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Editorial

Translaminar screws

Andrew Jea

, TLS placement was more feasible in the upper thoracic spine (T1–4) and in children older than 8 years of age, confirming the results in our study. However, it is unclear from their data in how many children, at what age cutoff, and at what thoracic spine levels were safe and bilateral TLS placements possible using their thresholds for 4.0-mm-diameter PSs, representing important questions with clinical relevance. They propose the TLS technique as a “bailout” procedure following failed thoracic PS placement in cases of pediatric spinal deformity due to dysmorphic or

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Camilo Molina, Daniel M. Sciubba, Christopher Chaput, P. Justin Tortolani, George I. Jallo, and Ryan M. Kretzer

. Given the increased use of TLSs, several authors have recently reported the anatomical characteristics of the cervical and thoracic laminae in the adult population. 6 , 11 , 21 In addition, anatomical characteristics of the cervical laminae of the pediatric spine have been described. 5 However, no such data exist to guide safe TLS placement in the thoracic spine of the pediatric population. Because this technique may be especially applicable as an alternative to PS fixation and as a bailout procedure following failed PS placement in cases of pediatric spinal