ONE SYSTEM, MULTIPLE OPTIONS

Surgical Technique
Joint Spine Sports Med
M.U.S.T. Mini Surgical Technique

2
INDEX
1. INTRODUCTION 4
1.1 indications 4
1.2 Contraindications 4
1.3 Pre-operative Planning 4
1.4 Surgical Approach 5
1.5 Pedicle or lateral mass preparation 5
1.6 Polyaxial Screw Fixation 7
1.7 Head Adjusting 9

2. OCCIPITAL PL ATE 10
2.1 Occipital Plate Size Selection 10
2.2 Pilot Hole Preparation 10
2.3 Occipital Screw Insertion 11
2.4 Rod Counturing and Insertion 12
2.5 Final Tightening 12

3. ROD CONTOURING AND INSERTION 13

4. ROD REDUCTION TECHNIQUES 14

5. COMPRESSION OR DISTR ACTION 15

6. IN SITU ROD BENDING AND ROTATION 15

7. FINAL TIGHTENING 16

8. CROSS CONNECTOR 16

9. HOOKS 17

10. L ATER AL CONNECTORS 18

11. ROD TO ROD CONNECTORS 19

11.1 Rod-to-Rod Connectors Positioning 19

12. REMOVAL AND REVISION PROCEDURES 19

13. MRI COMPATIBILIT Y 20

14. IMPL ANTS NOMENCL ATURE 21

14.1 Sterile Single Package 21

3
M.U.S.T. Mini Surgical Technique

1. INTRODUCTION

The M.U.S.T. Mini posterior cervical screw system is a screw system to the M.U.S.T. system. Refer to the M.U.S.T.
modular solution to fix and stabilize the posterior cervical system package insert for a list of the M.U.S.T. indications
and the upper thoracic spine. of use.
The system design is simple and flexible; a comprehensive When used with the Occipital Plate the M.U.S.T Mini
set of components allows the surgeon to assemble the posterior cervical screw system is also intended to provide
desired construct according to the anatomy of the patient
and the pathology that requires treatment. immobilization and stabilization for the occipito-cervico-
thoracic junction (occiput – T3) in treatment of the
The M.U.S.T. Mini posterior cervical screw system consists instabilities mentioned above, including occipitocervical
of polyaxial screws, three designs of occipital plate, hooks dislocation.
and multiple connectors
The M.U.S.T. Mini polyaxial screws are available in solid and
1.2 CONTRAINDICATIONS
cannulated options. The self-stabilising system of the tulip
simplifies the rod insertion and the freedom of orientation The M.U.S.T. Mini posterior cervical screw system is
is greater than 90° (±45°) at all angular position (360°). The contraindicated in the following cases:
set of implants includes fully threaded and partially
threaded screws. • Active infectious process or significant risk of infection
(immunocompromise).
Three designs of laminar hooks are available to stabilize
• Morbid obesity.
the posterior elements of the spine in different pathologies
such as tumors, degenerative or deformity cases. • Open wounds.
Head to head or standard (STD) cross connectors increase
• Any case where the implant components selected
for use would be too large or too small to achieve a
the torsional stiffness and the overall stability of the successful result.
assembly. The connectors are available in several lengths
• Severe osteoporosis may preclude implant stability.
• Suspected or documented metal allergy or intolerance.
to accommodate different patients’ anatomy.
Finally, rod to rod connectors enable the system to be
connected from cervical to the upper thoracic spine as well • Any patient in which implant utilization would interfere
with anatomical structures or expected physiological
as the connection of rods of different diameters. performance.

