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Pedicle Screw Fixation

  • Nickul S. Jain
  • Raymond J. HahEmail author
Living reference work entry

Abstract

Pedicle screws and rods are a modern posterior spinal instrumentation system that has gained widespread adoption throughout the world as the gold standard for instrumentation of the spine over the last two decades. They provide significant advantages in that they provide rigid 3-column fixation of the spine from an entirely posterior approach without reliance on intact dorsal elements. However, there is a steep learning curve for their placement, and adequate training is required prior to their routine use. They are not without their own set of unique complications. Many modifications to pedicle screws exist to improve clinical outcomes including augmentation with cement, and a variety of novel technologies can be used to help improve accuracy in their placement including fluoroscopy, computer navigation, and robotics.

Keywords

Pedicle screw Pedicle instrumentation Transpedicular fixation Navigation Screw Dorsal instrumentation 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryUniversity of Southern CaliforniaLos AngelesUSA

Section editors and affiliations

  • Don K. Moore
    • 1
  • William C. Welch
    • 2
    • 3
  1. 1.Department of Orthopaedic SurgeryUniversity of Missouri Health CareColumbiaUSA
  2. 2.Perelman School of MedicineUniversity of PennsylvaniaPhiladelphiaUSA
  3. 3.Department of NeurosurgeryPennsylvania HospitalPhiladelphiaUSA

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