CENTERPIECE plates with spinous process autografts, and resection of the C3, The Centerpiece Plate Fixation System (Medtronic Sofamor. Learn about cervical spinal fusion and a surgical technique known as anterior cervical fusion, also known as an anterior cervical discectomy and fusion (ACDF). Medtronic Sofamor Danek. CENTERPIECE T M Plate Fixation System. (k) Summary – K( May Submitter: Medtronic Sofamnor.

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Recheck the tightness of all screws after fi nishing to ensure that none have loosened during the tightening of the other screws. This will permit one to assess the stiffness of the hinge as it is prepared for each lamina.


Dental Bone Grafting Options A review of bone grafting options for patients needing more bone to place dental implants Dental Bone Grafting Options What is bone grafting? The patient should be warned to avoid falls, sudden jolts, or sudden blows centerpeice the spine.

We are dedicated to developing products, service methods and approaches that improve More information. Figure 8 Figure 7 Figure 9. Screw Insertion More information. The authors use impervious nonsterile centrpiece drapes to mark out a wide surgical field and prefer a chlorhexidine agent, if possible, for preparation. Figure 6 Figure 6a Note: Several options are available to hold open the laminoplasty, including mini-plates, sutures, and suture anchors, as described below.

Unless great care is taken in patient selection, proper placement of the implant, and postoperative management to minimize stresses on the implant, such stresses may cause metal fatigue and consequent breakage, bending, loosening, or migration of the device, which may result in further injury or the need to remove the device prematurely. The spinous processes are tilted toward the hinge, allowing for opening of the door. The spine is made up of a series of bones called vertebrae ; between each vertebra are strong connective tissues.


The hinges are fashioned to be somewhat stiff. Hinge plates to secure a displaced hinge are also available.

cennterpiece If a laminectomy is planned, this is best done beforehand to avoid iatrogenic injury to the spinal cord. Any case needing to mix metals from different components. All products should be treated with care. Awl Insertion 2 5. The medtroniv tend to place lateral mass screws in a fashion similar to that described by Anderson et al, with a slightly steeper angle as described by Cheng. Fractures of the forearm can occur near the wrist at.

The lateral borders of the canal are created by the pedicles and the posterior borders by the ligamentum flavum and vertebral laminae see image below. The selection of the proper size, shape and design of the implant for each patient is crucial to the success of the procedure.

Designed For Maximum Adaptability. The bed is placed in a slight reverse Trendelenburg position to minimize venous engorgement and intraoperative venous bleeding see image below. The anatomic borders of the lateral mass of each cervical vertebra are the medial and lateral aspects of the centerplece processes and facet joint lines above and below see image below.

Centerpiefe have all been used and reported in the literature.

Cervical Laminoplasty and Posterior Cervical Fusion Devices for Cervical Stenosis

Utilizing the Open Door Plate Plate Positioning The appropriate size laminoplasty plate for each level is selected using the bone trials Figure Care must be taken to avoid two common errors: Damage to the nerves will cause loss of neurological functions.

Unless just removed from an unopened Medtronic Sofamor Danek package, all instruments and implants must be disassembled if applicable and cleaned using neutral cleaners before sterilization and introduction into a sterile surgical fi eld or if applicable return of the product to Medtronic Sofamor Danek. Two commonly described techniques are the Magerl technique and the Roy-Camille technique, [26] with slightly longer screw placement possible with the Magerl technique.


This is important, as significant degenerative changes can distort the normal visual anatomy of the lateral masses and complicate accurate screw placement. The possibility of a foreign body reaction should also be considered.

In the event that the posterior decompression ought to extend to the C2 level, this can be accomplished while respecting the integrity of the C2 posterior arch and the majority of its muscular origins and insertions. The oval centerplece center screw hole in the graft plate allows for fine adjustments of the plate ceterpiece the allograft.

Cervical Systems – Cervical Fusion | Medtronic

Neurovascular compromise including paralysis or other types of serious injury. However, significant failure rates were noted, particularly in patients with osteoporosis; additionally, removal of the posterior elements and scenarios where flexion forces need to be counteracted showed limited utility for wiring.

A plate and screws hold the spacer in place and stabilize the area. If any Medtronic Sofamor Danek product ever malfunctions and may have caused or contributed to the death or serious injury of a patient, the distributor should be notifi ed immediately by telephone, FAX or written correspondence.