Anterior Lumbar Interbody Fusion (ALIF). Instrument set supports placement of ALIF spacers using anterior or anterolateral approach.
|
|
- Conrad Gilmore
- 7 years ago
- Views:
Transcription
1 Anterior Lumbar Interbody Fusion (ALIF). Instrument set supports placement of ALIF spacers using anterior or anterolateral approach. Technique Guide Instruments and implants approved by the AO Foundation
2 Table of Contents Introduction Anterior Lumbar Interbody Fusion (ALIF) 2 AO Principles 3 Surgical Technique Preoperative Planning 4 Straight Anterior Approach 6 Anterolateral Approach (45 Offset) 11 Product Information Instruments 13 Set List 16 Synthes Spine
3 Anterior Lumbar Interbody Fusion (ALIF) ALIF Instrument Set The ALIF Instrument Set supports the placement of ALIF Spacers using an anterior or anterolateral approach. Anterior Approach ALIF instruments can be used in an ALIF procedure using a straight anterior approach to the lumber spine. The illustration depicts an ALIF Spacer being implanted at the L5 S1 level. Anterolateral Approach The ALIF instruments can also be used in an ALIF procedure using an anterolateral approach, or 45 offset from straight anterior. This approach preserves the anterior longitudinal ligament and avoids patient vasculature. The illustration depicts an ALIF Spacer being implanted at the L4 L5 level. 2 Synthes Spine Anterior Lumbar Interbody Fusion (ALIF)
4 AO Principles In 1958, the AO ASIF (Association for the Study of Internal Fixation) formulated four basic principles, which have become the guidelines for internal fixation. 1 They are: Anatomical reduction Stable internal fixation Preservation of blood supply Early, active pain-free 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 Anatomical 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, Pain-Free Mobilization Minimization of 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, H. Willenegger: AO Manual of Internal Fixation, 3rd Edition. Berlin; Springer-Verlag Ibid. 3. M. Aebi, J.S. Thalgott, J.K. Webb. AO ASIF Principles in Spine Surgery. Berlin; Springer-Verlag Synthes Spine 3
5 Preoperative Planning 1 Determine surgical approach (anterior or anterolateral) The surgical approach, based on the surgeon s preference, determines the implant type. Anterior approach Anterolateral approach 4 Synthes Spine Anterior Lumbar Interbody Fusion (ALIF)
6 2 Determine implant height Instrument 8052 ALIF Preoperative Planner Overlay the ALIF Preoperative Planner on a lateral radiograph of the intervertebral discs to determine implant height. The implant must be seated firmly with a tight fit between endplates when the segment is fully distracted. It is essential to use the tallest possible implant to maximize stability. Due to variability in the degree of magnification, the templates are only an estimate and may not always provide an exact implant measurement. Templates represent 40% 80% (in 5% increments) and 100% actual size for use with MRI and CT scans. 10% and 15% magnification templates are available for x-ray use. Synthes Spine 5
7 Straight Anterior Approach As an adjunct to the ALIF surgical technique, the SynFrame Access and Retractor System may be used. The SynFrame allows direct visualization and stable retraction for less invasive spine surgery, eliminating the need for large, handheld retractors. 1 Expose the disc and prepare the endplate Instrument ALIF Rasp Expose the midline of the intervertebral disc to position the center of the implant on the vertebral midline. Remove enough disc and anterior longitudinal ligament for the spacer to fit properly. The ALIF Rasp assists in the removal of the superficial layers of the cartilaginous endplates. Note: Removing the superficial layers of the cartilaginous endplates exposes bleeding bone. Adequate preparation of the endplates is important to facilitate vascular supply to the bone graft. Excessive cleaning, however, may weaken the endplate due to removal of bone underlying the cartilaginous layers. 6 Synthes Spine Anterior Lumbar Interbody Fusion (ALIF)
8 2 Distract and size Instruments ALIF Trial Spacers, angled, lateral or anterior Curved Distractor Trial Spacer Handle, angled Distractor Trial Spacer Handle Distracting the segment is essential to restore disc height, open the neural foramen, and stabilize the implant. Distract the disc space using the Distractor with the appropriate Distractor Blades, or the Curved Distractor. Place the blades of the Distractor into the disc space. To ensure that the implant is inserted symmetrically in the disc space, align the Distractor Blades with the anterior midline of the vertebral bodies. Once the desired level of distraction is achieved, determine the implant size using the ALIF Trial Spacers. Select the anterior ALIF Trial Spacer that corresponds to the implant size determined during preoperative planning and thread it onto the Trial Spacer Handle or angled Trial Spacer Handle. Synthes Spine 7
9 Straight Anterior Approach continued 2 Distract and size continued Slide the anterior ALIF Trial Spacer through the Distractor Blades and into the disc space. If the chosen trial spacer is too small, use incrementally larger trial spacers until a tight fit is achieved. With the segment fully distracted, the ALIF Trial Spacer must fit tightly between the endplates to ensure that the disc height is not lost once the distractor is removed. It is essential to use the tallest possible implant (height) to maximize segment stability. Note: Ensure that the Distractor is held firmly in place while using the ALIF Trial Spacer. Select the implant corresponding to the correct trial spacer. Distraction can then be temporarily relaxed. 8 Synthes Spine Anterior Lumbar Interbody Fusion (ALIF)
