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06 0978P DOC Form

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I'm gonna start off with a little bit of audience participation with this so in of those of us in the room how many are doing lumbar instrumented fusions on a fairly regular part of the practice so keep your hands up and how many have image or intraoperative navigation available at their hospital so most and how many are using it regularly right so okay all right so all right I just wanted to see what the audience was like so operative navigation in spine surgery it's been a it's been a game changer for me in my in my practice at the at the Brigham we were my disclosures none of which are related so this is how I used to do an Mis fusion and this is I'm gonna talk about em is fusion particularly here but this applies to any fusion really but I used to do a biplane or floor OSAP and this is what the room looked like and if you look at this setup like there's nowhere to stand Plus how many are wearing lead regularly during their cases yeah and you

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