• Any patient having inadequate tissue coverage over the

operative site or inadequate bone stock or quality.
1.1 INDICATIONS
The M.U.S.T. Mini posterior cervical screw system is
• Any other medical or surgical condition which would
preclude the potential benefit of spinal implant surgery,
intended to provide immobilization and stabilization of such as the presence of congenital abnormalities,
spinal segments as an adjunct to fusion for the following elevation of sedimentation rate unexplained by other
acute and chronic instabilities of the the cervical spine (C1 diseases, elevation of white blood count (WBC), or a
to C7) and the thoracic spine from T1-T3: traumatic spinal marked left shift in the WBC differential count.
fractures, and/or traumatic dislocations; instability or
deformity; failed previous fusions (e.g., pseudarthrosis); • Grossly distorted anatomy caused by congenital
abnormalities.
tumors involving the cervical spine; degenerative disease,
including intractable radiculopathy and/or myelopathy, • Any case not needing a bone graft and fusion.
neck and/or arm pain of discogenic origin as confirmed by
radiographic studies, and degenerative disease of the
• Any patient unwilling to follow post-operative
instructions.
facets with instability.
The M.U.S.T. Mini posterior cervical screw system is also
• Any case not described in the indications.
intended to restore the integrity of the spinal column even
in the absence of fusion for a limited time period in patients 1.3 PRE-OPERATIVE PLANNING
with advanced stage tumors involving the cervical spine in
The pre-operative material, MRI or CT images, is used to
whom life expectancy is of insufficient duration to permit
inspect the anatomy of the patient and the pathology that
achievement of fusion.
requires treatment, providing the surgeon with information
In order to achieve additional levels of fixation, the M.U.S.T. to plan the surgery in advance.
Mini posterior cervical screw system may be connected to
the M.U.S.T. system rods with the M.U.S.T. Mini rod
connectors. Transition rods with differing diameters may
also be used to connect the M.U.S.T. Mini posterior cervical

4
1.4 SURGICAL APPROACH
The patient is placed in the prone position on the operating
table, the head and the neck are securely fixed. Caution
should be taken to place the cervical spine in the
physiological alignment to avoid undesired pressure points.
The correct positioning should be checked by image
intensifier or radiograph.
A posterior midline incision is made along the level to be
treated and the soft tissues are gently moved laterally.
Decortication is then carefully performed to expose the
spinous process, the lamina, the facet joints and, if needed,
the lateral masses of the vertebrae.
Care must be taken when performing dissection in order to
avoid damage to the spinal cord, the interspinous ligament,
the C2 nerve root or the vertebral arteries.

1.5 PEDICLE OR LATERAL MASS PREPARATION

The M.U.S.T. Mini polyaxial screw can be inserted inside the
pedicle or inside the lateral mass of the vertebra according
to the surgeon’s preference. 2.

The following surgical steps refer to polyaxial screw

insertion inside the pedicle. The same steps can be Correct positioning can also be checked using the Pedicle
followed to insert the screw inside the lateral masses. A Marker under radiographic control.
combined approach is also possible according to the
surgeon’s needs.
Locate the desired entry point of the screw and perforate
the outer cortex with the Pedicle Awl.
Use the Pedicle Probe and gently open the pedicle canal.
The Pedicle Probe is graduated, in 10mm incremental
markings, to give an initial visual indication of the pedicle
canal depth reached.

3.

The Depth Gauge is available to measure the canal depth

1.
and to help determine the length of the polyaxial screw.

Check, with the Ball Tip Feeler, the pedicle walls in order to
verify if a violation of the pedicle has occured.

5
M.U.S.T. Mini Surgical Technique

4. 7.

NOTICE: In case of sclerotic bone or any other reason that Drill Guides are available, in a short version and in a long
can cause high resistance avoid to strongly hammer the version. Each guide is compatible only with the associated
awl. A burr can be used to flatten the bone surface and Drill Bit (same color).
facilitate insertion of the awl.
Open the pedicle canal using the Drill Guide.
Set the rotating outer wheel of the Drille Guide to the
desired depth of the hole to be drilled (2mm increments).

8.

5. LONG

Insert the Drill Bit into the Drill Guide and drill the pedicle
until the mechanical stop is reached.

9.

Another option to prepare the pedicle or the lateral mass of

the vertebra to the screw insertion is to use a K-wire guided
6.
technique. Assemble the cannulated awl with the inner pin
hand wheel.

6
 10.

Target the pedicle and perforate the outer cortex with the
Cannulated Awl.
12.

To use the K-wire holder, push the lock button and slide the
tool over the Kirschner wire few centimeters above the end
of the cannulated awl, then release the locking button.
Lightly mallet the impaction surface of the holder to
advance the Kirschner wire. Stop impacting before the tool
reaches the top of the cannulated awl. If further K-wire
insertion is needed, after checking fluoroscopy, slide the
wire holder back and repeat the manoeuver. Once the
K-wire has been inserted remove the K-wire holder and the
cannulated awl.

