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Instruments and implants approved by the AO Foundation

MATRIX Spine System—Deformity.A posterior pedicle screw, hook, and rod fixation system.

Technique Guide

Introduction

Surgical Technique

Product Information

Table of Contents

MATRIX Spine System—Deformity 2

AO Principles 8

Indications and Contraindications 9

Pedicle Screw Insertion 10

Hook Insertion 15

Rod Insertion 17

Locking Cap Insertion 23

Deformity Correction 24

Distraction and Compression 26

Final Tightening 28

Locking Cap Loosening 29

Optional Techniques 32

How to Disassemble Instruments for Cleaning 39

Implants 41

Instruments 46

Set Lists 56

Image intensifier control

Synthes

2 Synthes MATRIX Spine System—Deformity Technique Guide

MATRIX Spine System—Deformity. A posterior pedicle screw, hook and rod fixation system.

The MATRIX Spine System—Deformity is a comprehensivethoracolumbar pedicle screw system designed to provideflexibility, biomechanical performance and a solution to complex posterior pathological challenges.

The system is composed of pedicle screws, preassembledpolyaxial pedicle screws, monoaxial screws, hooks, lockingcaps, transconnectors, rods, and polyaxial head implants.

Hook

Reduction ScrewTab Removal Tool

Synthes 3

Snap-on Transconnector

T25 StarDrive Shaft

5.5 mm CoCrHex-End Rod

Polyaxial Head

Monoaxial Screw Polyaxial Screw


Polyaxial Pedicle Screw*– Dual-core, double-lead thread (8 mm–9 mm, single lead) is

designed to securely anchor the screw implants in both thecortical and cancellous bony anatomy.

– Threaded T25 StarDrive recess is designed to deliver torqueefficiently and effectively, even under high load applications.The inner thread provides a low-profile connection for instrumentation, delivering visibility and implant rigidity.

– Allows up to 50° of angulation to ease in situ connection to the longitudinal rod.

– The low-profile polyaxial head minimizes the implant heightabove the bony anatomy.

– The polyaxial head strength has been designed to withstandderotation, reduction, and free-hand tightening maneuvers.

– The rod reduction features are located at the top of themonoaxial head, allowing instruments to be easily attachedand removed from the implant.


Monoaxial Pedicle Screw*– Dual-core, double-lead thread design (8 mm–9 mm, single

lead) is optimized to securely anchor the screw implants inboth the cortical and cancellous bony anatomy.

– The inner thread provides a low-profile connection for instrumentation, delivering visibility and implant rigidity.

– The low-profile head minimizes the implant height above the bony anatomy.

– The rod reduction features are raised to the top of thepolyaxial head, allowing instruments to be easily attachedand removed from the implant.

±25˚ ±25˚

* Data on file at Synthes.

Synthes 5

Locking Cap*– Square thread design minimizes cross threading under

high reduction loads and off-axis techniques.

– The saddle on the underside of the locking cap has agroove and ridge geometry to maximize resistance to rod push-through. The concave shape saddles the rod, preventing it from skiving during rod reduction.

– The saddle’s design also pilots the locking cap to thepolyaxial head and rod, minimizing cross threading.

– Self-retaining T25 StarDrive recess designed to resist damage at high loads.

Hooks*– Wide array of hooks for various patient anatomy.

– The low-profile head minimizes the implant height above the bony anatomy.

– The rod reduction features are located at the top of thehook, allowing instruments to be easily attached and removed from the implant.

* Data on file at Synthes.


Rods– 5.5 mm diameter.– Offered in three different materials: titanium, titanium

alloy (Ti-6Al-7Nb), and cobalt chromium. – Available in straight, precontoured, and hex-end types to

ease intraoperative construct assembly and technique maneuvers.

– Available in a variety of lengths from 200 mm to 500 mm.

Transconnector– The snap-on transconnector is a preassembled implant;

no in situ assembly required, only final positioning andtightening.

– Telescoping body is arched to accommodate grafts andanatomical structures; allows the transconnector to spanover a range of lengths (Figure 1).

– The locking screws use a T15 StarDrive which minimizesdrive stripping while final tightening.

– The jaws of the transconnector swivel and are spring-loaded(Figure 2). The swivel joints allow the jaws to quickly findthe correct orientation to each rod (Figures 3 and 4). Thespring-loaded jaw feature automatically applies a tensioningload to the implant, allowing it to remain stationary untilfinal tightening.

Tapered Rods– 6.0 mm diameter tapered to 5.5 mm diameter.– 5.5 mm diameter tapered to 4.0 mm diameter

(titanium alloy only).– 5.5 mm diameter tapered to 3.5 mm diameter

(titanium alloy only) (shown).– Offered in titanium alloy (Ti-6Al-7Nb) , titanium

or cobalt chromium. – Available in 500 mm length.

Figure 2

Figure 1

Figure 3 Figure 4


Synthes 7

Polyaxial Heads– To ease intraoperative planning, the polyaxial heads can

be removed and replaced without removing the bonescrew from the pedicle (Figures 1a and b).

– The polyaxial head of the implant is designed for 50° of angulation.

– Standard and reduction heads incorporate features to easily mate with rod reduction instrumentation.

Open Titanium Transverse Bars– Provide a lateral extension from the longitudinal rod

to the monoaxial screw.

– Available in lengths of 15 mm, 20 mm, 25 mm, and 30 mm.

– Eliminate the need for severe rod contours which mightotherwise be required for direct hook or screw-to-rod connection.

Figure 1a Figure 1b

AO Principles

In 1958, the AO formulated four basic principles, which havebecome the guidelines for internal fixation.1 They are:

– Anatomic reduction – Stable internal fixation – Preservation of blood supply – Early, active mobilization

The fundamental aims of fracture treatment in the limbs andfusion of the spine are the same. A specific goal in the spineis returning as much function as possible to the injured neural elements.2, 3


1. M.E. Müller, M. Allgöwer, R. Schneider, and H. Willenegger: Manual ofInternal Fixation, 3rd Edition. Berlin; Springer- Verlag. 1991.

2. Ibid. 3. M. Aebi, J.S. Thalgott, and J.K. Webb. AO ASIF Principles in Spine Surgery.

Berlin; Springer -Verlag. 1998.

Synthes 9

Indications and Contraindications

IndicationsThe Synthes USS are noncervical spinal fixation devices intended for posterior pedicle screw fixation (T1–S2/ ilium),posterior hook fixation (T1–L5), or anterolateral fixation(T8–L5). Pedicle screw fixation is limited to skeletally maturepatients with the exception of the Small Stature USS, whichincludes small stature and pediatric patients. These devicesare indicated as an adjunct to fusion for all of the followingindications: degenerative disc disease (defined as discogenicback pain with degeneration of the disc confirmed by historyand radiographic studies), spondylolisthesis, trauma (i.e.,fracture or dislocation), deformities or curvatures (i.e., scoliosis,kyphosis, and/or lordosis, Scheuermann’s Disease), tumor,stenosis, and failed previous fusion (pseudoarthrosis).

