You will prepare the thoracic and lumbar vertebrae for pedicle screw insertion using a variety of tools such as the rongeur, pedicle awl and pedicle probe. The prepared pedicle channel’s integrity will then be checked with a pedicle feeler, before finally inserting the pedicle screws for each vertebrae. Throughout the procedure you can use the image intensifier to check the progress of the channel and be sure you are not breaching the pedicle walls. The key learning is focused on the specific sagittal and transverse angles and screw depths required for each pedicle channel along the spine.