Lumbar Dynamic. Reinhold Knebel Product Manager

Size: px
Start display at page:

Download "Lumbar Dynamic. Reinhold Knebel Product Manager"

Transcription

1 Lumbar Dynamic Reinhold Knebel Product Manager

2 The DSS system provides options for dynamic and rigid stabilization to treat hypermobile segments and segments that require fusion. Allows pedicle displacement during motion Restoration of natural center of rotation Shock absorption; axial compression Control of rotation Polyaxial, pedicle screw based construct Cannulated screws MIS approach

3 DCI Implant Indications The DSS system is indicated for skeletally mature patients with degenerative disc disease (DDD) at one to three levels from L1 to S1, including conditions such as grade 1 spondylolisthesis. DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies.

4 Pain through abnormal ROM Pain through Muscle-Spasm Pain through abnormal ROM Normal 8 Ext. NZ Flex. 6 4 Degenerated 2 Dynamic -2 Stabilization 0-4 ~30-50% Increased NZ ~30-50% -6-8 "Active Zone" ROM [ ]

5 Reduction of Range of Motion The spring stiffness of the dynamic coupler reduces the range of motion in the lumbar spine by ~ 40% Flexion / Extension, Axial Rotation, Lateral Bending Prof. H.-J. Wilke: Finite Elemente Analyses DSS

6 Pedicle Displacement Center of Rotation - Quality of Motion Implant must allow change in interpedicular distance from flexion to extension providing at the same time "physiologic" stiffness to the segment. A1 B1 C1 C1 A2 B2 Extension Flexion Cunningham et. al (2006) Lumbar Spine Kinematics. SAS 6, Montreal.

7 Pedicle Displacement Inner coupler mechanism allows 2mm pedicle displacement to maintain natural center of rotation. Non-physiological motion is limited Hypermobility at the end range of motion (flexion and extension) is avoided. Cunningham et. al (2006) Lumbar Spine Kinematics. SAS 6, Montreal.

8 Maintenance of Center of Rotation Inner spring mechanism allows 2mm displacement. In combination with the spring design the natural center of rotation is maintained. Prof. H.-J. Wilke: Finite Elemente Analyses DSS

9 Kinematic Analysis of first 6 DSS-Patients:

10 Modular Design - Components Dynamic Coupler Breaking Nut Spacer Washer Pedicle Screw Fusion Coupler Material: Titanium 6- aluminum 4-vanadium alloy (ISO ).

11 Modular Design - Assembly

12 Pedicle Screws Cannulated screws to support minimally invasive applications Tissue sparing, paraspinal intermuscular approach Thread for spacer and nut trapezoidal thread in upper region Torx attachment for elongation lever and counter torque instrument Screwdriver attachment parallel outer diameter conical core blunt tip cannulation parallel core

13 Pedicle Screws Ø5mm Ø6mm Ø7mm different screw configurations

14 Modular Design - Dynamic and Fusion Coupler Dynamic Modular Design Fusion 4 Sizes [26-40mm] 3 Sizes [28-40mm]

15 Hybrid Solutions Modularity of system allows combination of fusion and dynamic stabilization. Pathologies can be addressed individually by motion segment. Adjacent segments are protected. Dynamic Coupler Fusion Coupler

16 Dynamic Coupler - Implant Features Spring effect allows controlled, dynamic motion; Overload protected Adjustable in length; one turn = 0.5mm 4 Sizes mm mm mm mm Polyaxial connection through couplerspacer interface

17 Dynamic Coupler Sectional view

18 Fusion Coupler - Implant Features Telescoping feature allows precise length adjustment; short assemblies possible Breaking nut for secure fixation 3 Sizes mm mm mm Polyaxial connection through coupler-spacer interface

19 Assembly - Monosegmental Recommended orientation for optimized fatigue strength Caudal Cranial

20 Assembly - Fusion Coupler The fixed portion of the fusion coupler has to be placed in low position

21 Polyaxial Positioning Polyaxial positioning of +/ possible through the coupler-spacer interface. Ideal in cases of L5/S ,5 12,5 12,5 12,5

22 Sterile Packaging Coupler Double blister package Coupler (single packed) Screw sets 2 screws 2 washers 2 spacers 2 breaking nuts Screw Set Variety of 17 implants 10 screws sets 4 dynamic couplers 3 fusion couplers

23 Instrument Overview Pedicle preparation Measuring/ Coupler adjustment Assembly / tightening

24 Instrument Tray Pedicle preparation/ screw insertion Measuring/ coupler adjustment Implant positioning/ tightening

PARADIGM SPINE. Dynamic Stabilization System. Lumbar Dynamic Stabilization

PARADIGM SPINE. Dynamic Stabilization System. Lumbar Dynamic Stabilization PARADIGM SPINE Dynamic Stabilization System Lumbar Dynamic Stabilization Dynamic St DSS TM The basic concept of the DSS system was developed in cooperation with the Institute of Orthopedic Research and

More information

PARADIGM SPINE. Hybrid Performance System. Thoracolumbar Stabilization

PARADIGM SPINE. Hybrid Performance System. Thoracolumbar Stabilization PARADIGM SPINE Hybrid Performance System Thoracolumbar Stabilization SHORTENING THE LENGTH OF FUSION THROUGH DYNAMIC STABILIZATION The answer to adjacent segment degeneration? Spondylodesis is the gold

More information

A Fusion of Versatility, Performance and Ease.

