A surgeon-controlled mode of robotic assistance with posterolateral approach helps achieve highly medialized cervical pedicle screw placement to avoid vertebral artery injury. - Tani Y; Naka N; Ono N; Kawashima K; Paku M; Ishihara M; Adachi T; Taniguchi S; Ando M; Saito T (European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2025)