A connected procedural workflow

Transforaminal lumbar interbody fusion (TLIF) procedures demand a workflow that is connected, predictable, and efficient. Explore how the AiBLE™ smart ecosystem helps connect patient-specific pre-operative planning, intra-operative execution, and post-operative evaluation through a unified workflow designed to support procedural consistency and informed decision-making throughout the TLIF procedure.




Pre-operative


TLIF procedures begin with patient-specific planning.

AiBLE™ technologies support alignment planning, screw trajectory planning, and procedural preparation before entering the operating room.



Leverage AI-driven, patient specific surgical plan options from an AiBLE™ Clinic engineer utilizing degenerative spine predictive model, integrating the alignment and interbody plans with the screw trajectory plan.


Exposure with the Aquamantys™ 6.0 bipolar sealer

Establish exposure and maintain visualization through hemostatic sealing of soft tissue and bone, enabling a clear pathway for robotic screw placement and disc access.


Intra-operative


TLIF procedures require continual assessment throughout the intra-operative surgical workflow.

AiBLE™ technologies connect navigation, robotics, imaging, and alignment technologies to help support execution of the surgical plan, informed intra-operative decision-making, and real time reconciliation of the surgical plan.



Robotic-guided screw placement with the Stealth AXiS™ surgical system and CD Horizon™ ModuLeX™ Voyager™ spinal system

Execute the surgical plan with robotic screw placement and a modular, shank-first workflow that supports improved visualization and intra-operative flexibility.


Disc access with Space-D™ access system

Expand the transforaminal corridor with segmental distraction and retraction, opening the foramen and disc space for disc preparation and interbody access.


Perform precise bone cutting and decompression with navigated drilling and real-time visual feedback.


Navigated disc prep with navigated shaver instrument

Prepare the disc space and endplates with the navigated rotating shaver, using tactile feedback and precise navigation to create an optimal surface for interbody fusion.


Fusion enhancement with Infuse™ bone graft for TLIF

Infuse™ bone graft demonstrates higher probability of fusion success and shorter time to fusion versus control in 1- and 2-level TLIF procedures.


Navigated implant placement and post-packing with Catalyft™ PL expandable interbody system and Grafton™ DBF inject

Restore disc height and lordosis with an expandable interbody that delivers graft through the implant to fill the disc space and support fusion


Plan reconciliation with LiveAlign™ segmental tracking

Reconcile the surgical plan intraoperatively through dynamic visualization of vertebral motion as it occurs — without additional radiation.


Patient-specific rod placement with UNiD™ rods

Achieve planned alignment with a patient-specific rod manufactured to serve as a physical template from the approved surgical plan.


Post-operative


Post-operative assessment transforms procedural data into actionable insights.

AiBLE™ technologies help surgeons evaluate how closely outcomes aligned with the surgical plan, measure results, and apply learnings from their TLIF procedure.



2D and 3D imaging with the O-arm™ imaging system

Verify the final construct with 2D long-film and 3D imaging, reconciling implant placement and alignment against the surgical plan.


Data and analytics with the GAiTEWAY™ platform and OBERD™*

Enable longitudinal review of patient reported and radiographic outcome data to help surgeons learn, compare, and evolve their practice over time.