When treating patients with degenerative disc disease (DDD), transverse bars are not cleared for use as part of theposterior pedicle screw construct.

When used with the 3.5 mm/6.0 mm parallel connectors,the Synthes USS 6.0 mm rod systems can be linked to theCerviFix 3.5 mm Systems. In addition, when used with 3.5 mm/5.0 mm parallel connectors, the Synthes SmallStature USS can be linked to the CerviFix 3.5 mm Systems.When used with the 5.0 mm/6.0 mm parallel connectors,the Synthes Small Stature USS can be linked to the SynthesUSS 6.0 mm rod systems.

When used with the 3.5 mm/6.0 mm and 4.0 mm/6.0 mmtapered rods, the Synthes USS 6.0 mm rod systems can belinked to the CerviFix 3.5 mm and 4.0 mm Systems, respectively. When used with the 3.5 mm/5.5 mm and 4.0 mm/5.5 mm tapered rods, MATRIX can be linked to theCerviFix 3.5 mm and 4.0 mm Systems, respectively. Whenused with the 5.5 mm/6.0 mm tapered rods, the SynthesUSS 6.0 mm rod systems can be linked to the MATRIX System.

In addition, Synthes USS 6.0 mm rod systems can be inter-changed with all USS 6.0 mm rods and transconnectors exceptSynthes 6.0 mm cobalt-chromium-molybdenum alloy and titanium grade 3 rods, which can only be used with Pangea.

Synthes USS– 6.0 mm rod systems: USS Side-Opening, USS Dual-Opening,

USS VAS variable axis components, USS Fracture, Click’X,Click’X Monoaxial, Pangea, Pangea Monoaxial, USSPolyaxial, USS Iliosacral, ClampFix

– 5.5 mm rod system: MATRIX

– 5.0 mm rod system: USS Small Stature

CerviFix – 3.5 mm rod systems: CerviFix, Axon, Synapse

– 4.0 mm rod system: Synapse

Contraindications– Use of these devices is contraindicated when there is

active systemic infection, infection localized to the site of the proposed implantation, or when the patient hasdemonstrated allergy or foreign body sensitivity to any of the implant materials.

– Severe osteoporosis may prevent adequate fixation andthus preclude the use of this or any other orthopaedic implant.

– Conditions that may place excessive stresses on bone andimplants, such as severe obesity or degenerative diseases,are relative contraindications. The decision whether to usethese devices in patients with such conditions must bemade by the physician taking into account the risks versusthe benefits to the patients.

– Use of these implants is relatively contraindicated in patients whose activity, mental capacity, mental illness, alcoholism, drug abuse, occupation, or lifestyle may inter-fere with their ability to follow postoperative restrictions,thereby placing undue stresses on the implant duringbony healing. This could result in a higher risk of implant failure.

– When treating patients with degenerative disc disease(DDD), transverse bars are not cleared for use as part ofthe posterior pedicle screw construct.

Please refer to package insert (GP2774) for the full listof warnings and precautions.

Surgical Technique

1Prepare pedicles and determine screw lengths

Instruments

388.655 Probe with Palm Handle

388.656 Awl with Palm Handle

Locate pedicles and use the awl to perforate the cortex. Use the appropriate probe to open the pedicle canal. Using radiographic imaging, confirm pedicle location, orientationand depth by inserting the probe. When selecting the appropriate length screw, use the markings on the probe to determine the pedicle depth.

All MATRIX pedicle screws are self-tapping; however, if tappingis preferred, use the appropriate tap and tap handle.

Alternative instruments

03.622.005 Thoracic Pedicle Probe

03.632.054 Small Thoracic Pedicle Probe

03.632.057 Pedicle Marker

03.632.058 Pedicle Marker Inserter

03.632.103– Taps, for Dual Core Screws, 6 mm hex coupling03.632.109 (3.5 mm–9.0 mm)

388.536 Pedicle Probe with Palm Handle, for4.0 mm and 4.2 mm screws

388.545 Straight Ball Tip Probe

388.546 Curved Ball Tip Probe

388.549 Straight Ball Tip Probe, small

388.654 Palm Ratchet Handle

388.657 Curved Probe with Palm Handle


2Insert screws

Option A: Insert monoaxial pedicle screws

Instruments

03.632.005 Sport Grip T25 StarDrive Shaft, standard

03.632.024 Holding Sleeve, for MATRIX Monoaxial

To assemble the monoaxial screwdriver, slide the finger spring(etched part C) onto the T25 StarDrive shaft. Next, slide theholding sleeve onto the T25 StarDrive shaft. Turn the fingerspring clockwise to engage the thread within the gray knob.

Note: Remove the finger sleeve and retract the tube and tipfor cleaning and sterilization.

Synthes 11

Part C

Surgical Technique

2. Insert screwsOption A: Insert monoaxial pedicle screws continued

Insert the assembled screwdriver into the head of the appro-priate monoaxial pedicle screw. The holding sleeve providesrigid coupling by threading into the head of the pedicle screw.

Insert and thread the monoaxial screw into the preparedpedicle. The black outer sleeve of the holding sleeve is designed to rotate freely and can be held firmly to helpmaintain a desired trajectory.

To release the sleeve from the screw, turn the gray knobcounterclockwise and remove the screwdriver.

Note: Do not grasp the gray knob during screw insertion asthis will cause the holding sleeve to disengage from the screw.

Repeat for each screw.


03.632.002 T25 StarDrive Shaft, standard


03.632.028* Holding Sleeve, long, for MATRIX Monoaxial

03.632.072 T25 StarDrive Shaft, long

03.632.074* T-Handle T25 StarDrive Shaft, long

03.632.075* Sport Grip T25 StarDrive Shaft, long

03.632.090 Ratchet T-Handle, 6 mm quick coupling

03.632.091* Ratchet Sport Grip Handle, 6 mm quickconnect


* Also available

Option B: Insert polyaxial pedicle screws

Instruments

03.632.001 Holding Sleeve, standard


To assemble the polyaxial screwdriver, retract the green knobdistally, then slide the sleeve toward the handle of the screw-driver shaft until it stops.

Notes:Disassemble completely for cleaning.

Do not grasp the green knob during screw insertion as thiswill cause the holding sleeve to disengage from the screw.

Place the screwdriver tip securely into the T25 StarDrive recessof the polyaxial pedicle screw and rotate the green knob of theholding sleeve clockwise. Firmly tighten to secure the implant.

Insert and thread the polyaxial pedicle screw into the preparedpedicle. The black portion of the holding sleeve is designedto rotate freely and can be held firmly to help maintain a desired trajectory. To release the sleeve, rotate the green knobcounterclockwise and remove the screwdriver.

Repeat for each pedicle screw.

Note: Polyaxial screwheads must remain free and mobile after insertion to allow accurate alignment to the rod duringlocking cap insertion and final tightening.

