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Introduction

Surgical Technique

Product Information

Table of Contents

ll St

ture USS

Indic

tions

Preoper

tive Pl

nning

ce Hook

Prep

re Pedicle

Insert Screw

Contour Rod

Construct Assem

Altern

tive Method of Construct Assem

Distr

ction

nd Compression

Fin

l Tightening

Att

ch Tr

nsconnector

Option

l Techniques

Impl

nts

Instruments

Set list

ge intensiﬁer control

Synthes Spine

Содержание Small Stature USS

Страница 1: ...Instruments and implants approved by the AO Foundation Small Stature USS Dual opening low profile hooks and screws for spinal fixation Technique Guide...

Страница 2: ......

Страница 3: ...Planning 4 Place Hook 5 Prepare Pedicle 7 Insert Screw 9 Contour Rod 10 Construct Assembly 12 Alternative Method of Construct Assembly 13 Distraction and Compression 15 Final Tightening 16 Attach Tra...

Страница 4: ...ces inventory Simplifies intraoperative procedure No preloading implants onto rod Technique adaptable Designed to correct scoliosis either by segmental correction or global derotation Biomechanical st...

Страница 5: ...and or lordosis Scheuermann s disease tumor stenosis pseudoarthrosis and failed previous fusion When treating patients with degenerative disc disease DDD transverse bars are not cleared for use as pa...

Страница 6: ...x98 213 x98 214 Thoracic Lamina Hooks x98 338 Side opening x98 339 Front opening Transverse Process Hooks Right x98 376 Side opening x98 378 Front opening 4 2 mm Screws Length x98 401 25 mm x98 402 2...

Страница 7: ...12 Hook Screw Holder Hex Stick 388 622 Handle for hook screw holder 388 631 Hook Positioner Align the hex on the hex stick holder with the hex in the top of the appropriate hook and secure with the co...

Страница 8: ...he hook positioner may be used to facilitate placement of the hook After the hook is properly seated remove the hook holding forceps and repeat hook placement at each hook site as determined in the pr...

Страница 9: ...cortex of the pedicle Synthes Spine 7 Prepare Pedicle 6 Identify pedicles The entry point for each lumbar pedicle is at the intersection of a horizontal line bisecting the transverse process and a ve...

Страница 10: ...the pedicle Palpate the walls of the pedicle using a straight ball tip probe or curved ball tip probe Use radiographic imaging to confirm position and orientation 8 Select proper screw length Instrum...

Страница 11: ...aving the hex stick in place if desired Alternative instruments 388 335 4 0 mm Hexagonal Screwdriver 388 337 4 0 mm Hexagonal Screwdriver Shaft 388 38 Holding Sleeve The 4 0 mm hexagonal screwdriver m...

Страница 12: ...tive field 10 Synthes Spine Small Stature USS Contour Rod 10 Determine rod contour Instruments 388 906 Coated Rod Template 150 mm 388 907 Coated Rod Template 500 mm Once the screws and hooks have been...

Страница 13: ...Iron left 388 922 Bending Iron right 388 961 Rod Bender with bend radius adjustment Contour the rod to match the rod template using the rod bender or the bending irons Figure 1 or Figure 2 Match cont...

Страница 14: ...ositioner and use the impactor with a small mallet Place a 12 point nut over the construct and tighten using the socket wrench 12 Synthes Spine Small Stature USS Construct Assembly 13 Align rod to hoo...

Страница 15: ...with 4 0 mm hex Position the barrel of the rod introduction pliers over the hex stick and slide it down to the construct Engage the rod with the jaw opposite the barrel of the rod introduction pliers...

Страница 16: ...ut 388 631 Hook Positioner Use the hook positioner to tap the collar retaining sleeve and seat the collar onto the implant assembly Figure 1 Once the collar is pushed down over the implant remove the...

Страница 17: ...sing a socket wrench For compression use the compression forceps for 5 0 mm rods Make sure all nuts are loose before compressing against the point of fixation Once in the desired position tighten the...

Страница 18: ...le and the hex stick to tighten all the nuts Important This wrench must be used to ensure that the appropriate amount of torque is applied for final tightening of the construct Note Any distraction or...

Страница 19: ...nut Insert the 5 mm socket wrench through the torque limiting wrench to engage the 5 mm hex on the hex stick Hold the 5 mm socket wrench stationary and turn the torque limiting wrench clockwise to sec...

Страница 20: ...rofile trans connector of the appropriate length onto the rods Use the long small hexagonal screwdriver to secure the transconnec tor to the rods by tightening the setscrews on each end Note For trans...

Страница 21: ...w to rod connection The bar lengths are 15 mm 20 mm and 25 mm Place the opening of the transverse bar over the 5 0 mm rod Loosely attach the transverse bar to the rod by tightening the setscrew with t...

