Distractable Corpectomy Cage

Vertelift-C
Vertelift-T
Zek
Surgical Techniques

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Contents

Introduction

Implant Overview

Instrument Overview

Surgical Technique

1. Preparation and Approach

2. Endplate Preparation
3. Implant Size Selection
4. Implant Insertation
5. Final Construct

Implants Size

Instrument Set

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Introduction
The corpectomy is an operation to remove a portion of the vertebra and adjacent intervertebral
disc for decompression of the cervical apinal cord and spinal nerves. The vertebral body bone
that is removed is typically saved and is the graft used to place into the cage device the
biomechinal cage or spacer is typically made of metal alloy carbon fiber or polymer. The bone
graft serves as a bridge beetween the two vertebra to create a spinal fusion.

Implant Overview
Vertelift-C
Distractible cervical Corpectomy Cage, is manufactured from Titanium alloy, its angled inferior
and superior area allow a complete contact with vertebral surface and composed by 1 piece. This
feature allows a complete contact with vertebral surface also provide a secure fixation with the
feature of toothed surface and prevent any dislocation. With an efficient grafting space, the
system allows applying graft before distraction and provides a one stage locking
mechanism.Fig.1

 Vertebral body replacement for surgical reconstruction of substance defects

 Cervical
 Fillable
 Expandable in situ
 Replacing one or several affected vertebral bodies
 Dislocation protection by small spikes

Fig.1 Vertelift-C

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Vertelift-T
VERTELIFT Dual Distractible Thoracolumbar Corpectomy Cage, is manufactured from
Titanium alloy, its angled inferior and superior area allow a complete contact with vertebral
surface and composed by 1 piece. This feature allows a complete contact with vertebral surface
also provide a secure fixation with the feature of toothed surface and prevent any dislocation. The
system which provides an efficient grafting space, must be implanted in according to provide an
equal distance simultaneously from inferior and superior. The system allows applying graft
before distraction and provides a one stage locking mechanism. Fig.2

 Vertebral body replacement for surgical reconstruction of substance defects

 Thoracic, lumbar
 Fillable
 Expandable in situ
 Replacing one or several affected vertebral bodies
 Dislocation protection by small spikes

Fig.2 Vertelif-T

Zek
Zek Corpectomy Cage uses a distractible in implant which makes possible the surgeon to adjust
the height of the cage to suit the anatomy of the patient. Zek Corpectomy Cage distance adjusts
easily inside thread design. The cage also includes a pre-assembled locking screw which can be
engaged after distraction to lock the mechanism in place. Zek Corpectomy Cage extensions snap
into place on each end to build a longer implant construct. Fig.3

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 System design for ease of use in anterior and antero-lateral approaches
 Large windows allow for optional in-situ insertion of bone graft
 One-step locking of the distraction mechanism with a counterclockwise turn of the pre-
assembled locking screw
 Full contact, full fusion through unique movable head technology

Fig.3 Zek Corpectomy

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Instruments Overview

VERTELIF-C CERVICAL CORPECTOMY SYSTEM

CODE PRODUCT NAME PRODUCT PICTURE UNIT

CERVICAL CORPECTOMY
CC001 1
INSERTER

CC002 SET SCREW DRIVER 1

CC003 OPENER 1

CC004 PUSHER 1

CORPECTOMY SCREW
CSK58x25 1
BOX

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 VERTELIF-T LUMBAR CORPECTOMY SYSTEM
CODE PRODUCT NAME PRODUCT PICTURE UNITS

LC001 LUMBAR CORPECTOMY INSERTER

LC002 SET SCREW DRIVER

LC003 LEIGHT GUIDE

LC004 PUSHER

LC005 OPENER

LC006 CRAB OPENER

CSK58x25 CORPECTOMY SCREW BOX

ZEK LUMBAR CORPECTOMY SYSTEM

CODE PRODUCT NAME PRODUCT PICTURE UNITS

ZEK LUMBAR
ALC001 1
CORPECTOMY INSERTER

MOVABLE HEAD SET

ALC002 1
SCREW DRIVER

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Surgical Technique
Vertelift-C
1. Preparation and Approach

The procedure is performed under general anesthesia. The patient is placed in dorsal decubitus,
the approach is left or right pre-sterno-cleido-mastoid according to the surgeon’s preference.

