18 DePuy Synthes USS™ Small Stature/Paediatric Spine System Surgical Technique
Distraction or compression with corresponding
forceps
Once the rod has been introduced and loosely attached
to the implant, distraction or compression can be
performed.
Before tightening the nut of the implant, use the
spreader forceps (388.413) for distraction, or the com-
pression forceps (388.424) for compression.
a. Option
Additional use of fixation ring
If the two implants are placed too far from each other,
use the fixation ring for rods Ø 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 the implant. Carry out distraction or
compression. The implant-rod connection must be loose
during this procedure.
Remove the fixation ring, and tighten the nut of the
implant.
b. Option
Additional use of holding forceps for rods
Instead of using the fixation ring, secure the holding for-
ceps for rods (388.441) next to an implant and carry out
the distraction or compression.
Distraction or Compression of Adjacent Implants
Pedicle 13 S19
20(19)_01 USS Paediatric