0113 388 2230
Mr Almas Khan FRCSEd(Tr&Orth)
Expert and specialist spine care
for children and adults
world class spine care for adults and children in yorkshire
Lateral Anterior Lumbar Interbody Fusion (XALIF)
Preop Checklist
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Preauthorisation V3040 (Stand alone) or V3050 (With posterior), fusion and uplift forms
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Provisional Op Date
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Consent appointment within 2-4 weeks
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MRI (Lumbar spine within one year prior)
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Planning Films: Long Spine standing Lateral, Lumbar standing AP/Lateral
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Theatre booking form
Operation Checklist
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Bloods: G&S, FBC, UE, LFT, Coag, Vit D, Bone profile
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Consent for operation
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Allen or OSI table with Flat top, 3x side clamps
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Arm supports x2 from maquet table
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Sheet, 2x towels rolled
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Axillary roll, 2x pillows for head, 2x pillows for between knees
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Wide tape
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2 Bair huggers
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Diathermy with smoke evacuator set to Mono Cut 50 Coag 50, Bipolar 36
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Imaging available: Standing XR AP & Lateral, MRI L spine, Bending films
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Image intensifier- call for radiographer when tube down
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Catheter after antibiotics
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Chloraprep resistant marker pen
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Alcoholic betadine, chloraprep x2 (do not crack)
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Large drapes (do not cut in half) to square off. Large side drape for lateral II or preferably C-Armor.
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Ioban seal
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Nuvasive XALIF Retractor set
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Nuvasive Base ALIF cages,
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10cc nuvasive bone substitute
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[Posterior stabilisation if required: Nuvasive Affix II interspinous fusion or Stryker ES2 MIS screw set]
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1 PDS, 2/0 PDS, 3/0 monocryl
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Liquiband glue
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Surgistrips,
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Mepore Film&Pad