Review Question - QID 3747

As part of his treatment plan for congenital scoliosis, a 7-year-old boy is placed into halo gravity traction using 10 pins, inserted into the thickest part of the skull, with a torque wrench to apply an insertional torque of 6 in-lb. After 1 week, he is noted to have developed a complication at one pin site. Which of following changes in technique would have been recommended to reduce the impact of pin complications?