A Fusion of Versatility, Performance and Ease.

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

2 The MATRIX Spine System is a universal set of instruments and implants that accommodates both open and MIS surgical approaches for deformity, degenerative and trauma indications. This pedicle screw system has a unique, rigid screw-instrument interface, intraoperative adaptability and exceptionally well-controlled instrumentation. MATRIX is the total solution for the stabilization of spinal segments. The MATRIX Degenerative and Deformity Spine Systems are designed to provide biomechanically sound results for complex posterior pathological challenges.

3 MATRIX Spine System. Degenerative and Deformity. Versatility Implant options and materials to address complex pathologies. Performance Efficient instrumentation that provides safety and speed. Ease Intuitive designs and simple interfaces to improve accessibility and visibility.

4 Options for Complex Pathology Solutions. MATRIX Spine System. Degenerative and Deformity

Versatility Intraoperative screwhead exchange Eliminates

operating room time Minimizes patient blood loss Rod

titanium alloy (Ti-6Al-7Nb) and CoCr options Multiple

available Instrumentation Intuitive, easy-to-use Simple

options: rocker forks, vertical and threaded reducers

5 Versatility Intraoperative screwhead exchange Eliminates the need to remove the bone screw Designed to save operating room time Minimizes patient blood loss Rod materials Surgeon options = optimal patient care Titanium, titanium alloy (Ti-6Al-7Nb) and CoCr options Multiple lengths, curved, precontoured and hex-end versions available Instrumentation Intuitive, easy-to-use Simple head removal and pop-on capability Multiple reduction options: rocker forks, vertical and threaded reducers Convenient, interchangeable distraction options Standard and long length instruments available

Performance Square locking cap thread Smooth cap insertion Square thread form designed to reduce cross

have depth markers to verify reduction Torque limiting attachment provides tactile response when final

Self-tapping, double-lead threads for faster insertion (8 mm 9 mm, single lead) Thread-in-head design

6 Performance Square locking cap thread Smooth cap insertion Square thread form designed to reduce cross threading Force applied directly to the rod enhances grip strength Lamina, Pedicle and Thoracic Hooks New C-shape designed to accommodate varying patient anatomy Low-profile head Inner teeth for secure connection to transverse bars Visual and tactile indicators Ensure proper assembly of head removal tools Persuaders have depth markers to verify reduction Torque limiting attachment provides tactile response when final torque is achieved Unique screw design Patented, dual-core technology enhances optimal bone purchase Self-tapping, double-lead threads for faster insertion (8 mm 9 mm, single lead) Thread-in-head design provides rigid screw-to-instrument connection for accurate screw trajectory MATRIX Spine System. Degenerative and Deformity

Ease Implant-instrument interface Slimline design for increased visibility Rigid connection for precise screw trajectory

Snap-On Transconnector No in situ assembly Snap-on, swivel jaws provide easy attachment Telescoping, arched design accommodates

implant size is simple Polyaxial Screwdriver and Holding Sleeve One-piece design Outer sleeve can rotate freely or be held

7 Ease Implant-instrument interface Slimline design for increased visibility Rigid connection for precise screw trajectory Efficient, reliable reduction attachment feature Instrument capture features Placed at top of implant head for easier exchange Snap-On Transconnector No in situ assembly Snap-on, swivel jaws provide easy attachment Telescoping, arched design accommodates anatomy and grafts Transconnector Caliper Spring-loaded design allows surgeon to hold position while measuring Determining implant size is simple Polyaxial Screwdriver and Holding Sleeve One-piece design Outer sleeve can rotate freely or be held firmly to maintain screw trajectory ± 22º Persuaders Allow fast application to implant head Easy removal Designs accommodate side-by-side use ± 15º

8 Indications The USS are noncervical spinal fixation devices intended for posterior pedicle screw fixation (T1 S2/ ilium), posterior hook fixation (T1 L5), or anterolateral fixation (T8 L5). Pedicle screw fixation is limited to skeletally mature patients with the exception of the Small Stature USS, which includes small stature and pediatric patients. These devices are indicated as an adjunct to fusion for all of the following indications: degenerative disc disease (defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, trauma (i.e., fracture or dislocation), deformities or curvatures (i.e., scoliosis, kyphosis, and/or lordosis, Scheuermann s Disease), tumor, stenosis, and failed previous fusion (pseudoarthrosis). When treating patients with degenerative disc disease (DDD), transverse bars are not cleared for use as part of the posterior pedicle screw construct. When used with the 3.5 mm/6.0 mm parallel connectors, the USS 6.0 mm rod systems can be linked to the CerviFix 3.5 mm Systems. In addition, when used with 3.5 mm/5.0 mm parallel connectors, the Small Stature USS can be linked to the CerviFix 3.5 mm Systems. When used with the 5.0 mm/6.0 mm parallel connectors, the Small Stature USS can be linked to the USS 6.0 mm rod systems. In addition, USS 6.0 mm rod systems can be interchanged with all USS 6.0 mm rods and transconnectors. USS 6.0 mm Rod Systems: USS Side-Opening, USS Dual-Opening, USS VAS variable axis components, USS Fracture, Click X, Click X Monoaxial, Pangea, Pangea Monoaxial, USS Polyaxial, USS Iliosacral, ClampFix 5.5 mm Rod System: MATRIX 5.0 mm Rod System: USS Small Stature CerviFix 3.5 mm Rod Systems: CerviFix, Axon, Synapse 4.0 mm Rod System: Synapse Please refer to package insert (GP2774) for the full list of indications, contraindications, warnings and/or precautions. When used with the 3.5 mm/6.0 mm and 4.0 mm/6.0 mm tapered rods, the USS 6.0 mm rod systems can be linked to the CerviFix 3.5 mm and 4.0 mm Systems, respectively. When used with the 3.5 mm/5.5 mm and 4.0 mm/5.5 mm tapered rods, MATRIX can be linked to the CerviFix 3.5 mm and 4.0 mm Systems, respectively. When used with the 5.5 mm/6.0 mm tapered rods, the USS 6.0 mm rod systems can be linked to the MATRIX System. Spine 1302 Wrights Lane East West Chester, PA Telephone: (610) To order: (800) Fax: (610) (Canada) Ltd Meadowpine Boulevard Mississauga, Ontario L5N 6P9 Telephone: (905) To order: (800) Fax: (905) , Inc. or its affiliates. All rights reserved. Axon, CerviFix, Click X, Pangea and are trademarks of, Inc. or its affiliates. Printed in U.S.A. 11/10 J10111-A

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