The lumbar spine, three ways in. Posterior, anterior, lateral.
Three lumbar models on one base. Lumbar Posterior for endoscopic and microscopic decompression, L2 to S1, with eight herniations and a stenosis to clear. Lumbar Anterior Lateral for ALIF, OLIF and LLIF, L3 to S1. Lumbar Posterior Lateral for ATP and transpsoas approaches, L2 to L5.
See, decide, move.
Endoscopic training on a RealSpine lumbar cartridge, filmed by Realists. Five minutes on what the trainee sees and what the anatomy does back.
Go to the Lumbar Posterior
Posterior access
RealSpine Lumbar Posterior
Endoscopic and microscopic decompression from L2 to S1, with eight herniations, a stenosis to clear and bleeding to manage. Realists rates it at up to eight training sessions on one simulator.
- Level
- L2 to S1
- Pathology
- 8 herniations, two per level. Stenosis at L4 to L5 with a hypertrophied flavum
- Approaches
- Posterior. Transforaminal, interlaminar and extraforaminal. Endoscopic, uniportal or biportal. Microscopic
- Procedures
- 8 herniectomies, 4 discectomies, 4 flavectomies and laminectomies, 1 canal stenosis, endoscopic bleeding management L2 to S1
- Anatomy
- Vertebrae and intervertebral discs, spinal cord and nerve roots, ligamentum flavum, interspinal and posterior longitudinal ligaments, capsular ligaments of the facet joints, epidural fat, paravertebral and paraspinal muscles
- Works with
- Water irrigation, X ray and fluoroscopy, drilling and screws, external navigation, TLIF and PLIF cages, Fluid Pumping System, RealImaging Lite and Advanced
- Parts
- Lumbar Posterior cartridge PRO344 on the Lumbar Posterior base PRO301, RealImaging Lite QR code tracker included
Anterior and lateral access
RealSpine Lumbar Anterior Lateral
The anterior lumbar environment from L3 to S1 for ALIF, OLIF and LLIF, with a spondylolisthesis at L4 to L5 and the complications that come with getting there.
- Level
- L3 to S1
- Pathology
- Spondylolisthesis L4 to L5
- Approaches
- Anterior. ALIF, OLIF and LLIF. Microscopic, exoscopic and open. Modular, two positions, one platform
- Procedures
- Surgical access, complication management, implant placement, ALIF, OLIF and LLIF approach
- Anatomy
- Vertebrae L3 to S1 and intervertebral discs L3 to L5, spinal cord and nerve roots, ligamentum flavum, interspinal and anterior longitudinal ligaments, epidural fat
- Works with
- X ray and fluoroscopy, plates and screws, external navigation, ALIF, OLIF and LLIF cages, RealImaging Lite and Advanced
- Parts
- Lumbar Anterior Lateral cartridge PRO347 on the Lumbar Anterior Lateral base PRO237, RealImaging Lite QR code tracker included. Modular parts available
Lateral access
RealSpine Lumbar Posterior Lateral
Lateral lumbar surgery from L2 to L5: ATP and transpsoas approaches, lateral access on the left, posterior percutaneous fixation, with five modular parts that rebuild the anatomy between attempts.
- Level
- L2 to L5
- Pathology
- Spondylolisthesis L4 to L5
- Approaches
- Lateral access left. ATP approach. Transpsoas approach. Posterior percutaneous. Modular, two positions, one platform
- Procedures
- Screw fixation, discectomies, transpsoas approach, ATP approach
- Anatomy
- Vertebrae L2 to L5 and intervertebral discs L2 to L4, ligamentum flavum, interspinal ligament, epidural fat
- Works with
- Water irrigation, X ray and fluoroscopy, drilling and screws, external navigation, TLIF and PLIF cages, RealImaging Lite and Advanced
- Parts
- Lumbar Posterior Lateral with five modular parts, PRO96, RealImaging Lite QR code tracker. Modular parts 1 to 5 available separately
The lumbar spine model is where most spine training days happen.
Decompression, fusion, lateral access. The cases a rep sees first and a resident sees most.
Launch your cage on the case your reps will support in the OR.
TLIF and PLIF on the posterior model. ALIF, OLIF and LLIF with your plates and screws on the Anterior Lateral. Lateral access on the Posterior Lateral. The rep and the surgeon place the same implant on the same spondylolisthesis before the first live case.
How OEMs use RealSpineEight herniations, two per level, and a stenosis that has to be cleared.
Endoscopic decompression, uniportal or biportal, with irrigation running and bleeding to manage. Every resident works the same L4 to L5 stenosis, and the one who missed the step works it again on the next herniation.
How programs use RealSpineThree lumbar models. Each one complete on its own.
Every lumbar model ships with its own base and works independently. Lumbar Anterior Lateral shares its base with Cervical Anterior, so a program that runs both buys one base. Full Modular and Deformity are separate products in the same RealSpine family.
Replace the cartridge, keep the base
After the last herniation, a new cartridge goes on the same base. The base stays, the anatomy renews. See the Full Modular simulator
Fluid Pumping System
Bleeding starts on cue and resets for the next attempt on the Lumbar Posterior. Water irrigation for endoscopic work on both posterior models.
RealImaging when the C arm is not in the room
Real time, radiation free visualization of anatomy and instrument position on an iPad, compatible with all three lumbar models. See RealImaging
RealSpine is an excellent training model. It feels like operating a real patient.
Dr. Roger HärtlWeill Cornell Medicine, New York
Book a demo on the lumbar model your program trains most.
Thirty minutes with Greg Rhinehart, in person at your site or online. He replies with available times and brings the platform.
Questions we get about the lumbar models.
Which lumbar model do we need?
Pick by approach. Programs that train all three run all three cartridges on one base.
How many cases fit on one Lumbar Posterior?
Eight herniations, two per level, plus a canal stenosis at L4 to L5. Realists rates it at up to eight training sessions on one simulator.
Does it work with endoscopy and irrigation?
Yes. Lumbar Posterior is built for uniportal and biportal endoscopy with water irrigation and bleeding management. Lumbar Posterior Lateral also supports water irrigation.
Can we place our own cages, plates and screws?
Yes. TLIF and PLIF cages on the posterior models, ALIF, OLIF and LLIF cages with plates and screws on the Anterior Lateral, drilling and screw fixation throughout, with your instruments.
Can we use fluoroscopy or navigation?
Yes. All three models are compatible with X ray and fluoroscopy and with external navigation. RealImaging Lite and Advanced provide radiation free visualization when imaging is not in the room.
Eight herniations on one cartridge. Try all of them.
Book a demo on the Lumbar Posterior, the Anterior Lateral or the Posterior Lateral, in person or online.
Book a Demo