The authors report a case of posterior fusion of the lumbar spine usin
g Cotrel-Dubousset instrumentation in which the rods dislodged from th
e tulip-headed pedicle screws postoperatively. They recommend that, to
avoid this complication, particular care be taken to ensure the locki
ng washers are inserted tightly without cross threading and that an ad
equate length of rod is left protruding beyond the screw.