Midline Navigation Guides

FIREFLY ® Technology

The FIREFLY® Midline Navigation Guide (MNG) is designed to aid in the placement of cortical bone trajectory (CBT) screws. CBT screws can be difficult to place as their entry point falls along a high-skive bony geometry, but with the help of MNG mechanically constrained guides and a compatible burr system, surgeons are able to place these screws and achieve even greater fixation than standard pedicle screws.

Midline Navigation Guides

Features and Benefits

ENHANCED BONE PURCHASE AND FIXATION[1]

Tricortical fixation is achieved and mechanically constrained with FIREFLY® MNG guides that enable accurate trajectories along high-skive bony anatomy and a path that provides optimal purchase through dense, cortical bone.

SMALL FOOTPRINT

The cortical bone trajectory along with the medialized MNG guide geometry enables minimally invasive, maximum muscle sparing[2] spinal fixation which reduces blood loss[3] and hospital stay[4].

ADJACENT SEGMENT DISEASE SOLUTION[5]

Cortical bone trajectory procedures are ideal for revision cases as they do not require the surgeon re-exposing the preexisting construct and FIREFLY® MNG can be designed specifically to be compatible with the implanted hardware.

1. Renjie Zhang et al. Differences in bone mineral density of trajectory between lumbar cortical and traditional pedicle screws. 2019.
2. Renjie Zhang et al. Differences in bone mineral density of trajectory between lumbar cortical and traditional pedicle screws. 2019.
3. Hironobu Sakaura. Posterior lumbar interbody fusion with cortical bone trajectory screw fixation versus posterior lumbar interbody fusion using traditional
pedicle screw fixation for degenerative lumbar spondylolisthesis: a comparative study. 2016.
4. Nitin Khanna. Medialized, Muscle-Splitting Approach for Posterior Lumbar Interbody Fusion: Technique and Multicenter Perioperative Results. 2016.
5. Nicola Marengo. Cortical Bone Trajectory Screws in Posterior Lumbar Interbody Fusion: Minimally Invasive Surgery for Maximal Muscle Sparing-A Prospective
Comparative Study with the Traditional Open Technique. 2018.
6. I. David Kaye, MD. The Cortical Bone Trajectory for Pedicle Screw Insertion. 2017.

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