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Updated: Aug 10, 2026

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
Time analysis for screw application: traditional lag technique versus self-tapping lag technique
J V Gonzalez1, B M Trout, R M Stuck
1Department of Orthopaedic Surgery, Loyola Medical Center, Maywood, IL, USA.
Abstract:
A study was conducted to compare the procedural time of a 2.7-mm. fully threaded cortical screw versus a self-tapping, 2.4-mm. lag screw, which is reported to eliminate the need for overdrilling and tapping. The screws were applied by four board-certified podiatric and orthopedic physicians and four second-year podiatric and orthopedic residents. Each screw was placed through two 8-mm. layers of Last-a-foam, and the participants were timed for length of application of four screws from each system per week. The trials were repeated weekly for 4 weeks. The results showed a statistically significant difference between the length of time for insertion between a traditional cortical screw and a self-tapping lag screw, regardless of physician experience.
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