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Bibliography

Detailed surgical technique for USS pedicle screws and hooks
with lateral opening, which is comparable to that for the USS
II System, can be found in the Chapter entitled “Modular
Stabilization System: The Universal Spine System”, in Aebi M,
Thalgott JS, Webb JK (1998) AO ASIF Principles in Spine
Surgery. Springer Berlin, Heidelberg, 123, et seq.

72

Synthes

USS II

Handling technique

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Summary of Contents for USS II

Page 1: ...USS II Comprehensive posterior and anterior deformity system with screws and hooks with dual opening Handling technique ...

Page 2: ...a Single Operation 27 Variation C Rod Introduction Pliers Persuader 30 Final Tightening of Nut 35 Distraction or Compression of Adjacent Implants 36 Insertion of Vertebral Body Screws with Washer 38 Anterior Approach Optional Attach Anterior Connecting Clamp 41 Connecting Rod and Implant Using Rod Connector 44 Connecting Two Rods Variation A Connecting Two 6 mm Rods with Cross link Clamp 46 Variat...

Page 3: ...e Both the segmental derotation principle and the classic derotation method based on the Cotrel Dubousset technique can be used for scoliosis correction using the USS Universal Spine System Segmental corrections may be implemented or the spinal column may be realigned along a sagittally positioned rod Reprocessing Care and Maintenance of Synthes Instruments For general guidelines function control ...

Page 4: ...e nut Fig 1 Bilateral option for fixing the implants to the rod Fig 2 Screws with special thread geometry for anterior stabilization Fig 3 Anatomical Low profile protects soft tissue Firm anchorage of pedicle hooks with patented screw technology Fast and secure Dual core core screw design for stable anchorage and double lead thread design for screwing in fast Immediate and controlled grip of the s...

Page 5: ...olled implant manipulation using hook and screwholder stick with hexagonal coupling and handle Simple to mount and remove Quick handle assembly Controlled rod implant assembly with the Persuader Immediate fixation with sleeve Counter torque easy to position Secure sleeve purchase Good seat on the rod ...

Page 6: ...or ventral support Osteoporosis Case example 1 posterior fixation with USS II 16 year old female patient with severe kyphoscoliosis Posterior instrumentation with pedicle screws in L1 to L5 and pedicle lamina and transverse process hooks in T2 to T10 after ventral release Case example 2 anterior fixation with USS II anterior 11 year old female patient with adolescent idiopathic scoliosis standing ...

Page 7: ...and to all three types of hook referred to below as implants Instruments 388 622 Handle for USS Hook and Screwholder No 388 612 388 612 USS Hook and Screwholder with hexagonal socket 4 0 mm Implant Handling Using the Stick Synthes 5 1 Attach handle to stick Press the knurled release button on the top end of the handle and simultaneously push the USS hook and screwholder known as the stick into the...

Page 8: ...g Using the Stick 2 Pick up implant Insert stick into implant Turn release button in a clockwise direction and pick up the implant 3 Release handle from stick Insert the implant Press the release button on the handle to detach the handle from the stick ...

Page 9: ... 2 mm 388 539 Pedicle Probe 4 8 mm with Canevasit Handle length 230 mm for Pedicle Screws 8 0 and 9 0 mm 357 789 Depth gauge for Pedicle Screws 4 2 to 9 0 mm 388 545 Feeler for Screw Channel straight 2 3 mm length 275 mm 388 546 Feeler for Screw Channel curved 2 3 mm length 275 mm 388 622 Handle for USS Hook and Screwholder No 388 612 388 612 USS Hook and Screwholder with hexagonal socket 4 0 mm O...

Page 10: ...e screw at an angle of 7 10 to the midline 2 and 10 20 caudally 3 b Lumbar spine The entry points are located at the intersection of the vertical line this runs at a tangent to the lateral edge of the superior articular process and the horizontal line that intersects the transverse process 4 Insert the screw at the thoracolumbar junction at an angle of 5 10 to the midline 5a Insert the screw at th...

