Evidence map›Paper›PMID 40352309›Full record

ArticleFrontiers in surgery2025

Augmented reality navigation technology in atlantoaxial pedicle screw fixation for atlantoaxial dislocation treatment.

Peihai Zhang, Zhenxing Sun, Kai Zhang, Jiahe Guo, Xuejun Yang

Abstract read
In one paragraph

Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Intraoperative Navigation in Cervical Spine Surgery.Journal of clinical medicine · 2026
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Peihai ZhangDepartment of Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China.
Zhenxing SunDepartment of Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China.
Kai ZhangDepartment of Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China.
Jiahe GuoDepartment of Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China.
Xuejun YangDepartment of Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to evaluate the clinical safety and feasibility of augmented reality (AR) navigation technology in atlantoaxial pedicle screw placement. Methods: From May 2024 to December 2024, 20 patients with atlantoaxial dislocation undergoing internal fixation were enrolled. During surgery, a real-time CT scan was obtained using an O-arm imaging system, which was processed by the navigation workstation to generate AR images. These AR images can be overlaid directly onto the surgeon's field of view, guiding him to complete pedicle screw placement. The clinical feasibility and safety were evaluated based on operative time, user experience, and the Gertzbein-Robbins scale. Results: All 20 patients successfully underwent surgery, with a total of 80 pedicle screws placement All screws met clinical safety standards, and no severe complications were observed. The operative time ranged from 16 to 21 min, with an average implantation time of 104 s per screw. The average user experience score was 90.5 points. Conclusion: This study preliminarily validates the clinical value of AR navigation technology in atlantoaxial pedicle screw fixation, supporting further investigation.

Indexed as

atlantoaxial dislocationaugmented realitynavigationO-armpedicle screw

Identifiers

PMID40352309
PMCPMC12062002

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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.