A Fusion of Versatility, Performance and Ease. MATRIX Spine System. Degenerative and Deformity. System Guide A Fusion of Versatility, Performance and Ease. Instruments and implants approved by the AO Foundation The MATRIX Spine System is a universal

More information

A U X I L I A R Y C O N N E C T O R S Surgical Technique

A U X I L I A R Y C O N N E C T O R S Surgical Technique A U X I L I A R Y C O N N E C T O R S Surgical Technique AUXILIARY CONNECTORS ISSYS LP Auxiliary Connectors The ISSYS LP auxiliary connectors were designed to provide medial-lateral variability for the

More information

Silverstone Interbody System Surgical Technique

Silverstone Interbody System Surgical Technique Silverstone Interbody System Surgical Technique TABLE OF CONTENTS Design Rationale Instructions for Use Surgical Technique 1. Disc Space Preparation 2. Distraction 3. Implant Selection 4. Implant Placement

More information

Thoracolumbar Spine Locking Plate (TSLP) System. A low-profile plating system for anterior stabilization of the thoracic and lumbar spine.

Thoracolumbar Spine Locking Plate (TSLP) System. A low-profile plating system for anterior stabilization of the thoracic and lumbar spine. Thoracolumbar Spine Locking Plate (TSLP) System. A low-profile plating system for anterior stabilization of the thoracic and lumbar spine. Technique Guide Instruments and implants approved by the AO Foundation

More information

Spinal System. Aesculap Posterior Thoracolumbar Stabilization System S 4. Aesculap Spine

Spinal System. Aesculap Posterior Thoracolumbar Stabilization System S 4. Aesculap Spine Aesculap Posterior Thoracolumbar Stabilization System S 4 Spinal System Aesculap Spine S 4 Spinal System Small The S 4 Spinal System features a revolutionary pressure vessel design capable of delivering

More information

PARADIGM SPINE. Brochure. coflex-f Minimally Invasive Lumbar Fusion

PARADIGM SPINE. Brochure. coflex-f Minimally Invasive Lumbar Fusion PARADIGM SPINE Brochure coflex-f Minimally Invasive Lumbar Fusion coflex-f THE UNIQUE, MINIMALLY INVASIVE FUSION DEVICE The coflex-f implant is designed to deliver surgeon confidence and patient satisfaction.

More information

Technique Guide. NFlex. Semi-rigid rods for posterior lumbar stabilization.

Technique Guide. NFlex. Semi-rigid rods for posterior lumbar stabilization. Technique Guide NFlex. Semi-rigid rods for posterior lumbar stabilization. Table of Contents Introduction NFlex 2 Indications and Contraindications 4 NFlex Principles 6 Surgical Technique Preoperative

More information

USS Variable Axis Screw (VAS) System. For posterior fixation of the lumbar spine.

USS Variable Axis Screw (VAS) System. For posterior fixation of the lumbar spine. USS Variable Axis Screw (VAS) System. For posterior fixation of the lumbar spine. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction USS Variable Axis

More information

Y o u r Id e a s En g i n e e r e d t o Li f e

Y o u r Id e a s En g i n e e r e d t o Li f e ISSYS LP Spinal Fixation System Surgical Guide Y o u r Id e a s En g i n e e r e d t o Li f e In t r o d u c t i o n ISSYS LP Sp i n a l Fixation System The foundation of the ISSYS LP Spinal Fixation System

More information

product overview Implant heights range from 8mm-20mm in 2mm increments, with two lordocic angle options of 6 and 12.

product overview Implant heights range from 8mm-20mm in 2mm increments, with two lordocic angle options of 6 and 12. ETHOS A-Spacer PEEK System Surgical Technique Guide Synchronizing Medical Innovation with Global Markets product overview The SyncMedical Ethos PEEK IBF System is an intervertebral body fusion device for

More information

SURGICAL TECHNIQUE. SECURIS Pedicle Screw System for Minimally Invasive Surgery. 2 I SECURIS Pedicle Screw System

SURGICAL TECHNIQUE. SECURIS Pedicle Screw System for Minimally Invasive Surgery. 2 I SECURIS Pedicle Screw System Surgical Technique e Guide SECURIS Pedicle Screw System for Minimally Invasive Surgery Securis Pedicle Screw System has been engineered to provide temporary posterior stabilization of the thoracolumbar

More information

operative technique Universal Application

operative technique Universal Application operative technique Universal Application Introduction Introduction Building upon the design rationale of the Xia Spinal System, the new Xia Spinal System represents the latest advancement in spinal implant

More information

Thunderbolt. surgical technique. MIS Pedicle Screw System. Where Nimble and Secure Intersect

Thunderbolt. surgical technique. MIS Pedicle Screw System. Where Nimble and Secure Intersect Thunderbolt TM MIS Pedicle Screw System Where Nimble and Secure Intersect surgical technique i www.choicespine.com System Features Dovetail set screw: Minimizes head splay and cross-threading Secure connection

More information

VECTRA-T SURGICAL TECHNIQUE. The Translational Anterior Cervical Palate System. This publication is not intended for distribution in the USA.

