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Thoracolumbar fixation with dual opening pedicle screws and hooks

USS

™

Small Stature /

Paediatric Spine System

Surgical Technique

Содержание USS Small Stature/Paediatric Spine System

Страница 1: ...Thoracolumbar fixation with dual opening pedicle screws and hooks USS Small Stature Paediatric Spine System Surgical Technique...

Страница 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...

Страница 3: ...Anterior Approach 6 Position Pedicle Hook 8 Position Lamina Hook 11 Angled Lamina Hook Positioning 12 Rod Contouring 13 Locking Implants to Rods 14 Introducing Rods into Dual Opening Implants 15 Dist...

Страница 4: ...esign and 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 thr...

Страница 5: ...Press the knurled release button on the upper end of the handle 388 622 and simultaneously attach the hook and screw holder with hexagonal 4 0 mm 388 612 also termed the stick to the handle 2 Pick up...

Страница 6: ...at 30 40 and 50 mm 388 538 for 4 2 mm screws 388 540 for 5 0 and 6 0 mm screws 388 539 for 7 0 mm screws Determine the length of the pedicle screws with the depth gauge for pedicle screws 357 789 2 P...

Страница 7: ...d pedicle until the screw head is well seated and one of the openings points towards the rod that is to be subsequently inserted 1 To disconnect the stick from the handle press the release button on t...

Страница 8: ...ateral side and prepare the screw hole Enlarge the screw hole using the pedicle probe 2 388 538 388 539 or 388 540 until it penetrates the contralateral cortex Determine the length of the pedicle scre...

Страница 9: ...serter 2 Once the washer is firmly seated remove the inserter by pressing the release button 3 Pick up a dual opening pedicle screw as described on page 4 Insert the pedicle screw into the prepared ve...

Страница 10: ...is placed in the articular space 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 The pedicle...

Страница 11: ...positioner with a hammer to firmly seat the hook Remove the hook positioner and the handle The stick remains attached to the hook 3 Drill hole for screw 3 2 mm To anchor the pedicle hook to the pedicl...

Страница 12: ...319 060 5 Insert 3 2 mm screw Pick up an appropriate length USS Screw for Pedicle Hook using the holding sleeve 388 381 and the hexag onal screwdriver 314 070 and insert the screw into the previously...

Страница 13: ...ove the lamina feeler 2 Position lamina hook Using the stick pick up an appropriate lamina hook from the set as described on page 3 Note Use a front opening hook if a rod connector is needed Insert th...

Страница 14: ...2 Angled lamina hook positioning Using the stick pick up an appropriate angled lamina hook from the set as described on page 3 Note Use a front opening hook if a rod connector is needed Insert the hoo...

Страница 15: ...88 922 right Warning Once bent the titanium rods should not be bent back again Do not bend titanium rods more than 45 Note Hook screw offset Anatomical conditions sometimes result in the implants not...

Страница 16: ...ng station using the socket wrench for 12 point nut with L handle 388 584 Introduce the socket wrench 5 0 mm with T handle 388 143 into the socket wrench for 12 point nut and slide together over the s...

Страница 17: ...can be lifted and pulled towards the rod 1 Mount sleeve pusher onto persuader Place the sleeve pusher 388 582 onto the cylinder of the persuader 1 Pick up a sleeve from the loading sta tion using the...

Страница 18: ...nt Place the spreader forceps 388 413 on the stick between the support and the persuader Slowly open the spreader to bring the implant up towards the rod When the opening of the implant is at the heig...

Страница 19: ...sher 2 The sleeve remains on the implant rod If the sleeve cannot be readily placed in position tap the sleeve pusher gently to position the sleeve on the implant 6 Attach implant to rod Remove the pe...

Страница 20: ...laced too far from each other use the fixation ring for rods 5 0 mm 498 909 Place the small hexagonal screwdriver 314 070 with the holding sleeve 388 360 onto the fixation ring and place it next to th...

Страница 21: ...tion the rod connector on the rod and insert the ribbed part of the rod connector in the hook or the front opening screw Tighten the set screw of the rod connector using the small hexagonal screwdrive...

Страница 22: ...e space available in each case Alternative If the distance between the two rods to be connected is less than 30 mm one of the two cross link clamps must be replaced by a cross link clamp with rod 1c P...

Страница 23: ...screwdriver 4 0 mm with T handle 388 338 1 Next tighten both set screws for the cross link rod 3 5 mm using the hexag onal screwdriver 2 5 mm 314 070 2 4 Distract cross link assembly optional Loosen...

Страница 24: ...ing Instructions for Use for specific information on Intended use Indications Contraindications Warnings and Precautions Potential Adverse Events Undesirable Side Effects and Residual Risks Instructio...

Страница 25: ...ger 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 1998 AO ASIF Principles...

Страница 26: ...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...