SpineGuard is to launch its next-generation PediGuard “Threaded” device using the company’s Dynamic Surgical Guidance technology the 31st annual meeting of the North American Spine Society (NASS) in Boston, USA, October 26-29 2016.
The PediGuard Threaded device with DSG is a drilling instrument with a threaded shaft design available in various sizes. According to a company release, it may be used to streamline surgical steps while maintaining the accuracy of pedicle preparation for screw placement. Additionally, it may reduce the use of intraoperative imaging in standard and minimally invasive spinal procedures.
“The PediGuard Threaded device is a transformative product in spine surgery. It combines the need to make a pilot hole and do a tap into one step. As it is threaded, surgeons can get a very nice controlled advancement of the tip down through the pedicle, which gives steady feedback regarding the positioning of the pedicle screw pilot hole,” says Ciaran Bolger, professor of Clinical Neuroscience, Beaumont Hospital, Dublin, Ireland.
“Because we can be confident in our guided placement, we have been able to reduce the amount of fluoroscopy used during minimally invasive procedures. I estimate that, at our spine centre, we have reduced the number of fluoroscopy images by about 50%,” says Larry T Khoo, MD, The Spine Clinic of Los Angeles, Los Angeles, USA. “My practice is 90-100% minimally invasive, so I routinely use the PediGuard Threaded device in the vast majority of my cases. I use it in everything from routine lumbar to thoracic screw cannulations.”
“I have used the PediGuard Threaded device for cortical bone trajectory,” adds Richard A Hynes, president of The B.A.C.K. Center in Melbourne, USA. “Due to the significant cortical bone in this pedicle screw method, tapping of the bone is recommended. With the PediGuard Threaded device, I am able to benefit from a prospective warning of breaching the bone while performing the tapping step simultaneously. This may result in improved safety, efficiency and accuracy while consistently facilitating the longest possible screw lengths.”
SpineGuard reports 50,000 spinal procedures performed using its family of PediGuard devices for accurate pedicle screw placement.