This brief book systematically discusses all subjects that affect the pullout strength of
pedicle screws. These screws are used in spinal surgeries to stabilize the spine. The holding
strength of the pedicle screw is vital since loosening of the pedicle screws can cause revision
surgeries. Once the pedicle screw is pulled out it is harder to obtain same stabilization for
the fused vertebrae. The book reviews the effect of screw designs application techniques
cement augmentation coating of the screw and test conditions on the pullout strength. The
studies with finite element analysis were also included.