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Side-opening screws and hooks for thoracolumbar spine

USS

™

Universal

Spine System

Surgical Technique

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Summary of Contents for USS Universal

Page 1: ...Side opening screws and hooks for thoracolumbar spine USS Universal Spine System Surgical Technique...

Page 2: ...mantling of multi part instruments as well as processing guidelines for implants please contact your local sales representative or refer to http emea depuysynthes com hcp reprocessing care maintenance...

Page 3: ...y 5 Pedicle hook positioning 7 Lamina hook positioning 9 Angled lamina hook positioning 10 Rod contouring 11 Introducing rods into side opening implants 12 Distraction or compression of adjacent impla...

Page 4: ...nd delivery of the Curriculum Stability Alignment Biology Function 1 2 AO Spine Principles Stability Stabilization to achieve a specific therapeutic outcome Alignment Balancing the spine in three dime...

Page 5: ...dicle screws and hooks called side opening implants in the following 1 Attach handle to stick Attach the USS Handle 388 640 to the Hook and Screw Holder the stick 388 610 2 Pick up implant Connect the...

Page 6: ...Determine the length of the pedicle screw using the Depth Gauge for Screws 319 100 Note For 4 0 mm or 5 0 mm pedicle screws use the Pedicle Probe 2 8 mm 388 538 2 Insert pedicle screw into pedicle Pic...

Page 7: ...recting it perpendicularly to the contralateral side Enlarge the screw hole using the USS Pedicle Probe 2 388 540 until it penetrates the contralateral cortex Determine the length of the pedicle screw...

Page 8: ...691 b Place pusher onto stick Pull the cannulated guide of the pusher backwards until the ringmark appears 1 Place the tip of the pusher onto the washer and the cannulation of the pusher over the sti...

Page 9: ...cient bone has been removed to accommodate the hook around the pedicle Check the optimal position of the pedicle feeler by mov ing it laterally and cranially 3 Precation Do not push medially Remove th...

Page 10: ...le 387 060 These two components must be screwed together before use Advance the tip of the drill until it passes through the vertebral endplate Warning Do not start the power drill if the drill does n...

Page 11: ...ongeur Remove the lamina feeler 2 Position lamina hook Pick up an appropriate size lamina hook from the tray with the hook and screw holder as described on page 6 Note Use a front opening hook if a ro...

Page 12: ...e ante rior portion of the transverse process Remove the lamina feeler 2 Position angled lamina hook Pick up an appropriate size angled lamina hook from the tray with the hook and screw holder as desc...

Page 13: ...ing Do not bend titanium rods backwards and do not bend rods more than 45 If necessary the construct can be extended by connect ing two rods with a parallel or extension connector Note Hook screw offs...

Page 14: ...opening implant When using the Rod Introduction Pliers 388 500 the per suader the side opening implant can be lifted and pulled towards the rod 1 Mount sleeve pusher onto persuader Place the Sleeve Pu...

Page 15: ...be used 4 Bring rod towards side opening implant Gently close the persuader to bring the side opening implant towards the rod Precaution Do not completely close the persuader as this is a very powerf...

Page 16: ...nal If the sleeve cannot be engaged place the Rod Pusher 388 940 onto the sleeve and gently tap the sleeve into place 8 Attach rod to implant Remove the persuader Pick up a nut drop it over the stick...

Page 17: ...ression Using the fixation ring optional If the two implants are placed too far from each other use the Fixation Ring 498 911 Place the small hexago nal screwdriver 314 070 with the Holding Sleeve 388...

Page 18: ...Pick up a sleeve and a nut with the USS Handle 388 640 2 Place sleeve and nut over implant Place the handle over the stick and press the top of the handle to release the sleeve and nut The sleeve has...

Page 19: ...gth of the closed rod connec tor bar Introduce the small Hexagonal Screwdriver 314 070 and the USS Holding Sleeve 388 360 into the set screw of the rod connector clamp 2 Place rod connector onto rod a...

Page 20: ...re assembled clamp Pull the holding sleeve back slightly place the clamp onto the rod and release the holding sleeve 2 Introduce cross link rod The design of the cross link sleeve with its two recesse...

Page 21: ...oduce the 3 5 mm cross link rod through the second clamp so that it protrudes by 0 5 cm beyond the clamp Tighten the set screw with the small hexagonal screwdriver 4 Distract cross link assembly optio...

Page 22: ...ase refer to the corresponding Instructions for Use for specific information on Intended use Indications Contraindications Warnings and Precautions Potential Adverse Events Undesirable Side Effects an...

Page 23: ...Surgery Berlin Springer Verlag 2 Aebi M Arlet V Webb JK 2007 AOSPINE Manual 2 vols Stuttgart New York Thieme 3 Modular Stabilization System The Universal Spine System in Aebi M Thalgott JS Webb JK 199...

Page 24: ...ently available in all markets This publication is not intended for distribution in the USA Surgical techniques are available as PDF files at www depuysynthes com ifu DePuy Synthes Spine a division of...

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