Page 11: ...e awls to open the pedicle cortex to a depth of 10 mm 1 Open the pedicle further using one of the USS pedicle probes with markings at 30 40 and 50 mm 2 Screw Pedicle Awl Pedicle Probe mm 4 2 388 551 388 538 2 8 mm 5 2 6 2 388 550 388 540 3 8 mm 7 0 388 550 388 539 4 8 mm ...

Page 12: ...que Determine the length of the pedicle screw with the depth gauge for pedicle screws 3 Probe pedicle channel Use the straight or curved feeler to probe the pedicle screw channel to check the wall for perforations 1 Insert Pedicle Screw ...

Page 13: ...pherical bulges and or a pedicle marker with long bulges to verify the position and alignment radiographically 2 The bulges show the depth at 10 mm in tervals 3 The use of pedicle markers with bulges of two dif ferent shapes facilitates differentiation between the left and right pedicle ...

Page 14: ...nd 6 In sert the pedicle screw into the prepared pedicle until the screw head is well seated and one of the openings points to wards the rod that is to be subsequently inserted 1 Press the release button to detach the handle from the stick 2 Note If using a rod connector align the screw head such that one of the openings is perpendicular to the rod ...

Page 15: ... 060 Handle for Drill Sleeve 2 0 319 060 Depth Gauge for Screws 1 5 to 2 0 mm measuring range up to 38 mm 388 381 Holding Sleeve for Fillister Head Screws 314 070 Screwdriver hexagonal small 2 5 mm with groove Optional instruments 388 512 USS II Pedicle Feeler length 300 mm for small hooks 388 530 USS Chisel width 9 mm The special feature of USS pedicle hooks is the fact that they can be anchored ...

Page 16: ...and not in the bone of the inferior facet To facilitate the insertion of the pedicle hook remove a small portion of the inferior facet with an osteotome 2 There are six marks on the pedicle feeler once the last one has been reached sufficient bone has been removed to position the hook about the pedicle Move the feeler in a lateral and cranial direction to check for the optimum position Do not push...

Page 17: ...oner for USS II into the screw hole of the pedicle hook and move the hook into the prepared posi tion Ensure that the pedicle hook is snug around the pedicle by pushing the hook positioner axially and laterally If it does not move the pedicle hook is correctly seated Gently tap the hook positioner with a hammer to firmly seat the hook Remove the hook positioner and the handle The stick re mains at...

Page 18: ...cle tightly Use the 3 flute drill bit 2 0 mm with the USS drill sleeve 2 0 and an oscillating drill to drill the screw hole The drill sleeve consists of two parts the sleeve and the handle These two components must be screwed together before use Note Do not start the power drill if the bit does not hit bone after passing through the drill sleeve Remove the drill sleeve and determine the depth of t...

Page 19: ... Insert screw 3 2 mm Pick up a suitable screw for the pedicle hook with the hold ing sleeve and the hexagonal screwdriver and insert it in the pre drilled hole The pedicle hook is now firmly attached to the pedicle ...

Page 20: ... USS II Optional instrument 388 521 USS Small Stature Paediatric Lamina Feeler 1 Prepare seat for lamina hook The lamina hook can be placed around either the superior or inferior portion of the lamina Prepare the seat for the lamina hook using a lamina feeler Carefully remove the ligamentum flavum and a small portion of the lamina with a rongeur to ensure good seating of the lamina hook Remove the...

Page 21: ...the hook positioner for USS II in the positioning hole of the hook and move the lamina hook into the prepared posi tion The inferior part of the lamina hook must fit snugly with the lamina Note Ensure that the lamina hook does not lie too deep or press upon the spinal cord Remove the hook positioner and the handle The stick re mains attached to the hook ...

