Flash Card 3 - Pedicle Screws
Entry Point
Lumbar Spine
confluence of
1. Pars Interarticularis
2. Mamillary Processes
3.Middle of transeverse process
4. superior articular facet of lateral border
Upper lumbar 5-10 degrees towards midline
Lower Lumbar 10 -15 degrees towards midline
No cephalad or caudad direction of screws .
Thoracic Spine
1. Lateral Border of superior facet
2. lateral border of inferior facet
3.Pars I/A
4. transeverse process
screw convergence -
7-10 degrees towards midline
10-20 degrees causally .
Lumbar Spine
confluence of
1. Pars Interarticularis
2. Mamillary Processes
3.Middle of transeverse process
4. superior articular facet of lateral border
Upper lumbar 5-10 degrees towards midline
Lower Lumbar 10 -15 degrees towards midline
No cephalad or caudad direction of screws .
Thoracic Spine
1. Lateral Border of superior facet
2. lateral border of inferior facet
3.Pars I/A
4. transeverse process
screw convergence -
7-10 degrees towards midline
10-20 degrees causally .
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