VECTRA-T SURGICAL TECHNIQUE. The Translational Anterior Cervical Palate System. This publication is not intended for distribution in the USA. VECTRA-T The Translational Anterior Cervical Palate System This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE Image intensifier control This description alone does not provide

More information

The Most Reliable Spinal Solution

The Most Reliable Spinal Solution MFG : 09.02.20 REV : 1 4CIS VANE introduces you the reliable pedicle screw The Most Reliable Spinal Solution Non-slip threaded joint Ergonomic design Wedged trapezoid thread Superior locking mechanism

More information

mambo modular cervical plate system

mambo modular cervical plate system mambo modular cervical plate system mambo modular cervical plate system Overview of system & implant components Philosophy of dynamic instrumentation Indications & Surgical technique Tray design Seite

More information

EXPEDIUM 5.5 Spine System Family Product Catalogue

EXPEDIUM 5.5 Spine System Family Product Catalogue EXPEDIUM 5.5 Spine System Family Product Catalogue Including: EXPEDIUM EXPEDIUM Vertebral Body Derotation Universal Connector Set Cobalt Chromium Rods INTRODUCTION Contents EXPEDIUM Spine System is a comprehensive

More information

Visit our website on www.biotech-medical.com The DLP - Dorso-Lumbar Polyaxial Screw System has been designed to address the pathologies of the thoracolumbar spine. The DLP System contains a wide range

More information

ACP. Anterior Cervical Plate System SURGICAL TECHNIQUE

ACP. Anterior Cervical Plate System SURGICAL TECHNIQUE ACP Anterior Cervical Plate System SURGICAL TECHNIQUE ACP TABLE OF CONTENTS INTRODUCTION 4 INDICATIONS AND CONTRAINDICATIONS 5 WARNINGS AND PRECAUTIONS 6 IMPLANT DESCRIPTION 7 INSTRUMENTS 10 SURGICAL

More information

Imola Lateral IBF System Surgical Technique

Imola Lateral IBF System Surgical Technique Imola Lateral IBF System Surgical Technique IMOLA CIRCUIT TABLE OF CONTENTS Design Rationale Instructions for Use Surgical Technique 1. Table Mounting 2. Surgical Planning & Targeting 3. Access and Preparation

More information

In-Space. Percutaneous interspinous distraction.

In-Space. Percutaneous interspinous distraction. In-Space. Percutaneous interspinous distraction. Surgical Technique PRODUCT OBSOLETED 30th September 207 DSEM/SPN/095/0344() This publication is not intended for distribution in the USA. Instruments and

More information

USS II ILIO-SACRAL Modular System for Stable Fixation in the Sacrum and Illium

USS II ILIO-SACRAL Modular System for Stable Fixation in the Sacrum and Illium USS II ILIO-SACRAL Modular System for Stable Fixation in the Sacrum and Illium Instruments and implants approved by the AO Foundation. This publication is not intended for distribution in the USA. TECHNIQUE

More information

TSLP Thoracolumbar Spine Locking Plate

TSLP Thoracolumbar Spine Locking Plate Anterior thoracolumbar spine locking plate TSLP Thoracolumbar Spine Locking Plate Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use

More information

Handling instructions. USS Low Profile. Thoracolumbar posterior fixation system.

Handling instructions. USS Low Profile. Thoracolumbar posterior fixation system. Handling instructions USS Low Profile. Thoracolumbar posterior fixation system. U Table of contents Introduction Indications and contraindications 3 USS Low Profile implants 4 Handling implants with stick

More information

Table of Contents.

Table of Contents. surgical technique The Ambassador TM Anterior Cervical Plate System is a versatile system of implants and instruments with a variety of sizes to provide optimal anatomic compatibility. The integrated cam

More information

Zero-P Instruments and Implants. Zero-profile anterior cervical interbody fusion (ACIF) device.

Zero-P Instruments and Implants. Zero-profile anterior cervical interbody fusion (ACIF) device. Zero-P Instruments and Implants. Zero-profile anterior cervical interbody fusion (ACIF) device. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction Zero-P

More information

Surgical Technique FOR U.S. DOMESTIC USE ONLY

Surgical Technique FOR U.S. DOMESTIC USE ONLY Surgical Technique FOR U.S. DOMESTIC USE ONLY Polyaxial Screws HA Coated Polyaxial Screws Uniplanar Screws Reduction Screws Reduction Uniplanar Screws Modular Screws TABLE OF CONTENTS Reform Pedicle Screw

More information

SerratoTM. Surgical technique

SerratoTM. Surgical technique TM Surgical technique Table of contents Key design features.... 3 System overview.... 4 Surgical technique Patient positioning... 7 Preparing the pedicle.... 8 Screw insertion... 11 Rod contouring... 12

More information

Technique Guide. T-PAL. Transforaminal posterior atraumatic lumbar spacer system.

Technique Guide. T-PAL. Transforaminal posterior atraumatic lumbar spacer system. Technique Guide T-PAL. Transforaminal posterior atraumatic lumbar spacer system. Table of Contents Introduction T-PAL 2 AO Principles 4 Indications and Contraindications 5 Surgical Technique Preparation

More information

4.5 System. Surgical Technique. This publication is not intended for distribution in the USA.

4.5 System. Surgical Technique. This publication is not intended for distribution in the USA. 4.5 System Surgical Technique This publication is not intended for distribution in the USA. Contents EXPEDIUM 4.5 Spine System 2 Features and Benefits 3 Surgical Technique Extended Tandem Connector 4 Placement

More information

Patient Information MIS LLIF. Lateral Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques

Patient Information MIS LLIF. Lateral Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques Patient Information MIS LLIF Lateral Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques Table of Contents Anatomy of Spine...2 General Conditions of the Spine....4 What is Spondylolisthesis....5

More information

End-To-End Solution Posterior Lumbar. A comprehensive offering of complementary products.

