Distributor Stamp France Technopôle de l’Aube BP 2 10902 Troyes Cedex 9 France +33 (0)3 25 82 32 63 www.ldrmedical.com China Unit 08, Level 16, Building A, Beijing Global Trade Center #36 North Third Ring Road East, Dongcheng District, Beijing, China, 100013 +86 10 58256655 Brazil Rua Bela Vista, No 77, Centro Sao Bernardo do Campo SP, CEP 09715-030 Brazil +55 11 43327755 United States 4030 West Braker Lane, Suite 360 Austin, Texas 78759 512.344.3333 MODULAR CERVICAL CAGE SURGICAL TECHNIQUE LDR, LDR Spine, LDR Médical, BF+, BF+(ph), Easyspine, Laminotome, MC+, Mobi, Mobi-C, Mobi-L Mobidisc, ROI, ROI-A, ROI-MC+ and ROI-T are trademarks or registered trademarks of LDR Holding Corporation or its affiliates in France, the United States and other countries.

SURGICAL TECHNIQUE Table of Contents Surgical approach to the disc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fixation of the cage with the anchor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X-Ray control of the positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Step 13 to 14

Surgical approach to the disc Step 1 Surgical approach to the disc G The surgical approach to the selected intervertebral space is performed after identification of the level concerned by image intensifier. The surgical technique used for intervertebral space exposure is that which is normally used in anterior approach to the cervical spine. The discectomy is performed according to the standard surgical procedure. A curette or rasp is used to prepare the bed of the implant and the grafting surfaces. The whole of the intervertebral space must be freshened as widely as possible. This is the final...

SURGICAL TECHNIQUE Sizing of the implant Step Width and depth selection G The choice can be made between the following widths: 14, 15.5 or 17mm. Introduction into the intervertebral space of the various pre-sized trials allows the depth available to be determined by X-ray control. One should position various trials in front of the intervertebral space in order to determine the maximum width available for the cage. Heights available are: 4.5, 5, 6 or 7mm (4.5mm height not shown). Selection and introduction of the correct trial should give the desired disc height restoration, while ensuring good...

SURGICAL TECHNIQUE Filling the open cage or closed cage with bone graft Positioning of the open or closed cage • A mallet can be used to impact the implant. • A gentle impaction, along the axis of the cage holder, is carried out until the lip of the holder comes into contact with the adjacent

SURGICAL TECHNIQUE Fixation of the cage with the anchor Step If the primary stability of the cervical cage is deemed unsatisfactory, it is advisable to use a self-retaining anchor in order to increase the primary stability. X-Ray should be used for visual control of the implant positioning previous to the fixation of the anchor. The anchor holder is used to place the anchor in the slot provided in the cage holder. During the impaction of the anchor, the cage holder should be maintained in the sagital axis to avoid any rotation of the implant. Insertion of the anchor in the cage holder G One of...

SURGICAL TECHNIQUE X-Ray control of the positioning X-Ray control • Removal of the cage holder allows an X-ray or visual control of the MC+ implant after positioning. Graft complement (open cage) • After positioning the cage and if necessary, extra graft material can be added using the graft impactor to completely fill the fusion chamber.

France Hôtel de Bureaux 1, 4 rue Gustave Eiffel, 10430 Rosières Près Troyes Adresse postale : Technopôle de l’Aube BP 2 10902 Troyes Cedex 9, France +33 (0)3 25 82 32 63 China Beijing Global Trade Center #36 North Third Ring Road East, Unit 06, Level 19, Building A, Dongcheng District, Beijing, China, 100013 +86 10 58256655 Brazil Av. Pereira Barreto, 1395 Torre sul - CJ 193 - Bairro Paraiso Santo André - São Paulo CEP : 09190-610 Brazil +55 11 43327755 United States 13785 Research Boulevard Suite 200 Austin, TX 78750 USA 512.344.3333 LDR, LDR Spine, LDR Médical, BF+, BF+(ph), Easyspine, C-Plate,...