The purpose of this study is to establish the accuracy of pedicle positioning using continuous electrical pulse during screwing. Additionally, the investigators evaluate if this maneuver can prevent neurological injury during track creation and screwing in lumbar and thoracic spine instrumentation surgery
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Intra operative neurophysiological monitoring (IONM) alert
Timeframe: Participants will be followed for the duration of surgical procedure, an expected average of 3-4 hours