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However, pedicle screw insertion into previously cement-augmented vertebral bodies remains technically challenging. This study aimed to describe a simple and reproducible technique for a safe and effective insertion of a pedicle screw into cement-augmented vertebral bodies. Ten patients with a history of cement augmentation for OVCF, who subsequently developed severe kyphotic deformity or degenerative spinal disease requiring posterior instrumentation, were treated using this technique. Pedicle screws were successfully inserted into all cement-augmented vertebrae without any intraoperative complications, including drill tip breakage, cement dislodgement, or anterior wall violation. In conclusion, pedicle screw insertion into cementaugmented vertebral bodies can be performed safely and reliably. This method may simplify a procedure that has traditionally been regarded as technically demanding.<\/jats:p>","DOI":"10.31616\/asj.2025.0825","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T05:21:28Z","timestamp":1770700888000},"page":"354-360","update-policy":"https:\/\/doi.org\/10.31616\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pedicle screw insertion technique into a previously cement-augmented vertebral body: a technical note with a case series"],"prefix":"10.31616","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0180-8744","authenticated-orcid":true,"given":"Hee Jung","family":"Son","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, 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