{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T04:52:20Z","timestamp":1769230340210,"version":"3.49.0"},"reference-count":44,"publisher":"Pensoft Publishers","issue":"2","license":[{"start":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:00:00Z","timestamp":1744329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FM"],"abstract":"<jats:p>The computed tomography-assisted 3D navigation system is a useful tool for spinal surgeons, enabling them to enhance the effectiveness and safety of surgical procedures by providing real-time three-dimensional information during decompression, resection, and instrumentation. Specific advantages of this navigation system include precise pedicle screw placement, the capability for immediate intraoperative correction, and execution of minimally invasive surgeries with reduced radiation exposure for the surgical team. Noteworthy disadvantages of this system are the relatively high implementation costs, the need for specific training, and limited accessibility to outpatient surgery centers. Currently, spinal navigation systems are constantly being upgraded with additional innovations, such as integration with robotics and improvement of the existing tools, which will ultimately lead to a better quality of life for patients and an improved experience for surgeons.<\/jats:p>","DOI":"10.3897\/folmed.67.e149171","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T07:23:23Z","timestamp":1744356203000},"source":"Crossref","is-referenced-by-count":1,"title":["Computer tomography-assisted 3-dimensional navigation in spine surgery: a narrative review on safety, accuracy, efficacy and reduction of complications"],"prefix":"10.3897","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5799-1739","authenticated-orcid":true,"given":"Ivo I.","family":"Kehayov","sequence":"first","affiliation":[{"name":"St George University Hospital, Plovdiv, Bulgaria"},{"name":"Medical University of Plovdiv, Plovdiv, Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Borislav D.","family":"Kitov","sequence":"additional","affiliation":[{"name":"St George University Hospital, Plovdiv, Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Polina M.","family":"Angelova","sequence":"additional","affiliation":[{"name":"St George University Hospital, Plovdiv, Bulgaria"},{"name":"Medical University of Plovdiv, Plovdiv, Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atanas N.","family":"Davarski","sequence":"additional","affiliation":[{"name":"St George University Hospital, Plovdiv, Bulgaria"},{"name":"Medical University of Plovdiv, Plovdiv, Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2258","published-online":{"date-parts":[[2025,4,11]]},"reference":[{"key":"149171_B1","doi-asserted-by":"crossref","unstructured":"1. Papalia GF, Vadal\u00e0 G, Russo F, et al. Higher accuracy and better clinical outcomes in navigated thoraco-lumbar pedicle screw fixation versus conventional techniques. a systematic review and meta-analysis. Spine 2024; 49:1370\u201380.","DOI":"10.1097\/BRS.0000000000005105"},{"key":"149171_B2","doi-asserted-by":"crossref","unstructured":"2. Larson AN, Polly DW, Ackerman SJ, et al. What would be the annual cost savings if fewer screws were used in adolescent idiopathic scoliosis treatment in the US? J Neurosurg Spine 2016; 24:116\u201323.","DOI":"10.3171\/2015.4.SPINE131119"},{"key":"149171_B3","doi-asserted-by":"crossref","unstructured":"3. Staartjes VE, Klukowska AM, Schr\u00f6der ML. Pedicle screw revision in robot-guided, navigated, and freehand thoracolumbar instrumentation: a systematic review and meta-analysis. 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