Page 22: ... mm 388 632 Hook Positioner for USS II Optional instrument 388 521 USS Small Stature Paediatric Lamina Feeler 1 Prepare seat for angled lamina hook Remove the soft tissue from the transverse process Place a lamina feeler round the transverse process and thus detach the soft tissue attachment points from the anterior part of the transverse process Remove the lamina feeler Angled Lamina Hook Positio...

Page 23: ...on page 5 and 6 Note Use a front opening hook if a rod connector is needed Insert the hook positioner for USS II in the positioning hole of the hook and move the angled lamina hook into the pre pared position Remove the hook positioner and the handle The stick re mains attached to the hook ...

Page 24: ...on left right 388 440 Holding Forceps with broad tip length 290 mm for rods 6 0 mm Optional instruments 388 906 907 Trial Rod 5 0 mm length 150 500 mm 388 961 Bending Pliers with Rolls for USS Rods 5 0 mm with radius adjustment 388 911 922 USS Small Stature Paediatric Bending Iron for Rods 5 0 mm left right 388 441 Holding Forceps for USS Small Stature Paediatric Rods 5 0 mm Rod Contouring ...

Page 25: ...ds should not be bent back again Do not bend titanium rods more than 45 Note regarding the hook screw offset Anatomical condi tions sometimes result in the implants not being aligned in a straight line so that the rod cannot be inserted into all the implants from the same side In such cases the dual opening and the offset of the heads of the pedicle screws and the hooks mean that the spacing can b...

Page 26: ...143 Socket wrench 5 0 mm with T handle 388 338 Screwdriver 4 0 mm with T handle Optional instrument 388 632 Hook positioner for USS II The rod is fixed with a sleeve and a nut Note When using a 5 mm rod sleeve X99 239 in TAN dark blue must be used when using a 6 mm rod sleeve 499 302 in TAN turquoise must be used Locking Implants to Rods Variation A Place Sleeve and Nut Consecutively X 2 Stainless...

Page 27: ...Slide the sleeve positioner over the stick and place it on the implant Press down on the sleeve pusher to place the sleeve on the implant rod 2 Lift the sleeve pusher again The sleeve remains on the implant rod If the sleeve cannot be located easily place it on the implant by tapping lightly on the sleeve pusher The hook positioner for USS II can be used for this purpose by placing it in the round...

Page 28: ... the implant thread screw or hook 3 Tighten the nut finger tight Tighten the nut using the socket wrench for twelve point nut with L handle The socket wrench for the countertorque is spring loaded and can be pressed downwards continuously with the left hand using the T handle To tighten the nut further lift the L handle of the socket wrench with the right hand and engage it again Note If using a 6...

Page 29: ...ht handle for USS II nuts and sleeves 388 584 Socket Wrench for twelve point nut with L Handle 388 143 Socket Wrench 5 0 mm with T handle 388 338 Screwdriver 4 0 mm with T handle 388 612 USS Hook and Screwholder with hexagonal socket 4 0 m Locking Implants to Rods Variation B Place Sleeve and Nut in a Single Operation ...

Page 30: ...et wrench from above 2 Push the holding sleeve downwards to fix the sleeve in posi tion The sleeve can only be picked up in a specific position One leg of the holding sleeve is marked with an arrow This must be located above the narrow lipped side of the sleeve 3 28 Synthes USS II Handling technique Locking Implants to Rods Variation B Place Sleeve and Nut in a Single Operation ...

Page 31: ...en the nut using the socket wrench for twelve point nut with L handle The socket wrench for the countertorque is spring loaded and can be pressed downwards continuously with the left hand using the T handle To tighten the nut further lift the L handle of the socket wrench with the right hand and engage it again Note If using a 6 mm rod a few threads will remain visible on the nut Synthes 29 ...

Page 32: ...exagonal socket 4 0 mm Optional instrument 388 632 Hook Positioner for USS II Use rod introduction pliers persuader Occasionally a rod cannot easily be introduced into a dual opening implant because of the distance between the rod and the implant With the rod introduction pliers for USS II the persuader dual opening implants can be lifted and drawn on to the rod Rod and implant are fixed directly ...

