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ASTRA Spine System Deformity Surgical Techniques www.spinecraft.com ASTRA SPINE SYSTEM ASTRA Spine System Deformity Surgical Techniques

ASTRA Spine System Deformity Surgical Techniques www.spinecraft.com ASTRA SPINE SYSTEM ASTRA Spine System Deformity Surgical Techniques
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ASTRA Spine System Deformity Surgical Techniques www.spinecraft.com ASTRA SPINE SYSTEM ASTRA Spine System Deformity Surgical Techniques

Product catalog summary
Introduction
The ASTRA Spine System is designed for spine surgeons to achieve optimal deformity correction. It offers a comprehensive selection of implants and instruments, noted for performance, ease of use, and versatility in spine surgery procedures.
Description
The system stabilizes the lumbar and thoracic spine using titanium or cobalt chrome alloy rods, polyaxial and uniplanar screws with dual core technology, cross connectors, and color-coded components for easy identification.
Implants
Detailed catalog numbers are provided for various screws, set screws, washers, cross connectors, and hooks, designed for specific surgical needs and available in multiple sizes and configurations.
Instruments
The system includes a range of instruments to facilitate the surgical process, though specific details are not provided in the excerpt.
Surgical Techniques
Techniques for using hooks and pedicle screws are outlined, emphasizing adaptability for deformity correction.
Revision/Removal
Guidelines for revision or removal of implants ensure the system can be adjusted or removed as necessary.
Instructions for Use
Detailed instructions are provided to ensure proper application and patient safety.
Specifications
  • Rod Types: Titanium and cobalt chrome rods are available in various configurations and sizes.
  • Hook Types: Includes transverse process hooks, laminar hooks, and offset hooks for specific spinal regions and techniques.
Procedures
  • Hook Site Preparation: Details anatomical considerations and techniques for hook insertion.
  • Rod Contouring and Insertion: Describes contouring rods to fit spinal curvature and securing them.
Instruments
  • Pedicle Preparation: Lists instruments for preparing the pedicle site.
  • Implant Instruments: Includes tools for handling and positioning implants.
  • Rod Correction Maneuvers: Tools specified for adjusting and securing rods.
  • Screws and Nuts Instruments: Details drivers and torque-limiting handles for securing screws and nuts.
Recommendations
  • Rod Bending: Emphasizes pre-bending cobalt chrome rods and using specific benders for minor corrections.
  • Rod Reduction: Suggests using the Forceps Rocker method for seating rods into implants.
Rod Rotation
Rod rotation into final position is done slowly to prevent neurological changes, with methods suggested to stabilize hooks during rotation.
In-Situ Bending
Used for final adjustments in sagittal and coronal planes, with further correction through rod rotation or in-situ bending.
Compression/Distraction
Performed to position hooks, with Rod Clamps recommended as stops for distraction maneuvers.
Stabilization/Holding Rod Placement
After deformity correction, the opposite side is prepared for the stabilizing rod.
Final Tightening
Performed using specific drivers and torque-limiting handles, with transverse connectors placed for stability.
Thoracic Facetectomy/Starting Points
Facet joints are cleaned, and osteotomy is performed to enhance visualization and fusion.
Pedicle Preparation
A posterior cortical breach is created, and the Thoracic Pedicle Probe is used to locate the cancellous bone entrance.
Screw Placement
Polyaxial and Uniplanar Screws are inserted using specific screwdrivers, with features to simplify rod placement.
Rod Contouring/Placement
Rods are contoured to match spinal curvature and clamped to prevent rotation.
Rod Reduction
If not fully seated, Persuaders or Forceps Rockers are used to seat the rod.
Deformity Correction
Set screws are kept loose, and the concave rod is straightened with In-Situ Coronal Benders.
Iliac Fixation and Iliac Connector Placement
The iliac wing is exposed, and the Iliac Screw is placed with a specific trajectory.
Specifications and Components
The system includes various components such as rods, pedicle screws, and connectors, available in titanium and cobalt chromium alloys.
Procedures
  • Rod and Connector Application: Set screws must be tightened using specific tools.
  • Rod-to-Rod Connectors: Used to extend or revise constructs.
  • Final Tightening: Ensures rods are locked in place.
  • Cross Connector Placement: Stabilizes constructs.
  • Removal Procedures: Outlined for removing components.
Revision and Removal
Components like the Z Revision Rod and In-Line Connector Module are included for extending or revising constructs.
Instructions for Use
  • Indications: Intended for spinal stabilization in various conditions.
  • Packaging and Sterilization: Components must be sterilized before use.
  • Cleaning and Inspection: Instruments must be cleaned and inspected before sterilization.
Warnings and Recommendations
Surgeons must inform patients about limitations and potential complications. Implants are temporary and may require removal after bone fusion.
Specifications and Procedures
The system is intended to stabilize the spine during bone fusion, with emphasis on immobilization confirmed by X-rays.
Contraindications
Conditions that can be managed without internal fixation devices are contraindications.
Warnings and Precautions
Correct implant selection is crucial, and mixing metals is warned against due to corrosion risks.
Adverse Effects and Patient Selection
Potential adverse effects include implant breakage and metal fatigue. Patient selection is critical.
Storage and Usage
Sterilized products should be stored in a controlled environment.
Postoperative Care
Postoperative instructions are vital for successful bone healing.
Implantation Risks and Considerations
Implantation can lead to various risks, and factors such as implantation levels and patient weight should be considered.
Possible Adverse Effects
Adverse effects include implant bending, fracture, loosening, and migration.
Additional Adverse Effects in Pediatric Patients
Pediatric patients may face additional risks such as malpositioning of screws and junctional kyphosis.
Product Complaints
Healthcare professionals should report any dissatisfaction or malfunction to the distributor or SpineCraft.
Warranty and Disclaimer
The system is sold with a limited warranty against defects in workmanship and materials.
Contact Information
For further assistance, contact SpineCraft Customer Service or visit the company website.
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Catalog excerpts

