Dr. Daniel Refai completes world’s first continuously navigated endoscopic TLIF

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Daniel Refai, MD, of Atlanta-based Emory Healthcare, performed the world’s first continuously navigated endoscopic transforaminal lumbar interbody fusion.

Dr. Refai used Amplify Surgical’s dualPortal & dualX platform for the procedure, according to a May 17 news release. The case was also done in conjunction with Stryker’s Q Guidance System with Spine Guidance 5 with Copilot and VB Spine’s ES2 pedicle screws.

Pedicle screws were placed under power with continuous navigation. Amplify’s tools enabled an integrated endoscopic TLIF workflow, and the visualization systems gave real-time imaging.

“This case represents a meaningful leap forward in how we approach minimally invasive lumbar fusion,” Dr. Refai said in the release. “Maintaining continuous navigation throughout an endoscopic TLIF — from decompression through interbody placement and powered screw fixation — gives us a level of precision and confidence that has not previously been possible.”

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