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 Lumbar Interbody Fusion
Preop Checklist
-
Preauthorisation V4080, fusion and uplift forms
-
Provisional Op Date
-
Consent appointment within 2-4 weeks
-
MRI (Lumbar spine within one year prior)
-
Planning Films: Long Spine standing AP/ Lateral, AP side bending standing lumbar, Lateral Lumbar centred over level planned to operate
-
Theatre booking
Operation Checklist
-
IOM- usually bespoke- ask them to bring a probe,
-
Bloods: G&S, FBC, UE, LFT, Coag, Vit D, Bone profile
-
Consent for operation
-
Allen or OSI table with Flat top, 3x side clamps
-
Arm supports x2 from maquet table
-
Sheet, 2x towels rolled
-
Axillary roll, 2x pillows for head, 2x pillows for between knees
-
Wide tape
-
2 Bair huggers
-
Diathermy with smoke evacuator set to Mono Cut 50 Coag 50, Bipolar 36
-
Imaging available: Standing XR AP & Lateral, MRI L spine, Bending films
-
Image intensifier- call for when tube down
-
Catheter after antibiotics
-
Chloraprep resistant marker pen
-
Alcoholic betadine, chloraprep x2 (do not crack)
-
Large drapes (do not cut in half) to square off. Large side drape for lateral II or preferably C-Armor.
-
Ioban seal
-
Blades/handles: Skin: 10/std, Disc: 15/long
-
Ravine Retractor set
-
Cascadia 3d printed cages: 8 degrees, 8, 10 , 12 mm height, 50, 55, 60 mm length, 22mm width
-
Vitoss BA 10cc strips x3 to be available- open one at a time
-
1 PDS, 2/0 PDS, 3/0 monocryl
-
Liquiband or cyanoacrylate glue
-
Surgistrips,
-
Mepore Film&Pad