Johnson & Johnson DePuy Synthes CSLP User manual

CSLP Quick Lock Screws
Surgical Technique

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This description alone does not provide sucient background for direct use
of DePuy Synthes products. Instruction by a surgeon experienced in handling
these products is highly recommended.
Processing, Reprocessing, Care and Maintenance
For general guidelines, function control and dismantling of multi-part
instruments, as well as processing guidelines for implants, please contact your
local sales representative or refer to:
http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance
For general information about reprocessing, care and maintenance of Synthes
reusable devices, instrument trays and cases, as well as processing of Synthes
non-sterile implants, please consult the Important Information leaet
(SE_023827) or refer to:
http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance
▲Warnings and Precautions

Table of Contents
3CSLP Quick Lock Screws •Surgical Technique
Introduction CSLP Quick Lock Screws 4
AO Spine Principles 5
Surgical Techinque 6
Preparation 6
Screw Insertion 7
Alternative Technique 8
Screw Removal 8
Product Information Instruments, Screws and Sets 9
Indications and Contraindications 11
Bibliography 12

4Surgical Technique • CSLP Quick Lock Screws
CSLP Quick Lock Screws
Screws Overview
The CSLP Quick Lock cancellous screw is compatible
with DePuy Synthes CSLP plates (CSLP Classic,
Narrow and Variable Angle) and integrates the Locking
Screw into the Expansion Head Screw.
The CSLP Quick Lock Screw eliminates the separate
two-piece Expansion Head bone Screw and the
additional 1.8 mm Locking Screw by combining the
screws as a single preassembled piece.
Features
•Available in 12 mm, 14 mm, 16 mm, 18 mm,
20 mm lengths
•Like all CSLP screws, Quick Lock Screws are
color-coded by length
•Implants are made of titanium alloy (Ti-6Al-7Nb alloy)
•The CSLP Quick Lock Screw set consists of:
– Self-drilling and self-tapping screws
– Cannulated self-retaining screwdriver
– Screwdriver for Quick Lock Screws
– Module for screw storage
▲ Warning:
•For long spans or suboptimal bone quality, the
surgeon is urged to consider the nature of such
cases. The treatment may require the use of screws
longer than 16mm, and/or posterior xation for
these kinds of inherently unstable cases.
▲ Precautions:
•It must be considered that the intervertebral discs
in the neck region are slightly inclined from
anterocaudal to posterocranial. Screws should
remain in the vertebral body and not penetrate the
intervertebral discs. Make sure there will be
enough space between the intact adjacent
intervertebral discs and the screws.
•The 4.5 mm screw may be used as an emergency
screw where the 4.0 mm screw has stripped the
bone and a larger screw thread is required.
•Intraoperative imaging should be used to verify
screw position.
Self-drilling screws
Introduction
Self-tapping screws
CSLP Classic
plates
CSLP Narrow
plates
CSLP Variable
Angle
Self-tapping
screws
12 mm, 14mm
and 16mm
12 mm, 14mm
and 16mm 12 mm–20 mm
Self-drilling
screws
Not
recommended
for use
Not
recommended
for use
12 mm–20 mm
CSLP plate and Quick Lock Screw compatibility

5CSLP Quick Lock Screws •Surgical Technique
AO Spine Principles
The four principles to be considered as the foundation
for proper spine patient management underpin the design
and delivery of the Curriculum: Stability, Alignment,
Biology, Function.1,2
AO Principles1,2
1. 2. 3. 4.
Stability
Stabilization to achieve
a specic therapeutic
outcome.
Alignment
Balancing the spine in
three dimensions.
Biology
Etiology, pathogenesis,
neural protection, and
tissue healing.
Function
Preservations and
restoration of function
to prevent disability.

6Surgical Technique • CSLP Quick Lock Screws
Preparation
Required Sets
68.610.116 Insert, size 1/2, for Quick Lock,
for Vario Case No. 687.065
68.610.122 Insert, size 1/2 for Quick Lock,
for Vario Case No. 687.070
687.065 Vario Case for Cervical Spine Locking
Plates with variable angle, with Lid,
without Contents (CSLP Variable Angle)
or
687.070 Vario Case for Cervical Spine Locking
Plates 4.0/4.35, with Lid, without
Contents (CSLP Classic/Narrow)
Surgical Techinque

7CSLP Quick Lock Screws •Surgical Technique
1. Insert the CSLP Quick Lock Screw
Instrument
03.610.602 Screwdriver for Quick Lock Screws
Insert the appropriate length screw using the Screwdriver
for Quick Lock Screws and advance until the screw lags
to the bone.
Screw Insertion
2. Tighten the Locking Screw
Instrument
03.610.601 Screwdriver for Locking of Quick Lock
Screws
When the screw is appropriately lagged, engage the
Screwdriver for Locking of Quick Lock Screws and
tighten the Locking Screw.