10 3 Insert the implant Instruments Implant Holder, slot, angled Implant Holder, slot Install the implant using the Implant Holder or the angled Implant Holder, ensuring that the tallest side of the implant lies against the holder. The Implant Holder aligns with the preformed slots on the implant for easy insertion. Tighten the locking screw on the Implant Holder to firmly secure the instrument jaws against the implant. Pack bone graft material into the center of the ALIF implant. Distract the segment again and hold the distraction by tightening the locking screw on the Distractor handle. Introduce the implant into the exposed disc space between the Distractor Blades. The implant should be inserted as far as possible or until the Implant Holder contacts the Distractor Blades (at least 2/3 of implant depth). Synthes Spine 9
11 Straight Anterior Approach continued 3 Insert the implant continued Instruments Angled Impactor, crescent Impactor, crescent Release the Implant Holder by loosening the locking screw. Final seating of the implant is done with gentle blows of the crescent Impactor or Angled Impactor while maintaining the Distractor position. Important: Before use, ensure that the impactor fits flush against the implant. Do not forcibly strike the impactor when tapping the implant into position. Finally, loosen the locking screw on the Distractor handle, release distraction, and remove the Distractor. 10 Synthes Spine Anterior Lumbar Interbody Fusion (ALIF)
12 Anterolateral Approach (45 Offset) 1 Expose disc and prepare endplate For anterolateral insertion, the center of the implant will sit 45 offset to the anterior vertebral midline. Remove the disc and prepare the endplates according to Step 1 of the Straight Anterior Approach (see page 6). 2 Distract and size Instrument ALIF Trial Spacers, anterolateral Curved Distractor Distractor Trial Spacer Handle Distraction of the segment is essential to restore disc height, open the neural foramen, and stabilize the implant. Distract prior to insertion of the implant using the appropriate Distractor. Once the desired level of distraction is achieved, determine the correct implant size using the ALIF Trial Spacers. Select the anterolateral ALIF Trial Spacer that corresponds with the implant size determined during preoperative planning and thread it onto the Trial Spacer Handle. Insert the trial spacer and determine the correct implant height as described in Step 2 of the Straight Anterior Approach (see pages 7 8). Synthes Spine 11
13 Anterolateral Approach (45 Offset) continued 3 Insert the implant Insert the implant according to Step 3 of the Straight Anterior Approach (see page 9 10). 12 Synthes Spine Anterior Lumbar Interbody Fusion (ALIF)
14 Instruments ALIF Trial Spacers, angled, lateral or anterior mm mm mm mm mm mm mm ALIF Trial Spacers, anterolateral mm mm mm mm mm mm mm ALIF Sizer Handle Used with the ALIF Sizers ALIF Sizers, detachable mm mm mm mm mm mm mm ALIF Rasp Optimizes cleaning and preparation of the endplates Cutting surface designed to quickly remove tissue without being overly aggressive Synthes Spine 13
15 Instruments continued Curved Distractor Profile clears patient vasculature Fixed-blade design Trial Spacer Handle, angled Connects with the ALIF Trial Spacers to size implant Detaches easily from the Trial Spacer intraoperatively Angled Impactor, crescent Seats the ALIF Spacer in the disc space Designed with textured contact area to prevent slipping during impaction Curved, two-point contact area helps distribute impaction forces Angled tip simplifies access to L5 S1 by accommodating patient anatomy Implant Holder, slot, angled Serrated surface of jaws securely grips the ALIF Spacer during insertion Angled tip gains easier access to L5 S1 by accommodating patient anatomy Implant Holder, slot Serrated surface of jaws securely grips the ALIF Spacer during insertion Distractor Multiple blade options angled and straight Accommodates varied length blades to address patient anatomy and access, including an angled approach to L5 S1 14 Synthes Spine Anterior Lumbar Interbody Fusion (ALIF)
16 Distractor Blades mm, right mm, left mm, right mm, left mm, right mm, left angled, right angled, left mm, left , mm, right 40 mm 45 mm 50 mm 55 mm Impactor, crescent Seats the ALIF Spacer in the disc space Designed with textured contact area to prevent slipping during impaction Curved, two-point contact area helps distribute impaction forces Trial Spacer Handle Connects with the ALIF Trial Spacers to size implant Detaches easily from the Trial Spacer intraoperatively 8052 ALIF Preoperative Planner Synthes Spine 15
17 ALIF Instrument Set ( ) Graphic Case ALIF Graphic Case Instruments ALIF Sizer Handle ALIF Graft Packing Block ALIF Rasp Graft Packer Curved Distractor Trial Spacer Handle, angled Angled Impactor, crescent Implant Holder, slot, angled Implant Holder, slot Distractor Impactor, crescent Trial Spacer Handle, 2 ea ALIF Preoperative Planner ALIF Trial Spacers, angled, lateral or anterior mm mm mm mm mm mm mm ALIF Trial Spacers, anterolateral mm mm mm mm mm mm mm ALIF Sizers, detachable mm mm mm mm mm mm mm Distractor Blades mm, right mm, left mm, right mm, left mm, right mm, left angled, right angled, left mm, left mm, right Also Available Anterior Instrument Set SynFrame Standard Access System SynFrame Anterior Lumbar Spine System 16 Synthes Spine Anterior Lumbar Interbody Fusion (ALIF)
18 Synthes Spine 1302 Wrights Lane East West Chester, PA Telephone: (610) To order: (800) Fax: (610) Synthes, Inc. or its affiliates. All rights reserved. Synthes is a trademark of Synthes, Inc. or its affiliates. Printed in U.S.A. 3/07 J3544-C
visualized. The correct level is then identified again. With the use of a microscope and
SURGERY FOR SPINAL STENOSIS Laminectomy A one inch (or longer for extensive stenosis) incision is made in the middle of the back over the effected region of the spine. The muscles over the bone are moved
More informationScout Vessel Guard. A cover for vessels during anterior lumbar spine surgery.
