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Pedicle Screw Fixation Systems in Thoracic and Lumbar Spine Surgery

Dec. 26, 2025

Advanced Thoracic and Lumbar Pedicle Screw Solutions for Spinal Stability

Pedicle screw fixation is a fundamental technique in contemporary spinal surgery, especially for rebuilding the thoracic and lumbar spine. As a critical orthopedic implant, the pedicle screw system provides rigid posterior stabilization by anchoring securely into the pedicle of vertebrae, allowing surgeons to correct deformities, restore alignment, and promote spinal fusion.

ATOM’s Thoracic and Lumbar Pedicle Screw System is designed to support a wide range of spinal procedures, offering reliable fixation through a complete rod-screw-system that integrates precision engineering, biomechanical strength, and surgical versatility.

Understanding the Vertebral Pedicle and Pedicle Screws

The vertebral pedicle is a short, strong bony structure connecting the vertebral body to the posterior elements. Each pedicle of the vertebrae forms a critical load-bearing pathway, making it the ideal anchor point for pedicular screws.Pedicle screws are specialized spinal screws inserted through the pedicles of the spine into the vertebral body. Once implanted, they are connected using spinal fusion rods and screws, creating a rigid construct that stabilizes the spine during healing.

This technique is widely used in:

· Thoracic vertebrae pedicle fixation

· Lumbar spine pedicle fixation

· Posterior screw fixation for spinal fusion

Pedicle Screw Fixation Systems in Thoracic and Lumbar Spine Surgery

Types of Pedicle Screws Used in Thoracic and Lumbar Surgery

Polyaxial Pedicle Screw

A Polyaxial Pedicle Screw features a mobile screw head, allowing angular adjustment between the screw and the rod. This flexibility makes it easier to place and align rods, especially in complicated reconstructions of the thoracic and lumbar regions.

Monoaxial Pedicle Screw

A Monoaxial Pedicle Screw has a fixed head, offering higher rigidity and stronger corrective force. It is often used in fracture reduction or deformity correction surgeries that require precise spinal alignment.

Both designs play crucial roles in contemporary pedicular screw fixation systems, with ATOM providing a comprehensive portfolio to support various surgical techniques.

Types of Pedicle Screws

Percutaneous Pedicle Screw Fixation: Minimally Invasive Advancement

Percutaneous pedicle screw fixation has become increasingly popular due to its minimally invasive nature. This technique allows percutaneous screw fixation through small incisions, reducing muscle damage, blood loss, and postoperative pain.

ATOM's system supports percutaneous pedicle screw fixation for thoracic and lumbar spine procedures, making it suitable for trauma cases, degenerative diseases, and minimally invasive spinal fusion.

Percutaneous Pedicle Screw Fixation Minimally Invasive

Clinical Applications in Thoracic and Lumbar Spine

Pedicle screw systems are widely used in:

· Lumbar fusion with rods and screws

· Rods and screws in lower back stabilization

· Posterior fixation of thoracic spine fractures

· Correction of scoliosis and spinal deformities

· Degenerative lumbar spine conditions

· Fixation involving the pedicle of L5 and pedicle lumbar vertebrae

By anchoring into the lumbar vertebrae pedicle and pedicles of lumbar spine, pedicle screws provide superior three-column spinal stability.

Titanium Rods and Screws in Back Surgery

ATOM's thoracic and lumbar systems utilize titanium rods and screws in back surgery, offering:

· Excellent biocompatibility

· High fatigue strength

· Corrosion resistance

· MRI compatibility

Titanium medical screws ensure long-term stability and safety, even in multilevel spinal constructs.

Rod-Screw System Design and Biomechanical Advantages

A complete rod-screw-system consists of:

· Pedicle screws

· Spinal rods

· Set screws and connectors

This configuration enables controlled spinal correction while maintaining construct rigidity. Proper engagement within the pedicle of thoracic vertebrae and pedicle lumbar spine allows effective load sharing and fusion support.