ASTRA Spine System Deformity Surgical Techniques www.spinecraft.com ASTRA SPINE SYSTEM ASTRA Spine System Deformity Surgical Techniques-1

SPINE SYSTEM ASTRA Spine System Deformity Surgical Techniques

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ASTRA Spine System Deformity Surgical Techniques www.spinecraft.com ASTRA SPINE SYSTEM ASTRA Spine System Deformity Surgical Techniques-3

SPINE SYSTEM DEFORMITY SURGICAL TECHNIQUES Disclaimer This document is intended exclusively for experts in the field, i.e. physicians in particular, and is expressly not for the information of laypersons. The information on the products and/or procedures contained in this document is of a general nature and does not represent medical advice or recommendations. Since this information does not constitute any diagnostic or therapeutic statement with regard to any individual medical case, individual examination and advising of the respective patient are absolutely necessary and are not replaced by...

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ASTRA Spine System Deformity Surgical Techniques www.spinecraft.com ASTRA SPINE SYSTEM ASTRA Spine System Deformity Surgical Techniques-4

01. Introduction Dear Colleagues, The ASTRA Spine System, when used as a top-loading, top-tightening system, answers spine surgeons’ pursuit for optimal deformity correction. Deformity correction requires a comprehensive selection of implants and well-designed instruments; the ASTRA Spine System was designed to provide both. The ASTRA Spine System allows for different techniques of rod reduction, with wide selection of rod manipulation instruments, various pedicle screws, reduction screws, hooks, and cross connectors. The ASTRA Spine System is a comprehensive universal system that offers significant...

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02. Description The ASTRA Spine System is a screw/hook and rod system for stabilization of the lumbar and thoracic spine. It utilizes Ø6.00mm & Ø5.50mm titanium alloy or cobalt chrome alloy rods, polyaxial and uniplanar double lead thread screws with standard or reduction heads, cross connectors, lateral Iliac connectors, rod-to-rod connectors, screw washers, and hooks. ASTRA Spine System Key Features: • • • • • • • • • The system employs a Ø6.0mm or Ø5.5mm rod diameter made of titanium alloy or cobalt chrome alloy. All standard polyaxial screws, uniplanar screws, and hooks are very compact,...

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03. Implant Ordering Information ASTRA implant closure technology has been developed using advanced CAD techniques and has considered the latest in material and spine dynamics studies. ASTRA screws & hooks are color-coded by screw diameter/hook throat size. Uniplanar Screws ASTRA SPINE SYSTEM

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Polyaxial Screws Ti Poly Screw Ø4.50 x 25mm, Favored Angle & Friction Head Ti Poly Screw Ø4.50 x 30mm, Favored Angle & Friction Head Ti Poly Screw Ø4.50 x 35mm, Favored Angle & Friction Head Ti Poly Screw Ø4.50 x 40mm, Favored Angle & Friction Head Ti Poly Screw Ø5.00 x 25mm, Favored Angle & Friction Head Ti Poly Screw Ø5.00 x 30mm, Favored Angle & Friction Head Ti Poly Screw Ø5.00 x 35mm, Favored Angle & Friction Head Ti Poly Screw Ø5.00 x 40mm, Favored Angle & Friction Head Ti Poly Screw Ø5.50 x 30mm, Favored Angle & Friction Head Ti Poly Screw Ø5.50 x 35mm, Favored Angle & Friction Head Ti...

