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Johnson & Johnson DePuy Synthes MATRIX Surgical Technique

Spine system - degenerative
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A Solution for Simple and Complex Spine Pathology
MATRIX Spine System –
Degenerative

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Summary of Contents for Johnson & Johnson DePuy Synthes MATRIX

  • Page 1 A Solution for Simple and Complex Spine Pathology MATRIX Spine System – Degenerative Surgical Technique...
  • Page 2 Image intensifier control This description alone does not provide sufficient background for direct use of DePuy Synthes products. Instruction by a surgeon experienced in handling these products is highly recommended. Processing, Reprocessing, Care and Maintenance For general guidelines, function control and dismantling of multi-part instruments, as well as processing guidelines for implants, please contact your local sales representative or refer to: http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance...
  • Page 3 Table of Contents Introduction MATRIX Spine System – Degenerative AO Spine Principles Indications and Contraindications Surgical Technique Surgical Technique Optional Technique • Screw Insertion with Retaining Sleeve, Locking • Unassembled Pedicle Screw Insertion • Polyaxial Head Removal • Reduction Screws •...
  • Page 4 • Designed for improved handling thanks to atraumatic tip and self tapping thread PrimeLock – Screwdriver – Screw Interlock • Toggle free screw insertion • Designed for precise and controlled screw placement • Direction of screw insertion possible DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 5 Modularity – Click-on and Preassembled Screws • Designed for better visualization of the anatomical structure • Multiple screw head removal and replacement without removing the bone screw from the pedicle • Customized inventory possible Snap-on Swiveling Transverse Connector • Designed to provide fast in-situ placement • Anatomical adjustment possible MATRIX Spine System –...
  • Page 6 • To ease intraoperative planning, the polyaxial heads 15 mm can be removed and replaced without removing the pedicle screw from the pedicle • The reduction head allows for 15 mm rod reduction DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 7 Rods • Available in three material strengths: Hard pure tita- nium, extra-hard titanium alloy (TAN), and extra-hard cobalt-chromium alloy, diameter 5.5 mm • A choice of straight and curved rods to facilitate intra- operative construct assembly and technique maneuvers Locking Cap • Square thread design reduces cross threading under high reduction loads • T25 Stardrive recess designed to reduce the risk of...
  • Page 8 Copyright © 2012 by AOSpine Aebi M, Arlet V, Webb JK, (2007): AOSPINE Manual (2 vols), Stuttgart, New York: Thieme. Aebi M, Thalgott JS, Webb JK (1998): AO ASIF Principles in Spine Surgery. Berlin: Springer. DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 9 Indications and Contraindications Intended use The MATRIX Spine System is a posterior pedicle screw and hook fixation system (T1–S2) intended to provide precise and segmental stabilization of the spine for use in skeletally mature patients. Indications • Degenerative disc disease • Spondylolisthesis • Trauma (i.e.
  • Page 10 All MATRIX pedicle screws are self-tapping; however, if tapping is preferred, use the appropriate tap and tap handle. DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 11 Optional instruments 03.632.057 Pedicle Marker for Matrix 03.632.058 Inserter for Pedicle Marker, for Matrix 388.657 Pedicle Probe B 3.8 mm, curved, with Silicone Handle, length 290 mm, for Pedicle Screws B 5.0 to 7.0 mm 388.536 Pedicle Probe for Screws B 4.2 mm, length 240 mm 388.545 Feeler for Screw Channel, straight,...
  • Page 12 Matrix 5.5 03.632.002 Screwdriver Shaft Stardrive, T25, standard, for Matrix 5.5 03.632.004 Screwdriver Stardrive, with T-Handle, standard, for Matrix 5.5 03.632.005 Screwdriver Stardrive, T25, with straight handle, standard, for Matrix 5.5 DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 13 3. Pick up screw Instruments 03.632.036 Retaining Sleeve, long, for Matrix 5.5 03.632.072 Screwdriver Shaft Stardrive, T25, long, for Matrix 03.620.061 T-Handle with Ratchet Wrench and with Torque Limiter, 10 Nm Choose the appropriate screw diameter and length based on pedicle probe feedback. Insert the screwdriver tip into the recess of the pedicle screw and rotate the green knob of the retaining sleeve clockwise until the tip of the sleeve is firmly attached to...
