Fatima N, Massaad E, Hadzipasic M, et al. - This research was sought to ascertain the safety and efficacy of robotic-assisted pedicle screw placement in comparison with conventional free-hand technique. Researchers performed a systematic review of the electronic databases applying different MeSH terms from 1980 to 2020. The pedicle screw accuracy, complication rates, proximal-facet joint violation, intraoperative radiation time, radiation dosage, and length of surgery were assessed. This study enrolled a sum of 1,525 patients (7,379 pedicle screws) from 19 studies with 777 patients (51.0% with 3,684 pedicle screws) in the robotic-assisted group. The results of this study corroborate the accuracy of robot-assisted pedicle screw placement.