Page 33: ...cylinder of the persuader 1 Use the attached sleeve pusher to pick up a sleeve from the loading station The shorter leg of the sleeve pusher must be above the narrow lipped side of the sleeve 2 The handle of the sleeve pusher must be located on the side of the per suader with the arrow ...

Page 34: ...rs serves as a locking device when lifting the implants and allows the implants to be rotated Slide the counter torque for rod introduction pliers on to the projecting end of the stick and pull the lever at the same time 1 The fork shaped opening of the counter torque must point upwards Release the lever so that the fork of the counter torque engages in the hexagonal socket of the stick 2 Locking ...

Page 35: ...s reached the level of the rod slowly close the persuader to in sert the rod Note Do not close the persuader completely since it can transmit very high forces If necessary the locking clamp can be tilted up so that the persuader does not remain in the closed position Remove the counter torque support for rod introduction pliers Note Do not apply too much force on the anchorage of the implant or it...

Page 36: ...p The hook positioner for USS II may be used for this pur pose place it in the round indentation on the handle of the sleeve pusher 6 Attach implant to rod Remove the persuader Pick up a nut with the socket wrench for twelve point nut allow it to slide over the stick and screw it loosely on to the implant Instruments 388 584 Socket Wrench for twelve point nut with L Handle 388 143 Socket Wrench 5 ...

Page 37: ...e screwdriver 4 0 mm with T handle into the socket wrench for twelve point nut and use this to apply countertorque Note When using a 6 mm rod several threads of the nut will remain visible Option Using the torque limiting device Instruments 388 145 Socket Wrench hexagonal 5 0 mm with T Handle 03 602 042 Torque limiting Handle 12 Nm for USS II 388 612 USS Hook and Screwholder with hexagonal socket ...

Page 38: ... 0 mm 388 441 Holding Forceps for USS Small Stature Paediatric Rods 5 0 mm 388 413 Spreader Forceps for USS Small Stature Paediatric 388 424 Compression Forceps for USS Small Stature Paediatric Distraction or compression with corresponding forceps Once the rod has been introduced and loosely attached to the implant distraction or compression can be performed Before tightening the nut on the implan...

Page 39: ... screw driver and the holding sleeve Perform the distraction 1 or compression 2 The implant rod connection must be loose during this procedure Remove the fixation ring and tighten the implant nut firmly Option Additional use of holding forceps for rods The appropriate holding forceps for 5 mm or 6 mm rods may be used instead of a fixation ring Attach forceps to rod and perform the distraction or c...

Page 40: ...5 807 Inserter for Angled Washers 6 0 to 8 0 mm The vertebral body screws for anterior approach 6 2 and 8 0 mm have large thread flanks to increase the pull out strength in the vertebral body Flat and angled washers can be used in an anterior position to strengthen screws in an end vertebra They distribute the force of the screw over the bone The angled washer forms a fixed angle with the screw an...

Page 41: ... opposite cortex Use the depth gauge to determine the length of the verte bral body screw 3 For an angled washer the definitive length of the screw must be 5 mm longer than the measured value so that sufficient space remains for the washer 2 Insert washer 2A Insert flat washer and screw Place the flat washer on the concavity of the vertebral body with the convex side down Pick up a vertebral body ...

Page 42: ...ile picking up a washer Anchor the washer in the bone by tapping lightly on the inserter 1 Press the loading button on the inserter down and remove the inserter 2 Pick up a vertebral body screw with dual opening according to the description on page 5 and 6 Insert the screw in the prepared vertebral body until the screw head is well seated 3 Press the release button to detach the handle from the st...

Page 43: ...dicle Awl 3 0 mm length 230 mm for screws 4 2 mm 1 Position anterior connecting clamp Attach the handle to the hook and screwholder and pick up the anterior connecting clamp Apply the connecting clamp to the 6 mm rod and tighten the set screw finger tight Final tightening of the screw is performed at the end Optional Attach Anterior Connecting Clamp ...