Synthes 13

Surgical Technique

2. Insert screwsOption B: Insert polyaxial screws continued




03.632.036* Holding Sleeve, long





03.632.091* Ratchet Sport Grip Handle, 6 mm quickconnect


* Also available

Synthes 15

3Prepare for hook

Option A: Prepare lamina for lamina hook

Instruments

03.632.013 Small Lamina Finder

03.632.014 Large Lamina Finder

Using the appropriate lamina finder, separate the ligamentumflavum from the underside of the lamina to ensure goodbony contact with the lamina hook.

Option B: Prepare pedicle for pedicle hook

Instrument

03.632.100 Pedicle Finder

Using the pedicle finder, open the facet capsule and locatethe pedicle. Remove a small piece of the inferior articularprocess to ensure proper seating of the pedicle hook. Pediclehooks should be placed in an up-going direction only.

Option C: Prepare transverse process for transverseprocess hook

Instrument

03.632.163 Transverse Process Finder

Use the transverse process finder to separate the intertrans-verse ligament from the underside of the transverse process.

4Insert hook

Instruments

03.632.021 MATRIX Hook Holding Forceps, lateral

03.632.022 MATRIX Hook Holding Forceps, straight

03.632.023 MATRIX Hook Holding Forceps, curved

03.632.044 MATRIX Hook Positioner /Pusher

Attach the desired hook to the appropriate MATRIX hookholding forceps. Place the hook in the desired location. TheMATRIX hook positioner/pusher may also be used to facilitateplacement of the hook.

Place remaining hooks by repeating Steps 3 and 4 as determined in the preoperative plan.

Surgical Technique


Synthes 17

5Determine rod contour and length

Instruments

03.632.007 Polyaxial Head Alignment Tool

388.906 Coated Rod Template, 150 mm, for 5.5 mmrods

388.907 Coated Rod Template, 500 mm, for 5.0 mm/5.5 mm rods

To determine the contour of the rod, use the appropriatecoated rod template. The rod template has graduations in 10 mm increments to determine the desired length.

To adjust the alignment of the screwheads, use the polyaxialhead alignment tool.

Note: Ensure the polyaxial head alignment tool is seated intothe head. Use tool to confirm that the head is still mobile andfree from surrounding anatomy prior to inserting the rod.

Select rod.

6Contour and cut rod

Instrument

03.632.017 Rod Bender


03.622.060* Pipe Benders, with long handles

03.632.038 In Situ Bender, right, for 5.5 mm rods

03.632.039 In Situ Bender, left, for 5.5 mm rods

03.632.040 Coronal Rod Bender, left, for 5.5 mm rods

03.632.041 Coronal Rod Bender, right, for 5.5 mm rods

388.750* Table Top Rod Cutter and Bender

388.751* Handheld Rod Cutter

Contour the rod to match the rod template, using the rodbender. Alternatively, in situ benders, coronal benders, orpipe benders may be used to contour the rod.

Notes: When cutting CoCr rods, a closed-head rod cutter must beused, such as the handheld rod cutter or the table top rodcutter and bender.

Do not reverse bend rods. Reverse bending may produce inter-nal stresses which may become the focal point for eventualbreakage of the implant.

Surgical Technique


* Also available

Synthes 19

7Rod placement and reduction

Instrument

03.632.202 Rod Holder, for 5.5 mm/6.0 mm rods

Use the rod holder to insert the rod into the openings of thetop-loading screws or hooks. If necessary, the following instru-ments can aid with rod reduction.

Alternative instrument

03.632.081* Rod Holding Forceps, for 5.5 mm rods

Option A: Rod reduction with a rod pusher

Instruments

03.632.006 Rod Pusher Countertorque, standard

03.632.080 Detachable Handle

03.632.169 Rod Pusher, for 5.5 mm/6.0 mm rods

Seat the rod into the screw or hook, using the rod pusher for5.5 mm/6.0 mm rods or the standard rod pusher counter-torque. The detachable handle connects easily to the octagonalend of the rod pusher countertorque, providing an adjustableL-handle to apply downward force on the rod.


03.632.076* Rod Pusher Countertorque, long

Note: When using a tapered rod, it is important not to posi-tion the transition taper within the head of a screw or hook.

* Also available

7. Rod placement and reduction continued

Option B: Rod reduction with a rocker fork

Instruments

03.632.010 Small MATRIX Rocker Fork

03.632.011 Footed MATRIX Rocker Fork

03.632.012 Medium MATRIX Rocker Fork

Use a medium rocker fork to lever the rod into the head ofthe pedicle screw or hook.

Technique tip: Use the footed MATRIX rocker fork to aid inreducing the rod into adjacent screwheads.

Reduction travels:Small MATRIX Rocker Fork = 8.5 mmFooted MATRIX Rocker Fork = 7.5 mmMedium MATRIX Rocker Fork = 13 mm

Surgical Technique


Synthes 21

Option C: Rod reduction with a simple persuader

Instrument

03.632.009 MATRIX Simple Persuader, standard

Ensure that the ratchet handle is fully open, then place thesimple persuader over the implant head and press down firmlyuntil the tips engage the head of the implant. Squeeze thehandle to seat the rod into the head of the pedicle screw orhook. When the rod is fully reduced, a black line will appearat the proximal end of the simple persuader. The ratchet willhold the persuader in the reduced position while the lockingcap is applied.

Prior to inserting and tightening the locking cap, ensureproper tool alignment. The simple persuader can be used asa countertorque during final tightening.

To remove, squeeze handles then press the ratchet releaselocated between the handles of the simple persuader. Oncethe handles return to the fully open position, twist the handlesslightly to disengage the reduction tube and lift to remove.


03.632.079 MATRIX Simple Persuader, long

Reduction travel:15 mm

Surgical Technique


7. Rod placement and reduction continued

Option D: Rod reduction with a threaded persuader

Instruments

03.620.091 6 mm Hex Drive Adapter

03.632.008 MATRIX Threaded Persuader, standard


Before placing the threaded persuader over the head of theimplant, ensure that the reduction tube is fully extended.

Check that the black line on the threaded persuader is visibleand at the 30 mm graduation located on the outer tube ofthe persuader. Align the slotted tips of the inner reductiontube over the rod and press onto the screwhead. Load thehex adapter into the ratcheting T-handle. Insert the adapterinto the top of the persuader handle. While holding thegreen handle of the threaded persuader stationary, use theratchet with adapter to advance the black nut clockwise andgradually reduce the screw to the rod. When the rod is fullyseated, the black line on the reduction tube will be at the0 mm graduation located on the outer tube of the persuader.

Insert and tighten the locking cap. The threaded persuader canbe used as a countertorque during final tightening. To remove,fully retract until the black line is exposed, then lift away.

Note: Disassemble completely for cleaning and sterilization.


03.632.078 MATRIX Threaded Persuader, long

Technique tip: The threaded persuader includes an alterna-tive L-handle attachment that can be used to aid in holdingthe threaded persuader when used as a countertorque.

