The operation of fixation of the articular column with Zielke instrument transversing the pedicle and anchored within the vertebral body is described in detail.
It gives sufficiently stable fixation in cases which have instability of the thoracic or lumbar spine and, are recommended laminectomy.
10 cases which are contained lumbar spinal canal stenosis, degenerative spondylolisthsis and spinal fracture, are presented in this series.