WARNING
11.
Make sure the K-wire does not slip off during the procedure.
A variety of solid and cannulated Drills and Taps are
available and may be used at the discretion of the surgeon.
Remove the pin hand wheel and insert the graduated (5mm To drill/tap the pedicle, select the desired Drill bit/Tap and
increments) Kirschner wire. Check the K-Wire position connect it with an AO connection handle.
under radiographic imaging. A K-wire holder, available in the
M.U.S.T. percutaneous set (99.51S.031), can be used for
insertion or removal of the wire itself. The K-wire holder is CAUTION
used to either advance or remove Kirschner wires during In order to facilitate the insertion of the cervical polyaxial
the procedure. screw it is recommended to tap the pedicle.

1.6 POLYAXIAL SCREW FIXATION

Once the canal has been prepared and eventually tapped
the M.U.S.T. Mini posterior cervical screws can be inserted.
The size of the screw depends on the diameter and the
length of the prepared pedicle canal, in relation to the
vertebral anatomy.
The M.U.S.T. Mini posterior cervical screws can be inserted
and fixed using the Polyaxial Screwdriver which has been
specifically designed to easily align the screw to avoid
wobbling.

7
M.U.S.T. Mini Surgical Technique

13.

The protection sleeve must be coupled with the shaft of the

screwdriver. 16.

Tighten the head of the polyaxial screw to the Polyaxial

Screwdriver using the proximal gear, firmly turn it clockwise
until the screw is fully tightened. Once secured, it is no
longer possible for the screw to move as it is fully engaged
with the Polyaxial Screwdriver.

14.

Insert the tip of the screwdriver into the screw head and
lock the screw in the correct alignment as shown below.

15.

NOTICE: The correct polyaxial screw/polyaxial screwdriver

coupling may be reached after a slight rotation and re-
alignment of the screw body. 17.

OPTION
Place the screw in the dedicated loading station and insert Insert the screw into the prepared pedicle canal by turning
the tip of the screwdriver in the screw head. the Handle clockwise.

8
NOTICE: Do not hold the proximal gear during the screw 1.7 HEAD ADJUSTING
insertion to avoid screw disengagement from the
screwdriver tip. Before placing the rod, check the orientation of the polyaxial
screw head. Use the Head Adjuster instrumentation to
align the polyaxial screw head in the desired position.

18.

Once the pedicle screw has been inserted disengage the 20.
Polyaxial Screwdriver by turning the proximal gear counter-
clockwise.

CAUTION
In case of resistance during the screwdriver disengagement
slightly toggle the instrument before the removal.

PROXIMAL GEAR

21.

19.

To perform further screw adjustment use the bone

screwdriver.

OPTION 22.
Cannulated screws are available and can be inserted
following the K-wire trajectory. The screw insertion may be
preceded by drilling and tapping depending on the surgeon’s If the head of the polyaxial screw resists alignment, use the
preferences. Bone Screwdriver to slightly unscrew it.

9
M.U.S.T. Mini Surgical Technique

2. OCCIPITAL PLATE

The following paragraphs describe the steps to follow to WARNING

implant the Occipital Plate. Repeated bending should be avoided to prevent
compromising the integrity of the Plate.

2.1 OCCIPITAL PLATE SIZE SELECTION

Once the occiput has been exposed, use the Occipital plate 2.2 PILOT HOLE PREPARATION
trial to determine the most appropriate implant size. The
Occipital trial plate can be contoured with the dedicated To create the hole for the screw insertion use the drill guide.
plate bender to fit the occipital shape. Set the desired depth of the hole by rotating the
outer wheel of the drill guide (2mm increment).
WARNING
The Occipital Plate must be compatible with the rod to
insert. The color of the rod must match the color of the
Occipital Plate connectors as shown in the picture below.
The Occipital plate connectors are also laser marked with
the diameter of the rod to be engaged.

25.

23.
Connect the drill guide with the Occipital plate by snapping-
in the tip in one of the Plate holes.
Select the most suitable design of Occipital plate to implant.
Contour it with the dedicated instrument. Position the Occipital plate over the occiput. The Occipital
Plate should be centered in the midline between the
The occipital plate should only be bent using the Plate External Occipital Protuberance (EOP) and the posterior
bender included with the Occipital M.U.S.T. Mini border of the Foramen Magnum, in order to maximize bone
instrumentation. purchase.

The Plate holder should be used to firmly hold the Plate

while contouring with the simple plate bender

26.
24.

10
NOTE: The drill guide is compatible with: straight drills, 2.3 OCCIPITAL SCREW INSERTION
U-joint drills and the 4.0mm tap.
Disengage the drill guide and attach it in another hole of the
Insert the Drill Bit into the Drill Guide and gently drill until the plate as showed in the picture.
mechanical stop is reached.

