Category: Anterior Cervical Discectomy and Fusion
The VECTRA™ Cervical Plating System family is a premiere plating system offered by DePuy Synthes Spine. The family includes VECTRA™, VECTRA-T™ and VECTRA-One™ Cervical Plating Systems, which all utilize a one-step passive locking mechanism. The integral locking clip eliminates the need for a second operative step to secure the screw to the plate and is designed to prevent back out. The VECTRA screw allow 28˚ range of angulation which may improve ease of use during screw insertion with various patient anatomies. VECTRA Cervical Plating System provides optimal graft visualization with a large diamond shaped graft window. The system has a wide variety of instruments and implants to allow for rigid and semi-rigid constructs.
The VECTRA, VECTRA-T and VECTRA-One Systems are intended for anterior plate and screw fixation of the cervical spine (C2-C7) for the following indications:
Warning: This device is not intended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic, or lumbar spine.
Certain degenerative diseases or underlying physiological conditions such as diabetes or rheumatoid arthritis may alter the healing process, thereby increasing the risk of implant breakage. Mental or physical impairment, which compromises or prevents the patient’s ability to comply with necessary limitations or precautions, may place that patient at a particular risk during postoperative rehabilitation. Factors such as the patient’s weight, activity level, and adherence to weight bearing or load bearing instructions have an effect on the stresses to which the implant is subjected. Contraindications for the use of Synthes VECTRA, VECTRA-One, or VECTRA-T System include active systemic infection or infection localized to the site of the proposed implantation. Any entity or condition that totally precludes the possiblity of fusion, i.e., cancer, kidney dialysis, or osteopenia are relative contraindications. Other relative contraindications include obesity and foreign body sensitivity. In addition, the patient’s activity level or mental capacity may be relative contraindications to this surgery.
These devices are not intended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic, or lumbar spine. One of the potential risks identified with this system is death. Other potential risks which may require additional surgery, include:
The components of this device are manufactured from titanium or titanium alloy. Mixing of implant components with different materials is not recommended, for metallurgical, mechanical and functional reasons.
|One Step locking (passive locking) clip||
Integrated locking clip does not require an extra operative step to secure the screw to the plate
|28˚ Range of cranial/caudal angulation||
Large range of allowed variability which may allow choice for optimal screw placement for maximized purchase depending on patient anatomy and technique
|Variable and constrained (fixed) screws||
Provides ability to handle multiple constructs (semi-rigid, rigid, hybrid).
Allows for the treatment of different patient types with trauma or DDD cases with one system.
2-3 mm of internal translation can be accomplished to accommodate graft settling
Designed to allow graft to have continuous loading during settling without the plate moving closer to endplates
|VECTRA and VECTRA-T diamond graft window||
Optimal plate alignment
Allows intraoperative visibility during positioning to achieve optimal plate alignment as well as visibility during post op imaging
|VECTRA-One midline plate||
Minimized footprint may require less intraoperative retraction.
One screw per level requires fewer screws saving surgical steps