An orthopedic fixation system includes a pedicle screw washer. The pedicle screw washer includes a body, an aperture for receiving a pedicle screw, a first securing member extending from the body spaced from the aperture and dimensioned to engage a first side of a transverse process of a vertebra, and a second securing member extending from the body spaced from the aperture and dimensioned apart from the first securing member to engage a second opposed side of the transverse process of the vertebra.