27.

Check the depth of the drilled hole with the Depth Gauge 29.

WARNING
The depth gauge should be gently used in order to avoid Engage the screw with the Long OC screwdriver.
possible soft tissue damage.

Insert the Tap into the Drill Guide and tap to the desired
screw length until the mechanical stop is reached.
Use the 4.0mm tap.

30.

Insert the screw in the pre-drilled hole by turning clockwise

until it is fully seated.

28.

The 5.0mm tap is not compatible with the Drill Guide. In

case of revision surgery tap the hole directly with the 5.0
mm tap.

WARNING
It is strongly recommend to always perform Drill and Tap
before inserting the Occipital screws.
31.

11
M.U.S.T. Mini Surgical Technique

Disengage the Long OC Straight Screwdriver. Repeat all the 2.5 FINAL TIGHTENING
steps from the paragraph “pilot hole preparation” for all the
remaining screws. Attach the counter torque to the Occipital plate connector.
Perform the final tightening of the screws with the torque
limiter (3Nm) to lock the rods.
OPTION
If necessary the OC-screws can be positioned with the
Short Self Retaining Straight screwdriver.

CAUTION
Do not overtighten to prevent self-retaining short
screwdriver failure.

2.4 ROD COUNTURING AND INSERTION

Use the malleable rod template to determine the rod
curvature between the occiput and the upper cervical
vertebrae and to choose the desired rod length.
NOTE: As described in paragraph 6.1 make sure that the
color code of the rod matches the color code of the 33.
Occipital Plate connector.
Contour the rod with the Rod Bender to reach the desired
shape and cut with the Rod cutter to reach the desired rod
length.
Use the Rod Insertion Forceps to position the rod into the
posterior cervical screws. Use the Occipital Plate Rod
Inserter to attach the rod with the connectors of the
Occipital Plate.
Shift the Occipital Plate connector in M/L direction to
obtain the desired position

34.

32. CAUTION
Do not perform final tightening on the occipital screws with
Torque limiter screwdriver. Occipital screws are secured at
the discretion of surgeon.

12
3. ROD CONTOURING AND INSERTION

All rods are available in both Titanium and CoCr alloy and WARNING
in multiple lengths.
Do not cut the the CoCr rod with the handle rod cutter.
The surgeon can select the most appropriate rod length
using the rod template. Use the Rod Insertion Forceps to position the rod into the
selected heads.

35.

The rod can be contoured with the Rod Bender to reach the
desired shape.
To cut the Titanium rod use the handle rod cutter or a table
rod cutter. The handle cutter can cut 3.5mm and 4.0mm
rods.

37.

CAUTION
Rods should only be bent using the Rod Bender that is
included with the standard M.U.S.T. Mini instrumentation.
Never bend the rods more than once as repeated bending
may result in weakening or fracture of the rod.

36.

The CoCr rod must be cut with the table rod cutter.

13
M.U.S.T. Mini Surgical Technique

4. ROD REDUCTION TECHNIQUES

The rod must be completely seated within the screw heads

to allow final rod manipulation and construct positioning.
Rod reduction can be performed with the Rod Reduction
Device.
Place the rod reduction device on the polyaxia screw head
until mechanical stop.

40.
38.

Once the set screw has been inserted squeeze the trigger
Tighten the handle until the rod is fully seated in the screw
of the Rod Reduction device for the release and disengage
head.
the instrument from the polyaxial screw head.

41.

OPTION
A Rod Pusher is also available to perform the Rod
39.
Reduction. Couple the rod pusher with the polyaxial screw
head and the rod. Perform the reduction. The Rod Pusher
can also be used as a counter torque during the temporary
Engage the set screw with the dedicated Temporary Set set screw tightening.
Screwdriver. Insert the screwdriver through the rod
reduction shaft and tighten the set screw on the polyaxial
screw head.

14
CAUTION CAUTION
Do not use the Temporary Set Screwdriver for the final It is recommended to insert the set screw through the
locking as this instrument should only be used for cannulation of the available instrument device to prevent
temporary locking of the set screw. implant failure.

5. COMPRESSION OR DISTR ACTION

Before the set screw is finally tightened, compression or

distraction may be performed.
Use the compression forceps to achieve compression or
the distraction forceps to achieve distraction. Once the
desired position has been reached tighten the set screw as
described in the section 10, ‘Final Tightening.

43.

42.

