OSI

Spinal System

Implants - Instruments
Surgical Technique
Introduction

Osimplant Osi Posterior Spinal Systems are designed to contain

all equipment required to perform a spinal surgery including
various implant sizes and types.

The set used for the thoracolumbar fixation helps the surgeon to
complete a surgery easily with ergonomically designed
instruments.

With its professional team, Osimplant is always searching for

new ways to improve and its fund of knowledge in spinal
surgery instruments and implants helps it to create solutions for
surgeons as soon as possible.
 Indication

Spinal stenosis Spondylolisthesis

Pseudoarthrosis Fracture
Failed primary fusion surgery Spinal Tumor
Osteoporosis Kyphosis
Scoliosis Spinal instability
Osi Spinal Systems Overview

Pedicle screws are attached to the pedicles of vertebral

bodies bearing two different bone patterns.

Pedicular intense cortical bone

Cortical Thread
Spongiosa area of the bone with vertebral body
Screw design of the Osi pedicle screw provides both
cortical and spongiosa bone uptake.

Cancellous Thread

Bone-specific anchoring using special screw technology

A-Cortical core profile has cylindrical large core features

with, wide and intensive threads. This enables better
uptake between the pedicle bone and the screw. A
B-Inner core profile, cylindrical small core, long and thin
teeth designed to attach to the spongy portion of the
vertebral body with the tooth sides providing a wide
contact area for load distribution.
B
C-Short point and self-opening designed for rapid bone
ingestion and immediate bone uptake.

Dual core screws

Increase in pull-out strength compared to single core

and conical screw.
Preservation of bone anchor can be retracted for final
correction.
 Osi Spinal Systems Overview

Osi Polyaxial Screw

The polyaxial screw offers a much flexible solution

with its movable head. This helps the surgeons
with the fixation process.
The total profile is smaller(14.5 mms) compared to
regular profiles for other pedicular screws.Osi
Rod diameters are 5.5 mms.
The Rod end is designed hexagonal to provide
manipulation chance to the system.

Osi Cup-Nut Butress Design Locking System

Our Osi Buttress design assures a safe lock-

ing system between the cup and the
blocker nut.

T1
30°
30°

Frod F1

T1: Torque
F1: Insertion force
Frod: Rods force to nut
Implants

Osi Monoaxial Screw Screw Diameter(mm)

4.0 4.5 5.5 6.5 7.5 +

The rod diameter of the Osi Monoaxial

Screw is 5.5 mms.Screw heights vary
20
     
from 20 mms to 60 mms and above 25
     

Screw Length(mm)
increasing 5 mms for every size.
30
     
35
     

Diameter
Screw Length
40
     
45
     
50
     
55
     
60
     
+      
+ : Optional Size

Osi Monoaxial Reduction Screw Screw Diameter(mm)

4.0 4.5 5.5 6.5 7.5 +

Osi Monoaxial Reduction Screw is

20
     
manufactured for use in situations where
it does not need to be moved angular.
25
     
Screw Length(mm)

The screw provides high pull out strenght

with thread resistance.The Osi Monoaxial
30
     
Reduction Screw and hand tool
provides easy rod mounting due to it
35
     
slong arm.In a spondilolisthesis surgery
the Osi Monoaxial Reduction Screw 40
     
Diameter

helps to insert the rod in a much easier

way. 45
     
Screw Length

50
     
55
     
60
     
+      
+ : Optional Size
 Implants

Osi Polyaxial Screw Screw Diameter(mm)

4.0 4.5 5.5 6.5 7.5 +
The rod diameter of the Osi Polyaxial
Screw is 5.5 mms. Screw heights vary
20
     
from 20 mms to 60 mms and above
increasing 5 mms for every size.
25
     

Screw Length(mm)
30
     
35
     

Diameter
Screw Length
40
     
45
     
50
     
55
     
60
     
+      
+ : Optional Size

Osi Polyaxial Reduction Screw Screw Diameter(mm)

4.0 4.5 5.5 6.5 7.5 +

Osi Polyaxial Reduction Screw is

20
     
manufactured for use in situations where 25
     
Screw Length(mm)

it needs to be moved angular. The

screw provides high pull out strenght
with thread resistance.The Osi Polyaxial
30
     
Reduction Screw and hand tool
provides easy rod mounting due to its
35
     
long arm. During the assembly of the
rod, the Osi Reduction Cup was 40
     
Diameter

produced as a solution for

spondylolisthesis. 45
     
Screw Length

50
     
55
     
60
     
+      
+ : Optional Size
Implants

Osi Laminar Hook Hook Width(mm)