Scout Vessel Guard. A cover for vessels during anterior lumbar spine surgery. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction Scout Vessel Guard 2
More informationZERO-P VA. Variable angle zero-profile anterior cervical interbody fusion (ACIF) device SURGICAL TECHNIQUE
ZERO-P VA Variable angle zero-profile anterior cervical interbody fusion (ACIF) device SURGICAL TECHNIQUE Table of Contents Introduction Zero-P VA Instruments and Implants 2 AO Principles 4 Indications
More informationMinimally Invasive Spine Surgery
Chapter 1 Minimally Invasive Spine Surgery 1 H.M. Mayer Primum non nocere First do no harm In the long history of surgery it always has been a basic principle to restrict the iatrogenic trauma done to
More informationMinimally Invasive Lumbar Fusion
Minimally Invasive Lumbar Fusion Biomechanical Evaluation (1) coflex-f screw Biomechanical Evaluation (1) coflex-f intact Primary Stability intact Primary Stability Extension Neutral Position Flexion Coflex
More informationCeSpace Titanium / PEEK
Aesculap Anterior Cervical Interbody Fusion System CeSpace Titanium / PEEK Aesculap Spine CeSpace Content A Foreword 3 B Implant Material 4 C Implant Features 6 D Surgical Technique 8 E Ordering Information
More informationPatient Information. Lateral Lumbar Interbody Fusion Surgery (LLIF).
Patient Information. Lateral Lumbar Interbody Fusion Surgery (LLIF). Understanding your spine Disc Between each pair of vertebrae there is a disc that acts as a cushion to protect the vertebra, allows
More informationANTERIOR LUMBAR INTERBODY FUSION (ALIF) Basic Anatomical Landmarks: Anterior Lumbar Spine
(ALIF) Anterior In human anatomy, referring to the front surface of the body or the position of one structure relative to another Lumbar Relating to the loins or the section of the back and sides between
More information4052 Slimplicity Tech final_layout 1 6/29/15 3:29 PM Page 2 Surgical Technique
Surgical Technique TABLE OF CONTENTS Slimplicity Anterior Cervical Plate System Overview 2 Indications 2 Implants 3 Instruments 4 Surgical Technique 6 1. Patient Positioning and Approach 6 2. Plate Selection
More informationANTERIOR CERVICAL DISCECTOMY AND FUSION. Basic Anatomical Landmarks: Anterior Cervical Spine
Anterior In the human anatomy, referring to the front surface of the body or position of one structure relative to another Cervical Relating to the neck, in the spine relating to the first seven vertebrae
More informationTABLE OF CONTENTS. Surgical Technique 2. Indications 4. Product Information 5. 1. Patient Positioning and Approach 2
Surgical Technique TABLE OF CONTENTS Surgical Technique 2 1. Patient Positioning and Approach 2 2. Intervertebral Device Implanted 2 3. Buttress Plate Selection 2 4. Awl Insertion 2 5. Screw Insertion
More informationV-TEK IVP System 2.7 System 4.0
V-TEK IVP System Ankle 2.7 Fix System 4.0 Surgical Technique Surgical Technique Titanium osteosynthesis system for tibio-talar and tibio-talo-calcaneal fusion SECTION 1 Ankle Fix System 4.0 Titanium osteosynthesis
More informationDegenerative Spine Solutions
Degenerative Spine Solutions The Backbone for Your Surgical Needs Aesculap Spine Backbone for Your Degenerative Spine Needs Comprehensive operative solutions, unique product technology and world-class
More informationTitanium Wire with Barb and Needle. For canthal tendon procedures.
Titanium Wire with Barb and Needle. For canthal tendon procedures. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction Titanium Wire with Barb and Needle
More informationTechnique Guide. 3.5 mm and 4.5 mm Curved Locking Compression Plates (LCP). For minimally invasive osteosynthesis.
Technique Guide 3.5 mm and 4.5 mm Curved Locking Compression Plates (LCP). For minimally invasive osteosynthesis. Table of Contents Introduction 3.5 mm and 4.5 mm Curved Locking Compression 2 Plates (LCP)
More informationTechnique Guide. Screw Removal Set. Instruments for removing Synthes screws.
