Objective：This study aimed to improve the L5 pedicle screw placement technique by proposing a novel entry point and validating its feasibility and accuracy compared with the traditional Magerl method.?Methods：Sixty patients requiring L5 pedicle screw fixation at the First Affiliated Hospital of Nanjing Medical University were enrolled and divided into two groups: the novel group (30 cases, 60 screws) and the traditional Magerl group (30 cases, 60 screws). Screw placement accuracy was evaluated using the Gertzbein and Robbins classification system. Outcomes including satisfactory screw placement rate, intraoperative radiation dose, operative time, blood loss, and postoperative nerve root injury symptoms were compared between the two groups.?Results：The novel group demonstrated a significantly higher satisfactory rate (95%) compared to the traditional group (80%，P?= 0.013). No significant intergroup differences were observed in operative time (183.93±40.00 vs. 193.33±55.05 min, P=0.452), intraoperative blood loss (334.09±218.43 vs. 318.52±253.87 mL, P=0.8), fluoroscopy exposure (88.72±42.52 vs. 106.09±43.10mGy·cm2, P=0.122). No neurological complications occurred in either group. Conclusion：The novel L5 entry point significantly improved screw placement accuracy (95% vs. 80%,?P?= 0.013) without increasing surgical risks, demonstrating potential for clinical application.