5 7

Osi Spinal System Laminar Hook is used as

4
 

Hook Height(mm)
an alternative solution where pedicular
screws are not wanted to be used.
5
 
According to the condition of the laminar,
the height and width of the appropriate
6
 
hook is found.
7
 
Hook Height
+
 
+ : Optional Size
Hook Width

Osi Pedicular Hook Hook Width(mm)

Osi Spinal System Pedicular Hook is used as

4


Hook Height(mm)
an alternative solution where pedicular
screws are not wanted to be used.
5

According to the condition of the
pedicule, the height and width of the
6

appropriate hook is found.
7

Hook Height
+

+ : Optional Size
Hook Width

Osi Laminar Ofset Hook Hook Width(mm)

7

Height
(mm)
Hook

Osi Spinal System Laminar Offset Hook is

used as an alternative solution where
pedicular screws are not wanted to be Hook Height
9

used. According to the condition of the
laminar ofset, the height and width of the
appropriate hook is found.

Hook Width
 Implants

Multaxial Connector CLOSE (mm) OPEN (mm)

30 40

Total Size(mm)
40 50
The Multiaxial Connector offers
parallel and angled alignment of 50 60
the rod system on the opposite
pedicules. The middle part of the
60 70
assembly is helpful when given the
proper angle. In addition, during
the rod assembly, angle can be
given thanks to its angular design.

Total Size

Nemesis Connector CLOSE (mm) OPEN (mm)

30 40

Total Size(mm)
40 50
The Nemesis Connector is inserted
above the rods. Due to its design 50 60
the length is adjustable.
60 70

Total Size

Hook Connector Rod Diameter(mm)

Rod Diameter
50

The Hook Connector is avaliable for
40 mms and up to 100 mms of 60

Rod Length(mm)

height increasing by 10 mms for

each size. 70

Rod Length 80

90

100

Implants

Rod Diameter(mm)

Osi Rod Osi CoCr Rod 5.5

40

Osi Spinal System Rod are
made from Ti6Al4V ELI. The
Osi Spinal System Rod are
made from CoCr. The rod
50

rod diameter is 5.5 mms. diameter is 5.5 mms.
60

70

Rod Diameter
80

90

100

110

Rod Length
120


Rod Length(mm)
130

140

150

160

170

Osi Pre-Bent Rod
180

Osi Prebent-Rod is made from Ti6Al4V ELI. 190

The rod diameter is 5.5 mms.The same
size as Osi Rod. 200

250

Rod Diameter 300

400

500

Rod Length
600

700

 Implants

Osi Peek Rod Rod Diameter(mm)

5.5

Osi Spinal System Peek Rod is made from

30

PEEK®(PolyEtherEtherKetone). The rod
diameter is 5.5 mms.The titanium ends of
40

the rods provide vision in X-rays.
50

60


Rod Length(mm)
Rod Diameter 70

80

90

Rod Length
100

110

120

130

135


Osi Peek Rod Nut Osi Nut Torx

Osi Nut Torx has high pull-out strenght values

with its unique thread structure. It provides
ease of use in all Osi Spinal System.

Osi Peek Rod Nut is produced to protect the

peek rod from damage while nut insertion.It
has the same properties with the Osi Nut Torx.
 Implants

Osi Domino Double Osi Domino Double

Rod Connector Long Rod Connector Short

Osi Domino Single Osi Domino

Rod Connector Single Rod
Long Connector
Short

Osi Double Cup Connector Small

Osi Double Cup Connector Large

Osi Double Cup Connector Medium

The Osi Double Cup Connector, which is one of the Osi Spinal
System connectors, allows for clear mounting of the two rod
connections parallelly.
 Implants

Osi Closed Lateral Connector Rod Diameter(mm)

5.5

Osi Lateral Connector is used to connect 20


the remaining screw on the lateral side of
the rod. 25

30

35


Rod Length(mm)
Rod Length
40

45

50

Rod Diameter
55

60

65

70

+ 
+ : Optional Size

Osi Cup Lateral Connector Rod Diameter(mm)

