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Figure 5 | Journal of Orthopaedic Surgery and Research

Figure 5

From: Tadpole system as new lumbar spinal instrumentation

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

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