Takahata M, et al. - Authors sought to introduce and evaluate the safety and efficacy of a new cervical pedicle screw (CPS) placement technique using intraoperative C-arm cone-beam CT (CBCT) and a pilot screw without navigation system. The novel technique provided accurate and safe CPS placement by enabling intraoperative adjustment of the trajectory of the CPS as well as confirmation of the CPS path before penetrating the isthmus of the pedicle. This merit outweighs the demerits of radiation exposure.