Reduction travel:30 mm

Synthes 23

8Insert locking cap

Instruments




Insert the standard T25 StarDrive shaft tip firmly into thelocking cap and remove the locking cap from the graphic case.

When the cap is axially aligned to the screwhead or hook, it will drop slightly into the head of the implant. Thread thelocking cap clockwise into the head of the implant andtighten to a light provisional torque. To ensure optimal capalignment, use the rod pusher countertorque.

Ensure optimal saddle-to-rod contact by minimizing bends directly through the implant head.

Repeat for each locking cap.

Note: Ensure the required torque is applied to each lockingcap by using the torque limiting handle and following the instructions for final tightening (Step 14).



03.632.004 T-Handle T25 StarDrive Shaft, standard






03.632.091* Ratchet Sport Grip Handle, 6 mm quick coupling

* Also available

Surgical Technique

24 Synthes Spine MATRIX Spine System—Deformity Technique Guide

9Correct deformity with in situ bending (optional)

Instruments





Use the in situ benders to contour the rod in the sagittalplane. The coronal benders can be used to contour the rodin the coronal plane.

10Correct deformity with rod rotation (optional)

If rod rotation is desired, the following options may be used.Ensure that the rod is captured with the locking cap, but isfree to rotate within the head of the pedicle screw or hook.

Option A: Rod holder for 5.5 mm/6.0 mm rods

Instruments




Use the rod holder for 5.5 mm/6.0 mm rods to grasp the rodand slowly rotate it in the proper direction. Use either the T-handle or sport grip shaft to tighten the locking caps afterachieving the desired rod rotation.

Synthes 25

Option B: Hex-end rods and rod rotation wrench

Instruments



03.632.020 Rod Rotation Wrench, for 5.5 mm/6.0 mmhex-end rods

If hex-end rods are used in the construct, the rod rotationwrench for 5.5 mm/6.0 mm hex-end rods can be applied tothe hex end of the rod to rotate. Use either the T-handle orsport grip shaft to tighten the locking caps after achievingthe desired rod rotation.

11Correct deformity with derotation (optional)

Instruments


03.632.060 Derotation Tube


If a derotation maneuver is desired, ensure that the lockingcaps are not tightened.

Place a derotation tube over each selected screw. Use thetubes as leverage to maneuver the vertebral bodies. Insert either the T-handle or sport grip shaft through the tubes totighten the locking caps.

* Also available


Surgical Technique

12Distract

Instruments

03.632.000 Distractor Fork



03.632.201 Parallel Distractor, for 5.5 mm/6.0 mm rods


When implants are too close together, the distractor fork canbe used to open space between the screwheads to begindistraction.

Use the rod holder for 5.5 mm/6.0 mm rods as a point of fixation against which to distract.

Use the parallel distractor for 5.5 mm/6.0 mm rods to distractthe construct. Once in the desired position, tighten the lockingcaps with either the T-handle or sport grip shaft.

Synthes 27

13Compress

Instruments



03.632.200 Parallel Compressor, for 5.5 mm/6.0 mm rods


03.632.203 Two Level Parallel Compressor, for 5.5 mm/6.0 mm rods

Use the rod holder for 5.5 mm/6.0 mm rods as a fixed pointon the rod to compress the construct. Once in the desiredposition, tighten the locking screws with either the T-handleor sport grip shaft.

Use the two level parallel compressor if compression is requiredacross multiple levels.


Surgical Technique

14Perform final tightening

Instruments

03.620.061 10 Nm Torque Limiting Ratchet Handle


03.632.049 Countertorque for T25, standard


Place the countertorque over the head of the screw or hook.Attach the T25 StarDrive shaft to the torque limiting handleand insert the shaft through the countertorque cannula andinto the drive recess of the locking cap. Tighten until there is a tactile release which indicates that the required 10 Nm oftorque has been applied. Repeat for all locking caps.

Warnings: Final tightening of the locking caps should only be performedwith a calibrated, Synthes 10 Nm torque handle. MATRIXscrew implants achieve performance standard only whentightened to the required 10 Nm tightening torque.

Refer to the torque limiting handle package and labeling forthe recommended calibration maintenance.

Notes: To ensure optimal construct locking, repeat final tighteningsequence.

If a locking cap needs to be loosened or removed after havingbeen tightened to 10 Nm, use a countertorque and solidscrewdriver shaft with torque limiting handle.

If there is difficulty in loosening the locking cap, refer to Step 15.

Caution: Never use a fixed or ratcheting T-handle screw-driver for this technique. If the torque limiting attachment is not used, breakage of the driver may occur and could potentially harm the patient.

* Also available



03.632.008 MATRIX Threaded Persuader, standard




03.632.078 MATRIX Threaded Persuader, long

03.632.079 MATRIX Simple Persuader, long

03.632.099* Countertorque for T25, long

Synthes 29

15Locking cap loosening (optional)

Instruments



03.632.049 Countertorque, for T25, standard


If a locking cap needs to be loosened after tightened to 10 Nm, use a countertorque with detachable handle, MATRIX screwdriver shaft, and a 10 Nm torque limiting handle to loosen the locking cap.

Note: Locking caps are designed to lock the construct and resist postoperative loosening and rod push through. Therefore, in certain cases, the loosening torque may behigher than 10 Nm. In such cases, apply the following technique to loosen a locking cap.

Place the torque handle in the neutral position and begin tosequentially tighten and then immediately loosen the lockingcap. Turn until tactile or audible feedback from the implantsis experienced. It is important to approach the torque limit ofthe handle, but not exceed through the limit. Repeat thetightening/ loosening steps until the locking cap is loose. Toensure the screwdriver shaft is protected from damage, alwaysuse the 10 Nm torque limiting handle.

Caution: Never use a fixed or ratcheting T-handle screw-driver for this technique. If the torque limiting attachment is not used, breakage of the driver may occur and could potentially harm the patient.

Surgical Technique


15. Locking cap loosening continued

If after multiple attempts to loosen the locking cap thetorque is still excessive, one of the following techniquesshould be used:

Option A: Locking cap loosening/removal with simplepersuader

Instruments




If after multiple attempts to loosen the locking cap thetorque is still excessive, apply a downward force on the rod.Place the MATRIX simple persuader on the screw and firmlysqueeze the handles with two hands. With the reductionload applied begin to sequentially tighten and then immedi-ately loosen the locking cap. Turn until tactile or audiblefeedback from the implants is experienced. It is important to approach the torque limit of the handle, but not exceedthrough the limit. Repeat the tightening/ loosening steps until the locking cap is loose. To ensure the screwdriver shaftis protected from damage, always use the 10 Nm torque limiting handle.

Caution: Never use a fixed or ratcheting T-handle screwdriverfor this technique. If the torque limiting attachment is notused, breakage of the driver may occur and could potentiallyharm the patient.

