Abstract
Transpedicular fixation of the lumbar spine is an integral element in the surgical management of fractures, spondylolysthesis, neoplasms, scoliosis, and various other spine conditions. Experience over the past 15 years has better defined the indications, limitations, and potential risks of this surgical technique. Although segmental fixation using pedicle screws has many advantages, meticulous attention to detail and advanced training is required to avoid serious complications. This article outlines the pertinent clinical anatomy, preoperative evaluation, and surgical technique for transpedicular fixation of the lumbar spine.
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