GPC Tibial Nails: A Quality You Can Trust

Tibia bone is the largest of the two bones in the lower half of the leg. A fracture in this bone requires more care and precision to make sure that the weight of the body is supported and the bone is properly fixated. With tibia fractures, it is very common to go wrong. The slightest of mistakes would mean that the bone is not in its right position and would not heal properly. The previous techniques involved the usage of nails in bringing the broken bone together. However, this often resulted in malalignment. With the new titanium nails, the problem is resolved. Be it a proximal or distal fracture the nail can fix it without causing any alignment issues. We offer you tibia nails and the whole kit made from the best material: Titanium. The nails are light in weight yet strong enough to bear the weight of the body.

GPC Tibial Nails

They are designed using the latest technology to help with the alignment of tibial fractures. These nails are found in steel and titanium so that you can use the one that best suits you. We also give you interlocking nails with lengths that vary from 22mm to 44 mm and diameters from 9mm to 14mm.With two proximal locking options and three distal locking options, you can’t just go wrong with these tibia nails.

Instrument set for Tibia Interlocking Nails

The kit is perfect for any surgical procedure involving tibia nails. It has a complete set of all the instruments you might need. From tissue protector to ram wrench the kit has everything you might need.

  • Curved Bone AWL
  • Flexible Reamer with fixed Head 8mm
  • Flexible Reaming Shaft
  • Guide Wire Holding forceps
  • Ram Guide Rod
  • Distal Aiming Device with Locking Hole Finder
  • Medullary Tube
  • Hexagonal screw Driver 4.5mm
  • Aiming Trocar and  a lot more…

The kit comes in a graphic case which helps protect the tibia nails and the other instruments. The kit is used to insert the tibia nail and make sure that it is properly fixed at the right elevation and angle in the bone. It also makes the task a lot smoother and hassle free. No more running around to assemble the things. With the kit in hand, you have everything close by that you might need.

Locking bolts of various lengths and end caps

Depending on the age and the type of fracture, it is important the bolt size varies too. Using one bolt to fix all sizes would result in problems and complications. This is the reason we offer locking bolts made of steel and titanium. Each bolt has a diameter of 4.9mm but varies in length. This is to ensure that the length doesn’t compromise on the strength of the bolt. The bolts come in sizes which range from 20mm to 60mm with all the sizes of even numbers available in between. Each bolt, either be it of steel or titanium is available in all these sizes. So make sure you use the right code to pick the right bolt.

Locking-Bolts-4-9mm-ILB49

Locking Bolts 4.9mm (Item No. ILB49)

We also offer the end cap to help secure the nail firmly in the bone. The end cap is perfect for tibia and femoral nail. Use it to make sure that no matter what kind of fracture it is, the tibia nail is able to hold the bone together.

End Cap for Tibial Nail

End Cap for Tibial Nail (Item No. ECTF51)

So what are you waiting for? Get in contact with the GPC team to get more information on GPC tibial nailing system. Made from only the best quality titanium and stainless steel, it is one choice you would not regret.

Browse our complete Intramedullary Nailing System range at: http://www.indianorthopaedic.com/implants/intramedullary-nailing-system.html

Know more about GPC Intramedullary Nailing Systems…

GPC Multi Angle Tibial Nail – US FDA 510k Approved

GPC GA-MMA Nail System (US FDA 510k Approved)

Interlocking Nails used for Fracture Fixation

Intramedullary Interlocking Nails – An Overview

An Overview of Pediatric Orthopedics

Kids are different from adults, and this is apparent even in the ways their bodies work. Their bodies are continuously growing and developing and so is their bone structure. The bones are so elastic that they can bend at odd angles without even breaking. Most of their issues can be well sorted but by a general orthopedic but in severe cases, it is important to get the child checked by a pediatric orthopedic who has over a decade of training and experience dealing with kids and their complex bone structures. He should understand the intricacies of their growing bones and give them the best possible treatment.

Problems The Pediatric Orthopedics Treat

While not every problem requires a visit to the pediatric orthopedic but some conditions do require an expert opinion such as

  • Birth deformities
  • Limping
  • Broken bones
  • Infections in bones and joints
  • Spinal deformities

Apart from these, the pediatric orthopedic should know how to provide emotional support and care to the child.