Synthes 31

Option B: Locking cap loosening/removal on adjacentscrew

Instruments



03.632.006 Rod Pusher Countertorque

03.632.049 Countertorque, for T25, standard


Place the rod pusher countertorque with detachable handleover an adjacent screw on the same rod (i.e., one level higheror lower). Simultaneously place the countertorque, for T25,standard over the locking cap to be loosened and engagethe screwdriver shaft and torque limiting handle with theStarDrive recess of the locking cap. Place the torque handle in the neutral position and begin to sequentially tighten andthen immediately loosen the locking cap. Turn until tactile or audible feedback from the implants is experienced. It is important to approach the torque limit of the handle, butnot exceed through the limit. Repeat the tightening/ looseningsteps until the locking cap is loose. To ensure the screwdrivershaft is protected from damage, always use the 10 Nmtorque limiting handle.

Caution: Never use a fixed or ratcheting T-handle screwdriverfor this technique. If the torque limiting attachment is notused, breakage of the driver may occur and could potentiallyharm the patient.

Note: Be sure to perform final tightening sequence (see Step 14) on all screws in which a countertorque load hasbeen applied.


Optional Techniques

Reduction screw insertion

Instruments


03.632.001 Holding Sleeve, standard


03.632.025 Reduction Sleeve

03.632.026 Countertorque, for MATRIX Reduction Screws

03.632.029 Reduction Crown

03.632.030 Tab Removal Tool



Following polyaxial pedicle screw insertion (Step 2, Option B),release the holding sleeve by turning the green knob counter-clockwise and removing the screwdriver.

±25˚

15 mmreduction

Synthes 33

Place the rod into the head of each screw. Either the reductionsleeve or the reduction crown must be placed on the implanttabs to maintain proper thread engagement during rod reduction.

Begin reducing the rod by threading the locking cap into thereduction screwhead. Once the rod is fully reduced, removethe reduction sleeve or the reduction crown.

After the locking cap is fully seated, place the countertorquefor reduction screws over the screwhead.

Use the tab removal tool to break off the reduction screw tabs.Slide the tab removal tool over one side wall of the reductionhead. Gently rock the tab removal tool toward the center ofthe screw to break the tab wall free from the polyaxial head.

Repeat for each reduction head tab.

Place the countertorque over the screwhead and final tighteneach locking cap to the required torque of 10 Nm (Step 14).


Optional Techniques

Unassembled pedicle screw insertion

Instruments


03.632.037 Polyaxial Head Placement Tool

03.632.046 Reamer

Prepare the pedicle and insert pedicle screws as recommendedin Steps 1 and 2 of the surgical technique.

Prepare the site for the MATRIX polyaxial head. Insert thereamer over the implanted bone screw. Rotate to remove all interfering bone and to ensure enough space exists to allow free mobility of the polyaxial head. Repeat for eachpedicle screw.

To retrieve a polyaxial head from the implant module withthe head placement tool, align rod slot features on the tooland implant and press down firmly.

Synthes 35

Position the placement tool with the polyaxial head over theMATRIX bone screw and press down onto the screwhead. To ensure the polyaxial head is securely attached to the bonescrew, gently lift up on the placement tool and angulate thepolyaxial head.

To release the head placement tool from the polyaxial head,press the button located on the proximal end of the instrument.

Note: If the polyaxial head does not successfully attach to thehead of the bone screw, additional reaming or screw heightadjustment may be required to ensure sufficient space existsto allow free mobility of the head.

Technique tip: Pull up on the polyaxial head placement toolto ensure the head is attached securely.


Optional Techniques

Polyaxial head removal

Instruments


03.632.045 Head Removal Tool

03.632.098 Ratchet Palm Grip Handle, 6 mm quickcoupling


If required, the polyaxial head can be removed intraoperativelyfrom the pedicle screw. This provides surgeons with the abilityto change polyaxial heads without removing the pedicle screw.

To remove the polyaxial head, it is necessary to remove thelocking cap and rod. Attach the palm ratchet handle to thequick coupling located on the proximal end of the head removal tool. Slide the inner shaft into the handle of thehead removal tool and thread clockwise until the black line is visible but flush with the back end of the green siliconehandle. Press the tip of the head removal tool into thepolyaxial head to be removed. A tactile click may be felt asthe tip of the head removal tool mates with the collet of the polyaxial head. While holding the green silicone handle,thread the inner shaft clockwise until it stops. Lift to removethe head.

Repeat for each polyaxial head to be removed.

Note: The head removal tool can be used to remove thestandard polyaxial head of an unassembled or preassembledscrew. To remove the polyaxial reduction head, the tabs mustfirst be removed with the tab removal tool.

Synthes 37

Adding transconnectors

Instruments

03.632.050 Holding Sleeve, for Snap-On Transconnectors

03.632.052 Locking StarDrive Screwdriver Shaft, T15,short, quick coupling

03.632.053 Transconnector Caliper

03.632.204 3.0 Nm Torque Limiting Handle, 4.5 mmquick coupling

The snap-on transconnector is used to increase rotationalstability.

Use the transconnector caliper to measure the distance be-tween the two rods and note the reference number locatedon the back of the caliper scale (1–8).

The transconnectors are labeled 1–8, corresponding with thescale on the caliper. Select the indicated transconnector of theappropriate length. The open jaws of the transconnector havea snap-on feature to retain the desired location on the rod.

Use the T15 StarDrive screwdriver shaft with the 3.0 Nmtorque limiting handle to secure the transconnector to therods. After engaging the T15 drive into each setscrew recess,slide the retractable centering sleeve to the distal position.Tighten the setscrews on each end and in the center until atactile release is felt.

Notes: If any part of the construct requires further adjustment, alltransconnector setscrews must be loosened to the point ofresistance. Do not remove setscrews from the assembly. After final adjustment, retighten the setscrews.

The MATRIX transconnector contains Nitinol components.Implants that contain Nitinol should not be used in patientswith nickel sensitivities or allergies.

Warning: Refer to the torque limiting handle package andlabeling for the recommended calibration maintenance.


Optional Techniques

Transverse bar attachment (monoaxial only)

The transverse bar provides an extension to the monoaxialscrew in situations where the rod contour or patientanatomy prevents a direct screw-to-rod connection.

Instruments

03.632.052 Locking Star Drive Screwdriver Shaft, T15,short, quick coupling



Place the opening of the transverse bar over the 5.5 mm rod.Loosely attach the transverse bar to the rod by tightening the setscrew with the T15 StarDrive screwdriver shaft and3.0 Nm torque limiting handle.

Introduce the transverse bar into the screw opening. Use the rod pusher for 5.5 mm/6.0 mm rods.

Secure the transverse bar to the screw by inserting the lockingcap and tighten, following locking cap final tightening procedure (refer to Step 8 of the surgical technique).

Secure the transverse bar to the rod using the T15 StarDrivescrewdriver shaft and 3.0 Nm torque limiting handle. Tighten the setscrew firmly until a tactile release is felt.

