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XCORE: Features and Clincical Benefits

Ease of alignment/assembly on the loading block to streamline procedural workflow

Single-step, zero profile inserter/expander

Option to disassemble enplates if required

Variety of titanium options and approaches to match patient anatomy and pathology

Bimechanical strength due to XLIF endplate design shown to provide increased risk of subsidence.

XCORE 2 inst and imp come in same tray

True

XCORE mini Inst and imp come in same tray

False - Separate trays diameter specific.

What are the size options for XCORE

16 18 22

What are the size options for XCORE mini?

12 14

What are the endplate options for XCORE?

Oval round lateral

XCORE: what are the core sizes?

16 18 22

XCORE mini: what are the core sizes?

12 14

What instrument is used to identify core heigh?

Height Calipers

You can measure height under distraction

False. Has to be under no distraction. Tips sit flush against endplates

XCORE: what do you use to load implant?

Implant loading block.

XCORE: inserter should be fully collapsed when going into prepared site

True

XCORE: implant can be right side up or upside down.

True

XCORE: Endplates should be anterior facing (rounds/lordosis orientation)

True

XCORE: clockwise rotation of the teardrop handle expands the implant.

True

XCORE: implant is fully expanded when?

Threads reach top of aperture.

XCORE: a positive stop. Will be felt when?

Implant is fully expanded.

xcore: Dont over expand or contract to avoid what?

Endplate damage.

XCORE: which way should you turn thumb wheel for release?

Counterclockwise

XCORE: how do you final tighten?

Core lock screwdriver (black handle) and rotate clockwise.

XCORE: what is the torque limit of the final driver?

1.1nm

XCORE: Is supplemental fixation required?

Yes

What’s the first thing to inspect on a fortify core?

1-2 threads showing above the gear.

Fortify: what should you do if threads are not showing?

Insert trial holder and rotate clockwise.

Fortify: how many attachment points on the oval trial?

3 attachment points.

Fortify: where is the first notch at? What ab other notches?

35mm then 5mm increments.

Fortify: Is the adjustable trial torque limited?

No

Fortify: how do additional endplate trials attach on?

Slide onto adjustable trial. (Add 5mm for each endplate)

Fortify: what are the steps to build cage?

1. Find Sagittal profile?

2. Determine the proper height range

3. Find the core to assemble with endplates

Fortify: what should you do to ensure that the contracted construct will fit into the Corpectomy space?

Use adjustable trial at starting height.

Fortify: for Ti cages start with ____

Upper

Fortify: for peek cages start with ____

Lower

Fortify: 0 degrees

Anterior

Fortify: 45 degrees

Anterior lateral

Fortify: 90 degrees

Lateral

Fortify: 135 degrees

Posterior lateral

Fortify: Scrub tech should hold core in relation to?

Insertion hole (rotating the core)

Fortify: Endplate reflects ____

Core reflects ____

Endplate: Region

Core: Approach

Fortify straight inserter 1 rotation =

1 mm expansion

Fortify angled inserter 1 rotation =

.5mm

Fortify: how many parts are in the straight inserter?

4

Fortify: how many parts in in the angled inserter?

3 rotates 70 degrees