The surgical procedure is as follows: An incision is made in the back, and the muscles surrounding the vertebral column are pulled away. Then a drill is used cut holes in the pedicles of a number of vertebrae for insertion of screws.
槓桿法與傳統手術最大不同在於，省略了鬆解僵硬側彎畸型的前路手術，全採後背下刀的「後路手術」，也就是在病患背上劃下一刀，剝開脊柱周圍的肌肉後，就手持電鑽在一節節的椎弓根上打洞。