This case involves a forty-year-old male patient who presented to an orthopedic specialist complaining of chronic back pain. He described the pain as upper back pain radiating to his neck which was progressively worsening. The patient underwent several investigations, including imaging which revealed ulnar nerve compression due to disc herniation. Spinal surgery was recommended by the treating physician. The patient underwent a left ulnar nerve decompression and anterior transposition procedure to alleviate radiculopathic pain related to a herniated disc at C7-T1. According to the operative report, the procedure was conducted without incident. However, further imaging revealed instability of the spine at C7-T1 and C5-C6. It was decided that the next stage of treatment should be further surgery. The surgeon performed a posterior spinal fusion of C4-T1 in an attempt to stabilize. Post-operatively the patient continued to complain of severe pain radiating to the neck. A CT scan was ordered and showed a T1 screw protruding through the interior margin of the pedicle. The patient complained that he was in worse pain post-operatively than he was prior to any of the surgical interventions. The patient had an amorphous bump protruding from the C7-T1 area which correlated with the site of the neck and back pain. The patient returned to the treating surgeon with these symptoms. The surgeon refused to remove the dislodged pedicle claiming that it would not make a significant difference in the outcome for the patient and that further surgery carried unnecessary risks.