ENDOSCOPIC FUSION SYSTEM AND METHOD WITH NEUROMONITORING

摘要

Systems, methods, and kits for performing endoscopic fusion with neuromonitoring. The endoscopic fusion may be performed, for example, through a cannula providing a portal to the disc space. Throughout various steps in the procedure, neuromonitoring may occur to minimize the possibility of injuring or contacting a nerve.

主权项

1. A method for performing endoscopic fusion, comprising:
determining an access target in a disc space and creating an incision; inserting an assembled needle into the disc space through the incision, the assembled needle including a stylet inserted through an inner lumen of a needle cannula, wherein the needle cannula is in the form of a c-channel including at least one channel extending along a longitudinal axis of the needle cannula, the needle cannula being configured to permit the stylet to enter and exit the cannula through the channel, and wherein the needle cannula is at least partially insulated; removing the stylet and inserting a k-wire through the needle cannula and into the disc space; removing the needle cannula after the k-wire is in position; positioning a dilator over the k-wire and into the disc space; positioning a working cannula over the dilator and into the disc space and subsequently, removing the dilator; and performing a spinal procedure within the disc space.