CONTENTS
1. PRODUCT OVERVIEW
1
FEATURES AND BENEFITS
1
IMPLANT DESIGN
5
I
NSTRUMENT DESIGN AND SET CONFIGURATION
6
SET CONTENTS
7
2. SURGICAL TECHNIQUE
9
SCREW BED PREPARATION
9
•
Cannulation
9
•
Tapping
10
SCREW DELIVERY
11
•
Poly Driver Assembly
11
•
Loading the EXPEDIUM VERSE
®
Screw
12
•
Delivering the EXPEDIUM VERSE Screw
12
•
Adjusting the Polyaxial Screw Head
12
CEMENT DELIVERY (OPTIONAL)
13
•
Assembly of the Alignment Drive
13
•
Alignment of the Screw
13
•
Cement Preparation
14
•
Connection of Cannula to the Cement Reservoir
14
•
Attachment of Cement Cannula
to Alignment Guide
14
•
Cement Delivery
15
•
Removal of Delivery Cannula
15
•
Subsequent Level Augmentation
16
•
Removal Of Alignment Devices
16
•
Residual Cement Removal
16
ROD INSERTION
17
•
Rod Contouring
17
•
Rod Placement
18
POLYAXIAL TO MONOAXIAL CONVERSION
19
CORRECTION MANEUVERS
20
•
Segmental Translation
20
– Set Screw Insertion and Rod Capture
21
•
Rod Rotation
23
•
Vertebral Body Derotation
24
– Quick Stick Assembly and Attachment
25
– En Bloc Vertebral Body Derotation
with the EXPEDIUM VERSE System
26
– Segmental Vertebral Body Derotation
with the EXPEDIUM VERSE System
27
•
Compression and Distraction
30
FINAL TIGHTENING
32
TAB REMOVAL
34
REDUCTION WITH FLEX CLIP REDUCER
35
3. PRODUCT CATALOG
37
TRAY CONTENTS
37
INSTRUMENTS
42
HANDLES & ADAPTORS
43
SCREW INSTRUMENTS
44
ROD REDUCTION AND DEROTATION
44
ROD INSTRUMENTS
45
TAB REMOVAL
46
CEMENT DELIVERY INSTRUMENTS
46
CASES AND TRAYS
47
IMPLANTS
50
4. APPENDIX
56
5. USAGE
57
6. POSTOPERATIVE MOBILIZATION
58
7. CONTRAINDICATIONS
58
8. REFERENCES
59
Summary of Contents for EXPEDIUM VERSE
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