5.5

As an alternative to closed lateral

20

connectors,the open cup design allows

Rod Length(mm)

the surgeons to place the connectors 25

between two screws.
30

Rod Length
35

40

+ 
+ : Optional Size

Rod Diameter
Instruments

Osi Bone Tap 4.5 mm

333-TP-45

Osi Awl
333-AW

Osi Bone Tap 5.5 mm

333-TP-55

Osi Pedicle Probe Straight

333-PP
Osi Bone Tap 6.5 mm
333-TP-65

Osi Bone Tap 7.5 mm

Osi Pedicle Probe Curved
333-TP-75
333-PPC

Osi Feeler Probe Straight

333-FE

Osi Feeler Probe Curved

333-FEC
 Instruments

Osi Polyaxial / Reduction Screw Driver

Osi Marker Left OSI-PSC-2002
333-ML

Osi Marker Right Osi Monoaxial / Reduction Screw Driver

333-MR OSI-MSC-2003

Osi Polyaxial Screw Driver Easy Shaft

OSI-SDS-2001

Osi Palm Handle Torque

H50-A0

Osi T Handle
H90-1/4

Osi Straight Handle

H170-A0

Osi T Handle Torque

Osi Straight Handle TCMT-10NM-1/4
H120-1/4
Instruments

Osi Rod Gripper

OSI-RG-2005

Osi Rod Holder

OSI-RH-2004

Osi Persuader Nut Driver

Osi Persuader Rod Reducer OSI-PSU3
OSI-PSU2
Osi Persuader
OSI-PSU1
 Instruments

Osi Nut Driver Shaft

333-ND-T30

Osi Rocker
OSI-RCK-2008

Osi Compressor Osi Distractor

OSI-CMP-2010 OSI-DST-2011

Osi Rod Bender

OSI-RB-2012
Instruments

Osi Anti Torque

OSI-AT-2013

Osi Rod Pusher

OSI-RP-2014

Osi Hook Transverse

Connector Holder
333-TCHD2

Osi Hook Transverse

Connector Driver
333-TCHD1

Osi Nemesis Connector Driver Shaft

333-NMDR

Osi Multiaxial Connector Driver Shaft

333-MTCD
 Instruments

Osi Reduction Head Cutter

OSI-HC-2016

Osi In-stu Bender Right

OSI-ISBR-2017

Osi In-stu Bender Left

OSI-ISBL-2018

Osi Rod Wrench

333-RHW

Osi Trial Rod 250mm

OSI-TR25-2020

Osi Trial Rod 100mm

OSI-TR10-2019

Osi Hammer
333-HM
Caddies

Osi Domino-Lateral Connector Caddies

OSI-CC-2022

Osi Transverse Connector Caddies

OSI-TCC-2023
 Caddies

Osi Nut Caddies

33-NC

Osi Screw Caddies

OSI-SC-2021
Surgical Technique
Osi Awl

After the necessary surgical preparations and procedures

are performed, an access hole is opened to send the screw
with the Osi Awl (Figure 1).

(Figure 1: 333-AW)

Osi Pedicle Probe Straight-Curved

With this Straight and Curved Osi Pedicle Probe (Figure 2,

Figure 3), the pedicle is pushed through the pilot hole into the
corpus.

(Figure 2: 333-PP)

(Figure 3: 333-PPC)
 Surgical Technique

Osi Feeler Probe Straight-Curved

This created hole is safely controlled by the Straight

and Curved Osi Feeler Probe (Figure 4, Figure 5).

(Figure 4: 333-FE)

(Figure 5: 333-FEC)
Surgical Technique
Osi Bone Tap

With the Osi Tap that has two different handle options (Figure 6, Figure 7), which has the same design
as the Osi Pedicle Screw, the hole for the Osi Screw is prepared.

333-TP-45 Osi Bone Tap 4.5 mm

333-TP-55 Osi Bone Tap 5.5 mm
333-TP-65 Osi Bone Tap 6.5 mm
333-TP-75 Osi Bone Tap 7.5 mm

(Figure 6: 333-TP-55 H120-1/4) (Figure 7: 333-TP-55 H90-1/4)

 Surgical Technique
Osi Polyaxial / Reduction Screw Driver

The appropriate Osi Screw, which has been pre-determined

in diameter and length, is applied to the vertebrae by being
mounted on the Osi Polyaxial Screw Driver which has two
different handle options (Figure 8, Figure 9). This process is
repeated for all vertebrae to be stabilized.

(Figure 8: OSI-PSC-2002 H120-1/4) (Figure 9: OSI-PSC-2002 H50-A0)

Surgical Technique

Osi Polyaxial Screw Driver Easy Shaft

The Osi Screw Driver Easy Shaft(Figure 10) is used

instead of a screwdriver to make simple
manipulations to screws placed on the spine.

(Figure 10 : OSI-SDS-2001 H120-1/4)

 Surgical Technique

Osi Monoaxial / Reduction Screw Driver

The appropriate Osi Screw, which has been

pre-determined in diameter and length, is applied to the
vertebrae by being mounted on the Osi Monoaxial
Screw Driver with two different handle options
(Figure 11, Figure 12). This process is repeated for all
vertebrae to be stabilized.

(Figure 11: OSI-MSC-2003 H120-1/4)

(Figure 12: OSI-MSC-2003 H50-A0)

Surgical Technique

Osi Trial Rod

Experimental (temporary) rods are used to

determine the length and lordosis of the Osi Rod to
be placed(Figure 13).