Fig. 1 Approach

2. Endplate Preparation
First, a discectomy above and below the affected area is performed, followed by a corpectomy
using the usual instruments. The posterior longitudinal ligament (PLL) may also be resected as
well as posterior vertebral osteophytes adjacent to the corpectomy performed.

3. Implant Size Selection

Once the decompression is completed, the measurement of the intervertebral distance is estimated
using the CC005 Measuring Caliper. This will enable implant height to be chosen.

4. Implant Insertation
The selected implant is placed into the space created by the corpectomy and correctly positioned
by using CC001 Corpectomy cage holder and inserter. This is important in order to achieve
optimal reduction and stabilization. The implant is distracted in Situ by CC003 Opener or
distractor to appropriate height and then with the CC002 screwdriver is turned the locking screw
when the distraction is maintained.

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 Fig.2 CC002 Screw Driver

5. Final Construct

It is recommended to add Anterior Cervical plate with the Vertelif-C Corpectomy Cage.

Vertelift-T
1. Preparation and Approach
The procedure is performed under general anesthesia; the patient is ventilated with a double
lumen tube. The patient is placed in left lateral decubitus position, thus thoracotomy is performed
to access the thoracic spine.

2. Endplate Preparation
Lesion level is located; corpectomy is performed using the usual instrumentation, assuring proper
decompression of the vertebral canal. Fig.1

Fig.1

3. Implant Size Selection

Implant choice is determined by the extent and level of the corpectomy. Once the decompression
is completed, the measurement of the intervertebral distance is estimated using the LC003
Measuring Caliper. This will enable implant height to be chosen. Fig.2

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 Fig.2

4. Implant Insertation

Implant choice is determined by the extent and level of the corpectomy. Fit the LC001 Lumbar
Corpectomy inserter with corpectomy Cage and use the LC004 Pusher that to fit the lumbar
Corpectomy Cage between the vertebral bodies. The Corpectomy Cage will be placed in the
central axis of vertebral body. The extensions of the inserter for Norm Lumber Corpectomy are
attached using the LC002 screwdriver. The implant may be distracted manually to the appropriate
size to bridge the defect using LC005 Opener and LC006 Crab Opener. The Distraction is
maintained while turning the locking screw with the screwdriver. It may also be filled with bone
graft. The Correction may be controlled by direct visualization or fluoroscopically.

It is recommended that thoracic and lumbar Corpectomy devices are stabilized with an
thoracolumbar plate system or thoracolumbar rod system.

Fig.3

5. Final Construct

The Distraction is maintained while turning the locking screw with the screwdriver. It may also
be filled with bone graft. The Correction may be controlled by direct visualization or
fluoroscopically.

It is recommended that thoracic and lumbar Corpectomy devices are stabilized with an
thoracolumbar plate system or thoracolumbar rod system. Fig.4

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 Fig.4 view of the implant position

ZEK
1. Preparation and Approach

Patient positioning on the operating table is dependent on the level(s) to be operated. The patient
is typically placed in the anterior supine position. The combined thoracolumbar approach, the
lateral or anterior aspect of the spine column is exposed. X-ray or fluoroscopy should be used to
confirm the appropriate level. The bony endplates are prepared for implant insertion using
standard surgical procedures and instrumentation. Fig.1

Fig.1 Approach

2. Endplate Preparation
The bony endplates are prepared for implant insertion using standard surgical procedures and
instrumentation.

