Optimization of Pedicle Screw Depth in the Lumbar Spine

Abstract

Optimization of pedicle screw insertion depth for ideal fixation and fusion remains a clinical challenge. Improved screw purchase may improve fixation strength 1, which is especially critical in an osteoporotic patient population. Extended screw insertion depths, up to and through the anterior cortex, have yet to be compared to more commonly used shorter pedicle screws in a laboratory controlled series of experiments. The purpose of this study is to evaluate screw purchase in the osteoporotic lumbar spine as a function of insertion depth, which may be used to optimize pedicle screw-rod constructs.