Simple technique for removing broken pedicular screw with plain and serviceable screwdriver

Abstract

Removing the broken pedicular screw after spinal hardware failure is usually problematic. A specially designed simple screwdriver and easy removal technique of broken pedicular screw with this screwdriver are described in this article.

Simple Technique for Removing Broken Pedicular Screws

“…Both of these techniques have been used successfully to extract broken pedicle screws, while maintaining the integrity of the pedicle 3 . These procedures can be limited by the availability of drill and other equipment and also deep drilling inside the broken screw for the application of screw extractor is usually difficult and the additional effort in tacking of the screw extractor towards the broken screw carries the risk of moving the broken screw deeper 4 . In another method, wide bone removal of the pedicle at the periphery of the broken screw can help to grasp the broken screw by retrieval instruments and remove the screw by counter clockwise movement with the help of friction and grasping, respectively 2 .…”

“…In another method, wide bone removal of the pedicle at the periphery of the broken screw can help to grasp the broken screw by retrieval instruments and remove the screw by counter clockwise movement with the help of friction and grasping, respectively 2 . These methods may necessitate the removal of a large amount of bone around the broken screw tip for application of clamp, and clamp failure during retrieving can be a major problem 4 . After successful removal of the broken screws larger diameter screws can be replaced 4 .…”

“…These methods may necessitate the removal of a large amount of bone around the broken screw tip for application of clamp, and clamp failure during retrieving can be a major problem 4 . After successful removal of the broken screws larger diameter screws can be replaced 4 .…”

“…It has been recognized that pedicle screw fixation in spinal surgery produces a higher rate of fusion compared with other methods [1][2][3][4][5][6] . At the same time it may be associated with a higher rate of complications and so the safety and the effectiveness of pedicle-screw instrumentation have been questioned 3,6 .…”

Broken lumbar pedicle screw – a short report

“…[1][2][3][4][5][6] Despite providing strong construct and higher rate of fusion, this procedure is not free of complications. [1][2][3][4][5][6] We are reporting a case of 38-year-old lady who underwent pedicle screw fixation for burst fracture of L2 vertebra two and half years back, now came to us with history of fall followed by implant breakage and wound dehiscence.…”