CSLP Quick Lock Screws. Preassembled expansionhead screw and locking screw for use with Cervical Spine Locking Plates (CSLP).
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1 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
2 Table of Contents Introduction CSLP Quick Lock Screws 2 AO Principles 3 Indications 4 Surgical Technique Preparation 5 Insert Screws 6 Screw Removal 7 Product Information Set List 8 Synthes Spine
3 CSLP Quick Lock Screws The CSLP Quick Lock Cancellous Screw is compatible with Synthes CSLP plates (CSLP II, Small Stature, and Variable Angle) and integrates the locking screw into the expansionhead screw. The CSLP Quick Lock screw eliminates the separate twopiece expansionhead bone screw and the additional 1.8 mm locking screw by combining the screws as a single preassembled piece. Quick Lock screws reduce CSLP instrumentation time and save the additional steps of placing the locking screws. Features Available in 12 mm, 14 mm, 16 mm, 18 mm, 20 mm lengths Like all CSLP screws, Quick Lock screws are color-coded by length Implants are made of titanium alloy* The CSLP Quick Lock screw set consists of: Self-drilling and self-tapping screws Cannulated self-retaining screwdriver Locking driver Module for screw storage CSLP plate and screw compatibility CSLP II plates CSLP Small Stature plates CSLP Variable Angle plates Self-tapping screws 12 mm, 14 mm and 16 mm 12 mm and 14 mm only 12 mm 20 mm Self-drilling screws Not recommended for use Not recommended for use 12 mm 20 mm *Ti-6Al-7Nb alloy 2 Synthes Spine CSLP Quick Lock Screws
4 AO Principles In 1958, the AO formulated four basic principles, which have become the guidelines for internal fixation. 1 They are: Anatomic reduction Stable internal fixation Preservation of blood supply Early, active mobilization The fundamental aims of fracture treatment in the limbs and fusion of the spine are the same. A specific goal in the spine is returning as much function as possible to the injured neural elements. 2 AO Principles as Applied to the Spine 3 Anatomic alignment Restoration of normal spinal alignment to improve the biomechanics of the spine. Stable internal fixation Stabilization of the spinal segment to promote bony fusion. Preservation of blood supply Creation of an optimal environment for fusion. Early, active mobilization Minimized damage to the spinal vasculature, dura, and neural elements, which may contribute to pain reduction and improved function for the patient. 1. M.E. Müller, M. Allgöwer, R. Schneider, and H. Willenegger AO Manual of Internal Fixation, 3rd Edition. Berlin: Springer-Verlag Ibid. 3. M. Aebi, J.S. Thalgott, and J.K. Webb. AO ASIF Principles in Spine Surgery. Berlin; Springer-Verlag Synthes Spine 3
5 Indications The Cervical Spine Locking Plate Quick Lock Screws are intended for anterior screw fixation to the cervical spine (C2 C7) for the following indications: Degenerative disc disease (DDD), defined as neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. Spondylolisthesis Spinal stenosis Tumors (primary and metastatic) Failed previous fusions Pseudarthrosis Deformity (i.e., kyphosis, lordosis, and/or scoliosis) 4 Synthes Spine CSLP Quick Lock Screws
6 Preparation Required sets CSLP Quick Lock Instrument and Titanium Implant Set Titanium Cervical Spine Locking Plate Variable Angle Implant Set or Titanium Small Stature Cervical Spine Locking Plate Implant Set or Titanium Cervical Spine Locking Plate Implant Set Cervical Spine Locking Plate Instrument Set Synthes Spine 5
7 Surgical Technique 1 Insert the CSLP Quick Lock screw Instrument Self-Retaining Screwdriver, for CSLP Quick Lock Screws Insert the appropriate length screw using the self-retaining screwdriver and advance until the screw lags to the bone. 2 Tighten the locking screw Instrument Locking Driver, for CSLP Quick Lock Screws When the screw is appropriately lagged, engage the locking driver and tighten the locking screw. 6 Synthes Spine CSLP Quick Lock Screws
8 Alternative technique Instruments Locking Driver, for CSLP Quick Lock Screws Self-Retaining Screwdriver, for CSLP Quick Lock Screws Insert the appropriate length screw using the self-retaining screwdriver and advance until the screw lags to the bone. When the screw is appropriately lagged, place the locking driver through the barrel of the self-retaining screwdriver, and tighten the locking screw, using the self-retaining screwdriver as a countertorque sleeve. Screw removal Instruments Locking Driver, for CSLP Quick Lock Screws Self-Retaining Screwdriver, for CSLP Quick Lock Screws To remove the quick lock screw, place the locking driver into the locking screw and turn the handle counterclockwise until it stops. The locking screw will not separate from the bone screw. When the locking screw is fully loosened, place the self-retaining screwdriver into the screw and turn the handle counterclockwise until the screw is extracted. Synthes Spine 7
9 CSLP Quick Lock Instrument and Titanium Implant Set ( ) Module Case Module Case, for Quick Lock Screws Instruments Locking Driver, for CSLP Quick Lock Screws, 2 ea Self-Retaining Screwdriver, for CSLP Quick Lock Screws, 2 ea. Implants 4.0 mm Titanium Quick Lock Cancellous Screws, self-drilling mm, 12 ea mm, 12 ea mm, 12 ea mm, 6 ea mm, 6 ea. 4.5 mm Titanium Quick Lock Cancellous Screws, self-drilling mm, 12 ea mm, 12 ea mm, 12 ea mm, 6 ea mm, 6 ea. For additional information, please refer to the package insert. 8 Synthes Spine CSLP Quick Lock Screws
10 Implants continued 4.0 mm Titanium Quick Lock Cancellous Screws, self-tapping mm, 12 ea mm, 12 ea mm, 12 ea mm, 6 ea mm, 6 ea. 4.5 mm Titanium Quick Lock Cancellous Screws, self-tapping mm, 12 ea mm, 12 ea mm, 12 ea mm, 6 ea mm, 6 ea. Required Sets Titanium Cervical Spine Locking Plate Variable Angle Implant Set or Titanium Small Stature Cervical Spine Locking Plate Implant Set or Titanium Cervical Spine Locking Plate Implant Set Cervical Spine Locking Plate Instrument Set Also Available CSLP Quick Lock Titanium Screw Set Contains same screws as in Module Case (without instruments) Synthes Spine
11 Synthes Spine 1302 Wrights Lane East West Chester, PA Telephone: (610) To order: (800) Fax: (610) Synthes (Canada) Ltd Meadowpine Boulevard Mississauga, Ontario L5N 6P9 Telephone: (905) To order: (800) Fax: (905) Synthes, Inc. or its affiliates. All rights reserved. Synthes is a trademark of Synthes, Inc. or its affiliates. Printed in U.S.A. 6/08 J7586-B
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