  • Page 14 • When countersinking, care should be taken in reaming the most superior (and inferior) level to protect the facet joints. • If pedicle screws with separate polyaxial heads are used, follow the optional technique described on page 31. DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 15 Optional Instruments 03.616.043 Retaining Sleeve, locking, long 03.632.074 Screwdriver Stardrive, T25, long, with T-Handle, for Matrix 03.632.075 Screwdriver Stardrive, T25, long, with straight handle, for Matrix 03.616.042 Retaining Sleeve, locking 03.632.001 Retaining Sleeve, standard, for Matrix 5.5 03.632.002 Screwdriver Shaft Stardrive, T25, standard, for Matrix 5.5 03.632.004 Screwdriver Stardrive, with T-Handle,...
  • Page 16 Synapse, Axon and CerviFix 3.5 mm and 4.0 mm system, respectively. When 5.5 mm/6.0 mm connecting rods are used, the Synthes 6.0 mm rod systems can be linked to the MATRIX System. DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 17 Optional instruments 03.632.017 Rod Bender with Silicone Handle 388.750 USS Rod Cutting and Bending Device 388.720 Bolt Cutter Precautions: • The USS rod cutting and bending device must be used to cut cobalt chromium rods. • Do not reverse bend rods. Reverse bending may produce internal stresses, which may become the focal point for eventual breakage of the implant.
  • Page 18 Holding Forceps for Rods B 5.5 and B 6.0 mm Note: When using a connecting rod, it is important not to position the transition taper within the head of a screw or hook. DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 19 7. Reduce rod Option A: Reduce rod with a rod pusher Instruments 03.632.006 Rod Pusher/Counter Torque, standard, for Matrix 5.5 03.632.080 Handle, detachable, for Matrix Connect detachable handle to the octagonal end of the rod pusher/counter torque. Advance rod into the screw head using the rod pusher/ countertorque.
  • Page 20 Use the footed MATRIX rocker fork to aid in reducing the rod into adjacent screw heads. Precaution: If significant reduction forces are encountered, consider • screw height adjustments • rod placement to reduce muscle entrapment. DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 21 Option C: Reduce rod with a rod persuader Instrument 03.632.009 Rod Persuader, standard, for Matrix 5.5 Ensure that the ratchet handle is fully open. Place the rod persuader over the rod and onto the screw head. Press down firmly until the tips engage the head of the screw.
  • Page 22 To remove the instrument from the screw head, turn the palm handle counter-clockwise until the line on the side of the instrument is visible at the 30 line. Reduction travel: 30 mm DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 23 Parallel reduction can be achieved by the simultaneous use of two reduction instruments on the same vertebral body. Note: The reduction instrument for spondylolisthe- sis can be used as counter torque for final tightening of the locking cap. Optional instrument 03.632.409 Reduction Instrument for Spondylolis- thesis, long, for Matrix 5.5...
  • Page 24 Apply a light torque to provisionally tighten the locking cap and maintain the desired rod position. Place the re- maining caps and provisionally tighten. DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 25 Precaution: Confirm that the rod is fully aligned to the polyaxial head. Improper alignment of the rod with respect to the MATRIX implant heads could lead to construct loosening. (1) Examples of misalignment: • The rod is sitting high in the polyaxial head. (2) • The rod is not perpendicular to the polyaxial head. (3) • A severe bend is positioned within the polyaxial...
  • Page 26 Once in the desired position, tighten the locking caps with the screwdriver. The holding forceps can be used as a temporary point of distraction when adjacent pedicle screws are too distant from each other. DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 27 Note: Always fully seat the counter torque on the rod. The instrument must be perpendicular to the rod during tightening. Optional instruments 03.632.202 Holding Forceps for Rods B 5.5 and B 6.0 mm   03.632.072 Screwdriver Shaft Stardrive, T25, long, Correct Incorrect for Matrix 03.632.074...
