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Handling of the navigated Jamshidi needle was easy and safe. The guide wires revealed proper positioning in 151/154 instances. Three wires (1.9%) required correction of placement after control scan. There have been no vascular or neurologic problems due to wire misplacement. In the open-surgery control group, 7/181 screws (3.9%) required intraoperative correction providing no factor set alongside the modification price for the MIS-group (p = 0.35). SUMMARY Our study reveals the feasibility and