Related Experiment Video
Updated: Mar 27, 2026

06:24
A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement
Published on: May 11, 2020
9.5K
Percutaneous pedicle screw placement into a spinal segment previously treated with vertebroplasty: technical note
Joanna E Gernsback1, Michael Y Wang1
1Department of Neurosurgery, University of Miami, Jackson Memorial Hospital, Miami, Florida.
Journal of Neurosurgery. Spine
|January 16, 2016
Summary
Vertebral augmentation with cement is common for compression fractures. A new technique allows pedicle screw placement through previously cemented spinal levels for revision surgery.
Area of Science:
- Spinal surgery
- Orthopedic procedures
- Neurosurgery
Background:
- Vertebral augmentation using cement is a prevalent treatment for spinal compression fractures.
- A growing number of patients undergoing this procedure may require subsequent spinal surgeries.
- Revision spinal surgery presents unique challenges, particularly when dealing with previously augmented levels.
Observation:
- Placement of pedicle screws is a critical component in many spinal stabilization procedures.
- Previous vertebral augmentation with cement can impede standard pedicle screw insertion.
- A novel technical approach is needed to overcome the challenges of screw fixation in cemented vertebrae.
Findings:
- This technical note describes an innovative method for inserting pedicle screws.
- The technique facilitates screw placement through vertebral bodies previously treated with cement augmentation.
- This method addresses a specific challenge in revision spinal surgery.
Implications:
- This technique may expand surgical options for patients requiring revision spinal procedures after vertebral augmentation.
- It offers a potential solution for achieving stable fixation in challenging anatomical situations.
- Further investigation and validation of this method in clinical practice are warranted.

