Indra®-XMAS (Xpert Minimally Access Spine Fixation System)
About
The Indra®-XMAS (Xpert Minimally Access Spine fixation system) has been designed with maximum procedural freedom and smooth workflow in mind.
With the Indra®-XMAS System solution, you have the choice of a mini-open or true percutaneous approach, depending on your preferred operating style and your patient’s needs. This versatility enables you to treat your patients the way you want and with greater efficiency than ever. By offering intuitive and versatile implants and instrumentation, the Indra®-XMAS System provides spine surgeons a solution to address multiple pathologies with a less invasive approach.
Features
Option of utilizing either a traditional top-down, muscle splitting-and-sparing approach or a true percutaneous approach.
Strong screw-sleeve connection prevents sleeve disassociation during surgery.
Improved lower profile screw heads help reduce soft tissue irritation and Bi-lead “Ossigrip” dual thread allows faster insertion of the screw.
Simultaneous controlled compression/distraction and considerable reduction of the vertebral body.
When to use?
Indications
Indra®-XMAS System intended for pedicle screw fixation from L1 – S1, the indications include immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar and sacral spine: degenerative disc disease (defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies), degenerative spondylolisthesis with objective evidence of neurologic impairment, fracture, dislocation, deformities or curvatures (i.e. scoliosis, kyphosis, and/or lordosis), tumor and failed previous fusion.
As a pedicle screw system placed between L3 and S1, the indications include Grade 3 or Grade 4 spondylolisthesis, when utilizing autograft or allograft, when affixed to the posterior lumbosacral spine, and intended to be removed after the solid fusion is established.
Contraindications may be absolute or relative. Circumstances below may reduce the chances of a successful outcome:
Contra-Indications
Disease conditions which have been shown to be safely and predictably managed without the use of internal fixation devices are relative contraindications to the use of these devices.
Active systemic infection or infection localized to the site of the proposed implantation are contraindications to implantation.
Severe osteoporosis is a relative contraindication because it may prevent adequate fixation of spinal anchors and thus preclude the use of this or any other posterior spinal instrumentation system.
Any entity or condition that totally precludes the possibility of fusion, i.e. cancer, kidney dialysis or osteopenia, is a relative contraindication. Other relative contraindications include obesity, pregnancy, certain degenerative disease, and foreign body sensitivity. In addition, the patient’s occupation or activity level or mental capacity may be relative contraindications to this surgery. Specifically, some patients may, because of their occupation or lifestyle, or because of conditions such as mental illness, alcoholism or drug abuse, place undue stresses on the implant.
Note: The above list is not exhaustive.