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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