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See the invisible. Achieve the impossible.
Spinal navigation has evolved into a transformative technology, offering benefits that amplify surgeons' experiences while improving patient outcomes. Committed to empower surgeons with the most advanced healthcare solutions, B. Braun fuses cutting-edge navigation technologies with its spinal platforms to create a dynamic synergy.
Our instruments are navigation-enabled and part of the standard instrumentation. Experience the same workflows as in conventional procedures.
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Experience the Ennovate® and AESCULAP® 3D Cages navigation solutions for open, hybrid and minimally invasive spinal procedures.
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Our anterior and posterior stabilization implants can be navigated from the cervical to the sacropelvic spine.
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Whether screws or interbody fusion devices, our instruments are ready for navigation. Just get started when you need it.
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Performance. Precision. Possibilities.
Experience greater efficiency with fewer instruments. Unleash the power of minimalism and enhance your practice with the simplicity and precision of our instruments – because less is truly more.
Ennovate® Cervical MIS
The synergy of enriched patient data with the latest minimally invasive technologies adds a new layer of sophistication to surgical procedures. For patients, the minimally invasive nature of Ennovate® Cervical translates into smaller incisions, less morbidity with equivalent surgical outcomes. This not only minimizes post-operative discomfort but also expedites the return to daily activities. [1-4] Surgeons, in turn, experience a paradigm shift in their approach to cervical spine surgery. The visualization and intra-operative guidance enable more confident approaches to complexities. These new opportunities streamline processes, reduce the duration of operations, and enhance overall performance. [5-9]
Ennovate® TLSP Drill Guide
The quest for enhanced accuracy and efficiency is a key factor in modern healthcare, and the Ennovate® TLSP Drill Guide rises to the challenge. The streamlined workflow allows surgeons to perform thoracolumbar and sacropelvic procedures with fewer instruments. [10] This simplifies surgical procedures and contributes to a more organized and efficient OR environment. Beyond that, the drill guide additionally allows a pressure-free preparation of the vertebrae, which improves the overall precision along every surgical step. [11]
AESCULAP® 3D Interbody fusion devices
Improving biomechanical performance by optimizing the placement of implants – the role of spinal navigation in interbody fusion surgery is transformative. We aim to achieve best possible implant positioning and enhance biomechanical stability, which are fundamental skills in spinal surgery and crucial for superior long-term outcomes. [12] Equipped with advanced technology, surgeons can navigate our AESCULAP® 3D cages with unparalleled precision, tailoring their approach to each patient's anatomy. [5,11]
Ennovate® Spine Surgery
[1] Kim D-Y, Lee S-H, Chung SK, Lee H-Y. Comparison of multifidus muscle atrophy and trunk extension muscle strength: percutaneous versus open pedicle screw fixation. Spine (Phila Pa 1976). 2005;30(1):123-9.
[2] Ringel F, Stoffel M, Stüer C, Meyer B. Minimally invasive transmuscular pedicle screw fixation of the thoracic and lumbar spine. Neurosurgery. 2006; 59(4 Suppl 2):ONS361-6; discussion ONS366-7.
[3] Lee S-H, Choi W-G, Lim S-R, Kang H-Y, Shin S-W. Minimally invasive anterior lumbar interbody fusion followed by percutaneous pedicle screw fixation for isthmic spondylolisthesis. Spine J. 2004;4(6):644-9.
[4] Sun X-Y, Zhang X-N, Hai Y. Percutaneous versus traditional and paraspinal posterior open approaches for treatment of thoracolumbar fractures without neurologic deficit: a meta-analysis. Eur Spine J 2017; 26(5):1418-31.
[5] William D. Zelenty, John R. Renehan, Joseph Ferguson, Fred F. Mo, Intraoperative navigation: Current applications and future directions, Seminars in Spine Surgery, Volume 32, Issue 2, 2020, 100788, ISSN 1040-7383, https://doi.org/10.1016/j.semss.2020.100788.
[6] Navarro-Ramirez, Rodrigo; Lang, Gernot; Lian, Xiaofeng; Berlin, Connor; Janssen, Insa; Jada, Ajit et al. (2017): Total Navigation in Spine Surgery; A Concise Guide to Eliminate Fluoroscopy Using a Portable Intraoperative Computed Tomography 3-Dimensional Navigation System. In World neurosurgery 100, pp. 325-355.
[7] La Rocca et al. (2022): DOI 10.1186/s10195-022-00661-8, in J Orthop Traumatol., 23(1).
[8] Matityahu, Amir; Kahler, David; Krettek, Christian; Stöckle, Ulrich; Grutzner, Paul Alfred; Messmer, Peter et al. (2014): Three-dimensional navigation is more accurate than two-dimensional navigation or conventional fluoroscopy for percutaneous sacroiliac screw fixation in the dysmorphic sacrum: a randomized multicenter study. In Journal of orthopaedic trauma 28 (12), pp. 707-710.
[9] Baldwin, K.D., Kadiyala, M., Talwar, D. et al. Does intraoperative CT navigation increase the accuracy of pedicle screw placement in pediatric spinal deformity surgery? A systematic review and meta-analysis. Spine Deform 10, 19-29 (2022). https://doi.org/10.1007/s43390-021-00385-5.
[10] Compared to a standard Ennovate® TLSP open workflow.
[11] Beisemann, N., Gierse, J., Mandelka, E. et al. Comparison of three imaging and navigation systems regarding accuracy of pedicle screw placement in a sawbone model. Sci Rep 12, 12344 (2022). https://doi.org/10.1038/s41598-022-16709-y.
[12] Zhang H, Hao D, Sun H, He S, Wang B, Hu H, Zhang Y. Biomechanical effects of direction-changeable cage positions on lumbar spine: a finite element study. Am J Transl Res. 2020 Feb 15;12(2):389-396. PMID: 32194891; PMCID: PMC7061850.