  • Page 28 Note: Always fully seat the counter torque on the rod. The instrument must be perpendicular to the rod during tightening. Optional instrument 03.632.202 Holding Forceps for Rods B 5.5 and B 6.0 mm DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 29 11. Perform final tightening Instruments 03.620.061 T-Handle with Ratchet Wrench and with Torque Limiter, 10 Nm 03.632.400 Screwdriver Shaft Stardrive, T25, standard, straight tip, with Hexagonal Coupling, for Matrix 03.632.049 Counter Torque, standard, for Matrix 5.5 03.632.080 Handle, detachable, for Matrix Precaution: Ensure all locking caps are fully re- duced and provisionally tightened (see “Insert...
  • Page 30 Rod Pusher/Counter Torque, long, for Matrix 5.5 03.632.078 Reduction Instrument for Spondylolis- thesis, long, for Matrix 5.5 03.632.079 Rod Introduction Pliers, long, for Matrix 5.5 03.632.099 Rod Persuader, standard, for Matrix 5.5 DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 31 Optional Technique Screw Insertion with Retaining Sleeve, Locking Insert screw with retaining sleeve, locking Instruments 03.632.074 Screwdriver Stardrive, T25, long, with T-Handle, for Matrix 03.616.043 Retaining Sleeve, locking, long To assemble the screwdriver and the retaining sleeve, depress the loading collar on the proximal end of the retaining sleeve (1).
  • Page 32 Reduction Screw, for Matrix 5.5 03.632.004 Screwdriver Stardrive, with T-Handle, standard, for Matrix 5.5 03.632.002 Screwdriver Shaft Stardrive, T25, standard, for Matrix 5.5 03.632.005 Screwdriver Stardrive, T25, with straight handle, standard, for Matrix 5.5 DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 33 Optional Technique Unassembled Pedicle Screw Insertion 1. Insert unassembled pedicle screw Instruments 03.632.074 Screwdriver Stardrive, T25, long, with T-Handle, for Matrix 03.632.046 Reamer for Pedicle Screws, for Matrix Prepare the pedicle and insert the unassembled pedicle screws as recommended in steps 1 to 4 of the surgical technique (pages 8–13).
  • Page 34 • Polyaxial screw heads can be removed a maxi- mum of three times without removing the pedicle screw; a new head must be used for each assembly. DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 35 Optional Technique Polyaxial Head Removal Instruments 03.632.045 Removal Instrument for Polyaxial Screw Heads, for Matrix 5.5 388.654 Ratchet with Handle, with Hexagonal Quick Coupling 6.0 mm If required, the polyaxial head can be removed from the pedicle screw intraoperatively. Remove any existing locking cap and the rod. Connect the inner shaft of the removal tool for polyaxial screw heads to the ratchet and insert into the handle of the removal tool.
  • Page 36 Matrix 5.5 03.632.005 Screwdriver Stardrive, T25, with straight handle, standard, for Matrix 5.5 03.632.025 Counter Torque for Reduction Screws, for Matrix 5.5 03.632.074 Screwdriver Stardrive, T25, long, with T-Handle, for Matrix DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 37 To break off the reduction screw tabs, place the rod pusher/counter torque for reduction screws (03.632.026) with the handle over the screw head. Gently rock the tab removal tool medial then lateral to break the tab wall free from the polyaxial head. Alternative technique for locking cap insertion Instrument 03.632.029...
  • Page 38 Always use the retaining sleeve when tighten- ing the setscrew. Warning: The MATRIX transverse connector contains Nitinol components. Implants that contain nitinol should not be used in patients with nickel sensitivities or allergies. DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 39 Optional Technique Adding Rod-to-Rod Connectors Instruments 03.632.204 Torque-limiting Handle, 3 Nm 03.632.055 Screwdriver Shaft Stardrive, T15, standard 03.632.050 Retaining Sleeve for Transverse Connectors, Snap-on, for Matrix Choose the snap-on open parallel connector according the rod diameters to be received. The diameters accepted are etched on both sides of the connector to ensure the correct rod size is attached to each opening.
