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Updated: Jan 30, 2026
06:24
A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement
Published on: May 11, 2020
9.4K
A Simple Technique for Removing Broken Pedicle Screws
Mehmet Secer1, Omer Polat, Kadir Cä Nar
1Atakent Hospital, Neurosurgery Clinic, Yalova, Turkey.
Turkish Neurosurgery
|January 17, 2019
Summary
A novel technique modifies broken pedicle screws with a high-speed drill for easy removal using specialized tools. This method preserves the pedicle and minimizes risks to surrounding nerves when performed microscopically.
Area of Science:
- Spinal surgery
- Orthopedic surgery
- Neurosurgery
Background:
- Broken pedicle screws present a significant challenge in spinal instrumentation.
- Existing removal methods can be complex and may risk damage to surrounding structures.
- Preserving the integrity of the pedicle is crucial for potential re-instrumentation.
Purpose of the Study:
- To present a simple and effective technique for removing broken pedicle screws.
- To highlight the advantages of preserving the pedicle during screw removal.
- To demonstrate a method that minimizes the risk of iatrogenic injury.
Main Methods:
- Modifying the head of the broken pedicle screw using a high-speed drill.
- Utilizing a fractured screw removal tool for extraction.
- Performing the procedure under surgical microscopy.
Main Results:
- The described technique allows for straightforward removal of broken pedicle screws.
- Pedicle integrity is maintained, facilitating potential re-instrumentation.
- Microscopic visualization significantly reduces the risk of injury to the dura mater and nerve roots.
Conclusions:
- This simple, microscope-assisted technique offers a reliable method for broken pedicle screw removal.
- The approach effectively addresses challenges in spinal instrumentation revision.
- It provides a safe and convenient option for surgeons dealing with fractured screws.
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