End-To-End Solution Posterior Lumbar. A comprehensive offering of complementary products. End-To-End Solution Posterior Lumbar. A comprehensive offering of complementary products. End-To-End Solution Posterior Lumbar From access through fixation, provides a comprehensive solution for posterior

More information

SURGICAL TECHNIQUE GUIDE TRESTLE. Anterior Cervical Plating System

SURGICAL TECHNIQUE GUIDE TRESTLE. Anterior Cervical Plating System SURGICAL TECHNIQUE GUIDE TRESTLE Anterior Cervical Plating System 2 SURGICAL TECHNIQUE GUIDE SURGICAL TECHNIQUE GUIDE System Features Large window enables visualization of graft site and end plates Screw

More information

The Versatile Polyaxial Solution for the Universal Spine Systems. USS II Polyaxial. Surgical Technique

The Versatile Polyaxial Solution for the Universal Spine Systems. USS II Polyaxial. Surgical Technique The Versatile Polyaxial Solution for the Universal Spine Systems USS II Polyaxial Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use

More information

Valencia Pedicle Screw Surgical Technique

Valencia Pedicle Screw Surgical Technique Valencia Pedicle Screw Surgical Technique VALENCIA CIRCUIT TABLE OF CONTENTS Design Rationale Indications for Use Surgical Technique 1. Pedicle Preparation 2. Screw Insertion 3. Rod Placement 4. Locking

More information

EFSPINE CERVICAL COMBINED SET DISC PROTHESIS ORGANIZER BOX

EFSPINE CERVICAL COMBINED SET DISC PROTHESIS ORGANIZER BOX EFSPINE CERVICAL COMBINED SET INSTRUMENTS CERVICAL CAGE & DISC PROTHESIS ORGANIZER BOX Cervical Thoracic Thoraco - Lumbar Sacral EFSPINE CERVICAL COMBINED SET CERVICAL IMPLANTS INTRODUCTION Cervical Disc

More information

MEDACTA UNCONSTRAINED SCREW TECHNOLOGY - REDUCTION SCREWS. Surgical Technique. Hip Knee Spine Navigation

MEDACTA UNCONSTRAINED SCREW TECHNOLOGY - REDUCTION SCREWS. Surgical Technique. Hip Knee Spine Navigation .U.S.T. MEDACTA UNCONSTRAINED SCREW TECHNOLOGY - REDUCTION SCREWS Hip Knee Spine Navigation M.U.S.T. Hip Knee Spine Navigation INTRODUCTION The Medacta Unconstrained Screw Technology [M.U.S.T.] Pedicle

More information

Solitaire Anterior Spinal System

Solitaire Anterior Spinal System Surgical Technique Solitaire Anterior Spinal System Independent Stabilization for the Anterior Column Available in Titanium and Contents Introduction... Page 1 Design Features... Page 2 Instruments...

More information

PARADIGM SPINE. Minimally Invasive Lumbar Fusion. Interlaminar Stabilization

PARADIGM SPINE. Minimally Invasive Lumbar Fusion. Interlaminar Stabilization PARADIGM SPINE Minimally Invasive Lumbar Fusion Interlaminar Stabilization 2 A UNIQUE MIS ALTERNATIVE TO PEDICLE SCREW FIXATION The Gold Standard The combined use of surgical decompression and different

More information

Patient Information MIS LLIF. Lateral Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques

Patient Information MIS LLIF. Lateral Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques Patient Information MIS LLIF Lateral Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques Table of Contents Anatomy of Spine....2 General Conditions of the Spine....4 What is Spondylolisthesis....5

More information

Dual-Opening USS. For deformity correction.

Dual-Opening USS. For deformity correction. Dual-Opening USS. For deformity correction. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction Dual-Opening USS 2 AO Principles 4 Indications 5 Preoperative

More information

Technique Guide. Universal Spinal System (USS). Designed to achieve the goals of scoliosis surgery.

Technique Guide. Universal Spinal System (USS). Designed to achieve the goals of scoliosis surgery. Technique Guide Universal Spinal System (USS). Designed to achieve the goals of scoliosis surgery. Table of Contents Introduction Universal Spinal System 2 AO ASIF Principles of Internal Fixation 3 Indications

More information

T-PAL Spacer System. Transforaminal posterior atraumatic lumbar spacer system.