Rod-Screw System Design and Biomechanical

Treatment for Loose Pedicle Screws

In revision surgery, treatment for loose pedicle screws may involve:

· Larger diameter pedicular screws

· Cement augmentation

· Revised screw trajectory within the vertebral pedicle

· Reinforced posterior screw fixation

High-quality implant design and precise surgical technique are key to minimizing loosening risk.

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Anatomical Considerations: Mamillary Process and Lumbar Pedicle Entry

In lumbar spine surgery, anatomical landmarks such as the mamillary process are crucial for accurate pedicle screw insertion. Correct identification of the spinal pedicle and optimal trajectory reduces complications and improves fixation strength.

Why Choose ATOM Thoracic & Lumbar Pedicle Screw Systems

ATOM's thoracic and lumbar portfolio provides:

· High-Strength Titanium Construction

· Our pedicle screws, rods, and spinal fusion systems are made from titanium, providing exceptional durability, biocompatibility, and resistance to corrosion. Titanium’s superior strength ensures long-term stability and reliability.

· Polyaxial and Monoaxial Screw Options

· ATOM offers both Polyaxial Pedicle Screws and Monoaxial Pedicle Screws to cater to different surgical needs. Polyaxial screws allow for flexibility in screw angulation, making them ideal for complex spinal deformities, while monoaxial screws provide rigid, stable fixation.

· Percutaneous Screw Fixation

· With our percutaneous pedicle screw fixation options, surgeons can perform minimally invasive procedures with precision, leading to shorter recovery times and less postoperative pain.

· Innovative Design for Improved Surgical Accuracy

· ATOM's pedicle screw fixation system integrates advanced imaging-guided technology, allowing for real-time visualization during surgery to improve screw placement accuracy and reduce the risk of complications.

Comprehensive Solutions for Spinal Stabilization

Our pedicular screw system is suitable for a variety of spinal procedures, including:

· Thoracic and Lumbar Spine Fusion

· Secure stabilization of the lumbar vertebrae pedicle and thoracic vertebrae pedicle ensures proper healing in lumbar spine fractures, scoliosis, and other deformities.

· Deformity Correction

· Correct lumbar spine deformities with our versatile rod-screw system, including advanced pedicle screw fixation techniques. Our system can handle complex spinal deformities, ensuring the spine’s alignment and stability during fusion.

· Trauma & Spinal Fracture Repair

· ATOM's pedicle screw system is used in trauma situations to stabilize fractures of the thoracic spine and lumbar spine, ensuring the bones remain aligned and heal properly.

· Revision Surgeries

· For spinal screw revision, ATOM's system provides easy-to-implant solutions for fixing loose pedicle screws and providing new stability to the spine.

Key Features and Benefits

· Enhanced Biomechanical Stability

· Pedicle screws anchor directly into the pedicles of lumbar spine and thoracic vertebrae, offering enhanced mechanical stability for effective fusion and alignment.

· Versatile Surgical Applications

· From posterior screw fixation to lumbar fusion with rods and screws, our pedicle screw system is used for various indications including fractures, degenerative diseases, and deformities.

· Improved Patient Outcomes

· Studies show that using pedicle screws in spinal fusion procedures results in improved patient mobility, faster recovery times, and reduced postoperative complications.

Surgical Precision and Customization

ATOM's pedicle screw system is engineered for precision and flexibility, offering a range of locking mechanisms and customizable features to suit specific patient needs. Our rod-screw-system offers:

· Customizable screw lengths

· Locking screws for added stability

· Polyaxial and monoaxial screw options for alignment flexibility

Each component is designed to meet the highest standards of quality and precision, ensuring the best possible outcomes for spinal surgeries.

Conclusion

Pedicle screw fixation continues to be the preferred method for stabilizing the thoracic and lumbar regions of the spine. By anchoring securely into the pedicles of spine, modern pedicle screw systems enable surgeons to perform safe, effective spinal fusion and deformity correction.

With advanced design, material excellence, and comprehensive system compatibility, ATOM’s thoracic and lumbar pedicle screw solutions provide dependable support for a wide range of spinal pathologies—helping surgeons achieve stable fixation and optimal clinical outcomes.


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