  • Page 40 6.0 mm rods and not compatible with those rods of similar diameter from other manufacturers. • Refer to the torque-limiting handle package and labeling for the recommended calibration mainte- nance. Optional instrument 03.632.052 Screwdriver Stardrive, T15, short, for Matrix DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 41 Optional Technique Distraction for Posterior Interbody Fusion Instruments 03.632.074 Screwdriver Stardrive, T25, long, with T-Handle, for Matrix 03.632.085 Retaining Sleeve, detachable, for Matrix 5.5 03.632.083 Distractor Tip, for Bone Screws, for Matrix 5.5 03.632.087 Toothed Rack Retractor, for Matrix Slide detachable retaining sleeve over long T25 screw driver.
  • Page 42 Note: Do not allow the assembled tips to cross over otherwise the distractor will not work correctly. If necessary, use a different type of tip (see page 41). DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 43 Alternative instruments 03.632.083 Distractor Tip, for Bone Screws, for Matrix 5.5 03.632.084 Distractor Tip, for Screw Heads, for Matrix 5.5 03.632.089 Distractor Tip, with Hook End, for Matrix Alternative distractor tips and techniques Three different distractor tips are available, which can be used in a variety of combinations.
  • Page 44 Therefore, in certain cases, the loosening torque may be higher than 10 Nm. In such cases, use the following tech- niques to remove a locking cap. DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 45 Sequentially turn clockwise and then immediately counter- clockwise. Turn until tactile or audible feedback from the implant is experienced. Repeat the steps until the locking cap is loose. Notes: • For this technique, always use the torque limiting handle (03.620.061) to reduce risk of damage to the T25 screwdriver shaft.
  • Page 46 Turn until tactile or audible feedback from the implant is experienced. Repeat the steps until the locking cap is loose. DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 47 Notes: • For this technique, always use the torque limiting handle (03.620.061) to reduce risk of damage to the T25 screwdriver shaft. • Retighten the locking cap on which the counter torque was applied to 10 Nm. • To loosen the last locking cap, replace the counter torque, consisting of rod pusher/counter torque and handle, with a rod persuader.
  • Page 48 Matrix 03.632.400 Screwdriver Shaft Stardrive, T25, standard, straight tip, with Hexagonal Coupling, for Matrix 03.632.002 Screwdriver Shaft Stardrive, T25, standard, for Matrix 5.5 03.632.009 Rod Persuader, standard, for Matrix 5.5 DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 49 How to Disassemble Instruments for Cleaning Screwdriver with retaining sleeve Screwdriver with detachable retaining sleeve MATRIX Spine System – Degenerative Surgical Technique DePuy Synthes...
  • Page 50 How to Disassemble Instruments for Cleaning Counter torque Positioning instrument for polyaxial screw heads DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 51 Head removal tool Torque limiting handle MATRIX Spine System – Degenerative Surgical Technique DePuy Synthes...
  • Page 52 How to Disassemble Instruments for Cleaning Reduction instrument for spondylolisthesis MATRIX Rod persuader MATRIX DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 53 Implants* Pedicle Screw Matrix 5.5 Polyaxial B 4.0 mm, preassembled, Titanium Alloy (TAN) length (mm) 04.632.420 04.632.425 04.632.430 04.632.435 04.632.440 04.632.445 Pedicle Screw Matrix 5.5 Polyaxial B 5.0 mm, preassembled, Titanium Alloy (TAN) length (mm) 04.632.520 04.632.525 04.632.530 04.632.535 04.632.540 04.632.545 04.632.550 04.632.555 Pedicle Screw Matrix 5.5 Polyaxial B 5.5 mm, preassembled, Titanium Alloy (TAN)
  • Page 54 04.632.650 04.632.655 04.632.660 04.632.665 Pedicle Screw Matrix 5.5 Polyaxial B 7.0 mm, preassembled, Titanium Alloy (TAN) length (mm) 04.632.725 04.632.730 04.632.735 04.632.740 04.632.745 04.632.750 04.632.755 04.632.760 04.632.765 04.632.770 04.632.775 04.632.780 04.632.790 04.632.799 DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 55 Pedicle Screw Matrix 5.5 Polyaxial B 8.0 mm, preassembled, Titanium Alloy (TAN) length (mm) 04.632.825 04.632.830 04.632.835 04.632.840 04.632.845 04.632.850 04.632.855 04.632.860 04.632.865 04.632.870 04.632.875 04.632.880 04.632.890 04.632.899 Pedicle Screw Matrix 5.5 Polyaxial B 9.0 mm, preassembled, Titanium Alloy (TAN) length (mm) 04.632.930 04.632.935 04.632.940...
