Abstract
The ideal solution for navigation in MISS is not necessarily one that is easily sorted into a single category. Even today, AR technology is combined with other technologies to create hybrids of AR, VR, and MixR technologies. Future solutions should focus on solving the remaining problems and challenges faced in the treatment of spine pathologies. However, tailoring solutions to every possible problem the surgeon may encounter can also create a problem by providing the surgeon with too many tools and options. Instead, a simplified workflow should be pursued in which technology follows the necessary steps of a given surgery. Note, however, that these steps may change with the continued evolution of technical solutions for safe and efficient surgery. Although the technical accuracy of different AR solutions is already relatively high, pushing the boundaries of what is technically possible must remain a priority and serve as a prerequisite for the continued development of the surgical field. However, consistency must also be prioritized, yielding systems that allow less experienced surgeons to perform accurate and safe surgeries every time. Inbuilt safeguards must protect the surgeon from making mistakes related to a loss of navigational accuracy or unseen deflections and errors of surgical instruments. Moreover, future challenges of AR also encompass achieving visualization methods that allow maximal freedom in the surgical field, including surgery performed under the microscope, providing relevant visual information without the risk of inattentional blindness.
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Elmi-Terander, A., Burström, G., Persson, O., Edström, E. (2022). Future Perspective of Augmented Reality in Minimally Invasive Spine Surgery. In: Kim, JS., Härtl, R., Wang, M.Y., Elmi-Terander, A. (eds) Technical Advances in Minimally Invasive Spine Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-19-0175-1_38
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