Warning:Final tightening of the setscrew should only be performedwith a calibrated Synthes 3 Nm torque handle.

Refer to the torque limiting handle package and labeling for the recommended calibration maintenance.

Synthes 39

Screwdriver with Monoaxial Holding Sleeve

Screwdriver with Holding Sleeve

Countertorque

How to Disassemble Instruments for Cleaning

Polyaxial Head Placement Tool


Torque Limiting Handle for T15 Setscrews

Threaded Persuader

Head Removal Tool

How to Disassemble Instruments for Cleaning

Synthes 41

Implants

04.632.000 Titanium MATRIX Locking Cap

04.632.001 Titanium MATRIX Top Loading PolyaxialHead

04.634.002 Titanium Polyaxial Reduction Head


04.632.420– 4.0 mm Titanium MATRIX Polyaxial Screws04.632.445 20 mm–45 mm thread lengths







04.633.420– 4.0 mm Titanium MATRIX Monoaxial Screws04.633.445 20 mm–45 mm thread lengths04.633.520– 5.0 mm Titanium MATRIX Monoaxial Screws04.633.555 20 mm–55 mm thread lengths

04.633.120– 5.5 mm Titanium MATRIX Monoaxial Screws04.633.160 20 mm–60 mm thread lengths





04.634.420– 4.0 mm Titanium MATRIX Reduction Screws04.634.445 20 mm–45 mm thread lengths

Screws

Implants

Synthes 43

Rods

04.633.280 5.5 mm Titanium Hard Precontoured Rod, 80 mm straight length, 400 mm

5.5 mm Titanium Hard Rods

04.633.292 200 mm

04.633.293 300 mm

04.633.294 400 mm

04.633.500 5.5 mm Titanium Hard Hexagonal-EndRod, 500 mm

09.633.500 5.5 mm Hexagonal-End Rod, 500 mm(Co-28Cr-6Mo)

04.633.187 5.5 mm/6.0 mm Titanium Hard TaperedRod, 500 mm

04.633.188 5.5 mm/6.0 mm Titanium Tapered Rod,500 mm

04.633.190 3.5 mm/5.5 mm Titanium Tapered Rod,500 mm (shown)

04.633.191 4.0 mm/5.5 mm Titanium Tapered Rod,500 mm

09.633.187 5.5 mm/6.0 mm Tapered Rod, 500 mm(Co-28Cr-6Mo)

Implants


Transconnectors

Telescoping Range Caliper Reference Number

04.633.317 17 mm–22 mm 1

04.633.321 21 mm–26 mm 2

04.633.326 26 mm–31 mm 3

04.633.330 30 mm–33 mm 4

04.633.333 33 mm–38 mm 5

04.633.338 38 mm–47 mm 6

04.633.347 47 mm–62 mm 7

04.633.364 62 mm–90 mm 8

Synthes 45

Titanium MATRIX Lamina Hooks

04.633.010 Extra Small

04.633.011 Small

04.633.012 Medium

04.633.013 Large

04.633.015 Small, Straight (shown)

04.633.017 Large, Straight

04.633.018 Thoracic

04.633.022 Medium, Tall Body

04.633.023 Large, Tall Body

04.633.050 Offset right

04.633.051 Offset left

04.633.062 Up-Angled

04.633.072 Down-Angled

Titanium MATRIX Pedicle Hooks

04.633.031 Small

04.633.032 Medium (shown)

Titanium MATRIX Transverse Process Hooks

04.633.040 Right (shown)

04.633.041 Left

Titanium MATRIX Transverse Bars

04.633.215 15 mm (shown)

04.633.220 20 mm

04.633.225 25 mm

04.633.230 30 mm

Hooks

Transverse bars



Instruments


For pedicle preparation

03.632.057 Pedicle Marker



388.536 Pedicle Probe with Palm Handle, for 4.0 mm and 4.2 mm screws

Synthes 47

Ball Tip Probes

388.545 Straight (shown)

388.546 Curved

388.549 Straight, small

Taps for Dual Core Screws, 6 mm hex coupling

03.632.103 3.5 mm

03.632.104 4.0 mm (shown)

03.632.105 5.0 mm

03.632.155 5.5 mm

03.632.106 6.0 mm

03.632.107 7.0 mm

03.632.108 8.0 mm

03.632.109 9.0 mm

For screw insertion

Holding Sleeves

03.632.001 Standard (shown)

03.632.024 For MATRIX Monoaxial

03.632.028* Long, for MATRIX Monoaxial

03.632.036* Long

T25 StarDrive Shafts


03.632.072 Long

T-Handle T25 StarDrive Shafts


03.632.074* Long

* Also available

Instruments


Sport Grip T25 StarDrive Shafts


03.632.075* Long

* Also available


03.632.037 Polyaxial Head Placement Tool

For polyaxial heads


03.632.091* Ratchet Sport Grip Handle, 6 mm quick connect

03.632.098 Ratchet Palm Grip Handle

For screw insertion continued

Synthes 49


03.632.046 Reamer

Lamina Finders

03.632.013 Small (shown)

03.632.014 Large

For hook placement




Instruments



In Situ Benders, for 5.5 mm rods

03.632.038 Right

03.632.039 Left

03.632.020 Rod Rotation Wrench, for 5.5 mm/6.0 mmhex-end rods

For rod handling and templating




For hook placement continued

Synthes 51



Coated Rod Templates

388.906 For 5.5 mm rods, 150 mm (shown)

388.907 For 5.0 mm/5.5 mm rods, 500 mm

Coronal Rod Benders, for 5.5 mm rods

03.632.040 Left

03.632.041 Right

03.632.081* Rod Holding Forceps, for 5.5 mm rods

* Also available


Instruments

For rod reduction

03.632.025 Reduction Sleeve

03.620.091 6 mm Hex Drive Adapter

MATRIX Threaded Persuaders


03.632.078 Long

MATRIX Simple Persuaders


03.632.079 Long

MATRIX Rocker Forks

03.632.010 Small

03.632.011 Footed (shown)

03.632.012 Medium

Synthes 53

03.632.026 Countertorque, for MATRIX ReductionScrews

03.632.029 Reduction Crown

For cap introduction and tightening

Rod Pusher Countertorques


03.632.076* Long

Countertorques for T25


03.632.099* Long



* Also available

03.620.061 10 Nm Torque Limiting Ratchet Handle,

6 mm hex coupling

Instruments


For distraction and compression


For rotation correction

03.632.060 Derotation Tube


03.632.201 Parallel Distractor, for 5.5 mm/6.0 mmrods

03.632.203 Two Level Parallel Compressor, for 5.5 mm/ 6.0 mm rods

Synthes 55

For transconnectors and other T15 setscrews

03.632.050 Holding Sleeve, for Snap-OnTransconnectors





Note: For additional information, please refer to package insert. For detailed cleaning and sterilization instructions, please refer tohttp://us.synthes.com/Medical+Community/Cleaning+and+Sterilization.htmor to the below listed inserts, which will be included in the shipping container:– Processing Synthes Reusable Medical Devices—Instruments, Instrument Trays

and Graphic Cases—DJ1305– Processing Non-sterile Synthes Implants—DJ1304

MATRIX Deformity Instrument and Implant Set (01.632.005)