  • Page 56 (mm) 04.634.520 04.634.525 04.634.530 04.634.535 04.634.540 04.634.545 04.634.550 04.634.555 Reduction Screw Matrix 5.5, B 5.5 mm, preassembled, Titanium Alloy (TAN) length (mm) 04.634.120 04.634.125 04.634.130 04.634.135 04.634.140 04.634.145 04.634.150 04.634.155 04.634.160 DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 57 Reduction Screw Matrix 5.5, B 6.0 mm, preassembled, Titanium Alloy (TAN) length (mm) 04.634.620 04.634.625 04.634.630 04.634.635 04.634.640 04.634.645 04.634.650 04.634.655 04.634.660 04.634.665 Reduction Screw Matrix 5.5, B 7.0 mm, preassembled, Titanium Alloy (TAN) length (mm) 04.634.725 04.634.730 04.634.735 04.634.740 04.634.745 04.634.750 04.634.755 04.634.760 04.634.765...
  • Page 58 Implants Reduction Screw Matrix 5.5, B 8.0 mm, preassembled, Titanium Alloy (TAN) length (mm) 04.634.825 04.634.830 04.634.835 04.634.840 DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 59 Pedicle Screw Matrix 5.5 B 4.0 mm, Titanium Alloy (TAN) length (mm) 04.639.420 04.639.425 04.639.430 04.639.435 04.639.440 04.639.445 Pedicle Screw Matrix 5.5 B 5.0 mm, Titanium Alloy (TAN) length (mm) 04.639.520 04.639.525 04.639.530 04.639.535 04.639.540 04.639.545 04.639.550 04.639.555 Pedicle Screw Matrix 5.5 B 5.5 mm, Titanium Alloy (TAN) length (mm) 04.639.120...
  • Page 60 04.639.640 04.639.645 04.639.650 04.639.655 04.639.660 04.639.665 Pedicle Screw Matrix 5.5 B 7.0 mm, Titanium Alloy (TAN) length (mm) 04.639.725 04.639.730 04.639.735 04.639.740 04.639.745 04.639.750 04.639.755 04.639.760 04.639.765 04.639.770 04.639.775 04.639.780 04.639.790 04.639.799 DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 61 Pedicle Screw Matrix 5.5 B 8.0 mm, Titanium Alloy (TAN) length (mm) 04.639.825 04.639.830 04.639.835 04.639.840 04.639.845 04.639.850 04.639.855 04.639.860 04.639.865 04.639.870 04.639.875 04.639.880 04.639.890 04.639.899 MATRIX Spine System – Degenerative Surgical Technique DePuy Synthes...
  • Page 62 • Pedicle Screw Matrix 5.5, perforated • Intermediate lengths available upon request Screw heads 04.632.001 Screw Head, polyaxial, for Matrix 5.5, Titanium Alloy (TAN) 04.634.002 Reduction Head, polyaxial, for Matrix 5.5, Titanium Alloy (TAN) DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 63 Curved rods Rods B 5.5 mm, soft, curved, Pure Titanium length (mm) 04.636.030 04.636.035 04.636.040 04.636.045 04.636.050 04.636.055 04.636.060 04.636.065 04.636.070 04.636.075 04.636.080 04.636.085 04.636.125 Rods B 5.5 mm, prebent, Cobalt-Chrome Alloy (CoCrMo) length (mm) 09.636.030 09.636.035 09.636.040 09.636.045 09.636.050 09.636.055 09.636.060 09.636.065 09.636.070 09.636.075...
