MAS TLIF with TLX 20°

In our Featured Case series, NuVasive showcases innovative cases and how our technologies are integrated to create a cohesive system to address key patient pathologies. Our mission at NuVasive is to transform surgery, advance care, and change lives and we are constantly focused on how to deliver improved patient outcomes, increase OR safety and efficiency, and extend our technology to future applications.

In this Featured Case, we present a 68-year-old male with bilateral back and leg pain (25% back, 75% radicular), worse on his left side and his symptoms worsened over a period of 6 months. He was reduced to ambulating with a cane, and after experiencing a few near falls the patient sought medical attention.

The patient connected with Dr. Oszkar of Cleveland Clinic Tradition Hospital in Port St. Lucie, Florida. Dr. Szentirmai determined he was suffering from grade 1 spondylolisthesis at L3-L4 and L4-L5, and degenerative disc disease with central and foraminal stenosis. Based on the patient’s diagnosis Dr. Szentirmai performed a less invasive TLIF approach at L3-L5 utilizing the MAS TLIF 2 access system. He then implanted TLX 20° with Reline MAS and Osteocel Pro, achieving both reduction and decompression of the pathological levels.

“I love MAS TLIF 2 because the borders for cranial, caudal, and medial are all defined by the retractor blades. There is no way to become lost in the anatomy. And TLX allows me to contour the cage to the size of the disc space for ideal surface coverage.” –Oszkar Szentirmai, MD


Through use of the MAS TLIF system, Dr. Szentirmai has reduced his operative times and blood loss for the patients while maximizing his surgical efficiency and visualization of the operative level.

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An individual’s surgical procedure and recovery may deviate from what is described herein. Each case is unique and has its own independent considerations.  It is the surgeon’s responsibility to discuss all relevant risks with the patient prior to surgery.

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