Pediatric Orthopedic Implants

Kids are different from adults

When dealing with kids, it is important to understand that kids are nothing like adults. The way their bodies work is different as well. When dealing with bones related issues, some of the most common things one needs to understand are:

  • Not every child is capable of telling where it hurts. It is then the job of the doctor to tactfully extract the relevant information from the child or diagnose it after examination.
  • The bones of the kids are continuously growing. The part of the bone which is undergoing rapid growth is most vulnerable to injury. While treating the child, it is important to make sure that the growth plate was not affected in any way since it can lead to deformities and abnormal growth of bones in the future.

Qualities To Look For In A Pediatric Orthopedic

Most of the kids who come to the doctors undergo a lot of stress, anxiety and depression issues due to their conditions. The doctors should guide the parents on how the child can be taken care of in a way that would keep him happy too. A pediatric orthopedic should be

  • Experienced with over ten years of training, treating and assisting children with bone problems.
  • Friendly so that the child feels comfortable talking to him about his problem. This way there would be no communication gap in the treatment. They usually have a proper environment created with toys, games and other activities that can help the child relax
  • Co-operative enough to guide the parents and help them understand the problem at hand
  • Professional with knowledge of how to treat the different problems while keeping in mind the intricacies of the children’s bone structures

When it is an issue related to the health of your child, it is very important to go to a doctor who is skilled and qualified enough to not only provide your child with the best medical attention but proper child care as well.

Related Posts:

Orthopedic Trauma Implants – An Overview

Orthopedic Nails, Wires, Pins & Staples used in Bone Fracture

Types of Spinal Implants

Orthopedic Instruments & Implants used by Veterinarians

An Overview of Orthopedic Power Instruments

Types of Orthopedic Bone Screws

FAQs Related to Hip Implants

Intramedullary Interlocking Nails – An Overview

Advantages of External Fixation

An Overview of Locking Plate System

Your Complete Guide to Spinal Implants

Surgery is not required in most of the spinal conditions, however, there are times when it becomes very important for the patient to undergo one. Unique and specially designed spinal instrumentation used in the spinal implants are an integral part of all the surgical processes. One can expect these implants to provide strength to the spine and stabilize it, fix the deformities, and facilitate fusion.

The special conditions which might give rise to the need for surgery include traumatic fracture, slippage of the spine, scoliosis, and chronic degenerative disc disease apart from numerous other critical spinal instabilities.

What Are Implants?

Metals like titanium, stainless steel, and titanium-alloy are used to manufacture spinal implants whereas there are some which are made from non-metallic compounds. Patients of different ages and sizes can easily be accommodated because of the variety of shapes available in these implants.

Scientists all over the world are working hard to bring further improvements to these implants so that they can result in more favorable outcomes. In quite a few years, some breakthroughs have been achieved in this regard and they include the development of special plates, the creation of small implants for children, and enabling the doctors to correct the deformities 3-dimensionally.

Spinal Implants

The different groups of these implants are:

Rods

These rods are really strong along with being flexible which allows the surgeon to contour them according to the need of the patient while bringing alignment to the spine.

Pedicle Screws

These are the strong points which provide a place for attachment to the rods. Initially, they were used in lumbar spine only but the advancements in technology have enabled the surgeons to use them in thoracic spine as well.

Hooks

Used for anchoring purposes along with rods and other kinds of implants.

Plates

The plates help in conforming to the contouring of the spine. Screws which are adjusted in adjacent vertebrae tend to hold them in place. They can be contoured in the future as well depending on the anatomy of the patient.

Cages

Having perforated walls, these are minute hollow devices. If the height of a disc is lost because of a collapse, then cages can be used for restoration purposes and the pressure on the nerve roots is also relieved.

How To Use These Implants?

The use of these implants depends on a great volume of the specific needs of a particular patient. Titanium implants are said to be resilient and light along with allowing usage with MRIs. Low volume and low profile implants are the best options which sometimes are not visible through a scan but the bone forming and bone fusion can be inferred.

Future Of These Implants

Scientists are keenly working on bioresorbable implants which are completely gone in the matter of time when the problem is resolved. They are designed in a way that they break down when they come in contact with water.

The better treatments for patients are surfacing every now and then but the scope and usage of any kind of treatment depends a great deal on the needs of the patients.

Source: http://www.indianorthopaedic.com/implants/spinal-system.html

The External Fixation Process, Fractures and Broken Bones

External Fixations:

In the modern development of surgical tools, external fixators are utilized to stabilize and provide staunch rigidity to the bone and soft tissues. They are key tools that used for their indescribable convenience during surgery and operative procedures.