6. IN SITU ROD BENDING AND ROTATION

If further contouring of the rods is required to achieve the These bending instruments are available to perform in situ
desired alignment, it is also possible to bend the rods using coronal and sagittal rod bending as well as rod rotation.
the dedicated bending instruments.

15
M.U.S.T. Mini Surgical Technique

7. FINAL TIGHTENING

To perform the final tightening engage the Counter Torque

to the pedicle screw head.

45.

44. OPTION
Final tightening can be performed with the Rod Reducer
Device. In this case only the Long Torque Limiter can be
used.
Insert the Torque Limiter into the Counter Torque. Firmly
grip the Counter Torque and perform final fixation until the
audible noise indicates that the required torque has been
reached.
CAUTION
If, after final tightening has been performed, repositiong of
the set screw is necessary, it is advisable to untighten the
set screw and replace it with a new one.

8. CROSS CONNECTOR

The construct can be reinforced by adding cross connectors

according to the specific anatomy of the patient and the
amount of available space between the polyaxial screw
heads.
Two designs of M.U.S.T. Mini cross connectors are
available. The STD cross connector is attached to the rod
through the connector clamp while the screw-to-screw
connector is coupled on the polyaxial screw heads. The
cross connectors are available in multiple lengths.
Measure the appropriate length of the connector by placing
the cross connector size indicator on the desired position.

46.

16
Hold the selected cross connectors and place it onto the
construct. The STD cross connector can be engaged using
the dedicated STD cross connector inserter.
A loading station is also available if needed.

48.

A further option is the cross connector with the spinous

process integrated. This connector is locked to the rods
through the cross connectors clamp as per the STD
connectors.

47.

Once the connector has been positioned, engage the

Counter torque with the connector’s head and tighten the
set screw with the 3.0N∙m Torque Limiter. The counter
torque is available only for STD connectors.
The screw to screw connector plate is placed over the
polyaxial screw head with the Rod Insertion Forceps. Use
the temporary set screwdriver to engage the set screw with
washer and screw it into the polyaxial screw head.Perform
the final tightening with the 3.0 N∙m torque limiter 49.
instrument.

9. HOOKS

A comprehensive set of laminar hooks is available for the

surgeon to choose the most suitable implant that matches
the thickness of the vertebral lamina.
Before inserting the laminar hook care must be taken to
dissect the ligament flavum and to expose the vertebral
lamina ensuring a good contact between the hook and the
bone. Use the Lamina Elevator to separate the ligamentum
flavum from the lamina.

50.

17
M.U.S.T. Mini Surgical Technique

Select the appropriate hook to implant using the trial Repeat the process for each lamina, then perform as
sample. Attach the hook to the hook Forceps and place it described above the following surgical steps:
on the lamina, using the hook Pusher if needed.
• Rod Contouring and Insertion
• Rod Reduction
• Compression and Distraction
• Final Tightening

51.

10. LATER AL CONNECTORS

The lateral connectors are used to compensate the Medio/ Use the Temporary Set Screwdriver and temporary lock the
Lateral offset between the screw head and the rod. The lateral connector and the pedicle screw.
lateral connectors are available in short and long versions.
Once the desired lateral connector has been chosen,
engage the connector on the rod as shown in the following
picture.

53.

Perform the final tightening of both set screws with the 3.0
N·m Torque Limiter as described in section 10 ‘Final
52.
Tightening’.

Rotate the connectors to engage it with the head of the

polyaxial screw.

18
11. ROD TO ROD CONNECTORS

Rod to rod connectors are used to allow rod connection As option use the Connector Inserter of the M.U.S.T.
between the cervical and upper thoracic spine. The Thoracolumbar set. Attach the connector inserter to the
connectors allow rod transition from a smaller to a larger implant by tightening the set screw using the Temporary
diameter. Four designs of rod to rod connectors are Set Screwdriver.
available, STD, Angled, Open and Adjustable.

11.1 ROD-TO-ROD CONNECTORS POSITIONING

Hold the connector and place it in the already positioned
rod. Temporarily lock the set screws with the Temporary
Set Screwdriver. Insert the second rod and proceed with the
final tightening of the set screws using the 3.0 N·m Torque
Limiter.

55.

Insert the rod to rod connectors into the rod that is already
in position and lock the set screws temporarily with the
Temporary Set Screwdriver. Slide out the connector
inserter, insert the rod to be connected and proceed with
the final tightening of the set screws using the 3.0 N·m
Torque Limiter.

54.

