Top Definition
The act of fucking a girl who has lost her legs. She sits on top of you as you proceed to spin her as she uses her arms to go up and down, hence completing the St. Louis Screwdriver.
Shortly after Rosanne was cut in half, on account of a terrible lukemia charity moster truck rally accident, Bradley then proceeded to give her the good ole' St. Louis Screwdriver.
by Trevor Sutton January 26, 2008

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