| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| Posterior spinal instrumentation with segmental fixation | Is a | Musculoskeletal system implantation | false | Inferred relationship | Existential restriction modifier |  |  | 
| Posterior spinal instrumentation with segmental fixation | Is a | Implantation of spine | false | Inferred relationship | Existential restriction modifier |  |  | 
| Posterior spinal instrumentation with segmental fixation | Is a | Posterior spinal instrumentation | true | Inferred relationship | Existential restriction modifier |  |  | 
| Posterior spinal instrumentation with segmental fixation | Is a | Internal skeletal fixation | false | Inferred relationship | Existential restriction modifier |  |  | 
| Posterior spinal instrumentation with segmental fixation | Method | Implantation - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Procedure site | Spinal structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Using | Orthopedic internal fixation system, device | false | Inferred relationship | Existential restriction modifier |  |  | 
| Posterior spinal instrumentation with segmental fixation | Access | Open approach - access | false | Inferred relationship | Existential restriction modifier |  |  | 
| Posterior spinal instrumentation with segmental fixation | Procedure site | Bone structure of spine | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Posterior spinal instrumentation with segmental fixation | Is a | Anterior spinal instrumentation | false | Inferred relationship | Existential restriction modifier |  |  | 
| Posterior spinal instrumentation with segmental fixation | Method | Surgical action | false | Inferred relationship | Existential restriction modifier | 4 |  | 
| Posterior spinal instrumentation with segmental fixation | Method | Fixation - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Procedure site | Bone structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Method | Insertion - action | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Posterior spinal instrumentation with segmental fixation | Direct device | Orthopedic internal fixation system, device | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Posterior spinal instrumentation with segmental fixation | Direct device | Surgical instrument, device | false | Inferred relationship | Existential restriction modifier |  |  | 
| Posterior spinal instrumentation with segmental fixation | Using | Orthopedic internal fixation system, device | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Using | Surgical instrument, device | false | Inferred relationship | Existential restriction modifier |  |  | 
| Posterior spinal instrumentation with segmental fixation | Direct morphology | Fracture | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Procedure site - Indirect | Bone structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Is a | Procedure by approach | false | Inferred relationship | Existential restriction modifier |  |  | 
| Posterior spinal instrumentation with segmental fixation | Is a | Musculoskeletal system implantation | false | Inferred relationship | Existential restriction modifier |  |  | 
| Posterior spinal instrumentation with segmental fixation | Is a | Implantation of prosthetic device | false | Inferred relationship | Existential restriction modifier |  |  | 
| Posterior spinal instrumentation with segmental fixation | Is a | Operation on vertebra | false | Inferred relationship | Existential restriction modifier |  |  | 
| Posterior spinal instrumentation with segmental fixation | Is a | Implantation of spine | false | Inferred relationship | Existential restriction modifier |  |  | 
| Posterior spinal instrumentation with segmental fixation | Using device | Orthopedic internal fixation system, device | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Posterior spinal instrumentation with segmental fixation | Using device | Surgical instrument, device | false | Inferred relationship | Existential restriction modifier | 4 |  | 
| Posterior spinal instrumentation with segmental fixation | Approach | Posterior spinal approach | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Posterior spinal instrumentation with segmental fixation | Approach | Posterior spinal approach | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Procedure site - Indirect | Bone structure of spine | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Posterior spinal instrumentation with segmental fixation | Procedure site - Direct | Bone structure of spine | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Procedure site - Direct | Spinal structure | false | Inferred relationship | Existential restriction modifier | 4 |  | 
| Posterior spinal instrumentation with segmental fixation | Procedure site - Direct | Bone structure | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Posterior spinal instrumentation with segmental fixation | Method | Fixation - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Method | Fixation - action | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Posterior spinal instrumentation with segmental fixation | Is a | Insertion of therapeutic device | false | Inferred relationship | Existential restriction modifier |  |  | 
| Posterior spinal instrumentation with segmental fixation | Surgical approach | Posterior spinal approach | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Procedure site - Indirect | Bone structure of spine | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Method | Fixation - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Procedure site - Direct | Bone structure of spine | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Method | Insertion - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Direct device | Orthopedic internal fixation system, device | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Surgical approach | Posterior spinal approach | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Using device | Orthopedic internal fixation system, device | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Posterior spinal instrumentation with segmental fixation | Method | Fixation - action | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Posterior spinal instrumentation with segmental fixation | Procedure site - Direct | Bone structure of spine | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Posterior spinal instrumentation with segmental fixation | Surgical approach | Posterior approach | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Posterior spinal instrumentation with segmental fixation | Surgical approach | Posterior approach | true | Inferred relationship | Existential restriction modifier | 2 |  | 
| Posterior spinal instrumentation with segmental fixation | Method | Fixation - action | true | Inferred relationship | Existential restriction modifier | 2 |  | 
| Posterior spinal instrumentation with segmental fixation | Using device | Orthopedic internal fixation system, device | true | Inferred relationship | Existential restriction modifier | 2 |  | 
| Posterior spinal instrumentation with segmental fixation | Procedure site - Direct | Bone structure of spine | true | Inferred relationship | Existential restriction modifier | 2 |  | 
| Posterior spinal instrumentation with segmental fixation | Surgical approach | Posterior spinal approach | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Method | Insertion - action | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Direct device | Orthopedic internal fixation system, device | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Procedure site - Indirect | Bone structure of spine | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Posterior spinal instrumentation with segmental fixation | Is a | Insertion procedure | true | Inferred relationship | Existential restriction modifier |  |  |