DynaWell L-Spine Compression Device
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1 L-Spine Compression Device The L-Spine was developed specifically to apply gravity to a patient s spine in supine position to simulate the upright position on your patient when scanned in your CT and/or MRI. Improves lumbar spine diagnosis in CT and MRI
2 Is L-Spine the same as Stand-Up MRI? No! The L-Spine offers a technology to be used in a conventional, high resolution MRI and CT. The patient is scanned lying down with no risk of motion artifacts.
3 Lumbar Loading Offers More relevant, enhanced image Non-invasive procedure Maximum patient comfort Accurately simulates upright position Keeps spine in its correct anatomical position Advanced approach to diagnosing previously undetected problems Minimizes motion artifacts vs. stand-up imaging techniques
4 User Friendly Technolgy Light weight (10 lbs.) Only one clinical staff needed to complete compression scan Two foot plates to balance correct weight equally No batteries needed Four different sizes of vest included to fit all patients Designed to put limited pressure on the patient s shoulder
5 Who Would this Clinically Benefit? Orthopedics Neurosurgeons Chiropractors Radiologists DynaWell is designed to assist your physicians to make more accurate decisions of therapy and surgery.
6 L-Spine Compression Device When an MR scan does not explain the cause of a patient s pain, axial loading delivers more comprehensive information that may change treatment for a significant percentage of these patients.
7 What Changes are There to Expect? Increased Intervertebral Disc Bulging, or an increase in apparent size of disc herniation Increased Central Canal Stenosis
8 How Much Added Information? Neurogenic Claudication 69% (37/55) Sciatica (Suspected nerve compression) 50%(14/24) Willen et al; Spine 2001
9 Regular MRI Relative Central Spinal Stenosis Lumbar Loaded MRI Absolute Central Spinal Stenosis L4/L5
10 Regular MRI Relative Central Spinal Stenosis Lumbar Loaded MRI Absolute Central Spinal Stenosis L4/L5
11 L-Spine Compression Device A study in the American Journal of Neuroradiology shows that Axial Loading during MR Imaging Can Influence Treatment Decision for Symptomatic Spinal Stenosis. American Journal of Neuroradiology 25: , February 2004
12 Regular MRI Lumbar Loaded MRI L4/L5
13 Regular MRI Relative Central Spinal Stenosis Lumbar Loaded MRI Absolute Central Spinal Stenosis Dural-sac Cross Sectional Area (DCSA): 90 mm 2 Dural-sac Cross Sectional Area (DCSA): 60 mm 2 Surgical Case L4/L5
14 Regular MRI Lumbar Loaded MRI L4/L5 Space measured
15 Regular MRI Relative Central Spinal Stenosis Lumbar Loaded MRI Absolute Central Spinal Stenosis Dural-sac Cross Sectional Area (DCSA): 90 mm 2 Dural-sac Cross Sectional Area (DCSA): 60 mm 2 Surgical Case L4/L5
16 How can this be Beneficial to me and my Center? Increase your findings Increase your revenues.
17 According to Orthopaedics Today: Lumbar Loaded examinations show an increase in overall pathology by up to 50% when compared to unloaded exams
18 L-Spine For more information and clinical data, please visit: or contact Peter Ahlstrom
Original Policy Date
MP 6.01.39 Positional Magnetic Resonance Imaging Medical Policy Section Radiology Issue 12:2013 Original Policy Date 12:2013 Last Review Status/Date Reviewed with literature search/12:2013 Return to Medical
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