Страница 22: ...the staple on the anterolateral aspect of the thora columbar spine to accommodate optimal screw placement Drive the tips through the cortical bone and seat the staple using the Impactor and a small m...

Страница 23: ...mplants Hooks Dual opening design allows rod attachment to either side of the hook Multiple designs for use around the lamina pedicle or transverse process Specialized lamina hooks for thoracic and lu...

Страница 24: ...ies intraoperative rod to screw assembly Self tapping Available in 4 2 mm 5 0 mm 6 0 mm and 7 0 mm diameters and thread lengths from 25 mm to 60 mm Rods 5 0 mm diameter Lengths of 150 mm 200 mm 300 mm...

Страница 25: ...onstructs The 5 0 mm 6 0 mm connector allows attachment to the standard Universal Spinal System The 3 5 mm 5 0 mm connector permits attachment of the Small Stature USS System to the CerviFix System St...

Страница 26: ...6 10 Nm Torque Limiting Wrench for 12 point nut 388 132 Socket Wrench with T Handle for 12 point nut 388 142 Socket Wrench with Straight Handle 5 mm width across flats 388 152 Socket Wrench with Strai...

Страница 27: ...r 388 337 4 0 mm Hexagonal Screwdriver Shaft 388 36 Holding Sleeve for long small hexagonal screwdriver 388 31 Long Small Hexagonal Screwdriver 388 38 Holding Sleeve for screwdriver for side opening i...

Страница 28: ...thes Spine Small Stature USS 388 506 Rod Introduction Pliers for dual opening implants 388 424 Compression Forceps for 5 0 mm rods 388 441 Rod Holding Forceps for 5 0 mm rods 388 49 Rod Crimping Plier...

Страница 29: ...rceps for dual opening implants 388 511 Pedicle Finder for dual opening hooks 388 521 Lamina Finder for dual opening implants 388 54 Probe 388 544 Pedicle Probe for 4 2 mm screws 388 546 Curved Ball T...

Страница 30: ...755 Impactor 388 622 Handle for hook screw holder with 4 0 mm hex 388 631 Hook Positioner for dual opening implants 388 612 Hook Screw Holder with 4 0 mm hex 388 606 Distraction Clip for hook screw ho...

Страница 31: ...ods Coated Rod Templates for 5 0 mm rods 388 906 150 mm 388 907 500 mm 388 961 Rod Bender with bend radius adjustment Bending Irons for 5 0 mm rods 388 911 left 388 922 right 388 864 Measuring Templat...

Страница 32: ...ide opening implants 388 413 Distraction Forceps for 5 0 mm rods 388 424 Compression Forceps for 5 0 mm rods 388 441 Rod Holding Forceps for 5 0 mm rods 2 ea 388 49 Rod Crimping Pliers for side openin...

Страница 33: ...connector for 5 0 mm rods 388 906 Coated Rod Template 150 mm for 5 0 mm rods 2 ea 388 907 Coated Rod Template 500 mm for 5 0 mm rods 2 ea 388 911 Bending Iron left for 5 0 mm rods 388 922 Bending Iron...

Страница 34: ...Large Lamina Hook side 6 298 329 498 329 Large Lamina Hook frontal 2 298 338 498 338 Thoracic Lamina Hook side 4 298 339 498 339 Thoracic Lamina Hook frontal 2 298 348 498 348 Pedicle Hook side 8 298...

Страница 35: ...878 497 878 42 0 mm 55 0 mm 2 297 879 497 879 56 0 mm 83 0 mm 2 Parallel Connectors Stainless Steel Titanium Length Qty 498 959 3 5 mm 5 0 mm 2 298 159 498 159 5 0 mm 5 0 mm 2 298 162 498 162 5 0 mm...

Страница 36: ...mm 45 mm 6 298 415 498 415 6 0 mm 30 mm 4 298 416 498 416 6 0 mm 35 mm 6 298 417 498 417 6 0 mm 40 mm 8 298 418 498 418 6 0 mm 45 mm 8 298 419 498 419 6 0 mm 50 mm 6 298 420 498 420 6 0 mm 55 mm 4 29...

Страница 37: ...14 Large Tall Body Lamina Hook frontal Low Profile Transconnectors for 5 0 mm rods Stainless Steel Titanium Description 297 880 497 880 33 0 mm 36 5 mm 297 881 497 881 38 5 mm 48 0 mm 297 882 497 882...

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Страница 40: ...Synthes Canada Ltd 2566 Meadowpine Boulevard Mississauga Ontario L5N 6P9 Telephone 905 567 0440 To order 800 668 1119 Fax 905 567 3185 2000 Synthes Inc or its affiliates All rights reserved CerviFix...

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