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. 2019 Mar;5(1):155–165. doi: 10.21037/jss.2019.02.04

Table 1. Guidelines for the acquisition of new assistive technologies for spinal fusion.

Open-platform navigation and robotics systems that provide surgeons with access to all software and hardware features regardless of implant choice are preferred
Imaging systems with maximum compatibility with navigation and robotics platforms are optimal
Navigation systems that offer a universal registration mechanism should become standard
3D fluoroscopy provides the greatest benefit when speed, operating efficiency, and mobility are required
Intraoperative CT is more useful when imaging of long constructs, high BMI, or cervicothoracic anatomy is needed
Radiation safety awareness that new 3D-fluoroscopy units can deliver radiation doses comparable to those of CT is needed
New robotic arm platforms require more clinical and health economic data to justify their increased costs