Technique Guide Screw Removal Set. Instruments for removing Synthes screws. Table of Contents Introduction Screw Removal Set 2 Surgical Technique Preoperative Planning and Preparation 6 Removal of Intact
More informationModular Sternal Cable System. Flexibility and strength in sternal closure and repair.
Modular Sternal Cable System. Flexibility and strength in sternal closure and repair. Multiple closure options Stable fixation in all configurations Improved strength and flexibility compared to wire Modular
More informationTechnique Guide. Large Fragment LCP Instrument and Implant Set. Part of the Synthes locking compression plate (LCP) system.
Technique Guide Large Fragment LCP Instrument and Implant Set. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction Large Fragment LCP Instrument and Implant Set
More informationAdvances In Spine Care. James D. Bruffey M.D. Scripps Clinic Division of Orthopaedic Surgery Section of Spinal Surgery
Advances In Spine Care James D. Bruffey M.D. Scripps Clinic Division of Orthopaedic Surgery Section of Spinal Surgery Introduction The Spine - A common source of problems Back pain is the #2 presenting
More informationPatient Information. Anterior Cervical Discectomy and Fusion Surgery (ACDF).
Patient Information. Anterior Cervical Discectomy and Fusion Surgery (ACDF). Understanding your spine Disc Between each pair of vertebrae there is a disc that acts as a cushion to protect the vertebra,
More informationScout Vessel Guard. A hydrogel membrane with exceptional handling characteristics.
. A hydrogel membrane with exceptional handling characteristics. Pliable Permanent Pore size < 0.08μm Instruments and implants approved by the AO Foundation . A hydrogel membrane with exceptional handling
More informationAesculap Spine activ L
Aesculap Spine activ L Lumbar artificial disc Generation: activ Rotation + translation = mobilization Generation: activ Discover the innovative power of our latest development I N N O V Discover: Rotation
More informationBONE PRESERVATION STEM
TRI-LOCK BONE PRESERVATION STEM Featuring GRIPTION Technology SURGICAL TECHNIQUE IMPLANT GEOMETRY Extending the TRI-LOCK Stem heritage The original TRI-LOCK Stem was introduced in 1981. This implant was
More informationOrthopedic Foot Instruments. Dedicated instruments for reconstructive foot surgery.
Orthopedic Foot Instruments. Dedicated instruments for reconstructive foot surgery. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by
More informationAesculap Spine activ L
Aesculap Spine activ L Lumbar intervertebral disc prosthesis Operating technique 2 activ L Contents A) Pre-operative planning A.1 Size estimation 4 A.2 Patient positioning 4 B) Approach B.1 Marking the
More informationcoligne treatment technology
coligne treatment technology coligne a strategy in spine Leadership begins before the patient enters the surgical theater, among the spine care professionals forming the coalliance. This may be a small
More informationInformation for the Patient About Surgical
Information for the Patient About Surgical Decompression and Stabilization of the Spine Aging and the Spine Daily wear and tear, along with disc degeneration due to aging and injury, are common causes
More informationSpine Clinic Neurospine Specialists, Orthopaedics and Neurosurgery
Spine Clinic Neurospine Specialists, Orthopaedics and Neurosurgery REVISION SPINE SURGERY Revision surgery is a very complex field which requires experience, training and evaluation in a very individual
More informationAesculap Spine activ L
Aesculap Spine activ L Lumbar Intervertebral Disc Prosthesis Operating technique 2 activ L Contents A) Product Information A.1 Product Features 4 A.2 Safety Information 5 A.3 Sterility 5 B) Pre-Operative
More informationLCP Superior Clavicle Plate. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle.
LCP Superior Clavicle Plate. The anatomically precontoured fixation system with angular stability for clavicle shaft and lateral clavicle. Surgical Technique This publication is not intended for distribution
More informationZimmer Small Fragment Universal Locking System. Surgical Technique
Zimmer Small Fragment Universal Locking System Surgical Technique Zimmer Small Fragment Universal Locking System 1 Zimmer Small Fragment Universal Locking System Surgical Technique Table of Contents Introduction
More informationPERIPROSTHETIC IMPLANTS
PERIPROSTHETIC IMPLANTS PRODUCT OVERVIEW CLINICAL SOLUTIONS Periprosthetic fractures present unique challenges, such as how to gain fixation when the medullary canal is occupied. Special techniques and
More informationMinimally Invasive Spine Surgery What is it and how will it benefit patients?
