Workflow Caveats in Augmented Reality–Assisted Pedicle Instrumentation: Cadaver Lab

Timur M. Urakov; Michael Y. Wang; Allan D. Levi

doi:10.1016/j.wneu.2019.03.118

Workflow Caveats in Augmented Reality–Assisted Pedicle Instrumentation: Cadaver Lab

Timur M. Urakov, Michael Y. Wang, Allan D. Levi

Neurological Surgery

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Background: Augmented reality (AR) is gaining popularity in gaming, industrial, military, and medical fields. Neurosurgical applications are currently limited and underdeveloped. Methods: The cadaver lab session was prepared with the currently available AR equipment and software. Pedicle instrumentation was performed from thoracic 1 to the pelvis with either fluoroscopy or AR. Results: A total of 38 screws were placed. There were no major breaches on the fluoroscopy-assisted side. Among the AR screws, 3 had a major medial breach and 4 had a major inferior breach. The cause of a 3 breaches appeared to be related to an error in the starting position, as their overall orientation remained correctly parallel to the original trajectory. Conclusions: The article discusses the potential and limitations of AR in its current state and identifies strategies for successful AR application in future surgery.

Original language	English (US)
Pages (from-to)	e1449-e1455
Journal	World neurosurgery
Volume	126
DOIs	https://doi.org/10.1016/j.wneu.2019.03.118
State	Published - Jun 2019

Keywords

Augmented
Fluoroscopy
Mixed reality
Pedicle screw
Spine surgery
Virtual

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.1016/j.wneu.2019.03.118

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abstract = "Background: Augmented reality (AR) is gaining popularity in gaming, industrial, military, and medical fields. Neurosurgical applications are currently limited and underdeveloped. Methods: The cadaver lab session was prepared with the currently available AR equipment and software. Pedicle instrumentation was performed from thoracic 1 to the pelvis with either fluoroscopy or AR. Results: A total of 38 screws were placed. There were no major breaches on the fluoroscopy-assisted side. Among the AR screws, 3 had a major medial breach and 4 had a major inferior breach. The cause of a 3 breaches appeared to be related to an error in the starting position, as their overall orientation remained correctly parallel to the original trajectory. Conclusions: The article discusses the potential and limitations of AR in its current state and identifies strategies for successful AR application in future surgery.",

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AU - Levi, Allan D.

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