[WakesurfMike]

I might be wrong but I believe he meant it could be put in from the side for certain levels (l4-L5). I need L4/L5 and L5/S1 so mine will be Anterior approach.

During my email conversations with Dr Rischke I emailed a suggestion to him on tools I had seen from spinefrountier where they have developed a long
tri-retractor that is used for lateral fusions. They are using this at Less surgery locations in Florida.

https://www.youtube.com/watch?v=or24J8Wlpzs&t=2s

Dr Rischke replied with

You are right But the LP-Esp is able to implant anterior-lateral, and the surface of the end plate is covered by hydroxyapatite which enables a save bone in growth . On the other hand I noted in the past a subsiding of the Axiomed prosthesis caused by the aggressive fins which damage the vertebra end plates
Therefore I prefer the LP-ESP
The next OR slot is on Febr 28th at clinic St Georg
Best regards

Von meinem iPhone gesendet
Prof Dr Dr Rischke

Take a look at the way the LP-ESP it is put in this video. The surgeon does not have to chisel in any groves for a keel because it does not have one. The LP-ESP has 5 small spikes on each end plate. The disk are spread apart and then the disk is inserted between the vertebra. When the spreader is released the spikes hold the disk in place. Watch the section that is from :55 to 1:10 where they show 3 views slowly 3 times. https://www.youtube.com/watch?v=r7T74bRip2g it seem like it would be just as easy to put the disc in from the lateral approach. I know that Dr Chin with Axiomed says they plan on doing Laterally insertions in this video. https://www.youtube.com/watch?v=QJkRSuMGoVk