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Updated: Dec 17, 2025

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Pedicle Screw Placement Using an Augmented Reality Head-Mounted Display in a Porcine Model
Published on: May 24, 2024
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Use of augmented reality for image-guided spine procedures
Jacob Gibby1,2, Steve Cvetko3, Ramin Javan4
1George Washington University School of Medicine and Health Sciences, Washington, DC, 20052, USA.
Summary
Augmented reality (AR) navigation, using a virtual needle, accurately guided spine procedures. This technology shows potential for improving surgical planning and execution in minimally invasive spine surgeries.
Area of Science:
- Medical Technology
- Surgical Navigation
- Augmented Reality
Background:
- Augmented reality (AR) superimposes imaging data onto a patient's surroundings.
- AR has the potential to enhance accuracy and reduce time in minimally invasive spine surgeries.
Purpose of the Study:
- To report the direct clinical application of AR navigation in percutaneous image-guided spine procedures.
- To evaluate the accuracy and effectiveness of AR for surgical planning and performance.
Main Methods:
- AR navigation with a virtual needle (VN) was used in 18 procedures on 10 patients.
- Comparative data were collected from 32 phantom model procedures.
- Optical codes enabled automatic, real-time registration; manual registration was used otherwise.
Main Results:
- No significant difference in target error was found between clinical and control groups.
- Distance to target and target size did not impact target acquisition accuracy.
Conclusions:
- AR navigation, utilizing a VN, is an accurate and valuable tool for percutaneous image-guided spinal procedures.
- This technology has broad potential for clinical and surgical applications.

