Percutaneous Facet Screws

  • Malcolm Daniel Eggart
  • Silvia Gesheva
  • Clifford Crutcher
  • Gabriel Tender


This technique is useful mostly at L4–5 and L5–S1 as supplemental fixation after an anterior approach (ALIF or AxiaLIF) and has the advantage of a minimal midline skin incision and soft tissue disruption. While biomechanically not as strong as the pedicle screw/rod constructs, the facet screws are mostly designed to block rotation.

Supplementary material

Video 11.1

Percutaneous L5–S1 facet screws supplementing an AxiaLIF (MP4 20949 kb)


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Malcolm Daniel Eggart
    • 1
  • Silvia Gesheva
    • 2
  • Clifford Crutcher
    • 2
  • Gabriel Tender
    • 3
  1. 1.MUSC Health Neurosciences at Tidelands HealthMurrells InletUSA
  2. 2.Department of NeurosurgeryLouisiana State University Health Sciences CenterNew OrleansUSA
  3. 3.Louisiana State UniversityNew OrleansUSA

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