Rod Attachment Induces Significant Strain in Lumbosacral Fixation.

Study Design: This was a laboratory investigation.

Objective: Rod attachment can induce significant pedicle screw-and-rod pre- strain that may predispose the instrumentation to failure. This study investigated how in vitro L5-S1 rod strain and S1 screw strain during rod-screw attachment (pre-strain) compared with strains recorded during pure-moment bending ( test- strain).