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Augmented reality navigation in spine surgery: a systematic review

BACKGROUND: Conventional spinal navigation solutions have been criticized for having a negative impact on time in the operating room and workflow. AR navigation could potentially alleviate some of these concerns while retaining the benefits of navigated spine surgery. The objective of this study is...

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Autores principales: Burström, Gustav, Persson, Oscar, Edström, Erik, Elmi-Terander, Adrian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7886712/
https://www.ncbi.nlm.nih.gov/pubmed/33506289
http://dx.doi.org/10.1007/s00701-021-04708-3
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author Burström, Gustav
Persson, Oscar
Edström, Erik
Elmi-Terander, Adrian
author_facet Burström, Gustav
Persson, Oscar
Edström, Erik
Elmi-Terander, Adrian
author_sort Burström, Gustav
collection PubMed
description BACKGROUND: Conventional spinal navigation solutions have been criticized for having a negative impact on time in the operating room and workflow. AR navigation could potentially alleviate some of these concerns while retaining the benefits of navigated spine surgery. The objective of this study is to summarize the current evidence for using augmented reality (AR) navigation in spine surgery. METHODS: We performed a systematic review to explore the current evidence for using AR navigation in spine surgery. PubMed and Web of Science were searched from database inception to November 27, 2020, for data on the AR navigation solutions; the reported efficacy of the systems; and their impact on workflow, radiation, and cost-benefit relationships. RESULTS: In this systematic review, 28 studies were included in the final analysis. The main findings were superior workflow and non-inferior accuracy when comparing AR to free-hand (FH) or conventional surgical navigation techniques. A limited number of studies indicated decreased use of radiation. There were no studies reporting mortality, morbidity, or cost-benefit relationships. CONCLUSIONS: AR provides a meaningful addition to FH surgery and traditional navigation methods for spine surgery. However, the current evidence base is limited and prospective studies on clinical outcomes and cost-benefit relationships are needed.
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spelling pubmed-78867122021-02-25 Augmented reality navigation in spine surgery: a systematic review Burström, Gustav Persson, Oscar Edström, Erik Elmi-Terander, Adrian Acta Neurochir (Wien) Review Article - Spine - Other BACKGROUND: Conventional spinal navigation solutions have been criticized for having a negative impact on time in the operating room and workflow. AR navigation could potentially alleviate some of these concerns while retaining the benefits of navigated spine surgery. The objective of this study is to summarize the current evidence for using augmented reality (AR) navigation in spine surgery. METHODS: We performed a systematic review to explore the current evidence for using AR navigation in spine surgery. PubMed and Web of Science were searched from database inception to November 27, 2020, for data on the AR navigation solutions; the reported efficacy of the systems; and their impact on workflow, radiation, and cost-benefit relationships. RESULTS: In this systematic review, 28 studies were included in the final analysis. The main findings were superior workflow and non-inferior accuracy when comparing AR to free-hand (FH) or conventional surgical navigation techniques. A limited number of studies indicated decreased use of radiation. There were no studies reporting mortality, morbidity, or cost-benefit relationships. CONCLUSIONS: AR provides a meaningful addition to FH surgery and traditional navigation methods for spine surgery. However, the current evidence base is limited and prospective studies on clinical outcomes and cost-benefit relationships are needed. Springer Vienna 2021-01-28 2021 /pmc/articles/PMC7886712/ /pubmed/33506289 http://dx.doi.org/10.1007/s00701-021-04708-3 Text en © The Author(s) 2021 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Review Article - Spine - Other
Burström, Gustav
Persson, Oscar
Edström, Erik
Elmi-Terander, Adrian
Augmented reality navigation in spine surgery: a systematic review
title Augmented reality navigation in spine surgery: a systematic review
title_full Augmented reality navigation in spine surgery: a systematic review
title_fullStr Augmented reality navigation in spine surgery: a systematic review
title_full_unstemmed Augmented reality navigation in spine surgery: a systematic review
title_short Augmented reality navigation in spine surgery: a systematic review
title_sort augmented reality navigation in spine surgery: a systematic review
topic Review Article - Spine - Other
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7886712/
https://www.ncbi.nlm.nih.gov/pubmed/33506289
http://dx.doi.org/10.1007/s00701-021-04708-3
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