Primary Procedure
A Lumbar extension
A
6.5
Align the lumbar extension to the caudal implant
Lamina Hook (Use for rib-to-lumbar lamina construct)
Thread a large clamp or scissors carefully from the proximal
incision through the paraspinal muscles to emerge in the
lumbar incision. Attach No. 20 chest tube to the clamp and
thread it from the lumbar incision to emerge in the proximal
incision. Thread the end of the lumbar hybrid extension into
the chest tube end and use it to guide the lumbar extension
safely into the lumbar incision. Take care to remain within
the paraspinous muscles.
Use Rod Holding Forceps to insert the rod portion of the
lumbar extension assembly to reach the hook.
Ala Hook (Use for rib-to-ilium construct)
Thread a large clamp carefully from the proximal incision
through the paraspinal muscles to emerge into the opposing
side of the Extension Connector. Attach No. 20 chest tube to
the clamp and thread it into the proximal incision. Thread the
end of the lumbar hybrid extension into the chest tube end
and use it to guide the lumbar extension safely into the Ex-
tension Connector. Take care to remain within the paraspinal
muscles.
Tighten the set screws in the connector using the 2.5 mm
Hex Screwdriver.
32
Synthes
VEPTR
Technique Guide
