Issue link: https://beckershealthcare.uberflip.com/i/1494056
11 EXECUTIVE BRIEFING 3 EXECUTIVE BRIEFING Can you please describe your confidence in the connection between the head and the shank? Dr. Spomar: "Compared to other modular screw systems I have used in the past, the connection between the head of the screw and the shank is very robust. Once the head is applied to the shank, the connection between the head and the shank is secure. There is reliable tactile feedback that is received when the head is applied to the shank with the application tool. It is easy to tell if the head has been properly secured to the shank." Dr. Osorio: "The connection and confidence between the head and the shank is something that I have not doubted since the moment I felt the connection and realized that there is positive feedback that is felt from the head engagement from the time that the surgeon 'snaps' on the head to the final placement and release of the tulip. There are times where I have not had the tulip engage and this also was reassuring because it was easily noted that the reason for this was that I countersunk my shank too deep, and there was bone limiting the head connection – which was easily solved with a reamer. Going through each of these scenarios above, which all happened within my initial cases, has provided the extreme confidence to continue to utilize this system." Does using ModuLeX™ 5.5 limit you in any way in your practice? Dr. Spomar: "Using the ModuLeX™ 5.5 system has not limited my practice in any way but rather has enhanced it. It is much less cumbersome to work around the posted screw versus the screw with the head already attached. This allows for the case to proceed more efficiently in my experience. Also, the amount of time to apply the heads to the screws is minimal." Dr. Osorio: "There are nearly no limitations that currently exist in my practice because of the efficiency gained in simply placing screw shanks that I have realized during the screw placement. From my initial adoption, my spine tech passing the implants has been more efficient because the focus is just on screw diameter and length as opposed to additionally searching for the screw type with tulip preference, and this has easily made up for the limited time needed to place the heads at the end of the case." ModuLeX™ 5.5 not only has modular implants but also provides modular instrumentation. Can you tell us the benefits either the retractor or the distractor has brought to your practice? Dr. Spomar: "The benefits of the retractor are, it is an elegant way to provide excellent exposure of the spine for a one level decompression and instrumented fusion with minimal soft tissue disruption. It provides superb visualization of the anatomical structures, and it is versatile in terms of providing the optimal amount of exposure for patients regardless of their size. I especially enjoy using the distractor system because it allows for a very low-profile distraction of the pedicle screws. There are several options included in the system which allow for significant versatility. I especially like using the hooks and the cable attachments for distraction. The distraction system is adjustable for the depth of the wound as well. Other distractors that I have used with modular systems can easily become disengaged from the shanks of the screws. The attachments of the ModuLeX™ 5.5 distractor system provide a solid connection to the screws and never become disengaged from the screws when I need distraction. " Dr. Osorio: "Within my current TLIF workflow, which has now consistently incorporated the ModuLeX™ system, I find that using the shank distraction instrumentation allows for an even wider working corridor than what I was used to previously. Commonly, during an open TLIF I would use a tulip distraction mechanism that was bulkier, and the ModuLeX™ distractor allows for a distraction mechanism that has variable attachments for distracting the shanks that is not only easy to engage, but it also provides improved visibility." Indication: "CD Horizon™ Spinal System intended to help provide immobilization and stabilization of spinal segments as an adjunct to fusion of the thoracic, lumbar, or sacral spine. Mazor™ X system indicated for precise positioning of surgical instruments or spinal implants during general spinal surgery. Used in open or minimally invasive or percutaneous procedures. Refer to product indication manual for instructions, warnings, precautions, and contraindications." 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