Minimally Invasive Spine Surgery What is it and how will it benefit patients? Dr Raoul Pope MBChB, FRACS, Neurosurgeon and Minimally Invasive Spine Surgeon Concord Hospital and Mater Private Hospital Sydney
More informationPatient Guide to Lower Back Surgery
The following is a sampling of products offered by Zimmer Spine for use in Open Lumbar Fusion procedures. Patient Guide to Lower Back Surgery Open Lumbar Fusion Dynesys The Dynesys Dynamic Stabilization
More informationSurgical Technique. coflex Surgical Technique
Surgical Technique coflex Surgical Technique Interspinous Implant Overview I. Preparation II. Microsurgical Decompression III. Implant Site Preparation IV. Implant Insertion Preparation Patient Positioning
More informationKnotilus TM. Anchor Instability Repair. Technique Guide
Knotilus TM Anchor Instability Repair Technique Guide Instability Repair Using the Knotilus TM Anchor Introduction While the shoulder has more mobility than any other joint in the body, it is also the
More informationAesculap Spine activ C
Aesculap Spine activ C Cervical Disc Prosthesis Retain Mobility activ C Back to life enjoyed to the full I N N O V A Natural mobility Safety during surgery and in everyday life Stability in every situation
More informationVERSYS HERITAGE CDH HIP PROSTHESIS. Surgical Technique for CDH Hip Arthroplasty
VERSYS HERITAGE CDH HIP PROSTHESIS Surgical Technique for CDH Hip Arthroplasty SURGICAL TECHNIQUE FOR VERSYS HERITAGE CDH HIP PROSTHESIS CONTENTS ANATOMICAL CONSIDERATIONS....... 2 PREOPERATIVE PLANNING............
More informationDirect Lateral Interbody Fusion A Minimally Invasive Approach to Spinal Stabilization
APPROVED IRN10389-1.1-04 Direct Lateral Interbody Fusion A Minimally Invasive Approach to Spinal Stabilization Because it involves accessing the spine through the patient s side, the Direct Lateral approach
More informationHow To Fix A Radial Head Plate
Mayo Clinic CoNGRUENT RADIAL HEAD PLATE Since 1988 Acumed has been designing solutions to the demanding situations facing orthopedic surgeons, hospitals and their patients. Our strategy has been to know
More informationTechnique Guide. 2.7 mm/3.5 mm Variable Angle LCP Ankle Trauma System. Part of the Synthes variable angle locking compression plate (VA-LCP) system.
Technique Guide 2.7 mm/3.5 mm Variable Angle LCP Ankle Trauma System. Part of the Synthes variable angle locking compression plate (VA-LCP) system. Table of Contents Introduction 2.7 mm/3.5 mm Variable
More informationTechnique Guide. DHS/DCS Dynamic Hip and Condylar Screw System. Designed to provide stable internal fixation.
Technique Guide DHS/DCS Dynamic Hip and Condylar Screw System. Designed to provide stable internal fixation. Table of Contents Introduction Dynamic Hip Screw (DHS) 2 Dynamic Condylar Screw (DCS) 3 Indications
More informationZimmer FuZion Instruments. Surgical Technique (Beta Version)
Zimmer FuZion Surgical Technique (Beta Version) INTRO Surgical Technique Introduction Surgical goals during total knee arthroplasty (TKA) include establishment of normal leg alignment, secure implant fixation,
More informationZimmer Periarticular Proximal Tibial Locking Plate
Zimmer Periarticular Proximal Tibial Locking Plate Surgical Technique The Science of the Landscape Zimmer Periarticular Proximal Tibial Locking Plate 1 Table of Contents Introduction 2 Locking Screw Technology
More informationDRAFT. Triathlon TS Knee System. Surgical Protocol. Version 1
DRAFT Version 1 Triathlon TS Knee System Table of Contents Acknowledgments..........................................................2 Tibial Canal Preparation....................................................4
More informationAVS Anchor-C Cervical Cage System Surgical Technique. Large Graft Volume Self-Locking Screws Angled and Flexible Instrumentation
AVS Anchor-C Cervical Cage System Large Graft Volume Self-Locking Screws Angled and Flexible Instrumentation Table of Contents Intended Use/Indications... 3 System Overview.... 6 Implantation Technique....
More informationA review of spinal problems
Dr Ulrich R Hähnle MD, FCS Orthopaedic Surgeon, Wits Facharzt für Orthopädie, Berlin Phone: +27 11 485 3236 Fax: +27 11 485 2446 Suite 102, Medical Centre, Linksfield Park Clinic P.O. Box 949, Johannesburg
More informationLUMBAR LAMINECTOMY AND DISCECTOMY. Basic Anatomical Landmarks: Posterior View Lumbar Spine
Lumbar Relating to the loins or the section of the back and sides between the ribs and the pelvis. In the spinal column, the last five vertebrae (from superior to inferior, L1-L5) Laminectomy Surgical
More informationThe information contained in this document is intended for healthcare professionals only.
The information contained in this document is intended for healthcare professionals only. Dall-Miles Cabling System Dall-Miles Recon and Trauma Cable System Trochanteric Reattachment Using the Trochanteric
More information(English) NEXUS SPINE SPACER SYSTEM
(English) NEXUS SPINE SPACER SYSTEM INDICATIONS FOR USE NEXUS Spine Spacer System, a GEO Structure is indicated for use in the thoraco-lumbar spine (i.e., T1 to L5) to replace a diseased vertebral body
More informationOpen Discectomy. North American Spine Society Public Education Series
Open Discectomy North American Spine Society Public Education Series What Is Open Discectomy? Open discectomy is the most common surgical treatment for ruptured or herniated discs of the lumbar spine.