12. REMOVAL AND REVISION PROCEDURES

The existing standard M.U.S.T. Mini screw instruments can CAUTION

be used in case of revision surgery or removal of the Check carefully that no metal fragments from the removed
implants. implants remain in situ.

19
M.U.S.T. Mini Surgical Technique

13. MRI COMPATIBILIT Y

Non clinical testing has demonstrated the MUST MINI is In non-clinical testing, the image artifact caused by the
MR Conditional. A patient with this device can be safely device extends approximately 69.3 mm from the MUST
scanned in an MR system meeting the following conditions: MINI when imaged with a gradient echo pulse sequence

• Static magnetic field of 3 T and a 3 T MRI system.

• Maximum spatial field gradient of 6,400 gauss/cm

• Maximum
T2/m)
Force Product 180,000,000 G2/cm (108 CAUTION
Patient safety is ensured up to a static magnetic field of 3T.
No further analysis has been performed for higher values.
• The theoretically estimated maximum whole body
averaged specific absorption rate (SAR) of <2 W/kg
(Normal Operating Mode)
Under the scan conditions defined above, the MUST MINI
is expected to produce a maximum temperature rise of less
than:

• 2.4°C (2W/kg, 1.5Tesla) RF-related temperature increase

with a background temperature increase of 0.8°C
(2W/kg, 1.5Tesla)

• 2.1°C (2 W/kg, 3 Tesla) RF-related temperature increase

with a background temperature increase of 0.2°C
(2 W/kg, 3 Tesla) after 15 minutes of continuous
scanning

20
14. IMPLANTS NOMENCLATURE

14.1 STERILE SINGLE PACKAGE

POLYAXIAL SCREW SOLID - FULL THREAD

REFERENCE 1 DIAMETER (mm) LENGTH (mm) REFERENCE 1 DIAMETER (mm) LENGTH (mm)

03.75.000* 10 03.75.308* 26
03.75.001 12 03.75.309* 28
03.75.002 14 03.75.310* 30
03.75.003 16 03.75.311* 32
03.75.004 18 03.75.312* 34
03.75.005 20 03.75.313* 36
03.75.006 22 03.75.314* ø 4.5 38
03.75.007 24 03.75.315* 40
ø 3.5
03.75.008 26 03.75.316* 42
03.75.009 28 03.75.317* 44
03.75.010 30 03.75.318* 46
03.75.011 32 03.75.319* 48
03.75.012* 34 03.75.320* 50
03.75.013* 36 1
includes 1 screw and 1 set screw
03.75.014* 38
03.75.015* 40

03.75.100* 10
03.75.101* 12
03.75.102* 14
03.75.103* 16
03.75.104* 18
03.75.105* 20
03.75.106* 22
03.75.107* 24
ø4
03.75.108* 26
03.75.109* 28
03.75.110* 30
03.75.111* 32
03.75.112* 34
03.75.113* 36
03.75.114* 38
03.75.115* 40

21
M.U.S.T. Mini Surgical Technique

POLYAXIAL SCREW CANNULATED - FULL THREAD POLYAXIAL SCREW SOLID - PARTIAL THREAD

REFERENCE 1 DIAMETER (mm) LENGTH (mm) REFERENCE 1 DIAMETER (mm) LENGTH (mm)

03.75.200* 10 03.75.500* 26
03.75.201 12 03.75.501* 28
03.75.202 14 03.75.502* 30
03.75.203 16 03.75.503* 32
03.75.204 18 03.75.504* ø 4.0 34
03.75.205 20 03.75.505* 36
03.75.206 22 03.75.506* 38
03.75.207 24 03.75.507* 40
ø 4.0
03.75.208 26 03.75.508* 42
03.75.209 28 03.75.548* 26
03.75.210 30 03.75.549* 28
03.75.211 32 03.75.550* 30
03.75.212* 34 03.75.551* 32
03.75.213* 36 03.75.552* ø 4.5 34
03.75.214* 38 03.75.553* 36
03.75.215* 40 03.75.554* 38
03.75.408* 26 03.75.555* 40
03.75.409 28 03.75.556* 42
03.75.410 30 1
includes 1 screw and 1 set screw
03.75.411 32
03.75.412 34
03.75.413 36
03.75.414 ø 4.5 38
03.75.415 40
03.75.416* 42
03.75.417* 44
03.75.418* 46
03.75.419* 48
03.75.420* 50