T-PAL Spacer System. Transforaminal posterior atraumatic lumbar spacer system. T-PAL Spacer System. Transforaminal posterior atraumatic lumbar spacer system. One instrument, one technique Accommodates both open and MIS approaches A PEEK implant that works with patient anatomy Streamlined

More information

Biomechanics of Interspinous Process Fixation and Lateral Modular Plate Fixation to Support Lateral Lumbar Interbody Fusion (LLIF)

Biomechanics of Interspinous Process Fixation and Lateral Modular Plate Fixation to Support Lateral Lumbar Interbody Fusion (LLIF) Biomechanics of Interspinous Process Fixation and Lateral Modular Plate Fixation to Support Lateral Lumbar Interbody Fusion (LLIF) Calusa Ambulatory Spine Conference 2016 Jason Inzana, PhD 1 ; Anup Gandhi,

More information

PARADIGM SPINE. Anterior Cervical Fusion Cage. Cervical Interbody Fusion

PARADIGM SPINE. Anterior Cervical Fusion Cage. Cervical Interbody Fusion PARADIGM SPINE Anterior Cervical Fusion Cage Cervical Interbody Fusion DESIGN RATIONALE The OptiStrain TM C* interbody fusion cage follows well established biomechanical principles: The slot design of

More information

M.I.S. MAKE IT SMART IN ONE SYSTEM. Surgical Technique. Hip Knee Spine Navigation

M.I.S. MAKE IT SMART IN ONE SYSTEM. Surgical Technique. Hip Knee Spine Navigation M.I.S. MAKE IT SMART IN ONE SYSTEM Surgical Technique Hip Knee Spine Navigation M.U.S.T. Mini Open Surgical Technique Hip Knee Spine Navigation 2 C O N T E N T S 1 INTRODUCTION 4 2 SURGICAL TECHNIQUE 5

More information

Introduction. Our hope is that this Surgical Technique Guide enhances your knowledge and contributes to clinical success for your patients.

Introduction. Our hope is that this Surgical Technique Guide enhances your knowledge and contributes to clinical success for your patients. Surgical Technique Introduction DePuy Spine continues to support the goal of expanding the spine surgeon s options for the treatment of spinal disorders. Collaborating with renowned spine specialists,

More information

X-spine Surgical Technique

X-spine Surgical Technique X-spine Surgical Technique The X90 Pedicle Screw System Revolutionary Design and Function This document is intended exclusively for experts in the field, particularly physicians, and is not intended for

More information

USS Variable Axis Screw

USS Variable Axis Screw USS Variable Axis Screw Polyaxial side-opening pedicle screw Surgical technique Original Instruments and Implants of the Association for the Study of Internal Fixation AO/ASIF USS Variable Axis Screw

More information

L8 Spine System SURGICAL TECHNIQUE. Add: No.1-8, Tianshan Road, Xinbei District, Changzhou, Jiangsu, China

L8 Spine System SURGICAL TECHNIQUE. Add: No.1-8, Tianshan Road, Xinbei District, Changzhou, Jiangsu, China Add: No.-8, Tianshan Road, Xinbei District, Changzhou, Jiangsu, China 23022 Tel: 0086 59 8595556 Fax: 0086 59 859555 Http://www.kanghui.com Add: F25, Shanghai International Pharmaceutical Trad & Exhibition

More information

nva Anterior Lumbar Interbody Fusion System

nva Anterior Lumbar Interbody Fusion System nva Anterior Lumbar Interbody Fusion System 1 IMPORTANT INFORMATION FOR PHYSICIANS, SURGEONS, AND/OR STAFF The nv a, nv p, and nv t are an intervertebral body fusion device used in the lumbar spine following

More information

Patient Information MIS TLIF. Transforaminal Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques

Patient Information MIS TLIF. Transforaminal Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques Patient Information MIS TLIF Transforaminal Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques MIS TLIF Table of Contents Anatomy of Spine..............................................

More information

The CerviFix System. Including the StarLock Components. CerviFix Clamp and Screw. StarLock Clamp and Screw

The CerviFix System. Including the StarLock Components. CerviFix Clamp and Screw. StarLock Clamp and Screw The CerviFix System Including the StarLock Components CerviFix Clamp and Screw StarLock Clamp and Screw The CerviFix System The CerviFix System is a comprehensive set of implants, including clamps, screws,

More information

Zimmer Anterior Buttress Plate System. Surgical Technique

Zimmer Anterior Buttress Plate System. Surgical Technique Zimmer Anterior Buttress Plate System Surgical Technique 2 Zimmer Anterior Buttress Plate System Surgical Technique Zimmer Anterior Buttress Plate System Surgical Technique Description, Indications & Contraindications...

More information

SURGICAL TECHNIQUE. Standard Reduction HA Coated Modular. Discover the Difference

SURGICAL TECHNIQUE. Standard Reduction HA Coated Modular. Discover the Difference SURGICAL TECHNIQUE Standard Reduction HA Coated Modular Discover the Difference TABLE OF CONTENTS REFORM PEDICLE SCREW SYSTEM OVERVIEW 3 TRAY IMAGES & CONTENT 14 SURGICAL TECHNIQUE 34 1. Preoperative Planning

More information

In-Space. Interspinous distraction through a mini-open, posterior, unilateral approach.

In-Space. Interspinous distraction through a mini-open, posterior, unilateral approach. In-Space. Interspinous distraction through a mini-open, posterior, unilateral approach. Surgical Technique Posterior Approach PRODUCT OBSOLETED 30th September 2017 DSEM/SPN/0915/0348(1) This publication

More information

Alamo T Transforaminal Lumbar Interbody System Surgical Technique

Alamo T Transforaminal Lumbar Interbody System Surgical Technique Transforaminal Lumbar Interbody System Surgical Technique Table of Contents Indications and Device Description.............. 1 Alamo T Implant Features and Instruments...........2 Surgical Technique......................