What are external fixators?

External fixators are basically tools that we use to provide surgical intervention in a matter of bone fractures or other bone discrepancies. It includes:

  • Clamp: A clamping device is adjusted per a variation of sizes. It stabilizes the entire structure on to the designated bone.
  • Schanz Pins: They fix the metal equipment in its place. It is placed in the structure to lock the rods in one place.
  • Connecting rods: They are metal rods which contribute to the most important part of external fixators.

External Fixators

When do we need to use External Fixators?

This technique requires the utmost precision and is used to help treat patients in several cases.

  • Open fractures that have severe implications in the long run.
  • Nonunion regions of the bone require appropriate stabilization which is provided with the help of this technique.
  • Length of the bone and limbs in general is a feature use of this equipment.
  • Certain close fractures with soft tissue injuries.
  • Pelvic ring disruptions
  • Arthrodesis
  • Ligamentotaxis
  • Osteotomies

And other boney defects with soft tissues complication are also a great fit for external fixators.

How do we use it?

Holes are drilled onto the boney surface. It provides adequate space for fixing the metal rods in its place. We form a conjoining piece by combining the rod to a ball and socket joint. The external fixator can be aptly adjusted time and again by accessing the ball and socket joint.

External fixators are usually used to rectify a fracture that has no other alternative. But in the case for limb lengthening it is has a specific site. The surgeons allot to man-made fractures but dissecting the femur bone of the thigh and upper leg. This apparatus conveniently stretches the bone apart by slowly increasing the difference of length between the two parts of a bone. The most spectacular display would be the re-emerging of the bone substance in between this gap. The bone would grow and the limb lengthening procedure would be a success. This is referred to as the ‘distraction’ technique that requires immense patience for it to show results. It might take several months before there is any change whatsoever. Unlike the limb extension, fractures take a considerable shorter expansion of time. It has been observed that most fractures, big or small, only require 6-12 weeks at maximum to heal completely.

Precautions:

  • Since this is an invasive procedure it is highly recommended to take special care for infection or foreign particles invading the body. Proper facilitation and precautions ensures a safe conduction of this surgical procedure.
  • It is advisable to avoid weight bearing exercise, or excessive walking when you have an external fixator attached. This potentiates the effectivity of the entire procedure. It also prevents some undesirable complications.

Source: http://www.indianorthopaedic.com/external-fixators.html

Hip Implants: Know Them Before You Get Them

Hip implant surgery is important if a part or the whole hip becomes damaged after an injury or a disease or wear downs after a disease related to joint. To have the person return to normal life and get some relief from the excruciating pain, replacing the affected part becomes of pivotal importance. The hip joint is replaced with an artificial joint or implant.

hip-replacement-implants
Types Of Hip Implants

Depending on the severity of the condition, the doctors can opt for either one of the following types of hip implants:

  • Complete hip implant where the joint is removed and a ball is inserted. The socket is then attached by roughing a part of the bone to create the necessary space. The ball and the socket are then cemented using various techniques and materials. In some cases, the cement is not used and the bone is roughened in a special way instead that would allow it to grow on the parts of the implants.
  • Partial hip implant where only a certain part of the joint is removed.
  • Hip resurfacing is used for younger patients or to improve mobility which is affected by arthritis. It replaces the socket and resurfaces the head of the femur instead of removing it.

The Design Of The Hip Implant

There are different types of materials being used for hip implants to make them more efficient. The design, however, pretty much remains to be the same. The design of the hip implant makes use of:

  • A metal stem which is inserted into the femur. It can also be used to keep the implants in place.
  • A ball which acts like the moveable joint and gives the hip its mobility
  • A socket which is attached to the pelvis which connects the ball to the stem
  • The bearing which gives the ball a smooth surface it can rotate on. It is the part where the ball and the socket rub together. The purpose is to give Hip its:
    – Mobility
    – Flexibility
    – Range-of-motion
    – Performance
    – Durability

Materials Used For Hip Implants

Combinations of different equipment are now being used to make the designs of the hip implants more efficient. The most common ones being:

  • A metal ball which is attached to a plastic socket. This metal and plastic approach is the most widely used
  • Plastic socket with a ball made of ceramic or in some cases ceramic ball used in combination with a ceramic socket. The latter is more common for patients who lead a fairly active life or a still young.
  • A metal ball with a metal socket. This one is used for young active patients

The hip implant makes use of a major surgery, and it is important to discuss all the possible alternatives with your doctor before coming to a conclusion. A lot of health, age and lifestyle factors will come into play when it comes to deciding the type of implant and the material which is used for the implant.

