Thoracic pedicle screws deliver various advantages compared to other approaches of spinal fixation. 1.Stronger pull-out strength, 2. Better control in the sagittal, coronal, and rotational planes as a result of increased stability to axial, bending and rotational forces by threecolumn fixation, 3. Lesser arthrodesed vertebral motion segments 4. Negates the need of postoperative bracing and securing fixation after laminectomy or incompetent posterior elements. In spite of having potential benefits, many surgeons avoid using thoracic pedicle screws because much concern for neurologic, vascular and visceral complications has been observed. [1][2][3][4][5] Nowadays, surgeons often prefer the freehand technique when it comes to pedicle screw placement in the thoracic segment of the spine. Present techniques, however, mostly depend on surgeon's selection and tendencies, as these techniquesare not reproducible and is different per case. Moreover, the majority of these techniques involves many point of entries and directions depending on the level and region of thoracic spine. Due to the fact that there are many various sizes of thoracic pedicles, as well as various adjacent structures, positioning freehand screw requires a high level of precision and expertise.