More information

OPERATIVE TECHNIQUE. CONSTRUX Mini PTC. Mini PTC Spacer System

OPERATIVE TECHNIQUE. CONSTRUX Mini PTC. Mini PTC Spacer System OPERATIVE TECHNIQUE CONSTRUX Mini PTC Mini PTC Spacer System TABLE OF CONTENTS Introduction 1 Operative Technique 2 Part Numbers 6 Indications For Use 7 INTRODUCTION 1 INTRODUCTION The CONSTRUX Mini PTC

More information

EXCELLA ll. Spinal System

EXCELLA ll. Spinal System EXCELLA ll Spinal System Excella II Spinal System INDICATIONS FOR USE The Innovasis Excella II Spinal System is intended for use in the non-cervical area of the spine. WARNING: The safety and effectiveness

More information

TELEFIX SURGICAL TECHNIQUE. Implant system for the anterior stabilization of the thoracolumbar spine

TELEFIX SURGICAL TECHNIQUE. Implant system for the anterior stabilization of the thoracolumbar spine TELEFIX Implant system for the anterior stabilization of the thoracolumbar spine Instruments and implants approved by the AO Foundation. This publication is not intended for distribution in the USA. SURGICAL

More information

PRODUCT SUMMARY Cobalt Chrome Tulip Multiple Options Triple Lead Thread

PRODUCT SUMMARY Cobalt Chrome Tulip Multiple Options Triple Lead Thread PRODUCT SUMMARY Cobalt Chrome Tulip Multiple Options Triple Lead Thread Screws Low Profile 2.72 Footprint x 2.5 Height Square Threaded Locking Cap Geometry reduces risk of cross threading Hexalobular Drive

More information

TM TM Surgical Technique

TM TM Surgical Technique TM TM Surgical Technique TABLE OF CONTENTS Reli SP Spinous Plating System Overview Device Description Implant Features Indications Instruments Access Instruments Preparation Instruments Insertion Instruments

More information

Interbody fusion cage for the transforaminal approach. Travios. Surgical Technique

Interbody fusion cage for the transforaminal approach. Travios. Surgical Technique Interbody fusion cage for the transforaminal approach Travios Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use of DePuy Synthes

More information

O PE RATIV E TE C HN IQ U E. Minimally Invasive Posterior Fixation

O PE RATIV E TE C HN IQ U E. Minimally Invasive Posterior Fixation O PE RATIV E TE C HN IQ U E TM Minimally Invasive Posterior Fixation Table of Contents 1 PRE-OPERATIVE PLANNING Patient Positioning Pedicle Identification and Incision Planning 4 OPERATIVE TECHNIQUE Incision

More information

Ref: Q400-09T1 EBI Spine. September 05/VS02. c/o BIOMET Spain Orthopaedics, S.L.

Ref: Q400-09T1 EBI Spine. September 05/VS02. c/o BIOMET Spain Orthopaedics, S.L. Ref: Q400-09T1 EBI Spine. September 05/VS02 c/o BIOMET Spain Orthopaedics, S.L. www.ebimedical.com EBI Omega 21 TM LP Since its introduction in 1996, and with thousands of patients treated so far, the

More information

Surgical Technique. Occipito-Cervico-Thoracic System

Surgical Technique. Occipito-Cervico-Thoracic System OASYS Surgical Technique Occipito-Cervico-Thoracic System System Overview The OASYS Occipito-Cervico-Thoracic System was developed to provide the surgeon with versatility for the treatment of pathologies

More information

Patient Information MIS TLIF. Transforaminal Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques

Patient Information MIS TLIF. Transforaminal Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques Patient Information MIS TLIF Transforaminal Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques MIS TLIF Table of Contents Anatomy of Spine...2 General Conditions of the Spine...4 6 MIS-TLIF

More information

HydraLok. Operative Technique. Polyaxial Pedicle Screw System

HydraLok. Operative Technique. Polyaxial Pedicle Screw System HydraLok Operative Technique Polyaxial Pedicle Screw System Table of Contents Introduction...1 OPERATIVE TECHNIQUE OVERVIEW...2 DETAILED OPERATIVE TECHNIQUE...4 LOCATE AND PREPARE THE PEDICLE...4 PROBE

More information

AVS ARIA TM Product Overview

AVS ARIA TM Product Overview AVS ARIA TM Product Overview Table of Contents Indication 3 Adaptive Sizing 4-5 Wedge Nose Design 6 Graft Volumes 7 Efficient Fixation 8 Lordotic Descriptions 9 Anatomical Descriptions 10 Visualization

More information

DFS STANDARD FIXATOR DFS ANKLE CLAMP DFS T-CLAMP

DFS STANDARD FIXATOR DFS ANKLE CLAMP DFS T-CLAMP DFS STANDAD FIXATO DFS ANKLE CLAMP DFS T-CLAMP SUGICAL TECHNIQUE Dr. James V. Nepola Professor of Orthopaedics University of Iowa Hospitals and Clinics Iowa City, Iowa Patent No. 5,662,650 C ontents DynaFix

More information

TABLE OF CONTENTS. Vault C Anterior Cervical Discectomy 2 and Fusion (ACDF) System Overview. Implants 3. Instruments 5. Surgical Technique 10

TABLE OF CONTENTS. Vault C Anterior Cervical Discectomy 2 and Fusion (ACDF) System Overview. Implants 3. Instruments 5. Surgical Technique 10 Surgical Technique TABLE OF CONTENTS Vault C Anterior Cervical Discectomy 2 and Fusion (ACDF) System Overview Indications 2 Implants 3 Instruments 5 Surgical Technique 10 1. Preoperative planning 10 2.

