Evidence map›Paper›PMID 41458002›Full record

ArticleNorth American Spine Society journal2025

The future is now: How AI is reshaping spine care.

Eric J Muelbauer, Mohammed Ali Alvi, David J Kennedy, Michael G Fehlings

Registry-linked trialAbstract read
In one paragraph

Article in North American Spine Society journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07733752 (When AI Is the First Clinician), which is not on this 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.

NCT07733752 recruitingnot on this mapstarted 2026, after this paper: background citation

When AI Is the First Clinician: Impact of Pre-Visit AI Use on Presentation, Diagnostic Expectations, and Shared Decision-Making in Spine Physical Therapy

Typeobservational_patient_registrySponsorAssiut UniversityRan2026 to 2027Enrolled200ConditionsLow Back Pain, Neck Pain, RadiculopathyArmsre-visit AI symptom-checker use
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Bone Fusion in the Cervical Spine: Where Are We Now?Bioengineering (Basel, Switzerland) · 2026
    Review
  2. Review
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

4 authors.

Eric J MuelbauerExecutive Office, North American Spine Society, 1000 N. Northwest Highway, Suite 150, Park Ridge, IL 60068, United States.
Mohammed Ali AlviDivision of Neurosurgery and Spine Program, Department of Surgery, University of Toronto, 149 College Street, Toronto, ON M5T 1P5, Canada.
David J KennedyDepartment of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, 1211 Medical Center Drive, Nashville, TN 37232, United States.
Michael G FehlingsDivision of Neurosurgery and Spine Program, Department of Surgery, University of Toronto, 149 College Street, Toronto, ON M5T 1P5, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Artificial intelligence (AI) is rapidly reshaping spinal care, transitioning from experimental algorithms to operational tools embedded in clinical workflows. This narrative review explores the evolving role of AI across the spine care continuum, including diagnostic imaging, surgical planning, intraoperative navigation, predictive analytics, and digital therapeutics. Methods: Using a mixed-methods approach, we synthesized insights from peer-reviewed literature, regulatory documents, press releases, and grey sources published between 2017 and 2025. Results: AI-enabled imaging platforms now assist in detecting spinal pathologies and extracting quantitative metrics such as disc heights and Cobb angles, improving diagnostic consistency and reducing inter-rater variability. In surgical planning, decision-support systems and robotics-integrated platforms offer personalized guidance and enhanced precision. Intraoperative tools using 2D-3D fusion and volumetric reconstruction are enabling hardware-light navigation, particularly in ambulatory settings. Predictive models for survival, reoperation risk, and patient-reported outcomes are emerging, though external validation remains limited.Digital therapeutics and wearable technologies are expanding the reach of spine care beyond the clinic, offering scalable solutions for rehabilitation and postoperative monitoring. Meanwhile, regulatory and legal frameworks are evolving to address transparency, data governance, and intellectual property concerns. Recent FDA guidance and landmark legal cases underscore the need for disciplined collaboration and responsible deployment. Conclusions: AI in spine care is no longer theoretical and is operational. Its integration promises enhanced precision, efficiency, and personalization, but also demands rigorous validation and ethical oversight. This review highlights the multifaceted impact of AI and calls for continued alignment between clinicians, developers, and regulators to ensure safe, equitable, and sustainable innovation.

Indexed as

Artificial intelligenceDeep learningInnovationNarrative reviewSpinal pathologiesSpine care

Identifiers

PMID41458002
PMCPMC12741385

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.