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Professional Technical IVT

pedicle screw

Titanium screw inserted through the pedicle of a vertebra for spinal fixation and fusion procedures.

Full Definition

A specialized orthopedic implant consisting of a titanium screw that is inserted through the pedicle (the stalk-like portion of the vertebra) to anchor into the vertebral body. Pedicle screws provide three-column fixation and are connected by rods to create a rigid construct for spinal fusion. They represent the gold standard for posterior spinal instrumentation due to their superior biomechanical properties and pullout strength compared to other fixation methods.

Usage

Usage note: Essential component of modern posterior spinal instrumentation systems.

In Context

  • "Bilateral pedicle screws were placed at L4 and L5 with satisfactory positioning confirmed by fluoroscopy." — Operative report
  • "The pedicle screw demonstrated excellent osseointegration at six-month follow-up." — Imaging report

Also known as

transpedicular screw

Contrasted with

laminar hook

Don't confuse with

cortical screw facet screw

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