Aesculap® SecureSpan®

Laminoplasty System

Aesculap Spine
Aesculap® SecureSpan®

Content
A Foreword 3

B Features 4

C Surgical Technique 6

D Ordering Information
D1 Implants 16
D2 Instruments 17

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Foreword A
Cervical Laminoplasty is a surgical procedure originating in Japan
that has gained acceptance in the United States and other parts
of the world. Originally targeted toward the Asian population
susceptible to Ossification of the Posterior Longitudinal Ligament
(OPLL), it has expanded into treatment for spinal stenosis.

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Aesculap® SecureSpan®

Features

The SecureSpan® Laminoplasty Fixation System provides a

B
comprehensive solution, which enables a reliable, quick and
effective fixation for Laminoplasty procedures.

SecureSpan® offers the following benefits to the surgeon Instrumentation

❚ Solid connection between screw and screwdriver ❚ Ergonomic

For improved handling, the self-retaining screwdriver ❚ One-handed operation of key instruments raises
keeps the screw fixed while being implanted. comfort in hand.
❚ Easy on / off screw connection speeds implantation.
❚ Color coded implants
Easy visual identification of the correct implant size. ❚ Designed with patient safety in mind
❚ Screwdriver retains implant until properly placed.
❚ Variety of implant sizes
Comprehensive size offering provides range of
options when choosing the best size to fit each
patient’s anatomy.

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Implants

SecureSpan® screws and plates come in a variety of sizes for

great intraoperative flexibility.

❚ The implants are color-coded for easy identification

❚ Plates are available in 5 sizes

4 mm, 6 mm, 8 mm, 10 mm and 12 mm

❚ 2 mm diameter plate attachment screws are offered in

lengths of:
4 mm, 5 mm, 6 mm, 8 mm, 10 mm and 12 mm

❚ 2.4 mm diameter revision screws are offered in

lengths of:
5 mm, 6 mm, 7 mm, 9 mm, 11 mm and 13 mm

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Aesculap® SecureSpan®

Surgical Technique C

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 Fig. 1 Fig. 2

Approach

Place the patient in a prone position with the neck in slight

flexion. Using a midline incision (Fig. 1), expose the laminae,
and facets of the desired levels (Fig. 2).

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Aesculap® SecureSpan®

Surgical Technique

Fig. 3 Fig. 4

Fig. 3a Fig. 4a

Preparation Laminotomy

❚ Prepare the open side trough along the junction of the lamina ❚ Remove soft tissue at the caudal and cranial endpoint
and lateral mass. Use a high speed burr to transect the lamina as needed.
1 cm lateral to the midline. Take care to not contact the under- ❚ Utilizing the lamina lifter, lift the lamina away from the
lying dura. spinal canal (Fig. 4).
Decorticate the lamina on the contralateral side by scoring.
Using a high speed drill, create a hinge. The hinge trough
should be slightly more lateral than the lamina-facet interval
with a depth to the dorsal cortex only (Fig. 3).

Note: Note:
Cutting too far lateral will lead to extensive burring of The laminae are opened slowly, creating greenstick
the facet without detachment of the lamina, whereas fractures of the thinned laminae on the hinge side.
cutting too medial will leave a lateral bony edge that
may impinge the spinal cord as it drifts backwards.

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 Fig. 5 Fig. 6

Fig. 5a Fig. 6a

Plate Preparation Plate Holder

❚ Using the plate holder, pick plate out of the caddy (Fig. 5). Plate sizes are in terms of laminar gap.

❚ 4 mm brown
❚ 6 mm turquoise
❚ 8 mm yellow
❚ 10 mm light blue
❚ 12 mm grey / silver
Using the plate benders LX185R, to bend plate to the desired
angles (Fig. 6).

Caution:
SecureSpan® plates should always be bent in one direction
only. SecureSpan® plates should never be bent back.

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Aesculap® SecureSpan®

Surgical Technique

Fig. 7 Fig. 8

Fig. 7a

Plate and Stabilization Block Placement

❚ To load screw onto the screwdriver, place screwdriver ❚ Place the stabilization block, e.g. autograft, in the preparation
over screw head and turn screwdriver’s thumbwheel device ME739. Attach the plate to the stabilization block
until threaded internal shaft is fully engaged into the by drilling a hole and inserting the self-tapping 5 mm center
threaded receptacle in the screw head (Fig. 7). screw FG923T (Fig. 8).

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 Fig. 9

Fig. 9a

❚ Utilizing the plate holder, place the plate attached to the

stabilization block into the laminar opening (Fig. 9).

