Remember the old free-hand days? / Source: Andrew Huth and RRY Publications LLC
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For years, posterior spinal fusion in idiopathic scoliosis has featured a familiar intraoperative showdown:

  • Freehand (FH): Fast, familiar, and fellowship-tested
  • Navigation (NAV): The GPS you didn’t know you needed
  • Robotic-assisted navigation (RAN): The flashy new attending in the OR

Surgeons have largely settled the accuracy debate — NAV and RAN win. But payers? They’ve been stuck on one question: “Is it worth the money?”


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