ArticleNeurospine2022
Augmented Reality to Improve Surgical Workflow in Minimally Invasive Transforaminal Lumbar Interbody Fusion - A Feasibility Study With Case Series.
Article in Neurospine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Augmented Reality Integration in Skull Base Neurosurgery: A Systematic Review.Medicina (Kaunas, Lithuania) · 2024Pooled it
- Integrating mixed reality navigation in spine surgery: experience from a national spinal injuries unit and logistical-economic analysis.Irish journal of medical science · 2026Article
- Augmented reality-enabled image-guided surgical navigation in minimally invasive spine surgery: application beyond screw placement in prone lateral transpsoas interbody fusion-a cadaveric surgical technique study.Journal of spine surgery (Hong Kong) · 2026Article
- 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
- Review
- Augmented reality in non-instrumentation minimally invasive spine surgery: a narrative review and future perspectives.Journal of spine surgery (Hong Kong) · 2026Review
- Ten-step technique for navigated tubular transforaminal and extraforaminal lumbar interbody fusion.Journal of spine surgery (Hong Kong) · 2025Article
- Augmented Reality in Scoliosis Correction Surgery: Efficiency and Accuracy in Pedicle Screw Instrumentation.Medicina (Kaunas, Lithuania) · 2025Observational
- Scoping review of robotics technology in spinal surgery with highlights of the Annual Seattle Science Foundation Course.Annals of translational medicine · 2024Review
- Augmenting Reality in Spinal Surgery: A Narrative Review of Augmented Reality Applications in Pedicle Screw Instrumentation.Medicina (Kaunas, Lithuania) · 2024Review
- Complications in Minimally Invasive Spine Surgery in the Last 10 Years: A Narrative Review.Neurospine · 2024Article
- Image-Guided Navigation in Spine Surgery: From Historical Developments to Future Perspectives.Journal of clinical medicine · 2024Review
- Using Augmented Reality Technology to Optimize Transfacet Lumbar Interbody Fusion: A Case Report.Journal of clinical medicine · 2024Article
- Improving Patient Education Using Augmented Reality for Spine Fractures: Feasibility Study and Review of Literature.Journal of medical extended reality · 2024Article
- Augmented Reality Support for Anterior Decompression and Fusion Using Floating Method for Cervical Ossification of the Posterior Longitudinal Ligament.Journal of clinical medicine · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveMinimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a highly reproducible procedure for the fusion of spinal segments. We recently introduced the concept of "total navigation" to improve workflow and eliminate fluoroscopy. Imageguided surgery incorporating augmented reality (AR) may further facilitate workflow. In this study, we developed and evaluated a protocol to integrate AR into the workflow of MISTLIF.
methodsA case series of 10 patients was the basis for the evaluation of a protocol to facilitate tubular MIS-TLIF by the application of AR. Surgical TLIF landmarks were marked on a preoperative computed tomography (CT)-scan using dedicated software. This marked CT scan was fused intraoperatively with the low-dose navigation CT scan using elastic image fusion, and the markers were transferred to the intraoperative scan. Our experience with this workflow and the surgical outcomes were collected.
resultsOur AR protocol was safely implemented in all cases. The TLIF landmarks could be preoperatively planned and transferred to the intraoperative imaging. Of the 10 cases, 1 case had additionally a synovial cyst resection and in 2 cases an additional bony decompression was performed due to central stenosis. The average procedure time was 160.6 ± 31.9 minutes. The AR implementation added 1.72 ± 0.37 minutes to the overall procedure time. No complications occurred.
conclusionOur findings support the idea that total navigation with AR may further facilitate the workflow, especially in cases with more complex anatomy and for teaching and training purposes. More work is needed to simplify the software and make AR integration more user-friendly.
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