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

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

3 Universal Spine System (USS) The Synthes USS product portfolio is based on more than 15 years of successful collaboration with key1 deformity surgeons and Synthes engineering expertise. The continuous evolution and development of USS followed the concept of a side opening head implant and the philosophy of the segmental spine correction. With the introduction of USS II Polyaxial the portfolio has been completed and makes the USS product portfolio one of the most successful spine fixation systems available globally. 1 AOSpine deformity surgeons

concept Dual side-opening enabling flexible rod reduction Sleeve/nut design for strong

as sterile packed Case Study: Posterior approach with USS II Posterior Pre-OP:

4 USS II. Monoaxial, dual side-opening, low profile 5 and 6 mm rod system. USS II Posterior: Easy intra-operative screw and hook insertion due to sideopening concept Dual side-opening enabling flexible rod reduction Sleeve/nut design for strong rod fixation Pedicle screw with dual-core and double-lead design Additionally available as sterile packed Case Study: Posterior approach with USS II Posterior Pre-OP: 13-year-old female, severe deformity Post-OP: Staged procedure with anterior release traction treatment and posterior correction

stability Dedicated screws and long instruments for anterior correction

Study: Anterior approach with USS II Anterior Pre-OP: 11-year-old female,

5 USS II Anterior: Vertebral body screw thread profile for optimal bone purchase Flat and angled washers for best force distribution and increased stability Dedicated screws and long instruments for anterior correction approach Vertebral body screw with dual-core and single-lead design Case Study: Anterior approach with USS II Anterior Pre-OP: 11-year-old female, AIS, cobb angle 75 in standing and 40 in bending film Post-OP: Anterior correction from T5 to T10

USS II Polyaxial. Click-on 5 and 6 mm rod system.

without visual hindrance Wide lateral head off-set requires only minimal rod bending

available (sterile packed) Case Study: USS II Polyaxial Pre-OP: Lumbar degenerative

6 USS II Polyaxial. Click-on 5 and 6 mm rod system. Click-on head with ±25 angulation feature for decompression and in-situ prepa - ration without visual hindrance Wide lateral head off-set requires only minimal rod bending Polyaxial side-loading for sequential rod reduction Augmentable screws additionally available (sterile packed) Case Study: USS II Polyaxial Pre-OP: Lumbar degenerative scoliosis with severe translation of L3 and multilevel stenosis in spinal canal and foramina Post-OP: Spinal canal decompression and correction of scoliosis

USS II Ilio Sacral. Pelvic fixation system, add-on to any 5 or 6 mm rod system.

fitting for all anatomical situations Dedicated S2 connectors for optimal sacrum fixation

sterile packed Case Study: USS ll Polyaxial combined with USS ll Ilio Sacral Pre-OP:

7 USS II Ilio Sacral. Pelvic fixation system, add-on to any 5 or 6 mm rod system. Lowest ilium connectors preventing tissue irritation or break-through 40 screw angulation fitting for all anatomical situations Dedicated S2 connectors for optimal sacrum fixation Can be combined with any Synthes posterior 5 or 6 mm rod system Additionally available as sterile packed Case Study: USS ll Polyaxial combined with USS ll Ilio Sacral Pre-OP: 78-year-old female, progressive back pain and overall posture problems Post-OP: Stabilization of posture down to pelvis

enabling flexible rod reduction Double thread for fast screw insertion Wide variety of screws and hooks Additionally

angle >90 in a patient with spastic cerebral palsy Post-OP: Pelvic obliquity of 45 was corrected with 2 Galveston

8 USS Small Stature/Pediatric. Monoaxial, dual side-opening, low profile 5 mm rod system. Low profile to minimize soft tissue irritation Designed for anterior and posterior procedures Dual side-opening enabling flexible rod reduction Double thread for fast screw insertion Wide variety of screws and hooks Additionally available as sterile packed Case Study: USS Small Stature/Pediatric Pre-OP: Severe neuromuscular scoliosis of cobb angle >90 in a patient with spastic cerebral palsy Post-OP: Pelvic obliquity of 45 was corrected with 2 Galveston screws in iliac wings. The combination of two L5 pedicle screws and two iliac screws gave a very stable distal base to correct the pelvic and spinal deformity

Deep C-shaped side opening for optimal rod seating

Dual-core and single-lead design Wide variety of

Pre-OP: Untreated idiopatic scoliosis, 24-year-old

9 USS Low Profile. Monoaxial, single side-opening, 6 mm rod system. Deep C-shaped side opening for optimal rod seating and controlled intra operative rod capture Dual-core and single-lead design Wide variety of screws and hooks Case Study: USS Low Profile Pre-OP: Untreated idiopatic scoliosis, 24-year-old female, progressive deformity, thoracic pain, cobb angle 59 Post-OP: Instrumented levels T4 L1, cobb angle 24

10 Case Study: Combined USS II Poly, Mono and Ilio Sacral system application. Pre-OP: 68-year-old male, progressive and rigid deformity. Loss of spinal balance. Post-OP: Correction from the pelvis to the mid-thoracic spine. Restored spinal balance.

11 USS Product Screw Portfolio Length and Diameter Pedicle solid screw Vertebral body solid screw Perforated pedicle screw Length (mm) (mm) USS ll USS ll Polyaxial USS ll Ilio Sacral USS Small Stature/ Pediatric USS Low Profile

12 Handling technique Technique Guide Handling instructions Technique Guide Technique Guide USS Universal Spine System Universal Spine System (USS). Versatile sideloading systems allowing spine corrections with a variety of implants and system features using segmental correction philosophy. Designed for the thoracic and lumbar spine for posterior, anterior and ilium/pelvic fixation Dual-core screw design for highest pullout resistance Offering a wide range of polyaxial and monoaxial screws, hooks and pelvic connectors Designed for 5.0 mm and 6.0 mm rod constructs Easy to use and controlled rod-implant-assembly USS II. Comprehensive posterior and anterior deformity system with screws and hooks with dual opening. USS II Polyaxial. The Versatile Polyaxial Solution for the Universal Spine Systems. USS Low Profile. Thoracolumbar posterior fixation system USS II Ilio-Sacral. Modular System for Stable Fixation in the Sacrum and Illium USS Small Stature/Pediatric. A multifaceted deformity system for use in patients of small stature. All technique guides are available as PDF files at: Cases have been made available by courtesy of Prof. P. Heini, Dr. K. Min, Dr. F.C. Oner and Dr. J. Webb. Ö öAAcä SE_ AA /2010 Synthes, Inc. or its affiliates All rights reserved Synthes is a trademark of Synthes, Inc. or its affiliates

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