Innovation with Impact: Adopting Lateral Single-Position Surgery into Your Practice

In our Innovation with Impact series, NuVasive® will showcase featured cases and how our unique technology is integrated to create a cohesive system to address key patient pathologies. Our mission at NuVasive is to change patient lives and we are constantly thinking of better ways to help deliver improved patient outcomes.

For our next Innovation with Impact, we’re featuring Dr. Brett Braly, spine surgeon from The Spine Clinic of Oklahoma City in Oklahoma City, OK. A native Oklahoman, Dr. Braly is Oklahoma’s only surgeon to be admitted to SOLAS. He is an esteemed Delta faculty member of NuVasive® Clinical Professional Development, and is the only surgeon actively pursuing Lateral Single-Position Surgery in his state. Dr. Braly’s case showcases both Lateral ALIF and RELINE pedicle fixation being accomplished through Lateral Single-Position Surgery, with the additional radiation reduction technology, LessRay®.

Dr. Brett Braly is one of six NuVasive Delta training surgeons. Dr. Braly provides his expertise in Lateral ALIF, XLIF, and lateral fixation techniques, and stresses the importance of putting the surgeon learner first. “The lateral single-position surgery movement drives surgeons to become efficient in the operating room. None of this would be possible had the XLIF procedure not revolutionized lateral lumbar surgery”, shares Dr. Braly.

In this month’s featured case, the patient was an older male with no previous surgeries and suffered from a grade 1-2 spondylolisthesis at L5-S1. Dr. Braly performed a Lateral ALIF with percutaneous screws while minimizing radiation throughout the case with LessRay. He used BASE implants, RELINE® MAS reduction screws, Osteocel® Pro, and NVM5® EMG screw testing. The utilization of LessRay and Lateral Single-Position Surgery together lowered the radiation of the case over 50% down to .65mGym2, compared to a previous 1-level L5-S1 ALIF surgery.

Braly states, “Single-position surgery combined with minimizing radiation exposure by utilizing LessRay has the unique claim of creating a better operating experience for the patient.”

The Innovation with Impact series will be a monthly case feature found here on The Spot. To find more case examples, click here. To learn more about Lateral Single-Position Surgery, click here.


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