Mini-Open or Percutaneous Bilateral Lumbar Transfacet Pedicle Screw Fixation: a Technical Note

By Dr. Kingsley Chin


Scientific Paper

Chin KR1, Seale JCumming V.

Interested medical professionals can read through the full paper, as published in Clinical Spine Surgery, here.

Study Objective

Case report.


To describe the technique used to place bilateral lumbar transfacet pedicle screws.

Summary of Background Data

Transfacet pedicle screw fixation is a growing alternative and biomechanically comparable with traditional pedicle screw fixation. There is no clear description of technique steps for placing transfacet pedicle screws available in the literature, despite recognizing that screw placement is not intuitive even with fluoroscopy, and is dissimilar to placing traditional pedicle screws or translaminar facet screws.


We present 2 illustrative cases where bilateral transfacet pedicle screws were placed for posterior instrumentation after a step-by-step technique that can be used in a mini-open or percutaenous procedure.


Postoperatively, both patients had adequately placed transfacet pedicle screws bilaterally on x-ray imaging with 1 patient demonstrating fusion and intact fixation at 11 months follow-up.


Transfacet pedicle screws were successfully placed in 2 patients in a stepwise technique described to achieve lumbar fusion.

About Author Dr. Kingsley R. Chin

Dr. Kingsley R. Chin, Founder of philosophy and practice of The LES Society and The LESS Institute

Dr. Kingsley R. Chin, Founder of philosophy and practice of The LES Society and The LESS Institute

Dr. Kingsley R. Chin is a board-certified Harvard-trained Orthopedic Spine Surgeon and Professor with copious business and information technology exposure. He sees a niche opportunity where medicine, business and info. tech meet – and is uniquely educated at the intersection of these three professions. He has experience as Professor of Clinical Biomedical Sciences & Admissions Committee Member at the Charles E. Schmidt College of Medicine at Florida Atlantic University, Professor of Clinical Orthopedic Surgery at the Herbert Wertheim College of Medicine at Florida International University, Assistant Professor of Orthopaedics at the University of Pennsylvania Medical School, Visiting Spine Surgeon & Professor at the University of the West Indies, Mona, and Adjunct Professor of Clinical Biomedical Sciences at the University of Technology, Jamaica.

Learn more about Dr. Chin here and connect via LinkedIn.

About Less Exposure Surgery

Less Exposure Surgery (LES) is based on a new philosophy of performing surgery, leading the charge to prove through bench and clinical outcomes research that LES treatment options are the best solutions – to lowering the cost of healthcare, improving outcomes and increasing patient satisfaction. Learn more at

The LES Society philosophy: “Tailor treatment to the individual aiding in the quickest recovery and return to a pain-free lifestyle, using LES® techniques that lessen exposure, preserve unoffending anatomy and utilize new technologies which are safe, easy to adopt and reproducible. These LES®techniques lessen blood loss, surgical time and exposure to radiation and can be safely performed in an outpatient center. Less is more.” – Kingsley R. Chin, MD

About The LESS Institute

The LESS Institute is the world leader center of excellence in Less Exposure Surgery. Our safe, effective outpatient treatments help patients recover quickly, avoid expensive hospital stays and return home to their family the same day. Watch our patient stories, follow us on Facebook and visit to learn more.

About SpineFrontier

The above study utilized LES Technology from SpineFrontier – leading provider of LES Technologies and instruments – offering surgeons and patients superior technology and services.

Scientific Paper Author & Citation Details


Chin KR1, Seale JCumming V.

Author information

  1. Institute for Modern & Innovative Surgery (iMIS), Fort Lauderdale †Society of Facet Surgical Techniques and Technologies Inc., LES Society, Wilton Manors, FL.