Spine Ace 2021
What is a synonym for "anterior"?
Ventral
What feature of the vertebrae allows the passage of the spinal cord and cauda equina
Vertebral foramen
Bone is a good insulator, so during pedicle screw testing, a high threshold means what? -Well-placed screw -Breached screw -Muscle relaxant has worn off -Nerve injury
Well-placed screw
The thoracic spine has how many vertebrae
12
When was Alphatec founded?
1990
When was ATEC's IPO
2006
There are how many cervical nerve pairs
8
How many collective years of spine experience does the current senior leadership have?
>300
What approach to the cervical spine avoids direct manipulations of the spinal cord but sometimes results in problems swallowing postoperatively?
ACDF
What lumbar interbody fusion approach requires a vascular surgeon's assistance to gain exposure to the spine with the patient lying supine?
ALIF
The ligament most responsible for restraining hyperextension is what? a. ALL b. PLL c. Ligament flavum d. Supraspinous
ALL
what ATEC solution would be used to prevent migration of a LIF interbody spacer if/when the anterior longitudinal ligament (ALL) is ruptured or released? -Trestle Luxe -Aspida -Solus -AMP
AMP
ATEC's AlphaGRAFT product is allograft that comes in what forms? -Gel -Putty -Fibers -All of the above
All of the above
Being an ATEC Spine ACE means being what? a. Audacious b. Committed c. Experts d. All of the Above
All of the above
Degenerative disc disease may be associated with what concomitant conditions A. Stenosis B. Spondylolisthesis C. Scoliosis D. All of the above
All of the above
What ATEC systems are for use as interbody spacers for the ACDF procedure? -Cervical Structural Allograft -Novel CIS -Novel XS -All of the above
All of the above
What conditions might be considered indications for fusion? -Instability -Deformity -Trauma requiring reconstruction -All of the above
All of the above
What environmental factors influence the process of fusion? -Stability -Loading -Nutrients -All of the above
All of the above
What features does ATEC ACP system boast -low profile -zero-step locking mechanism -large graft windows -all of the above
All of the above
What is a form of direct decompression? -Laminectomy -Facetectomy -Discectomy -All of the above
All of the above
What materials are commonly used as spinal spacers? -Bone -PEEK -Metal -All of the above
All of the above
What new benefits will ATEC's porous titanium product bring to interbody fusion? -Bone's affinity for titanium, but with less material density for better stiffness and imaging characteristics -Open connectivity porosity mimicking the structure and function of bone -Superior clean-ability -all of the above
All of the above
Which of the following ATEC Biologics solutions could be used in an ALIF procedure? -AlphaGRAFT -Neocore -Profuse -All of the above
All of the above
Which of the following is a goal of spine surgery? -Decompression -Stabilization -Alignment -All of the above
All of the above
ATEC's Profuse product is what type of biologic? a. Autograft b. Allograft c. Xenograft d. Synthetic
Allograft
Bone graft borrowed from another human donor is known as what? -Allograft -Xenograft -Synthetic -Autograft
Allograft
In SSEP monitoring, the response is evaluated for what? -Threshold -Amplitude -Latency -Amplitude and Latency
Amplitude and Latency
ATEC's legacy system for open posterior thoracolumbar fixation is called what? -Illico -Arsenal -Battalion -Squadron
Arsenal
ATEC's ALIF plating system is called what? a. Novel ALS b. Solus c. Solanas d. Aspida
Aspida
ATEC;s posterior cervical system that allows for occipito-cervical fixation is called what? -Illico -Avalon -Solanas -Squadron
Avalon
What pathological condition is characterized by loss of water content and consequently loss of functional integrity of the intervertebral disc?
Degenerative Disc Disease
What pathological condition is characterized by displacement of the disc's nucleus through the annulus?
Disc Herniation
The study of electrical responses of muscles is called what? -SSEP -Myotomes -EMG -MEP
EMG
What category of spine surgical devices is used to provide internal stabilization while the fusion process progresses? -Access -Biologics -Spacers -Fixation
Fixation
Passively listening to the myotomes for muscle contractions is what form of intraoperative monitoring? -SSEP -Triggered -MEP -Free run EMG
Free run EMG
This ATEC product line expands the function of spacers to active participation in the biological process of fusion? -IdentiTi Porous TI implants -Invictus -SafeOp -Trestle Luxe HA
IdentiTi Porous Ti implants
Restoration of disc height and alignment coincidentally increases the size of the foramen, taking pressure off of the nerves. What is this benefit known as?
Indirect Decompression
What is ATEC's new ACP called? -Insignia -Aspida -Trestle Luxe -Bridgepoint
Insignia
Fusing across the interbody space is called what?
