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Augmented Reality in Spine Surgery: A Narrative Review
Andrew Hersh1, Smruti Mahapatra1, Carly Weber-Levine1
1Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery
|September 20, 2021
Summary
Augmented reality (AR) navigation enhances surgical procedures by overlaying digital images onto the surgeon's view. This technology, particularly in spine surgery, improves safety and efficiency by reducing interruptions.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Medical Technology
Background:
- Augmented reality (AR) navigation integrates digital information with the surgeon's operative field view.
- Development aims to enhance safety and efficacy in complex procedures like neurosurgery and orthopedics.
Purpose of the Study:
- To review the application of three AR technologies in spine surgery.
- To highlight the benefits of AR in reducing surgeon attention shifts and interruptions.
Main Methods:
- Review of AR surgical navigation systems.
- Analysis of microscope-mediated heads-up displays.
- Evaluation of AR head-mounted displays for surgical use.
Main Results:
- Microscope AR and head-mounted displays minimize attention shifts and line-of-sight interruptions compared to traditional systems.
- The XVision AR system has received FDA clearance, signaling increased adoption.
Conclusions:
- AR navigation technologies are poised for accelerated adoption and refinement in spine surgery.
- AR offers significant advantages for improving surgical workflow and patient outcomes.