  • Page 64 Rods B 5.5 mm, hard, straight, Pure Titanium (TiCP) length (mm) 04.634.230 04.634.235 04.634.240 04.634.245 04.634.250 04.634.255 04.634.260 04.634.265 04.634.270 04.634.275 04.634.280 04.634.285 04.634.290 04.634.295 04.633.290 04.634.325 04.633.291 04.633.292 04.633.293 04.633.294 04.633.500 04.633.700** ** Available nonsterile packed only DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 65 Straight rods Rods B 5.5 mm, extra-hard, straight, Titanium Alloy (TAN) length (mm) 04.616.130 04.616.135 04.616.140 04.616.145 04.616.150 04.616.155 04.616.160 04.616.165 04.616.170 04.616.175 04.616.180 04.616.185 04.616.190 04.616.195 04.633.279 04.616.225 04.633.281 04.616.275 04.633.282 04.633.283 04.633.284 04.633.285 04.616.700** ** Available nonsterile packed only MATRIX Spine System –...
  • Page 66 Cobalt-Chrome Alloy (CoCrMo) length (mm) 09.631.030 09.631.035 09.631.040 09.631.045 09.631.050 09.631.055 09.631.060 09.631.065 09.631.070 09.631.075 09.631.080 09.631.085 09.631.090 09.631.095 09.633.100 09.631.125 09.633.150 09.631.175 09.633.190 09.633.191 09.633.192 09.633.193 09.631.700** ** Available nonsterile packed only DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 67 Connecting rods Connecting Rod, length 500 mm, Pure Titanium (TiCP) diameter (mm/mm) 04.633.187 5.5/6.0 Connecting Rods, length 500 mm, Titanium Alloy (TAN) diameter (mm/mm) 04.633.190 5.5/3.5 04.633.191 5.5/4.0 04.633.188 5.5/6.0 Connecting Rod, length 500 mm, Cobalt-chrome alloy (CoCrMo) diameter (mm/mm) 09.633.187 5.5/6.0 Also available:...
  • Page 68 04.633.400 5.5 to 5.5 mm 04.633.401 5.5 to 6.0 mm 04.633.402 6.0 to 6.0 mm 04.633.403 5.5 to 5.5 mm 04.633.404 5.5 to 6.0 mm 04.633.405 6.0 to 6.0 mm DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 69 Instruments For pedicle preparation 03.632.057 Pedicle Marker for Matrix 03.632.058 Inserter for Pedicle Marker, for Matrix Awls and probes with palm handle 388.551 Pedicle Awl B 3.0 mm, length 230 mm, for Screws B 4.0 and 4.2 mm 388.656 Pedicle Awl B 4.0 mm with Silicone Handle, length 255 mm, for Pedicle Screws B 5.0 to 7.0 mm 388.536...
  • Page 70 Tap for Pedicle Screws, length 180 mm 03.632.103 B 3.5 mm 03.632.104 B 4.0 mm 03.632.105 B 5.0 mm 03.632.155 B 5.5 mm 03.632.106 B 6.0 mm 03.632.107 B 7.0 mm 03.632.108 B 8.0 mm 03.632.109 B 9.0 mm DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 71 For screw insertion Retaining Sleeves 03.632.001 Retaining Sleeve, standard, for Matrix 5.5 03.632.036 Retaining Sleeve, long, for Matrix 5.5 03.616.042 Retaining Sleeve, locking 03.616.043 Retaining Sleeve, locking, long Screwdriver Shafts Stardrive T25 03.632.002 Screwdriver Shaft Stardrive, T25, standard, for Matrix 5.5 03.632.072 Screwdriver Shaft Stardrive, T25, long, for Matrix...
  • Page 72 Torque-limiting Handle, 10 Nm, for Pangea 03.636.008 T-Handle with Hexagonal Coupling 6.0 mm 03.632.090 T-Handle with Ratchet Wrench, with Hexagonal Coupling 6.0 mm 03.632.091 Handle with Ratchet Wrench, straight, with Hexagonal Coupling 6.0 mm DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 73 For assembly and removal of polyaxial screw heads 03.632.007 Alignment Tool for polyaxial Screw Head, for Matrix 5.5 03.632.037 Positioning Instrument for Polyaxial Screw Heads, for Matrix 5.5 03.632.045 Removal Instrument for Polyaxial Screw Heads, for Matrix 5.5 03.632.046 Reamer for Pedicle Screws, for Matrix 68.632.125 Loading Station for Matrix 5.5...
