1. AxiaLIF Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science Dec 6, 2010 Wayne Cheng, MD Head of Spine Service Associate Professor, Department of Orthopedic Surgery Loma Linda University Medical Center Basic Science Dec 6, 2010

2. Intramedulary Nailing of Spine?

3. Case 1 69 yo female, h/o multiple 8 prior back surg. W pseudo at at L5s1

4. Minimal Invasive?

5. Step 1 Access

6. Step 1-b finger palpation

7. Step 1 - c guide

8. Step 1-d guide wire

9. Step 2-a Dilator/working channel

10. Step 2-b drill S1

11. Step 3-a Disc Prep

12. Step 3-b bone graft/bmp

13. Step 3-c drill L5

14. Step 4 - a : Measure Implant

15. Step 4 - b exchange Cannula Exchange Bushing Exchange cannula

16. Step 4-C Rod insertion

17. Post op ap/lat xray

18. COMPLICATION