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Updated: May 11, 2026

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An Anesthesia, Surgery, and Harvest Method for the Evaluation of Transpedicular Screws Using an In Vivo Porcine Lumbar Spine Model
Published on: May 31, 2017
The "canoe" technique to insert lumbar pedicle screws: consistent, safe, and simple.
Safdar N Khan1, Ravi J Patel, Eric Klineberg
1Department of Orthopaedics, Ohio State University, Columbus, OH 43210, USA. safdar.khan@osumc.edu
American Journal of Orthopedics (Belle Mead, N.J.)
|May 28, 2013
Summary
This study introduces a new technique for pedicle screw fixation in spinal disorders, focusing on the transverse process for improved accuracy. This method aims to overcome challenges posed by patient anatomy and pathology in traditional screw placement.
Area of Science:
- Spine surgery
- Orthopedic instrumentation
- Surgical techniques
Background:
- Pedicle screw instrumentation is a standard treatment for spinal disorders.
- Traditional screw insertion relies on specific anatomical landmarks.
- Challenges exist in achieving consistent screw placement due to patient variations and pathology.
Purpose of the Study:
- To present a novel method for pedicle screw fixation.
- To utilize the transverse process as the primary landmark for screw insertion.
- To improve the reproducibility and accuracy of pedicle screw placement.
Main Methods:
- Description of a new surgical approach for pedicle screw fixation.
- Emphasis on using the transverse process as the key anatomical reference.
- Technique designed to address anatomical variations and complex pathologies.
Main Results:
- A novel method for pedicle screw fixation is detailed.
- The technique prioritizes the transverse process for screw guidance.
- Aims to enhance consistency and reproducibility in screw insertion.
Conclusions:
- The described method offers an alternative approach to pedicle screw fixation.
- Utilizing the transverse process may simplify screw placement in challenging cases.
- Further evaluation may confirm improved outcomes in spinal fusion procedures.
