Related Manuals for Synthes USS Small Stature/Paediatric Spine System
Summary of Contents for Synthes USS Small Stature/Paediatric Spine System
- Page 1 Thoracolumbar fixation with dual opening pedicle screws and hooks Small Stature / ™ Paediatric 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
Distraction or Compression of Adjacent Implants Connecting a Rod to an Implant with Rod Connectors Connecting Two Rods with Cross-Link Connectors Indications and Contraindications Bibliography For product catalog contact your local DePuy Synthes representative. Surgical Technique USS™ Small Stature/Paediatric 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™ Small Stature/Paediatric Spine System Surgical Technique... -
Page 5: Handling The Implants With A Stick
3. Release handle from stick Insert the implant. To release the handle from the stick, 05_01 USS Paedia press the release button on the handle. von 06_01 Ped.H 05_02 USS Paediatric Surgical Technique USS™ Small Stature/Paediatric Spine System DePuy Synthes... -
Page 6: Insert Pedicle Screws (Posterior Approach)
Using the straight feeler Ø 2.3 mm (388.545) or the curved feeler Ø 2.3 mm (388.546), probe the pedicle screw channel in order to check for perforations in the walls. 09_03 USS II von 07_03 USS Paediatric DePuy Synthes USS™ Small Stature/Paediatric Spine System Surgical Technique... - Page 7 (2). Note: If using a rod connector, align the screw head such that one of the openings is perpendicular to the rod. 10_04 USS II von 08_04 USS Paediatric Surgical Technique USS™ Small Stature/Paediatric Spine System DePuy Synthes...
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Page 8: Insert Pedicle Screws With Washers (Only For Anterior Approach)
3. Insert the pedicle screw into the prepared verte- bral body until the screw head is well seated. To release the stick from the handle, press the release button on the handle. DePuy Synthes USS™ Small Stature/Paediatric Spine System Surgical Technique... - Page 9 (4). To disconnect the stick from the handle, press the release button on the handle. 10_02b_2 USS Paediatric Surgical Technique USS™ Small Stature/Paediatric Spine System DePuy Synthes 10_02b_1 USS Paediatric...
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Page 10: Position Pedicle Hook
Check the optimal position of the pedicle feeler by mov- ing it laterally and cranially (3). Precaution: Do not push medially. Remove the pedicle feeler. 13_01a USS II = 11_01a Ped.Hooks 13_01 USS II = 11_01b Ped.Hooks DePuy Synthes USS™ Small Stature/Paediatric Spine System Surgical Technique... - Page 11 (387.060). These two components must be screwed together before use. Warning: Do not start the power drill if the bit does not hit bone after passing through the drill sleeve. Haken 08 S12 Surgical Technique USS™ Small Stature/Paediatric Spine System DePuy Synthes...
- Page 12 (314.070), and insert the screw into the previously prepared drill hole. The pedicle hook is now attached to the pedicle. Haken 5b S12 12_05 USS Paediatric 14_05b USS II = 12_05b USS Paediatric DePuy Synthes USS™ Small Stature/Paediatric Spine System Surgical Technique...
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Page 13: Position Lamina Hook
Precaution: Ensure that the lamina hook does not lie too deep or press upon the bone marrow. Remove the hook positioner and the handle. The stick remains attached to the hook. Surgical Technique USS™ Small Stature/Paediatric Spine System DePuy Synthes... -
Page 14: Angled Lamina Hook Positioning
Remove the hook positioner and the handle. The stick remains attached to the hook. 14_01/02 USS Paediatric 14_01/02 USS Paediatric DePuy Synthes USS™ Small Stature/Paediatric Spine System Surgical Technique... -
Page 15: Rod Contouring
7.6mm offset and the dual opening allows for insertion of the rod to either side of the pedicle screws and hooks. 15_01 USS Paediatric 7.6mm 7,6 mm 15_02 USS Paediatric Surgical Technique USS™ Small Stature/Paediatric Spine System DePuy Synthes... -
Page 16: Locking Implants To Rods
T-handle. To tighten the nut further, lift off the L-handle and place it on again. DePuy Synthes USS™ Small Stature/Paediatric Spine System Surgical Technique... -
Page 17: Introducing Rods Into Dual-Opening Implants
Haken 14a S17 2. Place persuader on implants Slide the cylinder of the persuader on the stick and the leg of the pliers on the rod. 16_01a USS Paediatric Surgical Technique USS™ Small Stature/Paediatric Spine System DePuy Synthes 16_01b USS Paediatric... - Page 18 Remove the support for rod introduction pliers. Warning: Do not apply too much force on the anchor- age of the implant or it will tear out of the bone. 18(17)_03 USS Paediatric 18(17)_03 USS Paediatric DePuy Synthes USS™ Small Stature/Paediatric Spine System Surgical Technique...
- Page 19 Remove the persuader. Pick up a nut using the socket wrench for 12-point nut (as described on page 14), drop it over the stick and screw it loosely onto the implant. 19_05 (18_06) USS Paediatric Surgical Technique USS™ Small Stature/Paediatric Spine System DePuy Synthes...
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Page 20: Distraction Or Compression Of Adjacent Implants
Additional use of holding forceps for rods Instead of using the fixation ring, secure the holding for- ceps for rods (388.441) next to an implant and carry out the distraction or compression. 20(19)_01 USS Paediatric DePuy Synthes USS™ Small Stature/Paediatric Spine System Surgical Technique... -
Page 21: Connecting A Rod To An Implant With Rod Connectors
12-point nut with L-handle (388.584), applying counter torque using the socket wrench 5.0 mm with T-handle (388.143) mounted on the stick. Note: Only use the toothed sleeve with rod connec- tors. 21_01 USS Paediatric Surgical Technique USS™ Small Stature/Paediatric Spine System DePuy Synthes... -
Page 22: Connecting Two Rods With Cross-Link Connectors
Click the assembled cross-link connector onto the rods Ø 5.0 mm (2a), ensuring that the set screws are com- pletely unscrewed. The cross-link rod Ø 3.5 mm can be angled by up to ±15° (2b). –15 DePuy Synthes USS™ Small Stature/Paediatric Spine System Surgical Technique... - Page 23 2.5 mm (314.070) (2). 4. Distract cross-link assembly (optional) Loosen one of the set screws with the small hexagonal screwdriver, and perform distraction with the spreader forceps (388.413). Retighten the set screws. Surgical Technique USS™ Small Stature/Paediatric Spine System DePuy Synthes...
- Page 24 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™ Small Stature/Paediatric Spine System Surgical Technique...
- Page 25 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 (only side-opening systems are cov- ered in this chapter). Surgical Technique USS™ Small Stature/Paediatric Spine System DePuy Synthes...
- Page 26 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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