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Summary of Contents for Synthes USS Universal
- Page 1 Side-opening screws and hooks for thoracolumbar spine Universal ™ Spine System Surgical Technique...
- Page 2 For general information about reprocessing, care and maintenance of Synthes reusable devices, instrument trays and cases, as well as processing of Synthes non-sterile implants, please consult the Important Information leaflet (SE_023827) or refer to:...
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Page 3: Table Of Contents
Locking side-opening implants to a rod Connecting a rod to an implant with closed rod connectors Connecting two rods with cross-link clamps Indications and Contraindications Bibliography For product catalog contact your local DePuy Synthes representative. Surgical Technique USS™ Universal Spine System DePuy Synthes... -
Page 4: Ao Spine Principles
Balancing the spine in specific therapeutic three dimensions outcome Biology Function Etiology, pathogenesis, Preservations and resto- neural protection, ration of function to pre- and tissue healing vent disability Copyright © 2012 by AOSpine DePuy Synthes USS™ Universal Spine System Surgical Technique... -
Page 5: Picking Up Implants
Connect the side-opening implant to the stick by rotat- ing the cog-wheel of the handle. 3. Release handle from stick Insert the implant. To release the handle from the stick, press the release mechanism on top of the handle. Surgical Technique USS™ Universal Spine System DePuy Synthes... -
Page 6: Pedicle Screw Positioning (Posterior Instrumentation)
Insert the pedicle screw into the prepared pedicle until the screw head is well seated (1). To disassemble the stick from the handle press the button on the handle (2). DePuy Synthes USS™ Universal Spine System Surgical Technique... -
Page 7: Pedicle Screw Positioning With Washers (Anterior Instrumentation Only)
3. Insert the pedicle screw into the prepared verte- bral body until the screw head is well seated. To disas- semble the stick from the handle press the button on the handle. Surgical Technique USS™ Universal Spine System DePuy Synthes... - Page 8 (4). Once the washer is firmly seated, remove the pusher. Using the USS Handle (388.640), insert the screw further until the screw head is well seated (5). 8–10 mm DePuy Synthes USS™ Universal Spine System Surgical Technique...
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Page 9: Pedicle Hook Positioning
The pedicle hook should not move. Gently tap the hook positioner with a hammer to firmly seat the hook. Remove the hook positioner and the USS handle. The stick remains attached to the hook. Surgical Technique USS™ Universal Spine System DePuy Synthes... - Page 10 Hooks using the Holding Sleeve (314.060) using the Holding Sleeve (314.060) and Screwdriver (314.070) and insert it into the previously prepared drill hole. The pedi- cle hook is now attached to the pedicle and the endplate. DePuy Synthes USS™ Universal Spine System Surgical Technique...
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Page 11: Lamina Hook Positioning
Make sure the foot of the lamina hook does not lie too deep or presses upon the spinal cord. Remove the hook positioner and the handle. The stick remains attached to the hook. Surgical Technique USS™ Universal Spine System DePuy Synthes... -
Page 12: Angled Lamina Hook Positioning
Insert the Hook Positioner (388.630) into the screw hole of the hook and ease the angled lamina hook into the previously prepared seat. Remove the hook positioner and the handle. The stick remains attached to the hook. DePuy Synthes USS™ Universal Spine System Surgical Technique... -
Page 13: Rod Contouring
4-mm offset. If the implants are not aligned during rod insertion it may be necessary to rotate the screw by 180 degrees or choose a different hook (i.e. left or right side opening). 4 mm Surgical Technique USS™ Universal Spine System DePuy Synthes... -
Page 14: Introducing Rods Into Side-Opening Implants
(2). 2. Place persuader onto implants Slide the cylinder of the persuader over the hook and screw holder and the limb of the pliers on the rod. DePuy Synthes USS™ Universal Spine System Surgical Technique... - Page 15 Warning: Do not apply too much force on the anchor- age, it will tear out of the bone. Remove the support for rod introduction pliers. Surgical Technique USS™ Universal Spine System DePuy Synthes...
- Page 16 Use the Rod Crimping Pliers (380.490) to ease the rod into the side-opening implants. Pick up a sleeve and nut with the USS Handle (388.640) as described on page 16 and drop them over the construct. DePuy Synthes USS™ Universal Spine System Surgical Technique...
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Page 17: Distraction Or Compression Of Adjacent Implants
Remove the fixation ring and tighten the nut of the implant. Alternative Using the holding forceps for rods Instead of using the fixation ring, place the Holding Forceps for Rods (388.440) next to a screw and carry out distraction or compression. Surgical Technique USS™ Universal Spine System DePuy Synthes... -
Page 18: Locking Side-Opening Implants To A Rod
3. Tighten nut Tighten the construction with the nut using the Socket Wrench 11.0 mm with L-Handle (388.130). Use the Socket Wrench 6.0 mm (388.140) mounted on the stick to counteract torque. DePuy Synthes USS™ Universal Spine System Surgical Technique... -
Page 19: Connecting A Rod To An Implant With Closed Rod Connectors
Socket Wrench 11.0 mm with L-Handle (388.130) and the Socket Wrench 6.0 mm (388.140) mounted on the stick to counteract torque. Surgical Technique USS™ Universal Spine System DePuy Synthes... -
Page 20: Connecting Two Rods With Cross-Link Clamps
(1). If necessary, use the Holding Forceps (388.450) to introduce the cross-link rod. Tighten the set screw of the cross-link clamp with the small hexagonal screwdriver (2). DePuy Synthes USS™ Universal Spine System Surgical Technique... - Page 21 Loosen one of the set screws. Place the Holding Forceps (388.450) next to the clamp and use the Spreader Forceps (388.410) to apply distraction. Tighten the set screw of the clamp with the small hexagonal screwdriver. Surgical Technique USS™ Universal Spine System DePuy Synthes...
- Page 22 Please refer to the corresponding Instructions for Use for specific information on Intended use, Indications, Contraindications, Warnings and Precautions, Potential Adverse Events, Undesirable Side Effects and Residual Risks. Instructions for Use are available at www.e-ifu.com and/or www.depuysynthes.com/ifu. DePuy Synthes USS™ Universal Spine System Surgical Technique...
- Page 23 3. Modular Stabilization System: The Universal Spine System, in Aebi M, Thalgott JS, Webb JK (1998) AO ASIF Principles in Spine Surgery. Springer Berlin, Heidelberg. This chapter provides additional background and details on the USS system. Surgical Technique USS™ Universal Spine System DePuy Synthes...
- Page 24 Synthes GmbH Eimattstrasse 3 Not all products are currently available in all markets. 4436 Oberdorf Switzerland This publication is not intended for distribution in the USA. Tel: +41 61 965 61 11 Surgical techniques are available as PDF files at www.JnJMedicalDevices.com...
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