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A decrease in time in anesthesia, surgery, and robotic usage was identified with a slope factor of -3.64 ( = .22, SE = 85.4, .005), -3.97 ( = 0.30, SE 75.8, .005), -0.69 ( = .07, SE = 27.8, .09), respectively. Furthermore, a decrease in pedicle screw insertion time and operative time was found (slope = -0.05, = .02, SE = 3.4, = .37). In total, 5 major complications (cases 8, 19, 21, 35, 43) and 6 minor complications (cases 4, 14, 15, 20, 29), were identified (21.7%) without any learning curve. Robot pedicle screw insertio