Table of contents :

Introduction
Vertebral spacer system Product features Indications & Contraindications 2 3-5 6

Surgical Technique

Step 1 : Step 2 : Step 3 : Step 4 :

7 7 8 8

Ordering information

Implants Cervical cages titanium Cervical cages peek Lumbar cages titanium Lumbar cages peek TLIF Banana peek Instruments Instruments cage cervical Instruments cage lumbar Instruments cage TLIF

9 - 10 9 9 10 10 10 11 - 15 11 12 - 13 14 - 15

Introduction :
Mahe Radiolucent Cervical and Lumbar Interbody Spacer System consists of a wide selection of peek spacers.

Key Features & Benefits :

Radiolucent
- Allows visualisation of bone growth through the center hole of the cage - Markers to visualize the cage under X-ray

Good Stability
- Sharp teeth on the surfaces of the implant ensure primary stability and prevent possible cage migration - Roughened surfaces promotes integration and bone On-Growth for good secondary stability - Curved and wedge-shaped designs accommodate any endplate shape

Cervical interbody fusion cages

Features :

Anatomic shape to adapt to the intervertebral space optimized contact with the subcondral bone.

Contact surfaces are serrated for improved primary fixation.

Primary fixation pins boost initial fixation diminishing the possibility of anteropulsion.

Optimized design allows the union of the cage with the cervical plates.

The rounded rim preserves the surrounding structures during insertion.

Additional Features
Peek cages feature two titanium markers. Produced in Titanium G5 and Peek Optima. Vast space for bone graft.

Transforamidal Lumbar Interbody Fusion ( PLIF )

Features :

The roughness of the entire contact surface increases primary fixation.

The implant side face is designed for easy placement.

Titanium has three markers to position the implant on imaging studies.

It has a generous area for bone graft placement.

Trapezoidal Lumbar Interbody Fusion ( TLIF )

Features :

Anatomic shape to adapt to the intervertebral space optimized contact with the subcondral bone.

Contact surfaces are serrated for improved primary fixation.

The rounded rim preserves the surrounding structures during insertion.

Additional Features
Peek cages feature two titanium markers. Produced in Titanium G5 and Peek Optima. Vast space for bone graft.

Indications and contraindications for cervical spacers

Indication
- Ruptured and herniated discs - DDD and instabilities - Pseudarthrosis and failed spondylodesis For multi-segmental fusions additional stabilization with a plate is recommended.

Contraindications
Osteoporosis Instabilities Spinal fractures Spinal tumor Spinal infections

Indications and contraindications for TLIF & PLIF spacers

Indication
Degenerative disc diseases Revision procedures for post-discectomy syndrome Pseudarthrosis of failed spondylodesis Degenerative spondylolisthesis Isthmic spondylolisthesis

Note: TLIF & PLIF spacers should only be applied in combination with posterior fixation.

Contraindications
Vertebral body fractures Spinal tumours Major spinal instabilities Primary spinal deformities PLIF should not be attempted at or above the level of the conus medullaris ( typically L1-L2 ); TLIF can be an option at these levels

Surgical Technique
Vertebral Spacers

STEP 1 :
Use the Modular disc spreader to distract. Distraction is crucial for the restoration of the intervertebral disc for subsequent optimal preparation of the endplates.

STEP 2 :
Use the Modular serrated disc spreader to remove the disc through the incision leaving only the anterior and lateral annulus intact. Remove the superficial layers of the cartilaginous endplates until you reach the bleeding bone.

STEP 3 :

Attach a trial implant of the preoperatively determined size to the T-handle. Insert the trial implant horizontally into the disc space and rotate vertically to distract the segment. Check the secure fit of the trial implant with the aid of the image intensifier. If the trial implant is too loose or too tight,try the next larger/smaller size until a secure fit is achieved. Select the implant that matches the trial implant. Proceed to Step 4.

STEP 4 :

Insert the cage horizontally into the intervertebral disc space by gentle impaction.

Implants Cervical :
Implants :
Cervical cage titanium
04-5432.2.C5 04-5432.2.C6 04-5432.2.C7 04-5432.4.18F 5 mm 6 mm 7 mm 8 mm

Cervical cage peek ( optima )

04-5432.2.C5P 04-5432.2.C6P 04-5432.2.C7P 04-5432.2.C8P 5 mm 6 mm 7 mm 8 mm

Implants Lumbar :
Implants :
Lumbar anatomical cage titanium
04-CT-110-110 04-CT-110-130 04-CT-130-130 11 x 11 mm 11 x 13 mm 13 x 13 mm

Lumbar anatomical cage titanium

04-CT-80-80-P 04-CT-80-95-P 04-CT-95-95-P 04-CT-95-110-P 04-CT-110-110-P 04-CT-110-130-P 04-CT-130-130-P 8x 8 mm

8 x 9.5 mm 9.5 x 9.5 mm 9.5 x 11 mm 11 x 11 mm 11 x 13 mm 13 x 13 mm

TLIF Banana peek ( optima )

04-TLIF-7 04-TLIF-9 04-TLIF-11 04-TLIF-13 04-TLIF-15 04-TLIF-17 7 mm 9 mm 11 mm 13 mm 15 mm 17 mm

10

Instruments Cervical :
Cervical cage probe
04-050-007-05 04-050-007-06 04-050-007-07 04-050-007-08 5 mm 6 mm 7 mm 8 mm

Cervical cage holder

04-050-004-00 04-050-010-00 first part second part

Creavical cage reammer

04-050-005-00

Cervical cage pusher

04-050-020-00

Implants and probe container

04-050-001-00

11

Instruments Lumbar PLIF :

Modular Thandle with quick release
04-070-012-02

Modular disc spreader quick release

04-070-022-06

Modular disc spreader quick release

04-070-022-07 04-070-022-08 04-070-022-09 10 mm 12 mm 14 mm

12

Modular striated disc spreader quick release

04-070-022-10 04-070-022-11 04-070-022-12 04-070-022-13 8 mm 10 mm 12 mm 14 mm

PLIF Probe
04-070-007-076 04-070-007-09 04-070-007-11 04-070-007-13 04-070-007-80 04-070-007-17 PROBE 8 mm PROBE 9,5 mm PROBE 11 mm PROBE 13 mm PROBE 15 mm PROBE 17 mm

13

Instruments Lumbar PLIF :

Lumbar cage older
04-070-004-00 04-070-010-00 part 1 part 2

Modular disc rasp quick release

04-070-005-05 8 mm

External container
04-070-001-00

Implants container
04-070-002-00

14

Instruments Lumbar TLIF

TLIF cage holder ( 2 parts )
04-050-004-00

TLIF cage pusher curved

04-080-020-01

TLIF cage pusher straight

04-080-020-04

TLIF cage curved guide

04-080-020-02

TLIF cage reamer curved large

04-080-005-02

TLIF cage reamer curved small

04-080-005-01

TLIF cage reamer curved small

04-080-005-06

15

Instruments Lumbar TLIF

TLIF Probe
04-080-007-07 04-080-007-09 04-080-007-11 04-080-007-13 04-080-007-17 04-080-007-80 7 mm 9 mm 11 mm 13 mm 15 mm 17 mm

Implants container
04-080-001-00

External container
04-080-002-00

16