Spectral metal artifact reduction after posterior spinal fixation in photon-counting detector CT datasets

•Virtual monoenergetic image (VMI) reconstructions derived from Photon-counting CT reduce metal artifacts in spinal fixation.•Best overall artifact reduction is obtained with VMI reconstructions at intermediate-keV levels.•Slight adjustments towards higher-keV levels may be preferable in specific anatomic regions adjacent to the pedicle screws.•Future developments should strive for standard integration of VMI settings into common image viewers.