Interbody fusion
What type of spine surgical devices/technology increases the safety of surgical procedures by measuring for and mitigating iatrogenic neural injury? a. Access systems b. Fixation systems c. Interbody implant systems d. Intraoperative neuromonitoring
Intraoperative neuromonitoring
ATEC's new posterior cervical system extends the benefits of what other platform into the cervical spine? -zodiak -invictus -illico -arsenal
Invictus
ATEC's premier posterior fixation solution includes designs for both open and percutaneous next-generation fixation, as well as a tool for a guidewire-les MIS technique. -Invictus -Porous titanium implants -Trestle Luxe HA -SafeOp
Invictus
Which of ATEC's posterior thoracolumbar fixation systems facilitates use with our screw-based retractor for MIS TLIF? -Arsenal -Bridgepoint -Invictus MOD -Invictus SingleStep
Invictus MOD
That tool for efficient guidewire-less screw placement is called: -Bridgepoint -Invictus SingleStep -Battalion -Invictus MOD
Invictus SingleStep
The spinal cord ends at what level?
L1-2
The aorta and vena cava bifurcate at about what level to perfuse each leg?
L4
The vertebra cephalad to the sacrum is which level
L5
The typical curvature where the apex points anteriorly, as in the cervical and lumbar regions, is called what?
Lordosis
The network of mixed spinal nerves that travel within the psoas muscle laterally adjacent to the lumbar spine is called what? a. Coccyx b. Brachial plexus c. Lumbar plexus d. Sacral plexus
Lumbar plexus
What is the main anatomical risk of a lateral approach to the lumbar spine?
Lumbar plexus injury
What anatomical term is the opposite of "lateral"?
Medial
A muscle group whose innervation come from a single spinal nerve level is called what?
Myotome
What is the property of bone grafts that describes their structure as a scaffold for bone to grow onto/into/through -osteoconductivity -osteoinductivity -osteointegration -osteogenesis
Osteoconductivity
What is the property of bone grafts that describes their inherent capacity to grow bone based on having cells? -osteoconductivity -osteoinductivity -osteointegration -osteogenesis
Osteogenesis
Instability triggers the body to grow bone around the unstable joint; such bone spurs are known as what?
Osteophytes
What pathological condition is characterized by loss of bone mineral and mass?
Osteoporosis
What surgical procedure removes significant amounts of bone posteriorly to create angulation and correct sagittal malalignments? -Corpectomy -Osteotomy -Interbody Fusion -None of the above
Osteotomy
Fusing along the back bones only in the lumbar spine is referred to as what? a. PCF b. PLF c. PLIF d. Interbody fusion
PLF
What lumbar interbody fusion approach allows for direct decompression in the same approach and requires bilateral retraction of the cuada equina to gain access the disc space? a. ALIF b. LLIF c. PLIF d. TLIF
PLIF
Any motor neuromonitoring requires careful attention to this anesthetic regimen -Gases -TIVA -Paralytics -None of the above
Paralytics
What is different between the LTP and PTP procedures? -Implant placement across the ring apophysis -Traverses the psoas -Patient position -Approach orientation
Patient position
Internal fixation in the anterior column is generally by this type of fixation device? -Plates -Facet screws -Clamps -Pedicle Screws
Plates
What is ATEC's terminology used to describe being thoughtful about all of the aspects of a given surgical procedure, and innovating around those needs toward the "perfect procedure?"
Proceduralization
Compression of a nerve can cause pain down the path of that nerve, a symptom called what?
Radiculopathy
This ATEC Platform increases the neurological safety of the lateral approach -Aspida -Battalion Lateral -Squadron -SafeOp
SafeOp
What strategic acquisition was made in early 2018
SafeOp
Spinopelvic parameters such as pelvic incidence and pelvic tilt are measured to asses alignment in what plane? a. Axial b. Coronal c. Sagittal d. Proximal
Sagittal
The plane that cutes the body into right and left parts and in which flexion/extension occurs is called what?
Sagittal
In addition to the neural navigation during an LLIF transpsoas approach, what additional unique monitoring offering will be provided by the SafeOp EPAD platform? -Saphenous SSEP -RLN monitoring -Median SSEP -MEP
Saphenous SSEP
What application does the SafeOp platform include that is a uniquely positive addition to the safety of the LIF procedure? -RLN monitoring -Free run EMG -Saphenous nerve SSEP -Transcranial MEP
Saphenous nerve SSEP
What pathological condition is characterized by an abnormal curvature in the coronal plane
Scoliosis
If you were to stimulate distally and record proximally, what neurological function would you be monitoring? -Cortex -Motor -Sensory -Reflex
Sensory
What is ATEC's retractor system for LIF-PTP called? -Battalion Lateral -Squadron -Aspida -Sigma
Sigma
What is ATEC's screw-based retractor system for MIS TLIF called? -Aspida -Squadron -Sigma -SafeOp
Sigma
ATEC's legacy posterior cervical system with a comprehensive set of hooks, screws, and rods for cervico-thoracic fixation is called what? -Solanas -Squadron -Illico -Avalon
Solanas
ATEC's ALIF implant that provides integrated fixation through a one-step deployment of internally rotating blades is called what? a. Novel ALS b. Solus c. Solanas d. Aspida
Solus
What category of spine surgical devices is used to create distance between vertebrae, increasing disc and foraminal height? -Access -Spacers -Fixation -Biologics
Spacers
What is not different between ATEC's LTP and PTP retractors? -Number of blades -Split-blade design -Weight -Rigidity
Split-blade design
What feature of specialized access systems facilitates instrument maneuverability?