More informationDoes the pain radiating down your legs, buttocks or lower back prevent you from walking long distances?
Does the pain radiating down your legs, buttocks or lower back prevent you from walking long distances? Do you experience weakness, tingling, numbness, stiffness, or cramping in your legs, buttocks or
More informationMINI FRAGMENT SYSTEM. Instruments and implants for 1.5 mm, 2.0 mm, and 2.4 mm plate fixation PRODUCT OVERVIEW
MINI FRAGMENT SYSTEM Instruments and implants for 1.5 mm, 2.0 mm, and 2.4 mm plate fixation PRODUCT OVERVIEW TABLE OF CONTENTS INTRODUCTION Mini Fragment System 2 PRODUCT INFORMATION Plates 4 Screws 6
More informationAesculap Veterinary Orthopaedics. Targon VET Interlocking Nail
Aesculap Veterinary Orthopaedics Targon VET Interlocking Nail Flexibility Stability Dynamics The Targon VET is based on new, technology which reverses the known principles of interlocking nails. The rotation-stabilising
More informationThoracic Spine Anatomy
A Patient s Guide to Thoracic Spine Anatomy 228 West Main, Suite C Missoula, MT 59802 Phone: info@spineuniversity.com DISCLAIMER: The information in this booklet is compiled from a variety of sources.
More informationPolaris Deformity System Trivium Derotation System
Polaris Deformity System Trivium Derotation System A Three Dimensional Approach to Deformity Correction The Polaris Deformity System in combination with the Trivium Derotation System incorporates Enbloc
More informationExpert LFN. Lateral Femoral Nail.
Expert LFN. Lateral Femoral Nail. Surgical Technique EXPERT Nailing System This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. Image intensifier
More informationTechnique Guide. Titanium Trochanteric Fixation Nail System. For intramedullary fixation of proximal femur fractures.
Technique Guide Titanium Trochanteric Fixation Nail System. For intramedullary fixation of proximal femur fractures. Table of Contents Introduction Titanium Trochanteric Fixation Nail System 2 Biomechanical
More informationPATIENT SPECIFIC PLATES FOR MANDIBLE: CUSTOM MADE PLATES FOR TRAUMA AND RECONSTRUCTION
PATIENT SPECIFIC PLATES FOR MANDIBLE: CUSTOM MADE PLATES FOR TRAUMA AND RECONSTRUCTION Derived from patient CT Data Customizable design features Strength with low profile This publication is not intended
More informationTechnique Guide. Reamer/Irrigator/Aspirator (RIA). For intramedullary reaming and bone harvesting.
Technique Guide Reamer/Irrigator/Aspirator (RIA). For intramedullary reaming and bone harvesting. Table of Contents Introduction Reamer/ Irrigator/ Aspirator (RIA) 2 Indications 4 Surgical Technique Preparation
More informationTechnique Guide. 4.5 mm LCP Proximal Femur Plates. Part of the Synthes Periarticular LCP Plating System.
Technique Guide 4.5 mm LCP Proximal Femur Plates. Part of the Synthes Periarticular LCP Plating System. Table of Contents Introduction 4.5 mm LCP Proximal Femur Plates 2 AO Principles 4 Indications 5 Surgical
More informationthe revo / mini-revo shoulder fixation system s u r g i c a l t e c h n i q u e
the revo / mini-revo shoulder fixation system s u r g i c a l t e c h n i q u e REVO The following techniques are described by Stephen J. Snyder, M.D., Van Nuys, CA. Arthroscopic repair of the rotator
More informationLumbar Spine Anatomy. eorthopod.com 228 West Main St., Suite D Missoula, MT 59802-4345 Phone: 406-721-3072 Fax: 406-721-2619 info@eorthopod.
A Patient s Guide to Lumbar Spine Anatomy 228 West Main St., Suite D Missoula, MT 59802-4345 Phone: 406-721-3072 Fax: 406-721-2619 info@eorthopod.com DISCLAIMER: The information in this booklet is compiled
More informationBattery Power Line. Battery-driven power tool system for orthopaedics and traumatology.
Battery Power Line. Battery-driven power tool system for orthopaedics and traumatology. High performance Excellent torque for drilling and reaming Precise cutting with Synthes saw blades Battery Power
More informationNCB Distal Femur System. Surgical Technique
NCB Distal Femur System Surgical Technique NCB Distal Femur System Surgical Technique 3 Surgical Technique NCB Distal Femur System Table of Contents Introduction 4 Indications 8 Preoperative Planning
More informationMEDACTA UNCONSTRAINED SCREW TECHNOLOGY. Surgical Technique. Hip Knee Spine Navigation
.U.S.T. MEDACTA UNCONSTRAINED SCREW TECHNOLOGY Hip Knee Spine Navigation M.U.S.T. Hip Knee Spine Navigation CAUTION Federal law (USA) restricts this device to sale distrribution and use by or on the order
More informationMinimally Invasive Hip Replacement through the Direct Lateral Approach
Surgical Technique INNOVATIONS IN MINIMALLY INVASIVE JOINT SURGERY Minimally Invasive Hip Replacement through the Direct Lateral Approach *smith&nephew Introduction Prosthetic replacement of the hip joint
More informationSurgical technique. End Cap for TEN. For axial stabilization and simultaneous protection of soft tissue.
