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99, P 0.05), total screw placement time (WMD-27.86, P 0.001), and blood loss (WMD-104.58, P 0.05) were significantly reduced in the 3DP template group compared with the freehand group. Moreover, there was no significantstatistical difference between the two techniques in terms of the operation time and correction rate of main bend curve. This study demonstrated that the 3DP drill guide template was a promising tool for assisting the pedicle screw placement in spinal deformity surgery and deserved further promotion. This s