Graphic Case

60.632.004 Graphic Case, for MATRIX Instruments and Titanium Hooks

Instruments

03.632.013 Small Lamina Finder

03.632.014 Large Lamina Finder







Implants

Titanium MATRIX Lamina Hooks

04.633.010 Extra small, 4 ea.

04.633.011 Small, 4 ea.

04.633.012 Medium, 4 ea.

04.633.013 Large, 4 ea.

04.633.015 Small straight, 4 ea.

04.633.017 Large straight, 4 ea.

04.633.018 Thoracic, 4 ea.

04.633.022 Medium tall body, 2 ea.

04.633.023 Large tall body, 2 ea.

04.633.050 Offset right, 2 ea.

04.633.051 Offset left, 2 ea.

04.633.062 Up-angled, 4 ea.

04.633.072 Down-angled, 4 ea.

Titanium MATRIX Pedicle Hooks, 4 ea.

04.633.031 Small

04.633.032 Medium

Titanium MATRIX Transverse Process Hooks, 4 ea.

04.633.040 Transverse right

04.633.041 Transverse left

Synthes 57

MATRIX Deformity Instrument and Titanium Rod and Cap Set (01.632.006)

Graphic Case

60.632.034 Graphic Case, for MATRIX Deformity Instruments and Titanium Implants

Instruments

03.632.037 Polyaxial Head Placement Tool, 2 ea.


03.632.050 Holding Sleeve, for Snap-On Transconnectors



03.632.204 3.0 Nm Torque Limiting Handle, with 4.5 mmquick coupling

Implants

04.632.000 Titanium MATRIX Locking Cap, 40 ea.

04.632.001 Titanium MATRIX Top Loading Polyaxial Head,20 ea.

Titanium Snap-On Transconnectors, for 5.5 mm/ 6.0 mm rods

04.633.317 17 mm–22 mm

04.633.321 21 mm–26 mm

04.633.326 26 mm–31 mm

04.633.330 30 mm–33 mm

04.633.333 33 mm–38 mm

04.633.338 38 mm–47 mm

04.633.347 47 mm–62 mm

04.633.364 62 mm–90 mm

Titanium MATRIX Transverse Bars

04.633.215 15 mm

04.633.220 20 mm

04.633.225 25 mm

04.633.230 30 mm

04.634.002 Titanium Polyaxial Reduction Head, 6 ea.


MATRIX Deformity Titanium Monoaxial Screw Set (01.632.008)

Graphic Case60.632.005 Graphic Case, for Titanium MATRIX

Monoaxial Screws

Implants

4.0 mm Titanium MATRIX Monoaxial ScrewsThread Length (mm) Qty.

04.633.420 20 404.633.425 25 404.633.428 28 404.633.430 30 804.633.432 32 204.633.435 35 804.633.438 38 404.633.440 40 604.633.445 45 2


04.633.520 20 404.633.525 25 404.633.530 30 804.633.535 35 804.633.540 40 804.633.545 45 204.633.550 50 204.633.555 55 2


04.633.120 20 404.633.125 25 404.633.130 30 804.633.135 35 804.633.140 40 804.633.145 45 204.633.150 50 204.633.155 55 204.633.160 60 2


04.633.620 20 204.633.625 25 204.633.630 30 404.633.635 35 604.633.640 40 804.633.645 45 804.633.650 50 404.633.655 55 204.633.660 60 204.633.665 65 2


04.633.725 25 204.633.730 30 204.633.735 35 404.633.740 40 404.633.745 45 404.633.750 50 404.633.755 55 404.633.760 60 204.633.765 65 2

Synthes 59

MATRIX Deformity Titanium Auxiliary Monoaxial Screw Set (01.632.009)

Graphic Case

60.632.006 Graphic Case, for Auxiliary Titanium MATRIXMonoaxial Screws

Implants


04.633.770 70 204.633.775 75 204.633.780 80 204.633.790 90 204.633.799 100 2


04.633.825 25 204.633.830 30 204.633.835 35 204.633.840 40 204.633.845 45 204.633.850 50 204.633.855 55 204.633.860 60 204.633.865 65 204.633.870 70 204.633.875 75 204.633.880 80 204.633.890 90 204.633.899 100 2


04.633.930 30 204.633.935 35 204.633.940 40 204.633.945 45 204.633.950 50 204.633.955 55 204.633.960 60 204.633.965 65 204.633.970 70 204.633.975 75 204.633.980 80 204.633.990 90 204.633.999 100 2


MATRIX Deformity Titanium Polyaxial Screw Set (01.632.010)

Graphic Case

60.632.011 Graphic Case, for Titanium MATRIX PolyaxialScrews

Implants

4.0 mm Titanium MATRIX Polyaxial ScrewsThread Length (mm) Qty.

04.632.420 20 404.632.425 25 604.632.428 28 404.632.430 30 804.632.432 32 404.632.435 35 804.632.438 38 404.632.440 40 404.632.445 45 4


04.632.520 20 404.632.525 25 404.632.530 30 604.632.535 35 804.632.540 40 804.632.545 45 604.632.550 50 404.632.555 55 2


04.632.120 20 404.632.125 25 404.632.130 30 604.632.135 35 804.632.140 40 804.632.145 45 604.632.150 50 404.632.155 55 204.632.160 60 2


04.632.620 20 204.632.625 25 204.632.630 30 404.632.635 35 804.632.640 40 804.632.645 45 804.632.650 50 804.632.655 55 404.632.660 60 204.632.665 65 2


04.632.725 25 204.632.730 30 404.632.735 35 404.632.740 40 804.632.745 45 804.632.750 50 804.632.755 55 404.632.760 60 404.632.765 65 4

Synthes 61

Graphic Case

60.632.012 Graphic Case, for Auxiliary Titanium MATRIXPolyaxial Screws

Implants


04.632.770 70 404.632.775 75 404.632.780 80 404.632.790 90 404.632.799 100 4


04.632.825 25 204.632.830 30 204.632.835 35 404.632.840 40 404.632.845 45 404.632.850 50 404.632.855 55 404.632.860 60 204.632.865 65 204.632.870 70 204.632.875 75 204.632.880 80 404.632.890 90 204.632.899 100 2


04.632.930 30 204.632.935 35 204.632.940 40 204.632.945 45 204.632.950 50 204.632.955 55 204.632.960 60 204.632.965 65 204.632.970 70 204.632.975 75 204.632.980 80 204.632.990 90 204.632.999 100 2

MATRIX Deformity Titanium Auxiliary Polyaxial Screw Set (01.632.011)


MATRIX Deformity Titanium Reduction Screw Set (01.632.012)

Graphic Case

60.632.007 Graphic Case, for Titanium MATRIX ReductionScrews

Implants

4.0 mm Titanium MATRIX Reduction ScrewsThread Length (mm) Qty.

