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Augmented reality navigation in spine surgery: a systematic review.
Gustav Burström1,2, Oscar Persson3,4, Erik Edström3,4
1Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. gustav.burstrom@ki.se.
Acta Neurochirurgica
|January 28, 2021
Summary
Augmented reality (AR) navigation in spine surgery offers improved workflow and accuracy compared to traditional methods. Further research is needed to confirm clinical outcomes and cost-effectiveness.
Area of Science:
- Neurosurgery
- Medical Technology
- Surgical Navigation
Background:
- Conventional spinal navigation systems can negatively impact operating room time and workflow.
- Augmented reality (AR) navigation presents a potential solution to these challenges in navigated spine surgery.
Purpose of the Study:
- To systematically review the existing evidence on the use of AR navigation in spine surgery.
- To evaluate the efficacy, workflow impact, radiation use, and cost-benefit of AR navigation systems.
Main Methods:
- A systematic review of studies was conducted using PubMed and Web of Science.
- Searches covered data on AR navigation solutions, efficacy, workflow, radiation, and cost-benefit up to November 27, 2020.
Main Results:
- Twenty-eight studies were analyzed, indicating superior workflow and non-inferior accuracy for AR navigation compared to free-hand (FH) or conventional navigation.
- Limited evidence suggested reduced radiation exposure.
- No studies reported on mortality, morbidity, or cost-benefit.
Conclusions:
- AR navigation is a valuable addition to FH surgery and traditional navigation for spine procedures.
- The current evidence base is limited, necessitating prospective studies on clinical outcomes and cost-benefit analysis.
