Good fixation beneath the musculus longus colli

Modular mounting arm

The support arm plays a part in the decision

‘A good stabilising arm accounts for 40 per cent of the success of a miniaturised approach to the spine.’

Prof. Dr Luca Papavero

A flexibly positionable support arm with a tool-free quick-change system and precise ball-joint locking mechanism for stable instrument guidance during the procedure.

Modular support arm for Piccolino and Cervicalino

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Quelle
  1. [1]KIESLICH (2015) Ventrale Eingriffe an der Halswirbelsäule: Einfluss der Retraktion mit verschiedenen Valven auf die Durchblutung der Oesophaguswand (Dissertation, Universitätsklinikum Hamburg-Eppendorf)

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