  • Page 74 Instruments For rod cutting and bending 388.906 Trial Rod B 5.0 mm, length 150 mm 03.632.017 Rod Bender with Silicone Handle 388.750 USS Rod Cutting and Bending Device 388.720 Bolt Cutter DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 75 For rod insertion 03.632.081 Rod Holding Forceps for Rods B 5.5 mm 03.632.202 Holding Forceps for Rods B 5.5 and B 6.0 mm 03.632.169 Rod Pusher for Rods B 5.5/6.0 mm, for Matrix MATRIX Spine System – Degenerative Surgical Technique DePuy Synthes...
  • Page 76 Distraction Fork 388.410 Spreader Forceps for Pedicle Screws, length 330 mm 03.620.018 Distraction Forceps, for Lumbar Spine 388.422 Compression Forceps, length 335 mm, for Pedicle Screws 03.620.017 Compression Forceps, for Lumbar Spine DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 77 Instruments for toothed rack retractor 03.632.083 Distractor Tip, for Bone Screws, for Matrix 5.5 03.632.084 Distractor Tip, for Screw Heads, for Matrix 5.5 03.632.089 Distractor Tip, with Hook End, for Matrix 03.632.085 Retaining Sleeve, detachable, for Matrix 5.5 03.632.087 Toothed Rack Retractor, for Matrix MATRIX Spine System –...
  • Page 78 Rod Pusher/Counter Torque, standard, for Matrix 5.5 03.632.076 Rod Pusher/Counter Torque, long, for Matrix 5.5 03.632.049 Counter Torque, standard, for Matrix 5.5 03.632.099 Counter Torque, long, for Matrix 5.5 03.632.080 Handle, detachable, for Matrix DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 79 For transverse and parallel connectors 03.632.050 Retaining Sleeve for Transverse Connectors, Snap-on, for Matrix 03.632.052 Screwdriver Stardrive, T15, short, for Matrix 03.632.055 Screwdriver Shaft Stardrive, T15, standard 03.632.053 Length Indicator for Transverse Connectors, Snap-on, for Matrix 03.632.204 Torque-limiting Handle, 3 Nm MATRIX Spine System –...
  • Page 80 Reduction Instrument for Spondylolis- thesis, standard, for Matrix 5.5 03.632.409 Reduction Instrument for Spondylolisthesis, long, for Matrix 5.5 388.654 Ratchet with Handle, with Hexagonal Quick Coupling 6.0 mm 03.620.091 Socket, hexagonal 6.0 mm DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 81 Rod persuader/Rod introduction pliers 03.632.009 Rod Persuader, standard, for Matrix 5.5 03.632.079 Rod Introduction Pliers, long, for Matrix 5.5 Rocker forks 03.632.010 Rocker Fork, small, for Matrix 5.5 03.632.012 Rocker Fork, medium, for Matrix 5.5 03.632.011 Rocker Fork, footed, for Matrix 5.5 MATRIX Spine System –...
  • Page 82 Counter Torque for Reduction Screws, for Matrix 5.5 03.632.029 Holding Crown for Reduction Screws, for Matrix 5.5 03.632.026 Rod Pusher/Counter Torque for Reduction Screws, for Matrix 5.5 03.632.030 Tab Remover for Reduction Screws, for Matrix DePuy Synthes MATRIX Spine System – Degenerative Surgical Technique...
  • Page 83 Biomaterial Implants To facilitate fusion, bone graft is often applied in the lateral gutters. A suitable bone graft substitute (e.g. chronOS, DBX) may be used by itself or in combination with autograft. The construct shown is complemented with chronOS Strip precast, which optimally integrates with patient anatomy and implanted hardware.
  • Page 84 Synthes GmbH Eimattstrasse 3 Not all products are available in all markets. 4436 Oberdorf Switzerland This publication is not intended for distribution in the USA. Tel: +41 61 965 61 11 Fax: +41 61 965 66 00 All surgical techniques are available as PDF files at 0123 www.depuysynthes.com www.depuysynthes.com/ifu...

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