OSI-TR10-2019 Osi Trial Rod 100mm

OSI-TR25-2020 Osi Trial Rod 250mm

(Figure 13)

Osi Rod Bender

The appropriately selected Osi Rod is bent by giving

the lordosis angle through the Osi Rod Bender
(Figure 14).

(Figure 14:OSI-RB-2012)
 Surgical Technique

Osi Rod Holder Osi Rod Gripper

The Osi Rod is inserted into the screw with the Osi Rod If extra force is required to hold the Osi Rod Osi Rod
Holder (Figure 15). Gripper is used (Figure 16).

(Figure 15:OSI-RH-2004) (Figure 16:OSI-RG-2005)

Osi Rocker

The Osi Rocker is used to position the rod in the

cup when the rod is not fully seated in the head
(Figure 17).

(Figure 17:OSI-RCK-2008)
Surgical Technique

Osi Persuader

Osi Persuader is used to reduce the rods by screws in

situations where the rod does not fit in the rod
channel on the screw. Osi Persuader (Figure 18) is
enlarged by its spring mechanism and then it’s placed
in the holes on the screw.

(Figure 18:OSI-PSU1)

Osi Persuader Rod Reducer

The Osi Rod Reducer is placed through the Osi

Persuader, which is placed on the rod to reduce the
rods height and place it inside the cup (Figure 19).
OSI-PSU2

(Figure 19: OSI-PSU1

OSI-PSU2)
 Surgical Technique

Osi Persuader Nut Driver

The Osi Nut placed on the Osi Persuader Nut Driver(Figure 20),
is sent through the Osi Persuader Rod Reducer(Figure 19) to
perform the nut tightening operation (Figure 21).

(Figure 20: OSI-PSU1 OSI-PSU2 OSI-PSU3)

(Figure 20-1: OSI-PSU1 OSI-PSU2 OSI-PSU3) (Figure 21)

Surgical Technique

Osi Compressor Osi Distractor

(Figure 23: OSI-CMP-2010 (Figure 24: OSI-DST-2011

333-ND-T30 333-ND-T30
TCMT-10NM-1/4) TCMT-10NM-1/4)

Osi Compressor and Osi Distractor allow the vertebrae, where the implants are placed, to be safely
brought closer together or removed away from the screws(Figure 23, Figure 24 , Figure 25).

(Figure 25)
 Surgical Technique

Osi In-stu Bender Right-Left

(Figure 26: OSI-ISBR-2017 OSI-ISBL-2018)

In order to provide the desired anatomical angle, Osi In-stu Bender 's(Figure 26) are used to bend
the rods to a desired angle.
Surgical Technique

Osi Anti Torque-Osi Nut Driver Shaft

Once all the implants are securely placed,

the Osi Anti-Torque (Figure 28) is placed in
the head of the screw to perform the final
tightening. The system locks completely
through the Nut Driver Shaft which is put
inside the Torque Limiter Handle (Figure 28).

(Figure 28: OSI-AT-2013

TCMT-10NM-1/4
333-ND-T30)

(Figure 29)
 Surgical Technique

Osi Reduction Screw Head Cutter

Osi Head Cutter is used to break the remaining

parts of the reduction screws (Figure 27).

(Figure 27 :OSI-HC-2016)
Surgical Technique

Osi Hook Transverse Connector Driver

Using the Hook Transverse Connector Driver (Figure 30), two rods are
connected to each other with a Hook Transverse Connector.

(Figure 30: 333-TCHD1 333-TCHD2)

 Surgical Technique

Osi Multiaxial Connector Driver

Osi Multiaxial Connector Driver (Figure 31) ,two rods

are connected to each other with a Osi Multiaxial
Connector.

(Figure 31: 333-MTCD H90-1/4)

Surgical Technique

Nemesis Connector Driver

Nemesis Connector Driver, two rods are connected

to each other with a Nemesis Connector (Figure 32).

(Figure 32)
Osi Spinal System Set
 www.osimplant.com.tr
HEADQUARTER
Osimplant Medical Materials
FACTORY
İlkbahar Ave. Galip Erdem St. İkitelli O.S.B.14. St. Mutfakçılar
(571. St.) No:47, 06550 Industrial Site, 4 Block No:47
Çankaya/Ankara, Turkey İkitelli/İstanbul, Turkey

P: +90 312 473 82 80 –473 22 80 P: +(90) 212 485 40 32

F: +90 312 473 81 90 F: +(90) 212 485 40 34

sales@osimplant.com.tr info@bonimplant.com.tr