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Updated: Jun 16, 2026

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A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
Published on: January 6, 2023
Poly-axial screw removal.
1Ondokuz Mayis University, Neurosurgery, Samsun, Turkey. aykanulus@gmail.com
Central European Neurosurgery
|February 6, 2010
Summary
Revision spinal surgery often requires removing poly-axial pedicle screws. This easy method uses a rod piece and nut to secure the screw head, enabling simple counterclockwise removal with standard surgical tools.
Area of Science:
- Spinal Surgery
- Orthopedic Instrumentation
- Surgical Techniques
Background:
- Instrumentation in spinal surgery is increasingly common, leading to a rise in revision surgeries.
- Removal of poly-axial pedicle screws during revision surgery can be challenging, particularly without specialized revision sets.
Purpose of the Study:
- To describe an easy and accessible method for removing poly-axial pedicle screws during spinal revision surgery.
Main Methods:
- A novel technique involving a small rod piece and a nut is employed.
- The rod piece and nut are used to secure the head of the poly-axial screw.
- This stabilization prevents free movement of the screw head from the distal screw portion.
Main Results:
- The described method effectively immobilizes the poly-axial screw head.
- Immobilization allows for straightforward removal of the screw by counterclockwise rotation.
- The technique utilizes commonly available surgical instruments like large clamps or needle drivers.
Conclusions:
- This technique offers a simple, practical solution for poly-axial pedicle screw removal in revision spinal surgery.
- It addresses the challenge of screw removal when specialized revision instrumentation is unavailable.
- The method enhances surgical efficiency and accessibility by using standard surgical tools.
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