Augmented or Mixed Reality Enhanced Head-Mounted Display Navigation for In Vivo Spine Surgery: A Systematic Review of Clinical Outcomes

This research paper provides a systematic literature review (SLR) on the current status of augmented-reality head-mounted devices (AR-HMDs) that guide and navigate spine surgeries and pedicle screw placement. Embase, Scopus, PubMed, Cochrane Library and IEEE Xplore databases were screened for the sy...

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Bibliographic Details
Published inJournal of clinical medicine Vol. 12; no. 11; p. 3788
Main Authors Móga, Kristóf, Hölgyesi, Áron, Zrubka, Zsombor, Péntek, Márta, Haidegger, Tamás
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 31.05.2023
MDPI
Subjects
Accuracy
Augmented Reality
Back surgery
Clinical medicine
Clinical outcomes
FDA approval
Literature reviews
Meta-analysis
Patients
Radiation
Spine
Surgery
Surgery, Experimental
Surgical outcomes
Surgical research
Systematic Review
User experience
Hungary
spine surgery
augmented reality
navigation and robotics in surgery
mixed reality
pedicle screw placement
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Summary:This research paper provides a systematic literature review (SLR) on the current status of augmented-reality head-mounted devices (AR-HMDs) that guide and navigate spine surgeries and pedicle screw placement. Embase, Scopus, PubMed, Cochrane Library and IEEE Xplore databases were screened for the systematic literature search to collect and statistically analyze live patient clinical, procedural and user experience data. Multi-level Poisson and binominal models were used for analysis. In vivo patient data, only the clinically widely used Gertzbein-Robbins Scale, were published as an outcome in the recent heterogeneous literature. The statistical analysis supports the hypothesis that using AR-HMDs has the same clinical outcomes as using more expensive robot-assisted surgical (RAS) systems. AR-HMD-guided pedicle screw insertion is reaching its technology readiness, providing similar benefits to RAS. Further meta-analysis is expected in the future from higher case-numbered and standardized randomized clinical trials.
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These authors contributed equally to this work.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm12113788