Ponnusamy KE et al: Instrumentation of the osteoporotic spine: biomechanical and clinical considerations. Spine J. 11(1):54-63, 2011
Cho W et al: The biomechanics of pedicle screw-based instrumentation. J Bone Joint Surg Br. 92(8):1061-5, 2010
Hicks JM et al: Complications of pedicle screw fixation in scoliosis surgery: a systematic review. Spine (Phila Pa 1976). 35(11):E465-70, 2010
Samdani AF et al: Accuracy of free-hand placement of thoracic pedicle screws in adolescent idiopathic scoliosis: how much of a difference does surgeon experience make? Eur Spine J. 19(1):91-5, 2010
Samdani AF et al: Learning curve for placement of thoracic pedicle screws in the deformed spine. Neurosurgery. 66(2):290-4; discussion 294-5, 2010
Heary RF et al: Decision making in adult deformity. Neurosurgery. 63(3 Suppl):69-77, 2008
Kakkos SK et al: Delayed presentation of aortic injury by pedicle screws: report of two cases and review of the literature. J Vasc Surg. 47(5):1074-82, 2008
Lehman RA Jr et al: Computed tomography evaluation of pedicle screws placed in the pediatric deformed spine over an 8-year period. Spine (Phila Pa 1976). 32(24):2679-84, 2007
Shah SA: Derotation of the spine. Neurosurg Clin N Am. 18(2):339-45, 2007
Macagno AE et al: Thoracic and thoracolumbar kyphosis in adults. Spine (Phila Pa 1976). 31(19 Suppl):S161-70, 2006
Foster MR: A functional classification of spinal instrumentation. Spine J. 5(6):682-94, 2005
Kim YJ et al: Evaluation of pedicle screw placement in the deformed spine using intraoperative plain radiographs: a comparison with computerized tomography. Spine (Phila Pa 1976). 30(18):2084-8, 2005
Kim YJ et al: Comparative analysis of pedicle screw versus hook instrumentation in posterior spinal fusion of adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 29(18):2040-8, 2004
Rosner MK et al: Thoracic pedicle screw fixation for spinal deformity. Neurosurg Focus. 14(1):e7, 2003
Kim DH et al: Minimally invasive spine instrumentation. Neurosurgery. 51(5 Suppl):S15-25, 2002
Dickman CA et al: The role of pedicle screw fixation for lumbar spinal stabilization and fusion. Clin Neurosurg. 47:495-513, 2000
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Outcomes
TERMINOLOGY
Synonyms
Pedicle screw
Pedicle fixation
Pedicle Screw
Most common implant in spine surgery
High rigidity and resistance to pullout
Engages all 3 columns of spine
Resists motion in all 3 directions
Used in wide variety of procedures
Maintain spine alignment while fusion occurs
Maintain reduction after fracture
Maintain correction of deformity
PROCEDURE
Techniques
OUTCOMES
Problems
Complications
Selected References
Ponnusamy KE et al: Instrumentation of the osteoporotic spine: biomechanical and clinical considerations. Spine J. 11(1):54-63, 2011
Cho W et al: The biomechanics of pedicle screw-based instrumentation. J Bone Joint Surg Br. 92(8):1061-5, 2010
Hicks JM et al: Complications of pedicle screw fixation in scoliosis surgery: a systematic review. Spine (Phila Pa 1976). 35(11):E465-70, 2010
Samdani AF et al: Accuracy of free-hand placement of thoracic pedicle screws in adolescent idiopathic scoliosis: how much of a difference does surgeon experience make? Eur Spine J. 19(1):91-5, 2010
Samdani AF et al: Learning curve for placement of thoracic pedicle screws in the deformed spine. Neurosurgery. 66(2):290-4; discussion 294-5, 2010
Heary RF et al: Decision making in adult deformity. Neurosurgery. 63(3 Suppl):69-77, 2008
Kakkos SK et al: Delayed presentation of aortic injury by pedicle screws: report of two cases and review of the literature. J Vasc Surg. 47(5):1074-82, 2008
Lehman RA Jr et al: Computed tomography evaluation of pedicle screws placed in the pediatric deformed spine over an 8-year period. Spine (Phila Pa 1976). 32(24):2679-84, 2007
Shah SA: Derotation of the spine. Neurosurg Clin N Am. 18(2):339-45, 2007
Macagno AE et al: Thoracic and thoracolumbar kyphosis in adults. Spine (Phila Pa 1976). 31(19 Suppl):S161-70, 2006
Foster MR: A functional classification of spinal instrumentation. Spine J. 5(6):682-94, 2005
Kim YJ et al: Evaluation of pedicle screw placement in the deformed spine using intraoperative plain radiographs: a comparison with computerized tomography. Spine (Phila Pa 1976). 30(18):2084-8, 2005
Kim YJ et al: Comparative analysis of pedicle screw versus hook instrumentation in posterior spinal fusion of adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 29(18):2040-8, 2004
Rosner MK et al: Thoracic pedicle screw fixation for spinal deformity. Neurosurg Focus. 14(1):e7, 2003
Kim DH et al: Minimally invasive spine instrumentation. Neurosurgery. 51(5 Suppl):S15-25, 2002
Dickman CA et al: The role of pedicle screw fixation for lumbar spinal stabilization and fusion. Clin Neurosurg. 47:495-513, 2000
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