“Larger deformities in smaller anatomies are still one of the most challenging issues in spinal surgery.”
 
Statements like this highlight a common sentiment among spine surgeons engaged in the treatment of small stature patients. Concerns over implant profile and implant selection, along with the ability to choose instrumentation based on patient size and pathology are fairly common when treating this patient group.
 
Seeking to eliminate these concerns, DePuy Spine has developed the most complete rod-hook-screw system specifically designed for these smaller anatomies: the EXPEDIUM® 4.5 Spine System.
 
The new EXPEDIUM® system exhibits the lowest profile in our Thoracolumbar Portfolio, making it a useful option for cases in which the surgeon is challenged with implant protrusion and cosmetic problems. In addition, the system combines In-Line and Offset Technology (pending FDA clearance) to offer plenty of instrumentation possibilities for the treatment of even the most complex cases.
 

As with every product in the EXPEDIUM® Portfolio, the clinical experience and pathology knowledge of renowned spine surgeons is reflected in every aspect of the product. Equally important, early clinical experience gained from the use of the Beta Set in over 20 cases to date, has produced excellent feedback on the performance of the new system. Low implant profile •Decreases soft tissue disruption and improves cosmesis In-Line Technology •Appropriate implant option for specific patient anatomy, indication, and surgeon's preferred technique Offset Technology (pending FDA clearance) •Appropriate implant option for specific patient anatomy, indication, and surgeon's preferred technique Complete line of Hooks •Appropriate implant option for specific patient anatomy, indication, and surgeon's preferred technique System includes Ti and SS •Appropriate implant option for specific patient anatomy, indication, and surgeon's preferred technique Completely re-designed instruments (NOT just downsized!) •Provide the precision and tactile feel critical for procedures in smaller anatomies Square Thread Set Screw, the TOP NOTCH™ Feature, Reduction Tools •Secure closure mechanism, better implant/instrument interface, easier reduction maneuvers. Interconnectivity with other EXPEDIUM® products •Offers the ability to create hybrid constructs and simplifies revision cases New design for the Extended Tandem Connector (pending FDA clearance) •Easier implantation and correction maneuvers •More tissue friendly •Stronger construct