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Ti Poly Reduction Screw Ø4.50 x 35mm, Favored Angle & Friction Head Ti Poly Reduction Screw Ø4.50 x 40mm, Favored Angle & Friction Head Ti Poly Reduction Screw Ø5.00 x 30mm, Favored Angle & Friction Head Ti Poly Reduction Screw Ø5.00 x 35mm, Favored Angle & Friction Head Ti Poly Reduction Screw Ø5.00 x 40mm, Favored Angle & Friction Head Ti Poly Reduction Screw Ø5.00 x 45mm, Favored Angle & Friction Head Ti Poly Reduction Screw Ø5.50 x 30mm, Favored Angle & Friction Head Ti Poly Reduction Screw Ø5.50 x 35mm, Favored Angle & Friction Head Ti Poly Reduction Screw Ø5.50 x 40mm, Favored Angle & Friction...

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Ti Uniplanar Reduction Screw Ø4.50 x 25mm Ti Uniplanar Reduction Screw Ø4.50 x 30mm Ti Uniplanar Reduction Screw Ø4.50 x 35mm Ti Uniplanar Reduction Screw Ø4.50 x 40mm Reduction Screws Uniplanar Reduction Screws Ti Uniplanar Reduction Screw Ø4.50 x 45mm Ti Uniplanar Reduction Screw Ø5.00 x 25mm Ti Uniplanar Reduction Screw Ø5.00 x 30mm Ti Uniplanar Reduction Screw Ø5.00 x 35mm Ti Uniplanar Reduction Screw Ø5.00 x 40mm Ti Uniplanar Reduction Screw Ø5.00 x 45mm Ti Uniplanar Reduction Screw Ø5.50 x 30mm Ti Uniplanar Reduction Screw Ø5.50 x 35mm Ti Uniplanar Reduction Screw Ø5.50 x 40mm Ti Uniplanar...

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Cross Connectors Adjustable Cross Connectors Miscellaneous Implants Ti Adjustable Cross Connector, 25-27mm Ti Adjustable Cross Connector, 27-31mm Ti Adjustable Cross Connector, 31-39mm Ti Adjustable Cross Connector, 39-50mm Ti Adjustable Cross Connector, 50-75mm Rod Connectors Rod-to-Rod Connectors Tandem, Closed, fitting Ø5.5 and Ø6.0mm, 22mm Tandem, Closed, fitting Ø5.5 and Ø6.0mm, 33mm Side-by-Side, Open, Side-Loading, fitting Ø5.5, Ø6.0, & Ø6.35mm, 10mm Side-by-Side, Open, Side-Loading, fitting Ø5.5, Ø6.0, & Ø6.35mm, 12mm Side-by-Side, Open, Side-Loading, fitting Ø5.5, Ø6.0 & Ø6.35mm, 14mm...

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Laminar Hooks Narrow Laminar Hooks Laminar Hooks Ti Narrow Laminar Hook - 5.0 mm Ti Narrow Laminar Hook - 6.5 mm Ti Narrow Laminar Hook - 8.0 mm Ti Narrow Laminar Hook - 9.5 mm Transverse Process Hooks Transverse Process Right Hooks Transverse Process Left Hooks Ti Transverse Process Hook - 8.0 mm, Right Ti Transverse Process Hook - 8.0 mm, Left Ti Transverse Process Hook - 9.0 mm, Right Ti Transverse Process Hook - 9.0 mm, Left Ti Transverse Process Hook - 10.0 mm, Right Ti Transverse Process Hook -10.0 mm, Left Ti Transverse Process Hook - 11.0 mm, Right Ti Transverse Process Hook - 11.0 mm,...

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Titanium Rods Titanium Straight Rods Titanium Straight Rods w/ Hex End Titanium Contoured Rods Titanium Lordosed Rods Ti Contoured Rod Ø5.5mm, 55mm straight length, 300mm total length Ti Contoured Rod Ø5.5mm, 55mm straight length, 450mm total length Ti Contoured Rod Ø5.5mm, 55mm straight length, 600mm total length Ti Contoured Rod Ø5.5mm, 70mm straight length, 300mm total length Ti Contoured Rod Ø5.5mm, 70mm straight length, 450mm total length Ti Contoured Rod Ø5.5mm, 70mm straight length, 600mm total length Ti Contoured Rod Ø5.5mm, 85mm straight length, 300mm total length Ti Contoured Rod Ø5.5mm,...

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*Prices are pre-tax. They exclude delivery charges and customs duties and do not include additional charges for installation or activation options. Prices are indicative only and may vary by country, with changes to the cost of raw materials and exchange rates.