SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2024
Accuracy of augmented reality-assisted pedicle screw placement: a systematic review.
Synthesis in 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, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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
26 citing papers in PubMed.
- Single-position lateral anterior lumbar interbody fusion: anatomic considerations, workflow optimization, and technical nuances.Journal of spine surgery (Hong Kong) · 2026Review
- Advancing Undergraduate Student Mental Healthcare of Social Anxiety Disorder: Evaluating the Acceptance of AR-Assisted Cognitive Behavioral Therapy Through TAM-Based Constructs.Healthcare (Basel, Switzerland) · 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
- Integrating AI Segmentation, Simulated Digital Twins, and Extended Reality into Medical Education: A Narrative Technical Review and Proof-of-Concept Case Study.Journal of personalized medicine · 2026Review
- Combining Engineering Precision with Clinical Relevance: A Novel Dual Framework for Assessing Pedicle Screw Accuracy in Spine Surgery.Journal of clinical medicine · 2026Article
- Ten-year analysis of 17,639 thoracolumbar instrumentation failures using the manufacturer and user facility device experience (MAUDE) database.North American Spine Society journal · 2026Article
- Complications With Navigation-Assistance in Thoraco-Lumbar Spine Surgery.Global spine journal · 2026Article
- Educational impact of a structured simulation-based orthopedic training program on technical and non-technical competency development: a prospective pre-post study.Journal of medicine and life · 2026Article
- Hotspots and Trends in the Application of Artificial Intelligence in Spine Medicine from 2005 to 2024: A Bibliometric and Visualization Analysis.Indian journal of orthopaedics · 2026Article
- Augmented and virtual reality in surgical practice: a review of applications in visualization, training, and future directions.Journal of robotic surgery · 2026Review
- Next viewer-development of a software for the spatial computing data glasses apple vision pro for patient-specific preoperative planning and navigation.Frontiers in digital health · 2026Article
- An innovative 2D optical navigation workflow for percutaneous pedicle screw fixation in thoracolumbar fractures: comparison with O-arm 3D navigation.Frontiers in surgery · 2026Article
- Pedicle Screw-Aortic Interaction: A Single Centre Experience and Proposal for a Morphology Based Management Algorithm.EJVES vascular forum · 2026Article
- Long-term outcomes following augmented reality-assisted pedicle screw placement in spinal fusion patients.Acta neurochirurgica · 2025Article
- Use of augmented reality surgical navigation reduces intraoperative fluoroscopic imaging in anterior total hip arthroplasty with equivalent accuracy for component positioning.Journal of orthopaedics · 2025Article
- Letter to editor: Augmented reality-guided pedicle screw fixation.Asian spine journal · 2025Article
- Article
- Artificial Intelligence in Spine Surgery: Imaging-Based Applications for Diagnosis and Surgical Techniques.Current reviews in musculoskeletal medicine · 2025Review
- Revolutionizing spine surgery with emerging AI-FEA integration.Journal of robotic surgery · 2025Review
- Evaluation of the precision and accuracy of augmented reality for pedicle screw placement in the cervical spine.North American Spine Society journal · 2025Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveConventional freehand methods of pedicle screw placement are associated with significant complications due to close proximity to neural and vascular structures. Recent advances in augmented reality surgical navigation (ARSN) have led to its adoption into spine surgery. However, little is known regarding its overall accuracy. The purpose of this study is to delineate the overall accuracy of ARSN pedicle screw placement across various models.
methodsA systematic review was conducted of Medline/PubMed, Cochrane and Embase Library databases according to the PRISMA guidelines. Relevant data extracted included reports of pedicle screw placement accuracy and breaches, as defined by the Gertzbein-Robbins classification, in addition to deviation from pre-planned trajectory and entry point. Accuracy was defined as the summation of grade 0 and grade 1 events per the Gertzbein-Robbins classification.
resultsTwenty studies reported clinically accurate placed screws. The range of clinically accurate placed screws was 26.3-100%, with 2095 screws (93.1%) being deemed clinically accurate. Furthermore, 5.4% (112/2088) of screws were reported as grade two breaches, 1.6% (33/2088) grade 3 breaches, 3.1% (29/926) medial breaches and 2.3% (21/926) lateral breaches. Mean linear deviation ranged from 1.3 to 5.99 mm, while mean angular/trajectory deviation ranged 1.6°-5.88°.
conclusionThe results of this study highlight the overall accuracy of ARSN pedicle screw placement. However, further robust prospective studies are needed to accurately compare to conventional methods of pedicle screw placement.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.