Does image guidance decrease pedicle screw-related complications in surgical treatment of adolescent idiopathic scoliosis: a systematic review update and meta-analysis

i) Study design: Systematic review and meta-analysis (94 studies)
ii) There is moderate evidence of decreased breaches with CT navigation compared with freehand method (head-to-head studies – OR 0.28 [0.20-0.40, I2 = 1%]; individual studies – 13%, I2 = 98% vs. 20%, I2 = 95%).
iii) Complication rates remain unknown due to the low complication rates from small sample sizes.

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