Page 44: ...t screw Determine the screw length and insert the screw with the handle and hook and screwholder Optional Attach Anterior Connecting Clamp 2 Pre drill screw hole Open up the vertebral body with the pedicle awl through the screw hole in the clamp ...

Page 45: ...Synthes 43 4 Final tightening Tighten the set screw firmly with the handle and the hook and screwholder Repeat Steps 1 to 4 for the second connecting clamp ...

Page 46: ...at any point in the intervention When using rod connectors front opening hooks must be used or the pedicle screws must be rotated 90 Note The rod connectors supplied in the set can only be used with the 6 mm rod Connecting Rod and Implant Using Rod Connector 1 Fasten rod connector to rod Position the rod connector on the rod and insert the ribbed part of the rod connector in the hook or the front ...

Page 47: ...eve and the twelve point nut on the implant Tighten the nut firmly with the socket wrench for twelve point nut with L handle and apply countertorque using the socket wrench 5 0 mm with T handle mounted on the stick Note Use only the toothed violet sleeve with rod connec tors ...

Page 48: ...are horizontal stabilizers that connect the two longitudinal rods thus significantly increasing structural rigidity They are recommended for unstable frac tures and multi segmental constructions 1 Mount first cross link clamp Assemble the small hexagonal screwdriver and the holding sleeve with locking catches Retract the holding sleeve To pick up the pre assembled cross link clamp insert the hexag...

Page 49: ...device Hold the clamp with the small hexagonal screwdriver and pass the cross link rod 3 5 mm through the hole in the cross link clamp If necessary use the holding forceps to insert the rod for transverse connector Tighten the set screw of the cross link clamp firmly with the small hexagonal screwdriver 3 Mount second cross link clamp Repeat the procedure described in Step 1 for the second clamp o...

Page 50: ...Loosen one of the set screws place the holding forceps next to the clamp and carry out the distraction with the spreader forceps Re tighten the set screw tightly with the small hexagonal screwdriver Connecting Two Rods Variation A Connecting Two Rods with 6 mm Cross link Clamps ...

Page 51: ...ctor Tighten the set screws at both ends firmly In the case of transverse connectors with variable angle the large set screw must also be tightened so that the angle re mains at the set position In the case of transverse connectors with variable length the set screw in the middle must be tightened so that the length remains at the set position Note If any of the instrumentation has to be changed a...

Page 52: ...re horizontal stabilizers that connect the two longitudinal rods thus increasing structural rigidity They are recommended for unstable fractures and multi seg mental constructions 1 Assemble transverse connectors Outside the operating field pass a cross link rod of a suitable length through the two cross link clamps 1 Either one right and one left clamp 1a or two identical clamps 1b can be used de...

Page 53: ...an 30 mm between the two rods to be connected one of the two cross link clamps must be replaced by a cross link clamp with rod 1c Push the rod of the cross link clamp with rod through the second cross link clamp Do not tighten the set screws firmly at this stage ...

Page 54: ...ixing screws for the rod large screws must be totally loosened to do this The 3 5 mm cross link rod can be angled up to 15 3 If the transverse connector cannot be clicked on to the rod loosen the fixing screws for the rod completely at both cross link clamps Connecting Two Rods Variation C Connecting Two 5 mm Rods with Transverse Connectors ...

Page 55: ...ith T handle 1 Then tighten both set screws of the 3 5 mm cross link rod firmly with the hexagonal screwdriver 2 5 mm 2 4 Distract cross link assembly optional Loosen one of the set screws with the small hexagonal screwdriver place the holding forceps next to the relevant clamp and carry out the distraction with the spreader forceps Retighten the set screws ...