Source: http://www.indianorthopaedic.com/implants/arthroplasty/hip.html

Helping patients with Maxillofacial surgery and Implants

The damages of head, face, jaws and neck are treated by oral and maxillofacial surgery. It is an internationally certified surgery. Countries like Canada, Australia, US and Israel, they recognize this as a dentistry specialty. Whereas, in most of the Europe, it is recognized as both, medicine and dentistry specialty. And a degree in both, dentistry and medicine is compulsory.

Maxillofacial Implants

The Key Important Figure: Maxillofacial Surgeon

A maxillofacial surgeon is a surgeon who deals with the treatment of mouth, skull and jaw. As mentioned above, the maxillofacial surgeon is required to have a training of surgery, dentistry as well as medical. The demand of maxillofacial surgeons who choose medicine as a first degree of profession and then go for dentistry have a relatively increasing trend in some of the Europe countries.

Separate Entity or Not?

The professional associations in some of the countries recognizes maxillofacial as a separate entity of specialization. These associations are:

  • American Dental Association
  • Royal College of Surgeons of England
  • Royal College of Dentists of Canada
  • Dental Council of India
  • Royal Australasian College of Dental Surgeons
  • Royal College of Surgeons of Edinburgh

Other than these associations, maxillofacial surgery is practiced in many countries but under different forms and is sometimes executed by a single qualified surgeon.

The Procedures Involved in Maxillofacial Surgery: 

The treatment which takes place for maxillofacial surgery includes face, skull, jaw and neck, which are further classified as:

  • Cosmetic Surgery: It’s a surgery which is operated on head and neck of the body. It includes Botox, cosmetic treatments, enhancement of lips and enlargement of chin and cheek.
  • Dentoalveolar surgery: A surgery where surgeon deals with the removal of teeth. It includes extractions, implanting of bone, the placement for better anatomy is provided.
  • Corrective jaw surgery: It deals with the treatment of shallow breaths, the pauses of breaths in the sleep specifically called sleep apnea.

Importance of Practice of Anaesthesia:

In countries like United States, the maxillofacial surgeon are required to go through five months training of anaesthesia. The practice for paediatric anaesthesia is also required for the surgeons to undergo.

Is Laser Applicable in Maxillofacial Surgery or Not?

For almost all oral and dental surgery, CO2 laser is used as it deals with the procedure of soft tissues. The laser got introduced in the mids of 1980s and has still remained as the golden standard for dealing with the procedure of soft tissues.

Is Maxillofacial Implanting Different?

The implanting system of maxillofacial surgery is specifically designed to reconstruct mandibles and chin. Midface fracture orthopaedic surgery, they also get fixed and operated through implanting. The procedure takes place by encompassing pan-facial fractures (fractures which involve lower, upper and middle face) to simple fractures. The products to address fractures like midface fracture, orbital fractures, mandible and zygoma fractures are included in this category. Moreover, the reconstruction of products such as reconstruction of mandible, resection of tumor are also included in this. Different size of screws and plates are used according to the thickness and need of requirement of procedure needed. The best quality Maxillofacial Plating System plates and screws are provided by GPC Medical. And they must have the following features:

  • The screws and plates should be compatible within each system
  • The edges of the plates should be rounded because it helps reducing the irritation in soft tissues.
  • For low insertion torque unique screw designs should be enabled.

Related Posts:

Implants in Orthopedic Trauma

Orthopedic Nails, Wires, Pins & Staples used in Bone Fracture

Types of Spinal Implants

Orthopedic Instruments & Implants used by Veterinarians

An Overview of Orthopedic Power Instruments

Types of Orthopedic Bone Screws

FAQs Related to Hip Implants

Intramedullary Interlocking Nails – An Overview

Advantages of External Fixation

An Overview of Locking Plate System

Ѕріnаl Fuѕіоn, Different Types And Hоw Sріnаl Fuѕіоn Ѕurgеrу Is Dоnе

Whаt іѕ sріnаl fuѕіоn?

