14 DePuy Synthes USS™ Low Profile Spine System Surgical Technique
Tightening of Construct
3. Firmly tighten the Nut
Use the Counter torque instrument with L-handle, which
acts directly on the rod. As before, the Socket Wrench
with L-Handle is used to tighten the Nuts.
Warnings:
•
At the end of the surgery, it is necessary to check
with the Socket Wrench with L-handle if every sin-
gle implant is firmly tightened to the rod. The coun
-
ter torque instrument is used simultaneously.
•
Also check that the rods overlap the screws at the
respective ends (min. 5 mm).
Options:
•
Use the Straight Socket Wrench to tighten the nut
and provide counter torque with the USS LP Coun-
ter Torque Instrument with L-handle.
•
Use the Socket Wrench 11 mm with L-handle to
firmly tighten the Nut while providing counter
torque with the USS Socket Wrench 6 mm applied
on the Stick.
