Surgical technique guide introduction depuy spine continues to support the goal of expanding the spine surgeon s options for the treatment of spinal disorders. Expedium surgical technique by apolineo comunicacion. Depuy synthes first quarter, steady and robot deal with. To be sure, this will likely be a slowmotion merger. After repositioning the right pedicle screws, two 50mm lag screws depuy spine, raynham, ma were used directly from s2 to s1 through the lateral sacral crest and across the. This book is your complete guide to all contemporary forms of spinal implant systems. The interbody cages used included 15 concorde depuy spine, seven leopard depuy spine, two travios synthes spine, and one capstone medtronic sofamor danek cage. Nonconstrained total or hemi shoulder arthroplasties have limited clinical outcomes in such indications, and most of the constrained and semiconstrained. A single polyaxial washer must be placed dome downinto the integral nut of a pedicle or reduction bolt, or the receiving portion of a spacer washer.
The ci depuy asr technique is a headonly procedure. The monarch spine system offers finetuned solutions derived from the ultimate union of simplicity and sophistication. The viper prime system is novel technique for percutaneous pedicle screw placement. Arthropathy cta has historically been seen as a significant surgical challenge. The expedium anterior spine system may be used in either open or thoracoscopic procedures. This surgical technique uses a standard posterior approach for illustration purposes. An anterolateral approach to achieve decompression for a farlateral disc lesion in the lumbar spine or removal of paravertebral neurinoma without disrupting the facet is described. Neck resection perform a preliminary resection of the femoral neck, using a femoral neck resection template as a guide. The swedish spine study shows that fusion surgery decreases pain and disability in a selected group of patients with chronic low back pain lbp and ddd. Posterior thoracic spine pahllebwohlvaccaro variable screw placementisola asherburton pediatric isola depuy spine instrumentation bagheriakbarnia zimmer st360degree spinal fixation system abram. Predictors of the need for laminectomy after indirect.
No patient details diagnosis surgery surgeon myself 17518 1 14 f ais t3l4 spinal fusion with derotation dr. This unique reconstructive technique uses the anterior aspect of the iliac crest with its attached muscle pedicle to provide a biologic scaffold for healing. A multicenter study to evaluate the safety and efficacy of depuy acromed titanium surgical mesh and mossmiami spinal fixation system pedicle screws for intradiscal fusion in the lumbar spine. The surgical technique for the prodiscl has been previously described. This site is published by depuy synthes companies which is solely responsible for its content. Viper primetm system surgical technique depuy synthes 1. Open and minimally invasive transforaminal lumbar interbody. Use of pedicle screws, hooks, plates and rods in situations of deformity or spinal instability such as.
Post synthes depuy spine merger outlook robin young tue, may 17th, 2011. Better understanding of biomechanics, improvements in technology, and new knowledge of the disease process in the spine have led to rapid advances in spinal instrumentation. Depuy synthes is a global leader in orthopaedic trauma devices for internal and external fixation. Labeling available on this page is intended to supplement documentation provided with the depuy synthes loaner program. The simplicity and ease of use make this fixator friendly in the operating room for quick applications.
Multiexpandable cage for minimally invasive posterior. The rationale for surgical treatment in lumbar degenerative disc disease ddd is to eliminate painful segmental motion. Craniomaxillofacial cmf depuy synthes cmf offers a comprehensive portfolio of products to treat. The prospective merger of synthes spine with depuy spine is a good opportunity to take stock of the trends, both technological and business, in spine. Its technical features, surgical technique, preclinical testing results, and early clinical experience are discussed. The purpose of this report is to describe a recently introduced multiexpandable lumbar interbody fusion cage designed to be used in posterior approach fusion surgery.
For delayed open reconstruction in periarticular fractures, the biome visiont pintobar fixation system functions as an excellent means of portable. Depuy spine is a joint venture with biedermann motech gmbh. While the advice and information in this book are believed to be true and accurate at the date of publication. Electronic instructions for use depuy synthes companies. Spine is proud to introduce a novel technique for percutaneous pedicle. It not only highlights the newest devices, but also the clinical guidelines needed to choose and apply the best implant for any surgical situation. All viper screws were 6 mm in diameter, the expedium screws were 6 mm in diameter, the monarch screws were 6. This publication is not intended for distribution in the usa. Depuy synthes spine 325 paramount drive raynham, ma 02767 contact person. Further spinal infections in general appear to be on the increase, particularly over the last decade. The expedium anterior spine system is indicated for the following spinal disorders. Discovery translaminar facet screw fixation depuy spine. This site is published by the depuy synthes companies, which are solely responsible for its content.
