Universal Clamp—Surgical Technique Guide
9
LOOP PREPARATION
STEP 2, OPTION 2D
Band Pushing
•
When the tip of the band becomes visible at
the caudal margin of the transverse process,
hold and stabilize the band with the bengolea
forceps. Using a pushing motion on the cephalad
margin, guide the band from the caudal margin of
the transverse process.
Note:
Do not twist the band during passage
maneuvers, and take care when passing the
band near nerve roots.
Note:
Because the transverse processes are weaker
than the laminae, greater care must be observed during
reduction maneuvers with transverse process fixation.
STEP 3
Loop Preparation
•
Once the band has been passed around the lamina,
you must first pass the tip through the lower jaw, and
then proceed to the upper jaw of the clamp.
•
Pass the band’s tip through both buckles and loop
back through only one buckle; tighten to create a
working loop.
•
Use the buckle to adjust the working loop’s size as
needed. Ensure reduction capability by having twice
as much leader length in the soft band area between
the buckle and leader. Adjust the working loop size as
needed with the buckles.
•
Ensure that the buckles are not at the apex of the
working loop by pulling one strand of the band,
as the buckles should not lie on the post of the
reduction tool
.
Warning:
To reduce the risk of sepsis related to the
band, bands may be placed in sterile plastic bags
bilaterally along the incision prior to final tightening
of the implant and cutting of the band.
Warning:
If any implant or instrument comes in
contact with a non-sterile surface, it should not be used.
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