Axial Lumbar Interbody Fusion

What is Percutaneous Axial Lumbar Interbody Fusion (AxiaLIF) L5-S1?

A new technique uses the advantages of minimally invasive axial access. Percutaneous, paracoccygeal axial fluoroscopically-guided interbody fusion (axiaLIF) combines the interventional concepts of remote access, image guidance, and advanced implant technology.

AxiaLIF capitalizes on the union of well-defined remote access instrumentation and the benign tissue bed of the midline presacral space and dilating an osseous tract through the upper sacrum.

San Antonio Surgical Results

Mean operative time for the LS-Sl axiaLlF procedure was 42 minutes. Mean blood loss 30mL 91 % had radiographic evidence of fusion at last follow-up. Average graft subsidence was 1.6mm. Among the stand-alone group subsidence was 2 mm. Greater graft subsidence was not associated with poorer clinical outcome. Axial Lumbar Interbody Fusion

A new technique uses the advantages of minimally invasive axial access. Percutaneous, paracoccygeal axial fluoroscopically-guided interbody fusion (axiaLIF) combines the interventional concepts of remote access, image guidance, and advanced implant technology.

 

San Antonio Percutaneous Axial Lumbar Interbody Fusion (AxiaLIF) Complications

Occasionally, there may be a local infection at the site of the incision. this is treated conservatively with oral antibiotics and should resolve. There are patients reported to have a bowel or rectal injury that may require IV antibiotics and occasionally a temporary diverting colostomy while infection clears. The most common complication is non-union of the graft that may be 5% of these fusions.

Indications for axiaLIF mirror those of traditional posterior fusion at the LS-S1 level. With severe degeneration (Le. bone on bone). axiaLIF is not recommended as sufficient distraction and discectomy may be difficult to achieve. Also, patients with previous retroperitoneal surgery should not undergo axiaLIF as the presacral corridor may be scarred down. The technique is important because it allows the implantation of biomechanically sound implants without the morbidity encountered in open surgery or other types of minimally invasive posterolateral surgery. This muscle-sparing and annular preserving approach will mitigate postoperative pain, speed healing, eliminate postoperative scarring, and avoid problems encountered with annulus removal.

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We accept Medicare and most Medicare Replacement plans. Call us to find out more 210-672-2812

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    Are you in need of back pain treatment? Looking for a back doctor in the San Antonio, TX area? Dr. Fogel of the Spine Pain Be Gone Clinic offers an alternative to traditional open back and neck surgeries. Utilizing world-class technologies and highly-advanced tools, Dr. Guy Fogel specializes with innovative minimally invasive spine surgery techniques for his patients.

     

               

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    Dr. Fogel offers his patients less painful and time-consuming surgical procedures as compared to traditional open back and neck surgeries, motion limiting fusion surgeries and artificial disc replacements.  He does this by utilizing the latest technologies and techniques for pain causing neck and back conditions through minimally invasive endoscopic procedures. 

     

     

Testimonials

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  • Vitals

    "He is warm, friendly, courteous and polite. He takes his time and answers all your questions. He did a lumbar fusion on me and I have had no problems."

    Verified Patient
  • Demandforce

    "Dr. Fogel is the most caring Dr. I have ever met. He always takes the extra time to make sure I understand everything that is going on in my treatment."

    Elizabeth S.
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    "The best doctor I ever met and his staff go way beyond expectations to try to help. Seeing him was the best thing I ever did."

    Ronald P.
  • Demandforce

    "Dr. Fogel's surgical procedure on my spine three years ago totally eliminated my back pain. I highly recommend Dr. Fogel to any one needing back pain relief."

    Luis J.
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    "He is an awesome doc! I highly recommend Dr. Fogel. I can say that I have my life back and can do a lot of things that I couldn't do before my surgeries."

    Joanne G.
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    "They do their utmost best to get their patients back to living as well and as actively as possible. You will not find a better spinal team!"

    Michele P.
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    "Dr. Fogel is awesome! He was very clear on my diagnosis and his recommendation of the procedure that I needed to fix the problem in my spine."

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Guy Fogel, MD, FAAOS
8042 Wurzbach Road
#350
San Antonio, TX 78229