Figure 5

Operative techniques for Tadpole system® a; Guide holes for hooks are made on the interspinous ligament using a starter awl

b; The hook is held with a hook holder, and it is inserted into the interspinous ligament

c; The 2 hooks are connected in the center to a rod, and the rod is connected to the cranial and caudal hooks.

d; The hooks are tightened temporarily while compression is maintained between the cranial and caudal hooks.

e; The set of 2 hooks for the stabilization of a spinous process is tightened temporarily, pinching each spinous process

f; The screws of all hooks are tightened using a screwdriver