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Interventional Radiology
Procedures
Spine Procedures
Devices and Instrumentation
Transpedicular Screw Fixation
Transpedicular Screw Fixation
Jeffrey S. Ross, MD
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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

            1. Ponnusamy KE et al: Instrumentation of the osteoporotic spine: biomechanical and clinical considerations. Spine J. 11(1):54-63, 2011
            2. Cho W et al: The biomechanics of pedicle screw-based instrumentation. J Bone Joint Surg Br. 92(8):1061-5, 2010
            3. Hicks JM et al: Complications of pedicle screw fixation in scoliosis surgery: a systematic review. Spine (Phila Pa 1976). 35(11):E465-70, 2010
            4. 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
            5. 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
            6. Heary RF et al: Decision making in adult deformity. Neurosurgery. 63(3 Suppl):69-77, 2008
            7. 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
            8. 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
            9. Shah SA: Derotation of the spine. Neurosurg Clin N Am. 18(2):339-45, 2007
            10. Macagno AE et al: Thoracic and thoracolumbar kyphosis in adults. Spine (Phila Pa 1976). 31(19 Suppl):S161-70, 2006
            11. Foster MR: A functional classification of spinal instrumentation. Spine J. 5(6):682-94, 2005
            12. 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
            13. 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
            14. Rosner MK et al: Thoracic pedicle screw fixation for spinal deformity. Neurosurg Focus. 14(1):e7, 2003
            15. Kim DH et al: Minimally invasive spine instrumentation. Neurosurgery. 51(5 Suppl):S15-25, 2002
            16. 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

                      1. Ponnusamy KE et al: Instrumentation of the osteoporotic spine: biomechanical and clinical considerations. Spine J. 11(1):54-63, 2011
                      2. Cho W et al: The biomechanics of pedicle screw-based instrumentation. J Bone Joint Surg Br. 92(8):1061-5, 2010
                      3. Hicks JM et al: Complications of pedicle screw fixation in scoliosis surgery: a systematic review. Spine (Phila Pa 1976). 35(11):E465-70, 2010
                      4. 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
                      5. 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
                      6. Heary RF et al: Decision making in adult deformity. Neurosurgery. 63(3 Suppl):69-77, 2008
                      7. 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
                      8. 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
                      9. Shah SA: Derotation of the spine. Neurosurg Clin N Am. 18(2):339-45, 2007
                      10. Macagno AE et al: Thoracic and thoracolumbar kyphosis in adults. Spine (Phila Pa 1976). 31(19 Suppl):S161-70, 2006
                      11. Foster MR: A functional classification of spinal instrumentation. Spine J. 5(6):682-94, 2005
                      12. 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
                      13. 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
                      14. Rosner MK et al: Thoracic pedicle screw fixation for spinal deformity. Neurosurg Focus. 14(1):e7, 2003
                      15. Kim DH et al: Minimally invasive spine instrumentation. Neurosurgery. 51(5 Suppl):S15-25, 2002
                      16. Dickman CA et al: The role of pedicle screw fixation for lumbar spinal stabilization and fusion. Clin Neurosurg. 47:495-513, 2000