Surgical technique End Cap for TEN. For axial stabilization and simultaneous protection of soft tissue. Table of contents Indications and contraindications 3 Implants 4 Instruments 4 Preoperative planning
More informationMetasul LDH Large Diameter Head
Metasul LDH Large Diameter Head Surgical Technique Metasul LDH Large Diameter Head Surgical Technique Enhancing Stability and Increasing Range of Motion Metasul LDH Large Diameter Head Surgical Technique
More informationValue Analysis Brief MIS Lateral Approach to Interbody Fusion
Value Analysis Brief MIS Lateral Approach to Interbody Fusion Methods This value analysis brief presents information on the clinical and economic benefits of the minimally invasive lateral approach to
More informationZimmer M/L Taper Hip Prosthesis. Surgical Technique
Zimmer M/L Taper Hip Prosthesis Surgical Technique Zimmer M/L Taper Hip Prosthesis 1 Zimmer M/L Taper Hip Prosthesis Surgical Technique Table of Contents Preoperative Planning 2 Determination of Leg Length
More informationMINIMAL ACCESS SPINE SURGERY
MINIMAL ACCESS SPINE SURGERY Spinal ailments are amongst the most common ailments that afflict mankind. Back pain, for example, has achieved epidemic proportions worldwide in the last two decades and is
More informationIf you or a loved one have suffered because of a negligent error during spinal surgery, you will be going through a difficult time.
If you or a loved one have suffered because of a negligent error during spinal surgery, you will be going through a difficult time. You may be worried about your future, both in respect of finances and
More informationSPINAL SURGERY USING CHARITE ARTIFICIAL DISC MORRISTOWN MEMORIAL HOSPITAL, MORRISTOWN, NJ Broadcast June 24, 2005
SPINAL SURGERY USING CHARITE ARTIFICIAL DISC MORRISTOWN MEMORIAL HOSPITAL, MORRISTOWN, NJ Broadcast June 24, 2005 NARRATOR 00:00:17:00 Today, orthopedic surgeons and spine specialists at Morristown Memorial
More informationTABLE OF CONTENTS. Indications and Contraindications 3. Features and Benefits 4. Ease of connection 4 Stable fixation concept 5
Surgical Technique TABLE OF CONTENTS Indications and Contraindications 3 Features and Benefits 4 Ease of connection 4 Stable fixation concept 5 Surgical Technique Steps 6 Identification and preparation
More informationVivian Gonzalez Gillian Lieberman, MD. January 2002. Lumbar Spine Trauma. Vivian Gonzalez, Harvard Medical School Year III Gillian Lieberman, MD
January 2002 Lumbar Spine Trauma Vivian Gonzalez, Harvard Medical School Year III Agenda Anatomy and Biomechanics of Lumbar Spine Three-Column Concept Classification of Fractures Our Patient Imaging Modalities
More informationHow To Understand The Anatomy Of A Lumbar Spine
Sciatica: Low back and Leg Pain Diagnosis and Treatment Options Presented by Devesh Ramnath, MD Orthopaedic Associates Of Dallas Baylor Spine Center Sciatica Compression of the spinal nerves in the back
More informationX-Plain Temporomandibular Joint Disorders Reference Summary
X-Plain Temporomandibular Joint Disorders Reference Summary Introduction Temporomandibular joint disorders, or TMJ disorders, are a group of medical problems related to the jaw joint. TMJ disorders can
More informationThoracolumbar Spine Fractures. Outline. Outline. Holmes Criteria. Disclosure:
Thoracolumbar Spine Fractures C. Craig Blackmore, MD, MPH Department of Radiology Virginia Mason Medical Center Affiliate Professor, University of Washington Disclosure: Book Royalties, Springer-Verlag
More informationAnatomic Percutaneous Ankle Reconstruction of Lateral Ligaments (A Percutaneous Anti ROLL)
Anatomic Percutaneous Ankle Reconstruction of Lateral Ligaments (A Percutaneous Anti ROLL) Mark Glazebrook James Stone Masato Takao Stephane Guillo Introduction Ankle stabilization is required when a patient
More informationZimmer MOST Options System
Zimmer MOST Options System Surgical Technique Modular Options for Severe Bone Loss and Trauma Zimmer MOST Options System Surgical Technique 1 MOST Options System Surgical Technique Table of Contents Introduction
More informationHow To Use A Phoenix Retrograde Femoral Nail
Phoenix Retrograde Femoral Nail System Featuring CoreLock Technology Surgical Technique Contents Introduction... Page 1 Indications... Page 2 Design Features... Page 3 Surgical Technique... Page 6 Product
More informationCPT Changes in Spine 2012
CPT Changes in Spine 2012 Are you prepared? Presented by Barbara Cataletto, MBA, CPC Disclaimer The following presentations are not to be considered a replacement for the Current Procedural Terminology
More informationWrist and Hand. Patient Information Guide to Bone Fracture, Bone Reconstruction and Bone Fusion: Fractures of the Wrist and Hand: Carpal bones
Patient Information Guide to Bone Fracture, Bone Reconstruction and Bone Fusion: Wrist and Hand Fractures of the Wrist and Hand: Fractures of the wrist The wrist joint is made up of the two bones in your
More informationPatient Guide to Neck Surgery
The following is a sampling of products offered by Zimmer Spine for use in Anterior Cervical Fusion procedures. Patient Guide to Neck Surgery Anterior Cervical Fusion Trinica Select With the Trinica and
More informationDisc Replacement or Fusion: which is best for me?
