I think this is largely a matter of terminology.
If we take for example a test particle moving in a Schwarzschild metric then we can calculate the geodesics in the usual way. However an real particle has a non-zero mass (or energy) and therefore it perturbs the metric. So the particle is not moving in a Schwarzschild metric but instead in a time dependent metric that is similar to the Schwarzschild metric but not identical. So the actual path of the particle will be different from the geodesic calculated assuming a pure Schwarzschild geometry.
Typically we assume the particle is small compared to the mass it orbits, so the perturbation to the background metric is small. Typically we would assume the perturbation is approximately linear so we get:
$$ g_{\alpha\beta} = s_{\alpha\beta} + h_{\alpha\beta} $$
where $s_{\alpha\beta}$ is the Schwarzschild metric and $h_{\alpha\beta}$ is the perturbation caused by the non-zero mass of the orbiting particle. In that case:
How significant the difference between the trajectories is depends on the relative masses. For spacecraft, or even planets, the difference is relatively small. For example the orbit of Mercury is correctly described to within experimental error without considering the perturbation to the metric due to Mercury's mass. However the spacetime geometric of merging black holes is totally different to a simple Schwarzschild calculation.