Minimally Disruptive Motion Preservation. Relieving Pain. Restoring Lives

Introducing a new surgical solution.
Unlike other total disc replacement devices, XL TDR® is a total disc replacement that is implanted from the patient's side, an approach which may improve patient experience. In conjunction with SOLAS,® the Society of Lateral Access Surgery, NuVasive® is pleased to be sponsoring a clinical study designed to demonstrate the safety and efficacy of XL TDR.

XL TDR seeks to relieve the painful symptoms associated with lumbar degenerative disc disease. However, instead of achieving pain relief through fusion (immobilization of the spinal segment), XL TDR seeks to relieve pain while restoring height and maintaining motion at the spinal segment. Through thoughtful and careful scientific study, we seek to demonstrate the safety and efficacy of this device, compared to other fusion procedures. 

What Is Lateral Access?
Lateral access is a minimally disruptive approach to the spine from the side of the body. With sophisticated nerve avoidance technology, the surgeon approaches the spine through a small incision or two on the patient's side, avoiding the abdominal incision of traditional anterior approaches, and the dissection or retraction of the sensitive back muscles, typical of traditional posterior approaches. The lateral approach minimizes or avoids the risk of potential complications such as vascular injury, major bleeding, intestinal injury, ureteral injury, sexual dysfunction, and postoperative back muscle pain.

XL TDR is building on the success of XLIF,® the lateral approach spine fusion procedure introduced by NuVasive in 2003 that has been successful in treating thousands of patients suffering from a variety of spinal disorders.