Augmented reality in minimally invasive spine surgery: early efficiency and complications of percutaneous pedicle screw instrumentation

Butler, Alexander J.; Colman, Matthew W.; Lynch, James F.; Phillips, Frank M.

doi:10.1016/j.spinee.2022.09.008

Cited by 26 publications

(26 citation statements)

References 32 publications

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“…Butler and colleagues described the first in vivo use of AR-guided percutaneous MIS placement of pedicle screws in the setting of spine surgery [ 30 ]. A total of 164 MIS cases were performed on patients from June 2020 to March 2022 by three senior surgeons at two institutions.…”

Section: Resultsmentioning

confidence: 99%

“…Learning curve analysis showed that operative times were similar in early cases compared to those performed with more experience with the system. The authors noted the efficiency and safety of AR-guided screw placement compared to conventional technologies [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most of the developments have been made in spine surgery/orthopedic surgery [ 30 , 33 , 34 , 35 , 36 , 40 ] and for endoscopic/laparoscopic procedures [ 28 , 31 , 32 , 33 ], which have not yet fully exploited the potential of this new technology. AR could help identify and visualize critical anatomical structures such as blood vessels and nerves to reduce the risk of injury or to guide the proper placement of surgical instruments [ 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…While the studies discussed here indicate some potential of AR technology in the context of improving MIS navigation solutions [ 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 ], current AR-guided navigation systems have not shown improved precision compared to conventional navigation methods, albeit shown improvements in ergonomics and visualization have been reported [ 38 ]. However, what has been clinically demonstrated to date is evidence of shorter operative times and less blood loss, suggesting a gentler surgical approach [ 33 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

“…Most of the AR-guided navigation studies presented here are experimental development approaches, some of which have shown promising results [ 28 , 31 , 32 , 34 , 36 , 41 ]. However, clinical trials with adequately sized numbers of patients or even systematic reviews demonstrating added value for patient care are still rare [ 30 , 33 , 37 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

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The Role of Augmented Reality in the Advancement of Minimally Invasive Surgery Procedures: A Scoping Review

2023

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The purpose of this review was to analyze the evidence on the role of augmented reality (AR) in the improvement of minimally invasive surgical (MIS) procedures. A scoping literature search of the PubMed and ScienceDirect databases was performed to identify articles published in the last five years that addressed the direct impact of AR technology on MIS procedures or that addressed an area of education or clinical care that could potentially be used for MIS development. A total of 359 studies were screened and 31 articles were reviewed in depth and categorized into three main groups: Navigation, education and training, and user-environment interfaces. A comparison of studies within the different application groups showed that AR technology can be useful in various disciplines to advance the development of MIS. Although AR-guided navigation systems do not yet offer a precision advantage, benefits include improved ergonomics and visualization, as well as reduced surgical time and blood loss. Benefits can also be seen in improved education and training conditions and improved user-environment interfaces that can indirectly influence MIS procedures. However, there are still technical challenges that need to be addressed to demonstrate added value to patient care and should be evaluated in clinical trials with sufficient patient numbers or even in systematic reviews or meta-analyses.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%