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2 mm for 14 (53.8%) feet in which this point was posterior to the center of the nail entry point. Care should be taken to avoid the LPA during reaming at the nail entry point, especially when the point where the LPA crosses the medial wall of the calcaneus is posterior to the center of the nail entry point. . IV, cadaveric study. Prospective case series. SSPSS (single step pedicle screw system) was developed for minimally invasive spine surgery. We performed this study to report on safety, workflow, and our initial clinical experience