EVO - ISD
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Technical Sheet Manufacturing company Distributor company Trading name Clover Orthopedics s.r.l Clover Orthopedics s.r.l EVO - ISD Product type Materials Indications The ISD system consists of a trabecular interspinous device and two locking knurled pins. ISD is an interspinous lumbar stabilization device used to promote fusion of the spine (L1-S1) when used in combination with bone / bone substitutes. • Implantable Titanium • Ti6Al4V Implantable Titanium Alloy ISD is designed to anchor to the spinous processes (L1-S1) with the aim of stabilizing and promoting fusion of the posterior column of the UFR (functional unit of the spine), when used in combination of bone / bone substitutes, in the conditions of spondyle disc osteoarthritis of the lumbar spine, degenerative facet joint disease, spinal canal stenosis. Any surgical decisions other than those recommended by the manufacturer are at the discretion and responsibility of the surgeon. For more information, see the instructions for use of the device in question. Controindicazioni Contraindications of the ISD system include, but are not limited to: Absolute contraindications • Stabilization and fusion without bone grafting • Any medical or surgical conditions that could preclude benefits spinal surgery; • Infections in the active phase; • Previous history of allergy to any of the components of the ISD device; • Previous history of metabolic bone diseases; • Patients who are not cooperating and unable to follow the prescriptions; • Not complete development of the osteo-skeletal system; • Patient undergoing immune-suppressive therapy.

Relative contraindications • Metastases; • Severe muscular, neurological or vascular diseases; • Fever or leukocytosis; • Signs of inflammation in the implant site; • Inadequate soft tissue coverage at the surgery site. Contraindications to be evaluated at the surgeon's discretion based on the clinical and anatomical picture of the patient: • Grade > 1 spondylolisthesis and unstable spondylolisthesis; • Degenerative lumbar scoliosis with Cobb angle> 25 °; • Previous history of osteopenia, osteoporosis and osteomalacia; • Previous decompressive laminectomy, hemilaminectomy at the level...

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