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Maalouly et al. Mini-invasive Surg 2021;5:35  https://dx.doi.org/10.20517/2574-1225.2021.57  Page 7 of 12

               Table 3. Radiation exposure recorded from the study

                Mean effective dose from O-arm spin                                     8.2 ± 3.74 mSv
                Mean fluoroscopy dose                                                   16.32 ± 13.22 s
                Mean fluoro time in preoperative CT protocol (for integration)          54 s
               CT: Computed tomography.





























                Figure 3. Scatterplot of planning time per level learning curve. The x-axis shows the case number as a function of planning time per level
                (results are based on 39 patients with the two outliers due to teaching purposes eliminated).

























                                Figure 4. Scatterplot of average screw insertion time with robot as a function of cases.

               (6/56) and declined in the subsequent cases. However, the last group had a rise in screw misplacements
               which were revised intraoperatively (3/50). This was probably due to skipping a step of validation of ICT in
               one instance, movement of the surveillance marker in the second instance, and error in planning in the
               third instance. None of the patients returned to the theatre to revise a screw.
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