Recent advances in Robotics and Neuronavigation are exiting. O-arm navigation allows the surgeon to perform an intraoperative CT scan to essentially obtain a “real time” visualization of the spine in order to more safely insert the spinal instrumentation. It also allows us to obtain a post surgical CT scan to ensure optimal positioning of the surgical hardware. Robotics can also assist with placement of the screws based on predetermined CT guided trajectories. These advance are making spinal surgery more safe to perform and more efficient in guidance and planning which ultimately may lead to better outcomes for our patients. These services are being offered to out patients by Dr. Jebraili as we strive to remain at the forefront of cutting edge technology for our patients at Commonwealth Neurosurgery.