22
POLYAXIAL SCREW CANNULATED - PARTIAL THREAD SET SCREW

REFERENCE 1 DIAMETER (mm) LENGTH (mm) REFERENCE TYPE

03.75.524 26 03.75.900 M.U.S.T. Mini Setscrew (ste)

03.75.525 28 03.75.901 M.U.S.T. Mini Setscrew 4x (ste)
03.75.526 30 03.75.902 M.U.S.T. Mini Setscrew 6x (ste)
03.75.527 32
03.75.528 ø 4.0 34
03.75.529 36
03.75.530* 38
03.75.531* 40
03.75.532* 42

03.75.572 26
03.75.573 28
03.75.574 30
03.75.575 32
03.75.576 ø 4.5 34
03.75.577* 36
03.75.578* 38
03.75.579* 40
STRAIGHT RODS
03.75.580* 42
1
includes 1 screw and 1 set screw

HOOK

DIAMETER x
REFERENCE MATERIAL
LENGTH (mm)
03.75.600 Titanium ø3.5 x 80mm
03.75.601 Titanium ø3.5 x 120mm
03.75.602 Titanium ø3.5 x 240mm
REFERENCE 2 TYPE L/R SIZE 03.75.603* Titanium ø3.5 x 350mm
03.75.905 STD N.A. 4.5 03.75.604* Cobalt-Chrome ø3.5 x 80mm
03.75.906 STD N.A. 6 03.75.605* Cobalt-Chrome ø3.5 x 120mm
03.75.915 ANGLED L 4.5 03.75.606* Cobalt-Chrome ø3.5 x 240mm
03.75.916 ANGLED L 6 03.75.607* Cobalt-Chrome ø3.5 x 350mm
03.75.926 ANGLED R 4.5 *On demand
03.75.927 ANGLED R 6
03.75.935 OFFSET L 4.5
03.75.936 OFFSET L 6
03.75.945 OFFSET R 4.5
03.75.946 OFFSET R 6
2
includes 1 screw and 1 set screw

23
M.U.S.T. Mini Surgical Technique

TRANSITION RODS Ø 3.5 / 5.5 MM CROSS LINK

DIAMETER x
REFERENCE MATERIAL
LENGTH (mm)
03.75.610 Titanium 3.5/5.5 x 420
03.75.612 Cobalt-Chrome 3.5/5.5 x 420 REFERENCE TYPE LENGTH (mm)
03.75.611* Titanium 3.5/5.5 x 600
Spinous
03.75.740* SMALL
03.75.613* CobaltChrome 3.5/5.5 x 600 Reconstruction
Spinous
03.75.741* MEDIUM
Reconstruction
STD CROSS CONNECTORS
Spinous
03.75.742* LARGE
Reconstruction
* Special order

REFERENCE 3 TYPE LENGTH (mm) CLAMP FOR CROSS CONNECTOR

03.75.713* WITH MEC.STOP 23

03.75.714* WITH MEC.STOP 30
03.75.715* WITH MEC.STOP 37
03.75.716* WITH MEC.STOP 44
03.75.717* WITH MEC.STOP 51
03.75.718* WITH MEC.STOP 58 REFERENCE 5 DESCRIPTION
03.75.719 WITH MEC.STOP 65 03.75.712 Cross connectors Clamp
3
includes 1 STD cross connectors and 2 cross connector 4
includes 1 Screw M5
clamp and 2 screw M5
* Special order
LOCKING SCREW

STD CROSS CONNECTORS

REFERENCE TYPE
REFERENCE 3 TYPE LENGTH (mm)
03.75.732 Screw M5 HEX3
03.75.710* STD 35
03.75.711* STD 60
3
includes 1 STD cross connectors and 2 cross connector
clamp and 2 screw M5
* Special order

24
SPINUS PROCESS CROSS CONNECTOR LOCKING SCREW

REFERENCE TYPE

03.75.700 M6 HEX3
REFERENCE 4 TYPE LENGTH (mm)
SCREW-TO-SCREW CROSS CONNECTORS
03.75.743* CLAMP SMALL
03.75.744 CLAMP MEDIUM
03.75.745* CLAMP LARGE
4
includes 1 Spinous Recon. cross link 2 cross connector
* Special order

SCREW WITH WASHER REFERENCE 7 TYPE LENGTH (mm)

03.75.721* Screw-to-screw 22-30

03.75.722* Screw-to-screw 29-37
03.75.723* Screw-to-screw 36-44
03.75.724* Screw-to-screw 43-51
03.75.725* Screw-to-screw 50-58
REFERENCE TYPE 7
includes 1 screw-to-screw cross connectors and
2 Screw with Washer
03.75.720* Screw with Washer