Note:
SecureSpan® should always be used with a stabilization
block.

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Aesculap® SecureSpan®

Surgical Technique

Fig. 10 Fig. 11

Fig. 10a Fig. 11a

Drill

❚ Drill holes into the proper location on the lateral mass. ❚ An alternative drill and drill guide with an integrated depth
Next drill holes on the lamina (Fig. 10). stop is provided (Fig. 11).

❚ Drills are configured with self stop at lengths of 4 mm,

6 mm, 8 mm, 10 mm and 12 mm.

Caution:
Ensure safe drill trajectory.

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 Fig. 12 Fig. 13

Fig. 12a Fig. 13a

Secure Plate

❚ To load plate screw onto the screwdriver, place screwdriver ❚ Screw plate onto lamina at the predetermined hole location
over screw head and turn screwdriver’s thumbwheel until (Fig. 13).
threaded internal shaft is fully engaged into the threaded
receptacle in the screw head (Fig. 12).

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Aesculap® SecureSpan®

Surgical Technique

Fig. 14 Fig. 15

Fig. 14a

Explantation

❚ Revision screws are provided if needed (Fig. 14). ❚ The Aesculap® SecureSpan® laminoplasty screwdriver has the
capability to explant the laminoplasty screw incorporated into
❚ Repeat previous steps at adjacent levels as its design.
necessary (Fig. 15). The locking feature of the internal threaded screwdriver shaft
allows for explantation of the screws even if the screw spins
freely in the bone.
Explantation is the reverse of the implantation procedure.

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Aesculap® SecureSpan®

Ordering Information – Implants D1

Plates
Art. no. Description
FG906T Plate Single Bend Gap 4 mm, Brown
FG907T Plate Single Bend Gap 6 mm, Turquoise
FG908T Plate Single Bend Gap 8 mm, Yellow
FG909T Plate Single Bend Gap 10 mm, Light Blue
FG910T Plate Single Bend Gap 12 mm, Grey / Silver

Screws
FG915T Ø 2.0 mm, Length 4 mm Self Drilling / Tapping
FG916T Ø 2.0 mm, Length 5 mm Self Drilling / Tapping
FG917T Ø 2.0 mm, Length 6 mm Self Drilling / Tapping
FG918T Ø 2.0 mm, Length 8 mm Self Drilling / Tapping
FG919T Ø 2.0 mm, Length 10 mm Self Drilling / Tapping
FG920T Ø 2.0 mm, Length 12 mm Self Drilling / Tapping

Screws
FG925T Ø 2.4 mm, Length 5 mm Revision Screw
FG926T Ø 2.4 mm, Length 6 mm Revision Screw
FG927T Ø 2.4 mm, Length 7 mm Revision Screw
FG928T Ø 2.4 mm, Length 9 mm Revision Screw
FG929T Ø 2.4 mm, Length 11 mm Revision Screw
FG930T Ø 2.4 mm, Length 13 mm Revision Screw

Screw
Allograft Screw for stabilization block
FG923T
(to fix spacer on plate)

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Ordering Information – Instruments D2
Instruments
Art. no. Description
FG847R Lamina Lifter

FG851R Plate Holder

FG867R SecureSpan® Awl

LX185R Plate Bender

FG861R Handle for Drill

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Aesculap® SecureSpan®

Ordering Information – Instruments

Instruments
Art. no. Description
FG856SU Drill, Length 4 mm
FG857SU Drill, Length 6 mm
FG858SU Drill, Length 8 mm
FG859SU Drill, Length 10 mm
FG860SU Drill, Length 12 mm

FG868R SecureSpan® Drill Guide

FG869SU SecureSpan® Drill for use with Guide

FG848R Screwdriver

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Instruments
Art. no. Description
FG849R Graft Holder

FG836R Trial Implant, 4 mm

FG837R Trial Implant, 6 mm
FG838R Trial Implant, 8 mm
FG839R Trial Implant, 10 mm
FG840R Trial Implant, 12 mm

ME739 SecureSpan® Assembling Block

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 The main product trademark ‘Aesculap’ and
the product trademark ‘SecureSpan’ are
registered trademarks of Aesculap AG.

Subject to technical changes. All rights reserved.

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Aesculap AG | Am Aesculap-Platz | 78532 Tuttlingen | Germany purpose of obtaining information about our
products. Reproduction in any form partial or
Phone +49 7461 95-0 | Fax +49 7461 95-26 00 | www.aesculap.com otherwise is not permitted.

Aesculap – a B. Braun company Brochure No. O47602 1013/1/1