Split-blade retraction
What pathological condition is characterized by displacement of one vertebra forward over the one below it?
Spondylolisthesis
What pathological condition is characterized by narrowing of a neural foramen?
Stenosis
What anatomical term refers to something closer to the head?
Superior
ATEC's Neocore product is what type of biologic? a. Autograft b. Allograft c. Xenograft d. Synthetic
Synthetic
The amount of current needed to apply to trigger a myotome contraction is called what? -threshold -relaxant -twitch -radiculopathy
Threshold
ATEC's PEEK device for LIF surgery is called: -Transcend -IdentiTi LIF -AMP -Novel Lateral
Transcend
What does TLIF stand for? a. Transverse lumbar interbody fusion b. Transforaminal lumbar interstital fusion c. Transforaminal lumbar interbody fusion d. Transverse lateral interbody fusion
Transforaminal lumbar interbody fusion
What feature is unique to the cervical vertebrae
Transverse foramen
Fractures of the spine are considered what type of pathology?
Trauma
ATEC's system for anterior cervical plating (ACP) is called what? -Trestle Luxe -Aspida -BridgePoint -none of the above
Trestle Luxe
What form of intraoperative neuromonitoring is used for applications like pedicle screw testing and neural navigation during the lateral transpsoas approach? -MEP -Triggered EMG -SSEP -Free run EMG
Triggered EMG
ATEC's porous titanium interbody systems include implant options for ACDF, T/F?
True
ATECs pedicle screw fixation systems can be used in conjunction with 3D stereotactic navigation platforms? a. True b. False
True
From what view would you see the spine in a coronal image
anterior-posterior
Who is the top priority at ATEC
employee
Spine surgery is performed primarily to treat back pain? a. True b. False
false
What is the clinical benefit of cortical screws? -Fewer implants -Stab incisions -Medialized exposure is less invasive -All of the above
medialized exposure is less invasive
If you were to stimulate proximally and record distally, what neurological function would you be monitoring? -reflex -motor -sensory -cortex
motor
What deep midline back muscle is small but due to its attachments from one spinous process and lamina to the next makes it an important segmental stabilizer? a. Rectus b. Psoas c. Multifidus d. Trapezius
multifidus
Compression of the spinal cord can cause pain, limb weakness and numbness, and bowel and bladder disorders, a collection of symptoms called what?
myelopathy
what is the property of bone grafts that describes their having signals that elicit new bone formation? -osteoconductivity -osteoinductivity -osteointegration -osteogenesis
osteoinductivity
ATECs interbody implants for PLIF and TLIF that have the advantageous stiffness and imaging characteristics of PEEK as well as the bone-affinity characteristics of titanium as a coating? a. Novel b. Battalion PC and PS c. Solus d. AlphaGraft
Battalion PC or PS
What category of spine surgical devices is used to help body grow new bone across a fusion defect? -Spacers -Biologics -Fixation -Access
Biologics
What is the feature that defines whether a pedicle screw system is MIS vs open? -Modularity -Cortical threads -Cannulation -Number of screws used
Cannulation
Tumor, trauma, and infection conditions may require this type of reconstruction procedure? a. Corpectomy b. Osteotomy c. Interbody fusion d. None of the above
Corpectomy
This feature is unique to the thoracic vertebrae
Costal Facets
The superior articular process of one level meets up with the inferior articular process of the vertebra above it, creating what?
Facet Joint
Screws that immobilize the segment by crossing directly through a joint are known as what? a. Pedicle screws b. Facet screws c. Cortical screws d. Locking screws
Facet screws
Fusion is the only way to stabilize the spine. T/F?
False
It is typical for spine companies to design and provide procedure-specific patient positioners, T/F?
False
The PCF procedure uses what interbody spacer platform? -Cervical structural allograft -Novel CIS -Novel XS -None of the above
None of the above
The PLF procedure uses what interbody spacer platform? -Novel SD or TL -Battalion PC or PS -All of the above -None of the above
None of the above
ATEC's Novel platform of PEEK devices includes this one for ALIF. a. Novel CIS b. Novel CP c. Novel ALS d. Novel Lateral
Novel ALS
Which of ATEC's cervical interbody systems features a trapezoidal shape designed to minimize the risk of subsidence by a footprint that sits on the harder margins of bone? -Cervical Structural Allograft -Novel CIS -Novel XS -None of the above
Novel CIS
ATEC's Novel platform of PEEK devices includes this one for Corpectomy a. Novel CIS b. Novel CP c. Novel ALS d. Novel Lateral
Novel CP
ATECs platform of PEEK-only interbody implants includes this version for the PLIF procedure a. Novel CIS b. Novel CP c. Novel ALS d. Novel SD
Novel SD
Which of ATEC's cervical interbody systems features a large central aperture to maximize the area for fusion? -Cervical Structural Allograft -Novel CIS -Novel XS -None of the above
Novel XS
The inner gel-like part of the intervertebral disc is called what?
Nucleus
