BR0002995
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`5153
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`WARSAW2055
`NuVasive, Inc. v. Warsaw Orthopedic, Inc.
`Case IPR2013-00206
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`Page 1
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`Using Carbon Fiber Reinforced
`Polymer Implants
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`BR0002996
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`Page 2
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`Using Carbon Fiber Reinforced
`Polymer Implants
`
`EDITED BY
`
`John W. Brantigan, MD
`Orthopedic Spine Surgeon
`Shaw Island, Washington
`
`Carl Lauryssen, MD
`Neurosurgical Spine Surgeon
`Co-Director, Los Angeles Center for Spine Care and Research
`Olympia Medical Center
`Los Angeles, California
`
`WITH ILLUSTRATIONS BY
`
`James Millerick
`
`Quality Medical Publishing, Inc.
`
`•
`
`ST. LOUIS, MISSOURI
`2006
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`BR0002997
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`Page 3
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`Copyright © 2006 by Quality Medical Publishing, Inc.
`
`All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any
`form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior permission of the
`publisher.
`
`Printed in Italy
`
`This book presents current scientific information and opinion pertinent to medical professionals. It does not provide
`advice concerning specific diagnosis and treatment of individual cases and is not intended for use by the layperson.
`Medical knowledge is constantly changing. As new information becomes available, changes in treatment, procedures,
`equipment, and the use of drugs become necessary. The editors/authors/contributors and the publisher have, as
`far as it is possible, taken care to ensure that the information given in this text is accurate and up to date. However,
`readers are strongly advised to confirm that the information, especially with regard to drug usage, complies with the
`latest legislation and standards of practice, The authors and publisher will not be responsible for any errors or liable
`for actions taken as a result of information or opinions expressed in this book.
`
`The publishers have made every effort to trace the copyright holders for borrowed material. If they have inadvertently
`overlooked any, they will be pleased to make the necessary arrangements at the first opportunity.
`
`Because I have a financial interest in carbon fiber reinforced polymer (CFRP) implants, it is
`my obligation to document the data supporting use of CFRP implants in the spine, clinical
`results achieved by surgeons around the world, complications and pitfalls, and to present the
`best surgical techniques recommended by experienced surgeons. These CFRP devices are
`manufactured by DePuy Spine (Raynham, MAL a division of Johnson & Johnson. Although
`the company has cooperated with preparation of this textbook, no financial support of any
`kind has been provided by DePuy Spine, and no company has had editorial input.
`John vv. Brantigan, MO
`
`PUBLISHER Karen Berger
`PROJECT MANAGER Becky Sweeney
`EDITOR Michelle Berger
`PRODUCTION Carolyn Garrison Reich
`GRAPHICS TECHNICIAN Brett C. Stone
`INTERIOR DESIGN Amanda Y. Behr
`COVER DESIGN David Berger
`LAYOUT ARTIST/COMPOSITOR Elaine Kitsis
`
`Quality Medical Publishing, Inc.
`2248 Welsch Industrial Court
`St. Louis, Missouri 63146
`Telephone: 1-800-348-7808; 314-878-7808
`Web site: http://www.qmp.com
`
`LIBRARY OF CONGRESS CATALOGING-iN-PUBLICATION DATA
`
`Intervertebral fusion using carbon fiber reinforced polymer implants
`/ edited by John W, Brantigan, Carl Lauryssen.
`p.
`; em,
`Includes bibliographical references and index.
`ISBN 1-57626-234-0 (hardcover)
`2. Spinal fusion.
`1. Lumbar vertebrae-Surgery.
`implants-Materials.
`4. Polymers in medicine,
`5.
`I. Brantigan, John W.
`II. Lauryssen, Carl.
`1. Spinal Fusion-methods.
`2. Carbon-therapeutic use.
`[DNLM:
`Intervertebral Disk-surgery.
`4. Polymers-therapeutic use.
`3.
`5. Prostheses and Implants.
`WE 725 1625 2006]
`RD768.158 2006
`617.4'71-dc22
`
`3. Orthopedic
`Implants, Artificial.
`
`2006012503
`
`QM/LG/LG
`
`5
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`4
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`3
`
`2
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`1
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`BR0002998
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`Page 4
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`A
`
`c
`
`E
`
`B
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`D
`
`F
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`Fig. 31-7 Bone grafting and placement of bilateral Brantigan Interbody Fusion Cages
`through a unilateral single portal. A, Morselized cancellous bone is tightly impacted into
`the far anterior portion of the disc space. B, The first cage is obliquely inserted into the
`contralateral side of the disc space through the portal that was made on the surgeon's
`side. C, After the cage holder has been removed, the posterior part of the cage is pushed
`toward the opposite side to be raised up by a cage positioner. D, Additional morselized
`bone graft is then placed beside the first cage. E, The second cage is inserted straight
`ahead through the portal and placed in the surgeon's side of the disc space. F, Mor(cid:173)
`selized cancellous bone is grafted both anterior to and between the two cages. Bilateral
`anterior column support by two Brantigan Interbody Fusion Cages is achieved through a
`single unilateral approach.
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`BR0003506
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`Page 5