Innovations in spine interbody fusion
Have questions about our technology, procedures, or clinical research? Explore the answers below to learn more about how Retropsoas Technologies is advancing spine surgery through innovation and simplicity.
Disclaimer:
Only a surgeon can tell if the Retropsoas EARP Procedure is right for you. There are potential risks and recovery takes time. Potential risks included but are not limited to infection, discomfort, or swelling due to spinal fusion, loosening of the implants, and loss of correction. Refer to full list of warnings, precautions and contraindications within the EARP System Instructions for Use at https://retropsoas.com/ifu
Will I have much pain with EARP?
Each specific case is different and pain levels vary by patient. Use of the EARP technology promotes a minimally invasive surgical approach which typically results in reduced pain.
How safe is EARP?
Through constant intraoperative monitoring with the EARP system providing real time feedback, the risk of nerve injury can be greatly reduced. Only 1 nerve is at risk and it is continuously and directly monitored. No other organs are at risk. Currently with existing lumbar interbody fusion approaches multiple structures are at risk. The anterior approaches pass through the abdomen which means the organs, ureter and great vessels could be injured. The existing lateral and posterior approaches place multiple nerves at risk that cannot be directly monitored.
Will I have to spend a long time in the hospital?
In some, or most, cases, your hospital stay may be 1 night or less. By comparison, standard fusion techniques require 2-4 day hospital admission.
How long before I can return to normal activity?
It depends, in most cases you should be able to return to normal activity levels within 4-6 weeks, but your doctor will ultimately decide when you are able to resume certain activities.
Will insurance pay for this procedure since this is a new technology?
Yes. This is FDA cleared for commercial use. Standard insurance codes will be used by the hospital and surgeon for billing purposes.
I understand current fusion techniques are very long operations. How quick is the surgery?
Unlike current surgical approaches that have many anatomic obstacles, the surgeon reaches the disc space in a few minutes.
Each case is different depending on a patient’s current situation, but on average, the procedure time should be approximately 1 hour.
Will there be significant blood loss associated with the EARP procedure?
Not likely. Use of the EARP technology promotes a minimally invasive surgical approach, which typically means a smaller incision, shorter distance and more direct approach to the disc space.
My surgeon told me the surgical objective is to restore the collapsed disc space to normal height and achieve a fusion. How does EARP compare to standard techniques?
Disc height restoration and maintenance – EARP has large implants equivalent to the largest on the market. The use of the EARP technology is intended to improve fusion rates because the surgeon can visualize the disc space preparation for fusion with an endoscope to optimally prepare.
I’ve read that some surgeons use BMP, genetically engineered bone graft, to compensate for suboptimal fusion bed preparation and that there are some controversies associated with BMP in addition to being very expensive. Will I need BMP for my bone graft?
No. BMP has very high fusion rates and is very useful when the surgeon faces multiple risks for non-fusion like smoking, diabetes and age, especially women. But because of better carpentry possible with the endoscope used in EARP, BMP can be avoided and inexpensive standard bone graft can be used. Equivalent and likely superior fusion rates will be achieved.
I have both spinal pain and leg pain secondary to collapsed disc space and spinal stenosis. My surgeon told me I need a fusion and a laminectomy. Can EARP take care of both problems?
Yes. EARP is very versatile technique. The surgeon can perform both a fusion and laminectomy from the same incision with only a few minutes of extra operating time. Current techniques would require performing fusion through one incision and patient position. Dressing would be applied. Patient would be repositioned, typically from belly up or on the side to face down for an entire second procedure. This adds significant operating time and results in two incisions. Alternatively, patient could elect to undergo a face down procedure that addresses both problems, but uses very small implants that provide inferior support to the spinal column.