Page 56: ... 5 2 mm X99 220 227 6 2 mm X99 230 237 7 0 mm 499 240 250 8 0 mm 499 260 269 9 0 mm Stainless TAN TAN steel green gold 4 2 mm 299 201 207 499 201 207 499 201 425 455 5 2 mm 299 210 217 499 210 217 499 201 525 565 6 2 mm 299 220 227 499 220 227 499 201 630 670 7 0 mm 299 230 237 499 230 237 499 201 730 775 8 0 mm 499 240 250 9 0 mm 499 260 269 USS II Pedicle Hooks With dual side opening or front op...

Page 57: ...Thoracic 499 284 285 Angled lumbar 499 286 287 Tall body small 499 288 289 Tall body medium 499 290 291 Tall body large USS II Lamina Hooks angled With dual side opening or front opening when using rod connectors X99 280 282 Right X99 281 283 Left USS II Sleeves 499 302 For Rods 6 0 mm TAN violet 499 239 For Rods 5 0 mm TAN dark blue 499 292 For Rods 6 0 mm TAN green Optionally available ...

Page 58: ...s X99 294 Twelve point USS Rods 6 0 mm For fractures and deformities 498 102 119 Rods hard length 50 500 mm pure titanium gold 298 102 119 Rods hard length 50 500 mm stainless steel For deformities 498 290 296 Rods extra hard length 200 500 mm TAN turquoise ...

Page 59: ...Rods 5 0 mm 498 236 243 Rods hard length 150 500 mm pure titanium light blue 298 236 243 Rods hard length 150 500 mm stainless steel 498 491 496 Rods extra hard length 150 500 mm TAN dark blue 298 491 496 Rods extra hard length 150 500 mm stainless steel USS II Rod Connectors for Rods 6 0 mm X99 295 297 Rod Connectors open length 15 25 mm USS II Rod Connectors for Rods 5 0 mm X98 227 229 Rod Conne...

Page 60: ...on Connector 6 0 mm X98 167 Extension Connector 5 0 6 0 mm 498 166 Extension Connector 3 5 6 0 mm TAN blue 498 169 Extension Connector 3 5 5 0 mm TAN blue X98 159 Parallel Connector 5 0 mm X98 160 Parallel Connector 6 0 mm X98 162 Parallel Connector 5 0 6 0 mm 498 959 Parallel Connector 3 5 5 0 mm 498 960 Parallel Connector 3 5 6 0 mm ...

Page 61: ... Art No Length mm X97 791 15 X97 792 18 X97 793 21 X97 794 24 X97 795 25 5 30 5 X97 796 31 5 34 X97 797 35 41 X97 798 42 55 X97 799 56 83 0X 620 203 33 36 5 0X 620 204 38 5 48 0X 620 205 49 69 For 5 mm rods 499 310 Cross link clamp for rods 5 0 mm right 499 311 Cross link clamp for rods 5 0 mm left 499 306 Cross link clamp with rod for rods 5 0 mm X97 871 Transverse Connector X97 879 low profile f...

Page 62: ... body screws 418 620 647 6 2 mm length 20 47 5 mm with cancellous bone thread X18 820 860 8 0 mm length 20 60 mm with cancellous bone thread Washers for Anterior Vertebral Body Screws 6 2 and 8 0 mm X99 403 404 Flat external diameter 13 0 15 0 mm X99 401 402 Angled external diameter 13 0 15 0 mm Anteriore Verbindungsbacke 496 400 Left 496 405 Right 496 420 460 Anterior vertebral body screw 7 0 len...

Page 63: ...be 2 8 mm length 230 mm 388 539 Pedicle Probe 4 8 mm length 230 mm 388 540 Pedicle Probe 3 8 mm length 230 mm 388 546 Feeler for Screw Channel curved 2 3 mm length 275 mm 388 545 Feeler for Screw Channel straight 2 3 mm length 275 mm 388 550 Pedicle Awl 4 0 mm length 230 mm Insert pedicle screws ...

Page 64: ...SS II with spherical bulges 388 609 Pedicle Marker USS II with long bulges 388 612 USS Hook and Screwholder with hexagonal socket 4 0 mm 388 622 Handle for USS Hook and Screwholder No 388 612 388 551 Pedicle Awl 3 0 mm length 230 mm for screws 4 2 mm Instruments ...