More information

EXACTECH SPINE. Operative Technique. Cervical Spacer System. Surgeon focused. Patient driven. TM

EXACTECH SPINE. Operative Technique. Cervical Spacer System. Surgeon focused. Patient driven. TM EXACTECH SPINE Operative Technique Cervical Spacer System Surgeon focused. Patient driven. TM ACAPELLA ONE Acapella One Cervical Spacer System is an anterior cervical discectomy and fusion device with

More information

nvt Transforaminal Lumbar Interbody Fusion System

nvt Transforaminal Lumbar Interbody Fusion System nvt Transforaminal Lumbar Interbody Fusion System 1 IMPORTANT INFORMATION FOR PHYSICIANS, SURGEONS, AND/OR STAFF The nv a, nv p, and nv t are an intervertebral body fusion device used in the lumbar spine

More information

nvp Posterior Lumbar Interbody Fusion System

nvp Posterior Lumbar Interbody Fusion System nvp Posterior Lumbar Interbody Fusion System 1 IMPORTANT INFORMATION FOR PHYSICIANS, SURGEONS, AND/OR STAFF The nv a, nv p, and nv t are an intervertebral body fusion device used in the lumbar spine following

More information

Surgical Technique. CONQUEST FN Femoral Neck Fracture System

Surgical Technique. CONQUEST FN Femoral Neck Fracture System Surgical Technique CONQUEST FN Femoral Neck Fracture System Table of Contents Introduction... 3 Indications... 3 Product Overview... 4 Surgical Technique... 5 Patient Positioning... 5 Reduce the Fracture...

More information

SYNFIX EVOLUTION SECURED SPACER SYSTEM

SYNFIX EVOLUTION SECURED SPACER SYSTEM SYNFIX EVOLUTION SECURED SPACER SYSTEM Instruments and implants for stand-alone anterior lumbar interbody fusion Instruments and implants approved by the AO Foundation. This publication is not intended

More information

MATRIX Spine System Deformity

MATRIX Spine System Deformity A Solution for Simple and Complex Spine Pathology MATRIX Spine System Deformity Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use

More information

DIPLOMAT FIXATOR. open" and MIS" without having to change systems Spontaneous augmentation. Minimally invasive posterior instrumentation

DIPLOMAT FIXATOR. open and MIS without having to change systems Spontaneous augmentation. Minimally invasive posterior instrumentation DIPLOMAT Minimally invasive posterior instrumentation open" and MIS" without having to change systems Spontaneous augmentation PRODUCT INFORMATION FIXATOR PRODUCT INFORMATION SIGNUS Medizintechnik GmbH

More information

Influence of Pedicle Screw Design on the Fatigue Fixation Strength in the Human Lumbar Spine

Influence of Pedicle Screw Design on the Fatigue Fixation Strength in the Human Lumbar Spine Influence of Pedicle Screw Design on the Fatigue Fixation Strength in the Human Lumbar Spine Rebecca Kueny, MSc. 1, Reza Danyali 1, Bartosz Nowak, PhD 2, Klaus Pueschel, Dr med. 3, Michael M. Morlock,

More information

Royal Oak Cervical Plate System

Royal Oak Cervical Plate System Royal Oak Cervical Plate System Manufactured by Nexxt Spine, Inc. Royal Oak Cervical Plate System INTRODUCTION FEATURES AND BENEFITS Table of Contents SURGICAL TECHNIQUE Step 1. Patient Positioning Step

More information

LUMBAR POSTERIOR MINIMALLY INVASIVE SYSTEM. Surgical Technique

LUMBAR POSTERIOR MINIMALLY INVASIVE SYSTEM. Surgical Technique LUMBAR POSTERIOR MINIMALLY INVASIVE SYSTEM Surgical Technique Joint Spine Sports Med M.U.S.T. Mini Open Surgical Technique Joint Spine Sports Med CAUTION Federal law (USA) restricts this device to sale

More information

O.I.C. PEEK UniLIF Unilateral Lumbar Interbody Fusion

O.I.C. PEEK UniLIF Unilateral Lumbar Interbody Fusion O.I.C. PEEK UniLIF Unilateral Lumbar Interbody Fusion A new implant for an evolving procedure Unique wedge nose Adaptive longer sizing Large internal graft volume Introduction Stryker Spine enters a new

More information

XRL A modular expandable radiolucent vertebral body replacement system

XRL A modular expandable radiolucent vertebral body replacement system XRL A modular expandable radiolucent vertebral body replacement system This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE Table of Contents Introduction XRL 2 AO Spine Principles

More information

PACH PLATE 2 OR 4 HOLE FIXATION

PACH PLATE 2 OR 4 HOLE FIXATION 2 OR 4 HOLE FIXATION The Science of Fusion PACH_v6.indd 1 6/03/2015 7:10 am PACH Plate Design Rationale The PACH Plate has been designed to be used as an anterior or lateral fixation plate for the thoracolumbar,

More information

Alamo C. Cervical Interbody System Surgical Technique. An Alliance Partners Company

Alamo C. Cervical Interbody System Surgical Technique. An Alliance Partners Company Cervical Interbody System Surgical Technique Table of Contents Indications for Use................................1 Device Description............................... 1 Alamo C Instruments..............................