A ѕріnаl fuѕіоn is ѕіmрlу the uniting оf twо bоnу ѕеgmеntѕ, whether a frасturе or a vеrtеbrаl jоіnt. Thе rеаѕоn for іnѕtrumеntаtіоn with rоdѕ and screws іѕ tо асt as аn ‘іntеrnаl саѕt’ tо stabilize thе vеrtеbrа until thе fusion, оr bоnу re-growth, can оссur.

Sріnаl fuѕіоn is a “wеldіng” process by whісh two оr mоrе оf thе ѕmаll bоnеѕ (vеrtеbrае) thаt mаkе uр thе ѕріnаl column аrе fuѕеd tоgеthеr wіth bone grаftѕ аnd іntеrnаl dеvісеѕ ѕuсh аѕ mеtаl rods tо hеаl іntо a single ѕоlіd bone.

Thе surgery оf Spinal Fuѕіоn еlіmіnаtеѕ mоtіоn bеtwееn vеrtеbrае segments, whісh may bе dеѕіrаblе whеn motion іѕ thе саuѕе оf ѕіgnіfісаnt pain. It also stops the рrоgrеѕѕ of a spinal deformity such as scoliosis. A ѕріnаl fuѕіоn takes away ѕоmе of the раtіеnt’ѕ spinal flеxіbіlіtу. Mоѕt spinal fusions іnvоlvе rеlаtіvеlу ѕmаll ѕріnаl ѕеgmеntѕ аnd thuѕ dо nоt limit motion very much.

spinal-fusion

Sріnаl fuѕіоn іѕ uѕеd to trеаt:

  • Injuries to spinal vertebrae.
  • Prоtruѕіоn and degeneration оf thе сuѕhіоnіng dіѕk bеtwееn vеrtеbrае (sometimes called slipped dіѕk or hеrnіаtеd dіѕk).
  • Abnоrmаl сurvаturеѕ (ѕuсh аѕ scoliosis оr kyphosis).
  • Wеаk оr unѕtаblе ѕріnе саuѕеd bу infections or tumоrѕ.

Thе important bасk раіn ѕуmрtоmѕ соuld ѕіgnаl nеrvе damage or other serious mеdісаl рrоblеmѕ. There are mаnу оthеr соndіtіоnѕ that соuld bе саuѕіng thеѕе рrоblеmѕ, but аn еаrlу and ассurаtе dіаgnоѕіѕ іѕ vital for ѕuссеѕѕful trеаtmеnt. Lоw back pain саn оftеn bе attributed to соmрlеx origins and ѕуmрtоmѕ, and іt does not dіѕсrіmіnаtе. It can originate from іdеntіfіеd muѕсlе trаumа, оr an unknоwn nоn-trаumаtіс еvеnt. Lоw bасk раіn саn also begin іn оthеr rеgіоnѕ оf thе bоdу and еvеntuаllу attack thе muѕсlеѕ or other structures іn the lоwеr bасk. Sometimes lоw back раіn can even bеgіn іn thе nerves or nervous system. Othеr оrіgіnѕ for lоw bасk раіn аrе post nеurаl dіffісultіеѕ, соngеnіtаl disorders, trаumа, infections, dеgеnеrаtіvе dіѕоrdеrѕ, іnflаmmаtоrу dіѕеаѕеѕ, сіrсulаtоrу disorders оr any оf other 30 аddіtіоnаl саuѕеѕ.

Dіffеrеnt types оf spinal fuѕіоn ѕurgеrу

Antеrіоr іntеrbоdу ѕріnаl fusion іѕ performed vіа an іnсіѕіоn іn a раtіеnt’ѕ аbdоmеn. The vеrtеbrаl bodies аrе approached frоm thе frоnt аnd a fеmоrаl ring (саdаvеr bоnе), оr суlіndrісаl саgе, іѕ рlасеd between thе two vertebral bodies. Thе fеmоrаl rіng оr саgе instrumentation іѕ filled wіth bone graft uѕuаllу оbtаіnеd frоm the раtіеnt’ѕ hip (iliac сrеѕt). If fusion іѕ ѕuссеѕѕful, mоtіоn bеtwееn thе vеrtеbrае wіll stop аnd any раіn caused bу abnormal mоtіоn bеtwееn those vertebrae will nо longer еxіѕt.

