Dik Click here to visit http: USA law restricts this device to sale by or on the order of physician. Expedium Family Product Catalogue. Pediatric pedicle screw fixation sjstem limited to a posterior approach. Postoperative care is extremely important. This product has labeling limitations. All medical devices have associated risks.
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There are four possible hook placement sites in the spine: The facet is entered with the Pedicle Elevator. The first site is the pedicle. Pedicle Hooks are placed in the thoracic spine via the facet joint. The direction for the Pedicle Hooks is always cephalad. The facet of the appropriate level is identified and the capsule is removed. The cartilage on the inferior articular process of the next distal level should be visualised. This is usually Holder or the Hook Holding Forceps and seated flush used in conjunction with a Pedicle Hook either at the same against the facet and the pedicle.
An Elevator is used to dissect around the superior surface of the transverse process. The Reduced Hook is then placed in the required position. The direction is always caudal. These hooks may be combined with other hooks to produce a claw construct. The ligamentum flavum is divided in the midline and excised. The Angled permit the intra canal placement of the hook. Holding Forceps until well seated against the lamina. Blade Hook is recommended for this site in the lumbar spine.
The direction is always cephalad. Similar to the Supra Laminar hooks, the ligamentum flavum is divided in the midline and excised. Hook Holding Forceps until well seated against the lamina. Fully seat complement the innovative design of the existing and secure the rod by introducing the Single Innie. These hooks help to address, extended tabs of the Translation Hooks provide a means correct and also stabilise difficult anatomic variations.
Translation Hooks are most commonly placed at the apex of the concavity. Contour the rod to match the required spinal contours in the sagital plane. Distraction is applied as the rod is translated into the hooks using the Single Innie. Once the rod is fully seated, the Approximation Tabs can be removed using the Tab Remover. Additionally, Cross Note: Minimal distraction between Translation Hooks should Connectors can be used to add structural rigidity to the be utilised during translation to prevent hook dislodgement.
However, taps are provided for surgeon Probes and Bone Taps are marked to indicate the preference. Note: Polyaxial Screwdriver application is similar to the method described earlier Page 3.
Place the rod into the Polyaxial Screw heads. The Dual Innie will self-retain on the inserter. The Alignment Guide can be used to help position the head and reduce the chance of cross-threading see page 8. Thread into the screw head to capture the rod. The X Hexlobe driver. Hexlobe driver should be used to center the Intermediate Tightener. Parallel compressive forces can be applied to secure the Note: The polyaxial mechanism can be released by Structural Interbody Fusion Device.
Simply loosen the loosening the blue outer setscrew to ensure good appropriate inner setscrew and tighten after Compression apposition between the implant and the adjacent endplates. The shaft is inserted through the Rod Stabiliser and into the internal setscrew. The Stabiliser is then slid down over the head of the Polyaxial Screw and onto the rod. The Stabiliser handle The Stabiliser is then slid down over the head of the can be held either perpendicular or parallel to the rod.
Polyaxial Screw and onto the rod. The Stabiliser handle can be held either perpendicular or parallel to the rod. The T-Handle is rotated clockwise until tight. The T-Handle is rotated clockwise until it clicks and resistance is no longer evident.
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