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OBJECTIVE This study sought to; 1) describe the use 'K-wireless' pedicle screw insertion among adults (age ≥ 18) undergoing a minimally-invasive fusion and 2) perform a systematic review (SR) of all studies that describe a navigated, 'K-wireless' technique with 3D fluoroscopy. METHODS Patients undergoing a minimally invasive fusion requiring pedicle screw fixation for any indication were prospectively enrolled in the observational component of this study. An assessment of pedicle breach was performed independently and in

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