ArticleGlobal spine journal2023
Augmented Reality-Assisted Spine Surgery: An Early Experience Demonstrating Safety and Accuracy with 218 Screws.
Article in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Augmented reality assisted minimally invasive transforaminal lumbar interbody fusion: feasible and effective workflow with intraoperative video.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Enhancing pedicle screw placement training with a visual tracking guide template in augmented reality navigation.Frontiers in medicine · 2026Article
- Article
- The symbiosis of robotics, enabling technology and minimally invasive surgery.North American Spine Society journal · 2025Article
- Robot-assisted cervical screw placement for atlantoaxial fixation.Neurosurgical focus: Video · 2025Article
- Innovative Pedicle Screw Insertion with Mixed Reality Technology Improves Insertion Accuracy in Spinal Surgery.Sensors (Basel, Switzerland) · 2025Article
- Comprehensive Approaches to Pain Management in Postoperative Spinal Surgery Patients: Advanced Strategies and Future Directions.Neurology international · 2025Review
- Review
- S2 Alar-Iliac Screw Insertion Safety With Augmented Reality-Assisted Surgical Navigation.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Augmented Reality in Scoliosis Correction Surgery: Efficiency and Accuracy in Pedicle Screw Instrumentation.Medicina (Kaunas, Lithuania) · 2025Observational
- Intraoperative imaging adequacy and its impact on unplanned return-to-theatre rates in pedicle screw instrumentation.World journal of orthopedics · 2025Article
- Augmented reality navigation technology in atlantoaxial pedicle screw fixation for atlantoaxial dislocation treatment.Frontiers in surgery · 2025Article
- Evaluating Augmented Reality Head-Mounted Devices in Healthcare: A Review of Hardware, Software, and Usability Approaches.Medical devices (Auckland, N.Z.) · 2025Review
- Article
- Utilization of Augmented Reality Head-Mounted Display for the Surgical Management of Thoracolumbar Spinal Trauma.Medicina (Kaunas, Lithuania) · 2024Article
- The application of extended reality technology-assisted intraoperative navigation in orthopedic surgery.Frontiers in surgery · 2024Review
- Assessing the Accuracy of Spinal Instrumentation Using Augmented Reality (AR): A Systematic Review of the Literature and Meta-Analysis.Journal of clinical medicine · 2023Review
- Augmented and virtual reality in spine surgery.Journal of orthopaedics · 2023Article
- Augmented or Mixed Reality Enhanced Head-Mounted Display Navigation for In Vivo Spine Surgery: A Systematic Review of Clinical Outcomes.Journal of clinical medicine · 2023Review
- Augmented reality for minimally invasive spinal surgery.Frontiers in surgery · 2022Review
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designProspective cohort study.
objectivesIn spine surgery, accurate screw guidance is critical to achieving satisfactory fixation. Augmented reality (AR) is a novel technology to assist in screw placement and has shown promising results in early studies. This study aims to provide our early experience evaluating safety and efficacy with an Food and Drug Administration-approved head-mounted (head-mounted device augmented reality (HMD-AR)) device.
methodsConsecutive adult patients undergoing AR-assisted thoracolumbar fusion between October 2020 and August 2021 with 2 -week follow-up were included. Preoperative, intraoperative, and postoperative data were collected to include demographics, complications, revision surgeries, and AR performance. Intraoperative 3D imaging was used to assess screw accuracy using the Gertzbein-Robbins (G-R) grading scale.
resultsThirty-two patients (40.6% male) were included with a total of 222 screws executed using HMD-AR. Intraoperatively, 4 (1.8%) were deemed misplaced and revised using AR or freehand. The remaining 218 (98.2%) screws were placed accurately. There were no intraoperative adverse events or complications, and AR was not abandoned in any case. Of the 208 AR-placed screws with 3D imaging confirmation, 97.1% were considered clinically accurate (91.8% Grade A, 5.3% Grade B). There were no early postoperative surgical complications or revision surgeries during the 2 -week follow-up.
conclusionsThis early experience study reports an overall G-R accuracy of 97.1% across 218 AR-guided screws with no intra or early postoperative complications. This shows that HMD-AR-assisted spine surgery is a safe and accurate tool for pedicle, cortical, and pelvic fixation. Larger studies are needed to continue to support this compelling evolution in spine surgery.
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