Page 65: ...Screwdriver hexagonal small 2 5 mm with groove 387 060 Handle for Drill Sleeve 2 0 388 381 Holding Sleeve for Fillister Head Screws 388 510 USS Pedicle Feeler length 300 mm 319 060 Depth Gauge for Screws 1 5 to 2 0 mm measuring range up to 38 mm 388 512 USS II Pedicle Feeler length 300 mm for small hooks ...

Page 66: ...I Handling technique 388 530 USS Chisel width 9 mm 388 521 USS Small Stature Paediatric Lamina Feeler Instruments 388 520 USS Lamina Feeler length 300 mm 388 632 Hook Positioner for USS II 388 581 USS Drill Sleeve 2 0 ...

Page 67: ...nch hexagonal 5 0 mm with T handle 388 338 Screwdriver 4 0 mm with T Handle 388 410 Spreader Forceps for Pedicle Screws length 330 mm 388 161 Sleeve Positioner for USS II 388 159 Socket Wrench with straight handle for USS II Nuts and Sleeves 388 163 Holding Sleeve for No 388 159 for Rods 5 0 and 6 0 mm ...

Page 68: ... mm 388 440 Holding Forceps with broad tip for Rods 6 0 mm length 290 mm 388 508 Rod Introduction Pliers for Rods 6 0 mm 388 441 Holding Forceps 5 0 mm for USS Small Stature Paediatric Rods 388 424 Compression Forceps for USS Small Stature Paediatric 388 413 Spreader Forceps for USS Small Stature Paediatric ...

Page 69: ... 583 and 388 161 388 615 Counter Torque for Rod Introduction Pliers 388 584 Socket Wrench for twelve point nut with L Handle 388 870 880 Trial Rod 6 0 mm length 150 400 mm 388 750 USS Rod Cutting and Bending Device 388 906 907 Trial Rod 5 0 mm length 150 500 mm ...

Page 70: ...t 388 911 USS Small Stature Paediatric Bending Iron for Rods 5 0 mm left 388 922 USS Small Stature Paediatric Bending Iron for Rods 5 0 mm right 388 960 Bending Pliers with Rolls for USS Rods 6 0 mm length 300 mm 388 961 Bending Pliers with Rolls for USS Rods 5 0 mm with radius adjustment ...

Page 71: ... 0 mm 388 360 USS Holding Sleeve for No 314 070 388 363 Holding Sleeve with Catches for No 314 070 388 450 Holding Forceps for USS Rods 3 5 4 5 mm length 295 mm 03 620 021 Template for Transverse Connectors low profile for Rods 6 0 mm Various manipulations ...

Page 72: ...orceps for Rods 6 0 mm length 300 mm 388 448 Holding Forceps 30 for rods 6 0 mm length 300 mm 388 446 Compression and Distraction Tool for MIS anterior for Rods 6 0 mm 388 339 Screwdriver hexagonal 4 0 mm long with T Handle 388 379 USS Holding Sleeve long for No 388 339 388 148 Socket Wrench long with straight handle for USS II Nuts and Sleeves 388 164 Holding Sleeve long for No 388 148 388 143 So...

Page 73: ...Synthes 71 ...

Page 74: ...ing which is comparable to that for the USS II System can be found in the Chapter entitled Modular Stabilization System The Universal Spine System in Aebi M Thalgott JS Webb JK 1998 AO ASIF Principles in Spine Surgery Springer Berlin Heidelberg 123 et seq 72 Synthes USS II Handling technique ...

Page 75: ......

Page 76: ... com 0123 All technique guides are available as PDF files at www synthes com lit Ö036 000 212öABWä 036 000 212 version AB 06 2011 51050005 Synthes Inc or its affiliates Subject to modification Synthes and USS II are trademarks of Synthes Inc or its affiliates ...

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