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Current Trends in Artificial Intelligence-Assisted Spine Surgery: A Systematic Review
Wongthawat Liawrungrueang1, Sung Tan Cho2, Peem Sarasombath3
1Department of Orthopaedics, School of Medicine, University of Phayao, Phayao, Thailand.
Asian Spine Journal
|December 22, 2023
Summary
Artificial intelligence (AI)-assisted spine surgery shows benefits in feasibility, accuracy, and safety. While not superior in all outcomes, AI enhances surgical precision and reduces patient radiation exposure.
Area of Science:
- Neurosurgery
- Medical Technology
- Computer Science
Background:
- Artificial intelligence (AI) adoption is increasing in medical fields.
- AI demonstrates potential in computer-assisted surgery and spinal treatment advancements.
Purpose of the Study:
- To systematically review evidence on AI-assisted spine surgery.
- To outline the benefits and outcomes of AI in spinal procedures.
Main Methods:
- Systematic review adhering to PRISMA guidelines.
- Searched databases using MeSH terms for AI and Spine/Spinal (2013-2023).
- Included 11 studies after rigorous screening of 442 initial articles.
Main Results:
- AI-assisted spine surgery demonstrated satisfactory and superior outcomes in feasibility, accuracy, and safety.
- AI facilitated lower patient radiation exposure compared to standard fluoroscopy.
- No evidence indicated superiority of AI-assisted surgery over conventional methods for all outcomes.
Conclusions:
- AI-assisted spine surgery offers significant advantages in precision and safety.
- Integration of AI with augmented and virtual reality is a promising future direction.
- AI has the potential to improve surgeon proficiency and enhance patient safety in spine surgery.