04.634.420 20 204.634.425 25 204.634.430 30 404.634.435 35 404.634.440 40 204.634.445 45 2


04.634.520 20 204.634.525 25 204.634.530 30 404.634.535 35 404.634.540 40 404.634.545 45 404.634.550 50 204.634.555 55 2


04.634.120 20 204.634.125 25 204.634.130 30 404.634.135 35 404.634.140 40 404.634.145 45 404.634.150 50 204.634.155 55 204.634.160 60 2


04.634.620 20 204.634.625 25 204.634.630 30 204.634.635 35 404.634.640 40 604.634.645 45 604.634.650 50 604.634.655 55 204.634.660 60 204.634.665 65 2


04.634.725 25 204.634.735 35 204.634.740 40 404.634.745 45 404.634.750 50 404.634.755 55 204.634.760 60 204.634.765 65 2


04.634.825 25 204.634.835 35 204.634.840 40 2 04.634.845 45 2 04.634.850 50 2 04.634.855 55 2 04.634.860 60 204.634.865 65 2

Synthes 63

MATRIX Deformity Instrument and 5.5 mm Titanium Rod Set (01.632.014)

Graphic Case

60.632.014 Graphic Case, for MATRIX Instruments and5.5 mm Titanium Rods

Instruments





Implants

04.633.280 5.5 mm Titanium Hard Precontoured Rod, 80 mm straight length, 400 mm, 2 ea.

5.5 mm Titanium Hard Rods, 2 ea.

04.633.292 200 mm

04.633.293 300 mm

04.633.294 400 mm

04.633.500 5.5 mm Titanium Hard Hexagonal-End Rod,500 mm, 2 ea.

09.633.500 5.5 mm Hexagonal-End Rod, 500 mm (Co-28Cr-6Mo), 2 ea.

MATRIX Deformity Basic Instrument Set (01.632.015)

Graphic Case

60.632.027 Graphic Case, for Basic MATRIX Instruments

Instruments

03.620.061 10 Nm Torque Limiting Ratchet Handle, 6 mmhex coupling

03.632.001 Holding Sleeve, standard, 2 ea.

03.632.002 T25 StarDrive Shaft, standard, 2 ea.

03.632.004 T-Handle T25 StarDrive Shaft, standard, 2 ea.

03.632.005 Sport Grip T25 StarDrive Shaft, standard, 2 ea.


03.632.024 Holding Sleeve, for MATRIX Monoaxial, 2 ea.

03.632.046 Reamer

03.632.072 T25 StarDrive Shaft, long, 2 ea.

03.632.080 Detachable Handle, 2 ea.

03.632.090 Ratchet T-Handle, 6 mm quick coupling, 2 ea.


Synthes 65

MATRIX Deformity Auxiliary Basic Instrument Set (1.632.016)

Graphic Case

60.632.028 Graphic Case, for Auxiliary Basic MATRIX Instruments

Instruments

03.620.091 6 mm Hex Drive Adapter, 2 ea.


03.632.008 MATRIX Threaded Persuader, standard, 2 ea.

03.632.009 MATRIX Simple Persuader, standard, 2 ea.

03.632.010 Small MATRIX Rocker Fork

03.632.011 Footed MATRIX Rocker Fork

03.632.012 Medium MATRIX Rocker Fork





MATRIX Deformity Pedicle Preparation Instrument Set (01.632.017)

Graphic Case

60.632.029 Graphic Case, for MATRIX Pedicle Preparation Instruments

Instruments



03.632.057 Pedicle Marker, 10 ea.


Taps for Dual Core Screws, 6 mm hex coupling

03.632.103 3.5 mm

03.632.104 4.0 mm

03.632.105 5.0 mm

03.632.155 5.5 mm

03.632.106 6.0 mm

03.632.107 7.0 mm

03.632.108 8.0 mm

03.632.109 9.0 mm

388.536 Pedicle Probe with Palm Handle, for 4.0 mmand 4.2 mm screws

388.545 Straight Ball Tip Probe

388.546 Curved Ball Tip Probe

388.549 Straight Ball Tip Probe, small


388.655 Probe with Palm Handle


388.657 Curved Probe with Palm Handle


Synthes 67

MATRIX Deformity Correction Instrument Set (01.632.018)

Graphic Case

60.632.031 Graphic Case, for MATRIX Deformity Correction Instruments

Instruments

03.632.025 Reduction Sleeve, 2 ea.

03.632.026 Countertorque, for MATRIX Reduction Screws

03.632.029 Reduction Crown, 8 ea.


03.632.060 Derotation Tube, 8 ea.


MATRIX Deformity Rod Instrument Set (01.632.026)

Graphic Case

60.632.026 Graphic Case, for MATRIX Deformity Rod Instruments

Instruments


03.632.020 Rod Rotation Wrench, for 5.5 mm/6.0 mmHex-End Rods


03.632.201 Parallel Distractor, for 5.5 mm/6.0 mm rods

03.632.202 Rod Holder, for 5.5 mm/6.0 mm rods, 2 ea.

03.632.203 Two Level Parallel Compressor, for 5.5 mm/6.0 mm rods

388.906 Coated Rod Template, 150 mm, for 5.5 mmrods

388.907 Coated Rod Template, 500 mm, for 5.0 mm/5.5 mm rods

Synthes

Also Available

03.611.035 4.0 mm Setscrew Extractor, squarecoupling

03.611.059 Extender, 6 mm hex coupling

03.622.060 Pipe Benders, with long handles

03.632.028 Holding Sleeve, long, for MATRIXMonoaxial

03.632.036 Holding Sleeve, long

03.632.074 T-Handle T25 StarDrive Shaft, long

03.632.075 Sport Grip T25 StarDrive Shaft, long

03.632.076 Rod Pusher Countertorque, long

03.632.081 Rod Holding Forceps, for 5.5 mm rods

03.632.091 Ratchet Sport Grip Handle, 6 mm quick connect

03.632.099 Countertorques for T25, long

388.750 Table Top Rod Cutter and Bender

388.751 Handheld Rod Cutter

Synthes Spine1302 Wrights Lane EastWest Chester, PA 19380Telephone: (610) 719-5000To order: (800) 523-0322Fax: (610) 251-9056

Synthes (Canada) Ltd.2566 Meadowpine BoulevardMississauga, Ontario L5N 6P9Telephone: (905) 567-0440To order: (800) 668-1119Fax: (905) 567-3185

© 2010 Synthes, Inc. or its affiliates. All rights reserved. Axon, CerviFix, Click’X, Pangea and Synthes are trademarks of Synthes, Inc. or its affiliates. Printed in U.S.A. 6/11 J9698-C

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