Disc Replacement or Fusion: which is best for me? After anterior discectomy in either the cervical or lumbar region there is a need to replace the removed disc with something and the choice lies between
More informationMinimally Invasive Spine Surgery For Your Patients
Minimally Invasive Spine Surgery For Your Patients Lukas P. Zebala, M.D. Assistant Professor Orthopaedic and Neurological Spine Surgery Department of Orthopaedic Surgery Washington University School of
More informationPosterior Referencing. Surgical Technique
Posterior Referencing Surgical Technique Posterior Referencing Surgical Technique INTRO Introduction Instrumentation Successful total knee arthroplasty depends in part on re-establishment of normal lower
More informationCervical Spine Surgery. Orthopaedic Nursing Seminar. Dr Michelle Atkinson. Friday October 21 st 2011. Cervical Disc Herniation
Cervical Spine Surgery Dr Michelle Atkinson The Sydney and Dalcross Adventist Hospitals Orthopaedic Nursing Seminar Friday October 21 st 2011 Cervical disc herniation The most frequently treated surgical
More information.org. Fractures of the Thoracic and Lumbar Spine. Cause. Description
Fractures of the Thoracic and Lumbar Spine Page ( 1 ) Spinal fractures can vary widely in severity. While some fractures are very serious injuries that require emergency treatment, other fractures can
More informationSPINAL STENOSIS Information for Patients WHAT IS SPINAL STENOSIS?
SPINAL STENOSIS Information for Patients WHAT IS SPINAL STENOSIS? The spinal canal is best imagined as a bony tube through which nerve fibres pass. The tube is interrupted between each pair of adjacent
More informationTechnique Guide. Norian SRS Fast Set Putty. Calcium phosphate bone void filler.
Technique Guide Norian SRS Fast Set Putty. Calcium phosphate bone void filler. TableofContents Introduction Norian SRS Fast Set Putty 2 Indications and Contraindications 3 Basic Science 4 Surgical Technique
More informationEvaluation and Treatment of Spine Fractures. Lara C. Portmann, MSN, ACNP-BC
Evaluation and Treatment of Spine Fractures Lara C. Portmann, MSN, ACNP-BC Nurse Practitioner, Neurosurgery, Trauma Services, Intermountain Medical Center; Salt Lake City, Utah Objectives: Identify the
More informationAchilles Tendon Repair, Operative Technique
*smith&nephew ANKLE TECHNIQUE GUIDE Achilles Tendon Repair, Operative Technique Prepared in Consultation with: C. Niek van Dijk, MD, PhD KNEE HIP SHOULDER EXTREMITIES Achilles Tendon Repair, Operative
More informationSurgical Treatment for Lumbar Spinal Stenosis Dynamic Interspinous Distraction Interlaminar Stabilization Implant - Coflex
International 31st Course For Percutaneous Endoscopic Spinal Surgery And Complementary Minimal Invasive Techniques Zurich, Switzerland January 24-25, 2013 Surgical Treatment for Lumbar Spinal Stenosis
More informationIntroduction to the Bertram Hip Spacer
Introduction to the Bertram Hip Spacer Approximately 200,000 hip replacement surgeries are done every year in United States. Fortunately the incidence of infection is routinely 0.5 percent-1 percent. However
More informationZimmer M/L Taper Hip Prosthesis with Kinectiv Technology. Surgical Technique
Zimmer M/L Taper Hip Prosthesis with Kinectiv Technology Surgical Technique Zimmer M/L Taper Hip Prosthesis with Kinectiv Technology 1 Zimmer M/L Taper Hip Prosthesis with Kinectiv Technology Surgical
More informationACCORD Cable System. Surgical technique completed in conjunction with: Robert Barrack, MD St. Louis, Missouri. Paul Di Cesare, MD New York, New York
Surgical Technique Innovations in Hip Surgery 2 ACCORD Cable System Surgical technique completed in conjunction with: Robert Barrack, MD St. Louis, Missouri Paul Di Cesare, MD New York, New York Fares
More informationRestoration Modular. Revision Hip System Surgical Protocol
Orthopaedics Restoration Modular Revision Hip System Restoration Modular Calcar Body/Conical Distal Stem Femoral Components Using the Restoration Modular Instrument System Revision Hip System Orthopaedics
More informationSpine Surgery Coding
Spine Surgery Coding Lynn M. Anderanin, CPC,CPC-I,COSC 1 Spine Anatomy 7 cervical (neck) vertebrae, 12 thoracic (chest) vertebrae, 5 lumbar (back) vertebrae, and 5 fused vertebra that make up the sacrum
More information