The best replacement for pyramidal is extrapyramidal.

The best alternatives to pyramidal are rated as following:
★★★★★  extrapyramidal
★★  trigonal planar
★★  trigonal pyramidal
★★  extrapyramidal tracts
★  extrapyramidal system
★  trigonal bipyramidal
★  tetrahedral
  planar
  square planar
  extra pyramidal
  extrapyramidal tract
  extrapyramidal symptoms

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pyramidal
extrapyramidal
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