Depuy synthes to acquire assets of jointpoint inc for hip. The construct is secured with pedicle screws into the posterior column and s1 vertebral body with a spinal rod locked in compression. Probes and bone taps are marked to indicate appropriate length. Advancements have been made to enhance fixation, provide improved fit, restore joint biomechanics and maximize range of. It not only highlights the newest devices, but also gives you the clinical guidelines you need to choose and apply the best. The expedium favored angle screw is an innovative solution for the correction of both complex deformity and degenerative pathologies. Interface with other depuy spine thoracolumbar systems contents surgical technique occipitocervicothoracic fixation 4 systemtosystem components 32 product catalog implants 36 instruments 43 cases and trays 52 consulting surgeons bradford l. We offer one of the worlds most comprehensive portfolios of orthopaedic products and services in the areas of joint reconstruction, trauma, spine, sports medicine, craniomaxillofacial, power tools and biomaterials. Expedium offset fixed bolts pedicle preparation probes fixed bolt driver insertion. Surgical technique guide there are four possible hook placement sites in the spine. Guidance on depuy orthopaedicss attune knee system. Company executives told analysts on april 14, 2015, that they saw a third consecutive quarter of. The patient can be positioned in either a lateral or supine position depending on surgeon preference. The surgical techniques of decompression and interbody fusion were.
Previous failed fusion depuy spine is a joint venture with biedermann motech, gmbh. Expedium plates surgical technique expedium offset fixed bolts with spine plates pedicle preparation pedicle preparation is performed utilizing a selection of awls, pedicle probes, ball tip feelers and bone taps. Training the scrub person on srom technique total hip. Mummaneni is a consultant for depuy spine, globus, and stryker. Includes valuable tips on insertion techniques and complication avoidance to maximize success in the operating. Back pain relief with minimally invasive tlif procedure depuy videos duration. Ortho research cincinnati orthopaedic research institute. A novel technique to repair a transverse sacral fracture. This is the viper prime system, a novel technique for percutaneous pedicle screw. The direction for the pedicle hooks is always cephalad. Surgical technique we began with a posterior approach and exposed the lumbosacral area, allowing us to identify the site where the pedicle screw had fractured the sacrum.
Medos international said jun 1 3 2014 cheminblanc 38 2400 le lodle, switzerland submitter. Spinal interlaminal fixation orthosis, pedicle screw spinal system regulatory class. Fusion has also been shown to have better results than conservative treatment 1, 18, 19. Degenerative disc disease discogenic back pain with degeneration of the disc. Please access all other surgical technique guides for devices manufacturered by synthes usa llc through the following link. This site is intended for visitors from the africa, asia, europe, latin america and pacific. Summit oct spinal system and mountaineer oct spinal. It not only highlights the newest devices, but also the clinical. We deliver total solutions across disciplines that go beyond the products themselves. Solutions comprise innovative, biologically based products for surgical conditions that are often difficult or expensive to manage. Provides a complete guide to all contemporary forms of spinal implant systems.
Associate professor of orthopedic surgery mayo clinic rochester, rochester, mn. Full details on surgical exposure are provided in the standard depuy asr. Biomet vision pintobar fixation system surgical technique. His veins run cold when he realizes whos been haunting the homestead all along duration.
Pedicle hooks are placed in the thoracic spine via the facet joint. Despite depuy s claims that the attune system would be easier to implant than earlier generation tkr devices, after being notified of premature tibial baseplate failures, depuy began alleging substandard surgical technique rather than the attune systems defects when worrying failure rates began to emerge. Depuy spine continues to support the goal of expanding the spine surgeon s options for the treatment of spinal disorders. Probes and bone taps are marked to indicate appropriate length to aid in proper bolt selection.
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