8Surgical Technique • CSLP Quick Lock Screws
Alternative Technique/
Screw Removal
Alternative technique
Instruments
03.610.601 Screwdriver for Locking of Quick Lock
Screws
03.610.602 Screwdriver for Quick Lock Screws
Insert the appropriate length screw using the Screwdriver
for Quick Lock Screws and advance until the screw lags
to the bone.
When the screw is appropriately lagged, place the
Screwdriver for Locking of Quick Lock Screws through
the barrel of the Screwdriver for Quick Lock Screws,
and tighten the Locking Screw, using the Screwdriver
for Quick Lock Screws as a countertorque sleeve.
Screw removal
Instruments
03.610.601 Screwdriver for Locking of Quick Lock
Screws
03.610.602 Screwdriver for Quick Lock Screws
To remove the Quick Lock Screw, place the Screwdriver
for locking of Quick Lock Screws into the Locking
Screw and turn the handle counterclockwise until it
stops. The Locking Screw will not separate from the
bone screw. When the Locking Screw is fully loosened,
place the Screwdriver for Quick Lock Screws into the
screw and turn the handle counterclockwise until the
screw is extracted.

9CSLP Quick Lock Screws •Surgical Technique
Instruments
03.610.601 Screwdriver for locking of Quick Lock
Screws
03.610.602 Screwdriver for Quick Lock Screws
Instruments, Screws and Sets
Screws*
Quick Lock Screws, 4.0 mm, self-drilling,
Titanium Alloy (TAN)
Art. No. Length Color
04.610.112 12 mm light blue
04.610.114 14 mm gold
04.610.116 16 mm violet
04.610.118 18 mm light green
04.610.120 20 mm light green
Quick Lock Screws, 4.5 mm, self-drilling,
Titanium Alloy (TAN)
Art. No. Length Color
04.610.212 12 mm light blue
04.610.214 14 mm gold
04.610.216 16 mm violet
04.610.218 18 mm light green
04.610.220 20 mm light green
* All screws are also available sterile packed.
Add sux “S” to article number.

10 Surgical Technique • CSLP Quick Lock Screws
Instruments, Screws and Sets
Quick Lock Screws, 4.0 mm, self-tapping,
Titanium Alloy (TAN)
Art. No. Length Color
04.610.512 12 mm light blue
04.610.514 14 mm gold
04.610.516 16 mm violet
04.610.518 18 mm light green
04.610.520 20 mm light green
Quick Lock Screws, 4.5 mm, self-tapping,
Titanium Alloy (TAN)
Art. No. Length Color
04.610.612 12 mm light blue
04.610.614 14 mm gold
04.610.616 16 mm violet
04.610.618 18 mm light green
04.610.620 20 mm light green
Required Sets
68.610.116 Insert, size 1/2, for Quick Lock,
for Vario Case No. 687.065
68.610.122 Insert, size 1/2 for Quick Lock,
for Vario Case No. 687.070
687.065 Vario Case for Cervical Spine Locking
Plates with variable angle, with Lid,
without Contents (CSLP Variable Angle)
or
687.070 Vario Case for Cervical Spine Locking
Plates 4.0/4.35, with Lid, without
Contents (CSLP Classic/Narrow)

11CSLP Quick Lock Screws •Surgical Technique
Please refer to the corresponding Instructions for Use
for specic information on Intended use, Indications,
Contraindications, Warnings and Precautions, Potential
Adverse Events, Undesirable Side Eects and Residual
Risks. Instructions for Use are available at www.e-ifu.com
and/or www.depuysynthes.com/ifu.
Indications and Contraindications

12 Surgical Technique • CSLP Quick Lock Screws
1. Aebi M, Thalgott JS, Webb JK (1998): AO ASIF
Principles in Spine Surgery. Berlin: Springer.
2. Aebi M, Arlet V, Webb JK (2007) AOSPINE Manual
(2 vols), Stuttgart, New York: Thieme.
Bibliography

Manufactured or distributed by:
Synthes GmbH
Eimattstrasse 3
4436 Oberdorf
Switzerland
Tel: [phone]
www.jnjmedtech.com
©DePuy Synthes Spine, 2022. All rights reserved.
SE_886080_AA; 036.000.732; DSEM/SPN/0316/0463(1) 218343-220622 EMEA; 06/22
Not all products may currently be available in all markets.
This publication is not intended for distribution in the USA.
Surgical techniques are available as PDF les at www.depuysynthes.com/ifu.