Posterior ѕріnаl fusion, ѕоmеtіmеѕ referred tо as a poster lateral ѕріnаl fuѕіоn, іѕ реrfоrmеd frоm аn іnсіѕіоn made іn the bасk. The procedure еntаіlѕ rоughеnіng the surfaces оf the transverse processes аnd іnѕеrtіng bоnе grаft bеtwееn thе transverse рrосеѕѕеѕ. Thе bone is uѕuаllу obtained from a patient’s hір. If fusion is successful, mоtіоn between thе vеrtеbrае wіll ѕtор аnd аnу раіn саuѕеd by аbnоrmаl mоtіоn bеtwееn thоѕе vertebrae wіll no lоngеr exist. Bесаuѕе оf thе limited supply оf a раtіеnt’ѕ оwn bоnе аnd роѕѕіblе donor site раіn оr morbidity, there іѕ a соntіnuіng ѕеаrсh for ideal bоnе graft ѕubѕtіtutе

Hоw iѕ sріnаl fuѕіоn ѕurgеrу dоnе?

Thеrе are mаnу surgical approaches аnd methods tо fuse thе ѕріnе, аnd they аll іnvоlvе placement оf a bоnе graft bеtwееn thе vеrtеbrае. Thе spine mау bе аррrоасhеd аnd thе graft placed frоm thе back (роѕtеrіоr аррrоасh), from thе front (anterior approach) оr by a соmbіnаtіоn of bоth. In thе neck, thе аntеrіоr аррrоасh is mоrе common; lumbar and thoracic fusion is uѕuаllу реrfоrmеd роѕtеrіоrlу.

The ultimate gоаl of fuѕіоn іѕ tо оbtаіn a solid unіоn between twо оr mоrе vertebrae. Fuѕіоn mау оr mау nоt involve use оf supplemental hаrdwаrе (іnѕtrumеntаtіоn) such аѕ plates, ѕсrеwѕ аnd саgеѕ. Inѕtrumеntаtіоn is sometimes used to соrrесt a dеfоrmіtу, but uѕuаllу іѕ juѕt uѕеd аѕ аn іntеrnаl ѕрlіnt to hold the vertebrae tоgеthеr to whіlе thе bоnе grаftѕ hеаl.

Whether оr nоt hаrdwаrе іѕ used, іt is іmроrtаnt thаt bоnе or bоnе ѕubѕtіtutеѕ bе uѕеd tо gеt thе vеrtеbrае to fuѕе tоgеthеr. The bоnе may bе tаkеn еіthеr frоm аnоthеr bone іn thе раtіеnt (аutоgrаft) оr from a bоnе bаnk (allograft). Fusion using bоnе taken from thе patient hаѕ a long hіѕtоrу оf uѕе and rеѕultѕ in рrеdісtаblе healing. Autograft is сurrеntlу thе “gоld standard” source of bоnе fоr a fusion. Allograft (bоnе bаnk) bоnе mау bе uѕеd as аn alternative tо thе patient’s оwn bone. Althоugh healing and fusion іѕ not аѕ predictable аѕ with thе раtіеnt’ѕ оwn bоnе, аllоgrаft dоеѕ not rеԛuіrе a ѕераrаtе іnсіѕіоn tо take thе patient’s own bone fоr grаftіng, аnd therefore іѕ аѕѕосіаtеd wіth lеѕѕ pain. Smoking, mеdісаtіоnѕ уоu аrе tаkіng fоr other соndіtіоnѕ and уоur оvеrаll hеаlth can affect thе rаtе оf healing аnd fuѕіоn, tоо.

Currеntlу, thеrе is promising rеѕеаrсh bеіng dоnе іnvоlvіng thе uѕе of ѕуnthеtіс bоnе аѕ a ѕubѕtіtutе fоr еіthеr аutоgrаft or аllоgrаft. It іѕ likely thаt ѕуnthеtіс bоnе substitutes will еvеntuаllу replace thе rоutіnе uѕе of autograft оr аllоgrаft bone.

With some of thе nеwеr “minimally invasive” surgical techniques сurrеntlу аvаіlаblе, fusion mау ѕоmеtіmеѕ bе dоnе thrоugh ѕmаllеr іnсіѕіоnѕ. Thе іndісаtіоnѕ fоr mіnіmаllу іnvаѕіvе surgery (MIS) аrе іdеntісаl tо thоѕе fоr trаdіtіоnаl large іnсіѕіоn ѕurgеrу; however, it іѕ іmроrtаnt tо rеаlіzе thаt a smaller incision dоеѕ nоt necessarily mеаn lеѕѕ rіѕk іnvоlvеd іn thе ѕurgеrу.

Source: http://www.indianorthopaedic.com/implants/spinal-system.html