More information

Quintex Cervical Plating System

Quintex Cervical Plating System Quintex Cervical Plating System Product Brochure Aesculap Spine Driven by proven plating technology. Inspired by the future of ACDF. Quintex Cervical Plating System Today s most versatile plating system,

More information

Biomet Omega21 TM Spinal Fixation System

Biomet Omega21 TM Spinal Fixation System Biomet Omega21 TM Spinal Fixation System Surgical Technique Coronal Angulation 50% Axial Angulation Infinite Sagittal Angulation Contents Introduction... Page 1 System Design Features And Benefits... Page

More information

POSTERIOR CERVICAL FUSION

POSTERIOR CERVICAL FUSION AN INTRODUCTION TO PCF POSTERIOR CERVICAL FUSION This booklet provides general information on the Posterior Cervical Fusion (PCF) surgical procedure for you to discuss with your physician. It is not meant

More information

Biomet Large Cannulated Screw System

Biomet Large Cannulated Screw System Biomet Large Cannulated Screw System s u r g i c a l t e c h n i q u e A Complete System for Simplified Fracture Fixation 6.5mm & 7.3mm The Titanium, Self-drilling, Self-tapping Large Cannulated Screw

More information

MATRIX Spine System Degenerative. A posterior pedicle screw and rod fixation system.

MATRIX Spine System Degenerative. A posterior pedicle screw and rod fixation system. MATRIX Spine System Degenerative. A posterior pedicle screw and rod fixation system. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction MATRIX Spine

More information

Cervical Spacer System surgical technique

Cervical Spacer System surgical technique Blackhawk TM Cervical Spacer System surgical technique Blackhawk TM The BLACKHAWK Cervical Spacer System is designed to provide biomechanical stabilization as an adjunct to fusion. Spinal fixation should

More information

CSLP Quick Lock Screws. Preassembled expansionhead screw and locking screw for use with Cervical Spine Locking Plates (CSLP).

CSLP Quick Lock Screws. Preassembled expansionhead screw and locking screw for use with Cervical Spine Locking Plates (CSLP). CSLP Quick Lock Screws. Preassembled expansionhead screw and locking screw for use with Cervical Spine Locking Plates (CSLP). Technique Guide Instruments and implants approved by the AO Foundation Table

More information

ONE SYSTEM, MULTIPLE OPTIONS. Surgical Technique. Hip Knee Spine Navigation

ONE SYSTEM, MULTIPLE OPTIONS. Surgical Technique. Hip Knee Spine Navigation ONE SYSTEM, MULTIPLE OPTIONS Surgical Technique Hip Knee Spine Navigation MUST MINI Surgical Technique Hip Knee Spine Navigation INTRODUCTION The M.U.S.T. Mini posterior cervical screw system is a modular

More information

Thoracic Lumbar Pelvic Posterior Anterior. Universal Spine System (USS). A versatile side-loading system portfolio.

Thoracic Lumbar Pelvic Posterior Anterior. Universal Spine System (USS). A versatile side-loading system portfolio. Thoracic Lumbar Pelvic Posterior Anterior Universal Spine System (USS). A versatile side-loading system portfolio. Universal Spine System (USS) The Synthes USS product portfolio is based on more than

More information

Zimmer Facet Screw System Surgical Technique

Zimmer Facet Screw System Surgical Technique Zimmer Facet Screw System Surgical Technique 2 Zimmer Facet Screw System Surgical Technique Zimmer Facet Screw System Surgical Technique Description, Indications & Contraindications...3 Surgical Technique...4

More information

Thoracolumbar Anterior Compression (TAC) System. Allows distraction, compression, and lateral fixation of the lower thoracic and lumbar spine.

Thoracolumbar Anterior Compression (TAC) System. Allows distraction, compression, and lateral fixation of the lower thoracic and lumbar spine. Thoracolumbar Anterior Compression (TAC) System. Allows distraction, compression, and lateral fixation of the lower thoracic and lumbar spine. Technique Guide Instruments and implants approved by the AO

More information

TiLock 2 Spinal System. Surgical Technique

TiLock 2 Spinal System. Surgical Technique TiLock 2 Spinal System Surgical Technique Table of Contents Page Preoperative Planning 4 Pedicle Preparation 5 Probe 5 Tap Pedicle 6 Screw Options 7 Screw Insertion 8 Aligning the Windows 9 Rod Insertion

More information

SURGICAL TECHNIQUE GUIDE PROTEAN. radial head plate. As described by: Jorge L. Orbay, M.D. Miami Hand & Upper Extremity Institute Miami, Florida

SURGICAL TECHNIQUE GUIDE PROTEAN. radial head plate. As described by: Jorge L. Orbay, M.D. Miami Hand & Upper Extremity Institute Miami, Florida SURGICAL TECHNIQUE GUIDE PROTEAN radial head plate As described by: Jorge L. Orbay, M.D. Miami Hand & Upper Extremity Institute Miami, Florida PROTEAN radial head plate Indications for Use The PROTEAN

More information