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 Fig.2 Endplate Preparation

3. Implant Size Selection

The appropriate size implant can be determined preoperatively, by measuring the defect from the
patient’s films or CT scans. However, the measurement should be confirmed in situ with a
caliper. The measured implant height can be cross-referenced with a sizing template to choose the
appropriate implant construct, depending on diameter. Fig.3

Fig.3 ALC001 Zek Lumbar Corpectomy Inserter

4. Implant Insertation
The implant if needed any packing of bone graft (optional), the implant is ready for insertion. The
ALC001 Zek Lumbar Corpectomy Inserter is used to insert the implant and distract the implant to
its final height. Once the expander is in proper alignment with the implant, the implant can be

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placed into the defect and distracted to the appropriate height. To distract the implant, simply
rotate the outer shaft of the expander counterclockwise as indicated by the directional arrow, The
implant has reached its final distraction height After the appropriate height of the implant is
achieved, the locking screw to complete the locking step of the procedure, To lock the outer
distraction ring and the implant height, place the head of the screwdriver into the head of the
locking screw. Rotate the ALC002 Movable Head Screwdriver counterclockwise, the implant
head is now locked and the surgeon can proceed with the remaining part of the operative
procedure.

Fig.4 ALC002 Movable Head Screwdriver & ALC001 Zek Lumbar Corpectomy Inserter

5. Final Construct

After the implant is distracted and locked into its final position, a void may be present between the bone
graft inside the implant and the bony endplate of the vertebral body. The void can be filled through the
large windows in the periphery of the implant. Fig. 5

Fig. 5 View of the implant position

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Implant size

VERTELIFT - T CORPECTOMY CAGE

CODE PRODUCT NAME SIZE
NVTCD202534 THORACOLUMBAR TITANIUM CORPECTOMY CAGE Ø20 [25,34]
NVTCD203244 THORACOLUMBAR TITANIUM CORPECTOMY CAGE Ø20 [32,44]
NVTCD204258 THORACOLUMBAR TITANIUM CORPECTOMY CAGE Ø20 [42,58]
NVTCD205684 THORACOLUMBAR TITANIUM CORPECTOMY CAGE Ø20 [56,84]
NVTCD242329 THORACOLUMBAR TITANIUM CORPECTOMY CAGE Ø24 [23,29]
NVTCD242840 THORACOLUMBAR TITANIUM CORPECTOMY CAGE Ø24 [28,40]
NVTCD243854 THORACOLUMBAR TITANIUM CORPECTOMY CAGE Ø24 [38,54]
NVTCD245276 THORACOLUMBAR TITANIUM CORPECTOMY CAGE Ø24 [52,76]
NVTCD2474114 THORACOLUMBAR TITANIUM CORPECTOMY CAGE Ø24 [74,114]
NVTCD283044 THORACOLUMBAR TITANIUM CORPECTOMY CAGE Ø28 [30,44]
NVTCD284258 THORACOLUMBAR TITANIUM CORPECTOMY CAGE Ø28 [42,58]
NVTCA202534 THORACOLUMBAR TITANIUM CORPECTOMY CAGE,Angulations 6° Ø20 [25,34]
NVTCA203244 THORACOLUMBAR TITANIUM CORPECTOMY CAGE,Angulations 6° Ø20 [32,44]
NVTCA204258 THORACOLUMBAR TITANIUM CORPECTOMY CAGE,Angulations 6° Ø20 [42,58]
NVTCA205684 THORACOLUMBAR TITANIUM CORPECTOMY CAGE,Angulations 6° Ø20 [56,84]
NVTCA242329 THORACOLUMBAR TITANIUM CORPECTOMY CAGE,Angulations 6° Ø24 [23,29]
NVTCA242840 THORACOLUMBAR TITANIUM CORPECTOMY CAGE,Angulations 6° Ø24 [28,40]
NVTCA243854 THORACOLUMBAR TITANIUM CORPECTOMY CAGE,Angulations 6° Ø24 [38,54]
NVTCA245276 THORACOLUMBAR TITANIUM CORPECTOMY CAGE,Angulations 6° Ø24 [52,76]
NVTCA2474114 THORACOLUMBAR TITANIUM CORPECTOMY CAGE,Angulations 6° Ø24 [74,114]
NVTCA283044 THORACOLUMBAR TITANIUM CORPECTOMY CAGE,Angulations 6° Ø28 [30,44]
NVTCA284258 THORACOLUMBAR TITANIUM CORPECTOMY CAGE,Angulations 6° Ø28 [42,58]

