DTRAX

The DTRAX spinal system compromises a set of single-use access instruments and cervical cages. DTRAX is used to treat radiculopathy in the cervical spine from a posterior approach. Instruments and cages are designed to achieve indirect decompression and fusion via a minimally invasive approach.

How does DTRAX work?

DTRAX is inserted bilaterally through 1.0 cm working channels via a posterior approach. Fluoroscopic guidance assures a proper placement of the DTRAX cage in the facet joints. Once in place, DTRAX opens the foramen, unweights the nerve, and stabilizes the segment. Additional graft can be added to the cage to enhance the fusion.

T-Cage von DTRAX

Ideal indications

DTRAX is intended for patients with cervical radiculopathy and/or facet mediated neck pain.

Surgeons are using this technology in combination with ACDF and to do a 360° fusion. DTRAX is also used in combination with laminectomy or to do an indirect foraminal decompression and fusion.

Literature

1_Siemionow-et-al-Perioperative-complications-in-patients-treated-with-posterior-cervical-fusion-and-bilateral-cages-JCraniovertJunSpi

2_Bou-Monsef-et-al-Multilevel-cervical-laminectomy-and-fusion-with-posterior-cervical-cages-JCraniovertJunSpine_2017_8_4_316_221118

2-year Polly Level 1 2016

3_Smith-et-al.-Anterior-Cervical-Pseudarthosis-Treated-with-Bilateral-Posterior-Cerical-Cages-Operative-Neurosurgery-1-7-2017-DOI-10.1093-ons-opx103

4_Lenzi-et-al.-Posterior-Cervical-Transfacet-Fusion-with-Facetal-Spacer-for-the-Treatment-of-Single-Level-Cervical-Radiculopathy.-World-Neurosurg.-2017-Apr

5_Siemionow-et-al.-Clinical-and-Radiographic-Results-of-Indirect-Decompression-and-Posterior-Cervical-Fusion-2-Year-Follow-Up.-J-Neurol-Surg-A-Cent-Eur-

6_Siemionow2016_Article_CervicalCagesPlacedBilaterally

7_McCormack et al_minimally-disruptive-posterior-cervical-fusion-with-dtrax-cervical-cage-for-single-level-radiculopathy

8_McCormack_et_al_-_Percutaneous_posterior_cervical_fusion_with_the_DTRAX_Facet_System_for_single-level_radiculopathy_results_in_60_patients_J_Neurosurg

10_Voronov-et-al-Bilateral-posterior-cervical-cages-provide-biomechanical-stability.-Medical-Devices-Evidence-and-Research-2016-9-doi-10.2147-MDER.S109588

12_McCormack-et-al-Novel-instrumentation-and-technique-for-tissue-sparing-posterior-cervical-fusion-J-Clin-Neurosci-34-299-302-2016-Aug-31

13_Siemionow-et-all-Summary-Preliminary-Analysis-of-Adjacent-Segment-Degeneration-in-Patients-Treated-with-Posterior-Cervical-Cages-–-2-Ye (1)

Lenzi – Apr 2017

McCormack – Mar 2013

Siemionow – Nov 2016