A pedicle screw comprises a head. A shaft is joined to the head. The shaft comprises a first threaded portion, a middle portion and a second threaded portion. The middle portion comprises a modified threaded portion being configured to mitigate damage to a patient's nerve root. A first marker is joinable to the shaft proximate the modified threaded portion. The first marker comprises a material being radiographically distinguishable from the shaft in which a placement of the modified threaded portion is observable.
1. A method for installing a pedicle screw in a patient comprising:
a) providing a pedicle screw having a head and a shaft with threads, said shaft comprising a modified portion configured to mitigate damage to the patient's nerve root and a portion of the shaft is threaded substantially its entire length, said screw having a removable marker within a channel in said shaft proximate to said modified portion, said marker being radiographically distinguishable from said shaft and capable of positioning within and moving longitudinally within and ultimately removable from said shaft in which placement of said modified portion is observable with respect to said modified portion;
b) installing the screw in a pedicle of the patient;
c) radiographically observing the placement of said marker with respect to the modified portion of the pedicle screw and the pedicle nerve root of the patient; and
d) orienting placement of said screw so as not to irritate the pedicle nerve root of the patient.
2. The pedicle screw of claim 1 wherein the channel extends from said head through at least the modified portion of said shaft.
3. The method of claim 2 wherein the channel further extends to an end of said shaft in which said marker is restricted from entering.
4. The method of claim 1 in which the marker is disposed on a wire, said wire being inserted into the channel of the pedicle screw to a position wherein the marker corresponds to the pedicle nerve root of the patient and allowing for radiographically determining the location of said modified portion of the screw with respect to the patient's nerve root.
5. The method of claim 4 in which the marker is positioned within said screw such that the marker corresponds to the presumed location of the patient's pedicle nerve root.
6. The method of claim 4 in which the wire and the marker are removed from the screw after placement of the screw.
7. The method of claim 1 in which the modified portion of the shaft is at least in part unthreaded.
8. The method of claim 7 in which the modified portion of the shaft is concave.
9. The method of claim 1 wherein the head comprises a socket that engages a driver for driving said pedicle screw into a pedicle, said socket being operable for indicating a rotational alignment of said modified portion of the screw.
10. The method of claim 1 wherein said modified portion is a middle part of the threaded portion of the screw.
11. A method for installing a pedicle screw in a patient comprising:
a) providing a pedicle screw having a head and a shaft with threads, said shaft comprising a middle unthreaded portion on a portion of said shaft, said screw having a marker joinable to said shaft proximate to said middle portion, said marker being disposed on a wire within an internal channel in said screw and said marker being radiographically distinguishable from and capable of moving longitudinally within and ultimately removable from said shaft, in which placement of said middle unthreaded portion is observable with respect to said unthreaded portion and the location of the patient's nerve root, said wire bearing a second marker opposite a position of the first marker wherein the second marker is used to control a depth the first marker is inserted within the internal channel to correspond with the location of the middle unthreaded portion of the shaft;
b) installing the screw in a pedicle of the patient;
c) radiographically observing the placement of said markers with respect to the unthreaded portion of the pedicle screw and the pedicle nerve root of the patient; and
d) orienting placement of said screw so as not to irritate the pedicle nerve of the patient.
12. The method of claim 11 wherein the wire and markers are removed from the screw after placement of the screw, and further wherein a diameter of the channel decreases near a tip of the screw to prevent the markers from migrating.
13. The method of claim 11 wherein said head comprises a socket that engages a driver for driving said pedicle screw into a pedicle, said socket being operable for indicating a rotational alignment of said middle unthreaded portion.
14. The method of claim 11 wherein the pedicle screw is fully cannulated.