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 VERTELIFT - C CORPECTOMY CAGE
CODE PRODUCT NAME SIZE
NCTC101013 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ10mm [10,13]
NCTC101017 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ10mm [10,17]
NCTC101625 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ10mm [16,25]
NCTC121013 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ12mm [10,13]
NCTC121017 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ12mm [10,17]
NCTC121625 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ12mm [16,25]
NCTC1216256 CERVICAL TITANIUM CORPECTOMY CAGE,Angulations 6° ᴓ12mm [16,25]
NCTC122440 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ12mm [24,40]
NCTC1224406 CERVICAL TITANIUM CORPECTOMY CAGE,Angulations 6° ᴓ12mm [24,40]
NCTC123965 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ12mm [39,65]
NCTC1239656 CERVICAL TITANIUM CORPECTOMY CAGE,Angulations 6° ᴓ12mm [39,65]
NCTC141013 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ14mm[10,13]
NCTC141017 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ14mm [10,17]
NCTC141625 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ14mm [16,25]
NCTC1416256 CERVICAL TITANIUM CORPECTOMY CAGE,Angulations 6° ᴓ14mm [16,25]
NCTC142440 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ14mm [24,40]
NCTC1424406 CERVICAL TITANIUM CORPECTOMY CAGE,Angulations 6° ᴓ14mm [24,40]
NCTC143965 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ14mm [39,65]
NCTC1439656 CERVICAL TITANIUM CORPECTOMY CAGE,Angulations 6° ᴓ14mm [39,65]
NCTC161013 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ16mm [10,13]
NCTC161317 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ16mm [13,17]
NCTC161625 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ16mm [16,25]
NSTC162440 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ16mm [24,40]
NCTC163965 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ16mm [39,65]
NCTC201013 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ20mm [10,13]
NCTC201017 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ20mm [10,17]
NCTC201625 CERVICAL TITANIUM CORPECTOMY CAGE ᴓ20mm [16,25]

ZEK CORPECTOMY CAGE

CODE PRODUCT NAME SIZE
NVTCZ203244 ZEK CORPECTOMY CAGE DISTRACTABLE Ø20 [32,44] Ø20 [32,44]
NVTCZ204258 ZEK CORPECTOMY CAGE DISTRACTABLE Ø20 [42,58] Ø20 [42,58]
NVTCZ205684 ZEK CORPECTOMY CAGE DISTRACTABLE Ø20 [56,84] Ø20 [56,84]
NVTCZ243854 ZEK CORPECTOMY CAGE DISTRACTABLE Ø24 [38,54] Ø24 [38,54]
NVTCZ245276 ZEK CORPECTOMY CAGE DISTRACTABLE Ø24 [52,76] Ø24 [52,76]
NVTCZ2474114 ZEK CORPECTOMY CAGE DISTRACTABLE Ø24 [74,114] Ø24 [74,114]
NVTCZ284258 ZEK CORPECTOMY CAGE DISTRACTABLE Ø28 [42,58] Ø28 [42,58]
NVTCZ285684 ZEK CORPECTOMY CAGE DISTRACTABLE Ø28 [56,84] Ø28 [56,84]

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Implant Set

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Norm Tıbbi Ürünler İth. İhr. San. Ve Tic. Ltd. Sti
Nasuh Akar mah.1403 Sok.No:3 Balgat 06520 Ankara, TURKEY
T: +90 312 284 00 80 F: +90 312 285 30 93

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