ROD TO ROD CONNECTORS

LATERAL CONNECTORS

REFERENCE 8 TYPE ROD DIAMETER (mm)

REFERENCE 6 SIZE
03.75.703 STD 3.5 to 5.5
03.75.730 10 mm
03.75.705* ANGLED 3.5 to 5.5
03.75.731 15 mm
03.75.707 OPEN 3.5 to 5.5
6
includes lateral connector and 1 screw M6
03.75.709* ADJ 3.5 to 5.5
8
includes 1 Rod to Rod connector,4 screw M6 for STD version
or 3 screw M6 for ANGLED OPEN, ADJUSTABLE, version
* Special order

25
M.U.S.T. Mini Surgical Technique

OCCIPITAL PLATE Ø 4MM ROD COMPATIBLE TRANSITION PRE BENT RODS Ø 3.5 / 4.0 MM

REFERENCE TYPE SIZE

DIAMETER x
REFERENCE MATERIAL
03.75.890* X Small LENGTH (mm)
03.75.891* X Large 03.75.846* Titanium / 45° 3.5 / 4.0 x 120
03.75.892 Y Small 03.75.847 Titanium / 45° 3.5 / 4.0 x 200
03.75.893 Y Large 03.75.848* Titanium / 60° 3.5 / 4.0 x 120
03.75.894* T Small 03.75.849 Titanium / 60° 3.5 / 4.0 x 200
03.75.895* T Large 03.75.896* Titanium / 75° 3.5 / 4.0 x 120
* Special order 03.75.897 Titanium / 75° 3.5 / 4.0 x 200
*Special order
OCCIPITAL PLATE Ø 3.5MM ROD COMPATIBLE
PRE BENT RODS Ø 3.5 MM

REFERENCE TYPE SIZE

03.75.840* X Small DIAMETER x

REFERENCE MATERIAL
03.75.841* X Large LENGTH (mm)
03.75.842* Y Small 03.75.620* Titanium / 45° 3.5 x 120

03.75.843* Y Large 03.75.621* Titanium / 45° 3.5 x 200

03.75.844* T Small 03.75.622* Titanium / 60° 3.5 x 120

03.75.845* T Large 03.75.623* Titanium / 60° 3.5 x 200

* Special order 03.75.624* Titanium / 75° 3.5 x 120

03.75.625* Titanium / 75° 3.5 x 200
TRANSITION RODS Ø 3.5 / 4.0 MM *Special order

DIAMETER x
REFERENCE MATERIAL
LENGTH (mm)
03.75.898 Titanium 3.5 / 4.0mm x 240mm
03.75.899 Titanium 3.5 / 4.0mm x 350mm

26
OCCIPITAL SCREW – PRIMARY OCCIPITAL SCREW – REVISION

REFERENCE Ø (mm) L (mm) REFERENCE Ø (mm) L (mm)

03.75.800 6 03.75.820 6
03.75.801 7 03.75.821 7
03.75.802 8 03.75.822 8
03.75.803 9 03.75.823 9
03.75.804 10 03.75.824 10
03.75.805 ø4 11 03.75.825 ø5 11
03.75.806 12 03.75.826 12
03.75.807 13 03.75.827 13
03.75.808 14 03.75.828 14
03.75.809* 15 03.75.829* 15
03.75.810* 16 03.75.830* 16
*Special order *Special order

Part numbers subject to change.

NOTE FOR STERILISATION

The instrumentation is not sterile upon delivery. It must be cleaned before use and sterilised in an autoclave in accordance with the
regulations of the country, EU directives where applicable and following the instructions for use of the autoclave manufacturer.
For detailed instructions please refer to the document “Recommendations for cleaning decontamination and sterilisation of
Medacta International orthopaedic devices” available at www.medacta.com.

27
Medacta International SA
Strada Regina - 6874 Castel San Pietro - Switzerland
Phone +41 91 696 60 60 - Fax +41 91 696 60 66 M.U.S.T. Mini
info@medacta.ch Surgical Technique

Find your local dealer at: medacta.com/locations ref: 99.46C.12

rev. 03
All trademarks and registered trademarks are the property of their respective owners.
This document is not intended for the US market. Last update: November 2018
Please verify approval of the devices described in this document with your local Medacta representative. 0476