Augmented Reality in Spine Surgery Narrative Review: Seeing is Believing

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2023-12-01

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Abstract

In recent years, augmented reality (AR) has emerged as a promising technology in spine surgery. Its benefits are numerous, including enhanced surgical accuracy, improved anatomic approximation, and uninterrupted visualization. It has proven particularly valuable in spinal fusion, allowing for meticulous planning of screw trajectories and precise alignment of screws, plates, and implants, resulting in low complication rates. Additionally, AR reduces radiation exposure by minimizing the need for intraoperative fluoroscopy. The technology has also been utilized for surgical education and training, enabling real-time feedback through telementoring. However, challenges exist. Discomfort and wearability issues are reported with current AR models, and the need for 3D image rendering prolongs procedure time. Accuracy is compromised in patients with larger body habitus, necessitating improvements in calibration to individual anatomies. Cost is another significant challenge as it requires advanced imaging capabilities in operating rooms, along with expenses for AR hardware, software, training, and personnel. Ongoing research is necessary to evaluate the sustained benefits and potential complications of AR in spine surgery. While AR demonstrates advantages in terms of patient outcomes and surgical accuracy, continued optimization is essential to enhance accessibility and success in spine surgery and orthopaedic surgery as a whole.

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10.1016/j.oto.2023.101068

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Charles, AJ, E Luo, A Arango, D Rowe, CR Goodwin and MM Erickson (2023). Augmented Reality in Spine Surgery Narrative Review: Seeing is Believing. Operative Techniques in Orthopaedics, 33(4). pp. 101068–101068. 10.1016/j.oto.2023.101068 Retrieved from https://hdl.handle.net/10161/31366.

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Scholars@Duke

Goodwin

Courtney Rory Goodwin

Associate Professor of Neurosurgery

Associate Professor of Neurosurgery, Radiation Oncology, Orthopedic Surgery.
Director of Spine Oncology,
Associate Residency Program Director
Third Year Study Program Director Neurosciences, Duke University School of Medicine
Director of Spine Metastasis, Duke Center for Brain and Spine Metastasis, Department of Neurosurgery
Duke Cancer Institute, Duke University Medical Center

Erickson

Melissa Maria Erickson

Associate Professor of Orthopaedic Surgery

I am a spine surgeon who provides surgical management of cervical, thoracic  and lumbar spine conditions, including cervical myelopathy, herniated discs, deformity, stenosis, tumor and trauma.  I provide both minimally invasive procedures as well as traditional surgical techniques.


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