Cages - Interbody Spacer System

7/28/2019 Cages - Interbody Spacer System

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Table of contents :

Introduction Vertebral spacer system 2

Product features 3 - 5

Indications & Contraindications 6

Ordering information Implants 9 - 10

Cervical cages titanium 9

Cervical cages peek 9

Lumbar cages titanium 10

Lumbar cages peek 10

TLIF Banana peek 10

Instruments 11 - 15

Instruments cage cervical 11

Instruments cage lumbar 12 - 13

Instruments cage TLIF 14 - 15

Surgical Technique Step 1 : 7

Step 2 : 7

Step 3 : 8

Step 4 : 8


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Cervical interbody fusion cages

Features :

Additional Features

Peek cages feature two titanium markers.

Produced in Titanium G5 and Peek Optima.

Vast space for bone graft.

Anatomic shape to adapt to the intervertebral space optimized contact

with the subcondral bone.

Primary xation pins boost initial xation diminishing the possibility of

anteropulsion.

Optimized design allows the union of the cage with the cervical plates.

The rounded rim preserves the surrounding structures during insertion.

Contact surfaces are serrated for improved primary xation.


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Transforamidal Lumbar Interbody Fusion ( PLIF )

Features :

The roughness of the entire contact surface increases primary xation.

The implant side face is designed for easy placement.

Titanium has three markers to position the implant on imaging studies.

It has a generous area for bone graft placement.


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Trapezoidal Lumbar Interbody Fusion ( TLIF )

Features :

Peek cages feature two titanium markers.

Produced in Titanium G5 and Peek Optima.

Vast space for bone graft.

Anatomic shape to adapt to the intervertebral space optimized

contact with the subcondral bone.

Contact surfaces are serrated for improved primary xation.

The rounded rim preserves the surrounding structures during

insertion.

Additional Features


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Indications and contraindications for cervical spacers

Indications and contraindications for TLIF & PLIF spacers

For multi-segmental fusions additional stabilization with a plate is recommended.

Note: TLIF & PLIF spacers should only be applied in combination with posterior fxation.

Indication

Indication

Contraindications

Contraindications

- Ruptured and herniated discs

- DDD and instabilities

- Pseudarthrosis and failed spondylodesis

- Degenerative disc diseases

- Revision procedures for post-discectomy syndrome

- Pseudarthrosis of failed spondylodesis

- Degenerative spondylolisthesis

- Isthmic spondylolisthesis

- Osteoporosis

- Instabilities

- Spinal fractures

- Spinal tumor

- Spinal infections

- Vertebral body fractures

- Spinal tumours

- Major spinal instabilities

- Primary spinal deformities- PLIF should not be attempted at or above the level of the conus medullaris

( typically L1-L2 ); TLIF can be an option at these levels


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STEP 1 : STEP 2 :

Use the Modular disc spreader todistract. Distraction is crucial for the

restoration of the intervertebral disc for

subsequent optimal preparation of the

endplates.

Use the Modular serrated discspreader to remove the disc through

the incision leaving only the anterior

and lateral annulus intact.

Remove the supercial layers of the

cartilaginous endplates until you

reach the bleeding bone.

Surgical TechniqueVertebral Spacers


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STEP 3 :

STEP 4 :

Attach a trial implant of the preoperatively

determined size to the T-handle.

Insert the trial implant horizontally into the

disc space and rotate vertically to distract

the segment. Check the secure t of the

trial implant with the aid of the image

intensier.

If the trial implant is too loose or too

tight,try the next larger/smaller size until a

secure t is achieved. Select the implant

that matches the trial implant. Proceed to

Step 4.

Insert the cage horizontally into the

intervertebral disc space by gentle

impaction.


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Implants :

Lumbar anatomical cage titanium

04-CT-110-110 11 x 11 mm

04-CT-110-130 11 x 13 mm

04-CT-130-130 13 x 13 mm

Lumbar anatomical cage titanium

04-CT-80-80-P 8 x 8 mm

04-CT-80-95-P 8 x 9.5 mm

04-CT-95-95-P 9.5 x 9.5 mm

04-CT-95-110-P 9.5 x 11 mm

04-CT-110-110-P 11 x 11 mm

04-CT-110-130-P 11 x 13 mm

04-CT-130-130-P 13 x 13 mm

TLIF Banana peek (optima )

04-TLIF-7 7 mm

04-TLIF-9 9 mm

04-TLIF-11 11 mm

04-TLIF-13 13 mm

04-TLIF-15 15 mm

04-TLIF-17 17 mm

Implants Lumbar :


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Cervical cage probe

04-050-007-05 5 mm

04-050-007-06 6 mm

04-050-007-07 7 mm

04-050-007-08 8 mm

Cervical cage holder

04-050-004-00 rst part

04-050-010-00 second part

Creavical cage reammer

04-050-005-00

Cervical cage pusher

04-050-020-00

Implants and probe container

04-050-001-00

Instruments Cervical :


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Modular Thandle with quick release

04-070-012-02

Instruments Lumbar PLIF :

Modular disc spreader quick release

04-070-022-06

Modular disc spreader quick release

04-070-022-07 10 mm

04-070-022-08 12 mm

04-070-022-09 14 mm


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Modular striated disc spreader quick release

04-070-022-10 8 mm

04-070-022-11 10 mm

04-070-022-12 12 mm

04-070-022-13 14 mm

PLIF Probe

04-070-007-076 PROBE 8 mm

04-070-007-09 PROBE 9,5 mm

04-070-007-11 PROBE 11 mm

04-070-007-13 PROBE 13 mm

04-070-007-80 PROBE 15 mm

04-070-007-17 PROBE 17 mm


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External container

04-070-001-00

Modular disc rasp quick release

04-070-005-05 8 mm

Lumbar cage older

04-070-004-00 part 1

04-070-010-00 part 2

Implants container

04-070-002-00

Instruments Lumbar PLIF :


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TLIF cage pusher straight

04-080-020-04

TLIF cage pusher curved

04-080-020-01

TLIF cage holder (2 parts )

04-050-004-00

TLIF cage curved guide

04-080-020-02

TLIF cage reamer curved large

04-080-005-02

TLIF cage reamer curved small

04-080-005-01

TLIF cage reamer curved small

04-080-005-06

Instruments Lumbar TLIF


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TLIF Probe

04-080-007-07 7 mm

04-080-007-09 9 mm

04-080-007-11 11 mm

04-080-007-13 13 mm

04-080-007-17 15 mm

04-080-007-80 17 mm

Implants container

04-080-001-00

External container

04-080-002-00

Instruments Lumbar TLIF


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Documents

Cages - Interbody Spacer System