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Real-Time Navigation with Guide Template for Pedicle Screw Placement Using an Augmented Reality Head-Mounted Device: A Proof-of-Concept Study

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Abstract

Objective

This study aims to explore the real-time navigation with guide template using an augmented reality head-mounted device (ARHMD) for pedicle screw placement.

Methods

The spatial coordinate relationships between augmented reality images and real objects were established through the custom-made guide template, and the registration and tracking were completed using an ARHMD. The feasibility and accuracy of this method were verified by pedicle screw placement in 2 lumbar models. According to the Gertzbein–Robbins grading scale, the accuracy of pedicle screw placement was assessed. The navigation errors were estimated by measuring the deviation values of entry point and trajectory angle.

Results

A total of 20 pedicle K-wires were placed into L1–L5 in 2 lumbar models, which were successfully completed, with an average time of 11.5 min per model and 69 s per screw. The overall K-wires placement accuracy was 100% (20 screws). The navigation error was 2.77 ± 0.82 mm for the deviation value of entry point, and 3.03° ± 0.94° for the deviation value of trajectory angle.

Conclusions

The application of an ARHMD combined with guide template for pedicle screw placement is a promising navigation approach.

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Data availability statement

The data that support the findings of this study are available from the corresponding author [Peihai Zhang], upon reasonable request.

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Acknowledgements

Thanks to numerous individuals participated in this study.

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Author notes

  1. Haowei Li, Peihai Zhang, Guangzhi Wang, and Huiting Liu all contributed equally to this work.

Authors and Affiliations

  1. Tsinghua University School of Medicine, Beijing, 100091, China

    Haowei Li & Guangzhi Wang

  2. Department of Neurosurgery, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, 102218, China

    Peihai Zhang, Xuejun Yang, Guihuai Wang & Zhenxing Sun

  3. Peking Union Medical College Hospital, Beijing, 100730, China

    Huiting Liu

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  1. Haowei Li
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Correspondence to Peihai Zhang or Guangzhi Wang.

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Li, H., Zhang, P., Wang, G. et al. Real-Time Navigation with Guide Template for Pedicle Screw Placement Using an Augmented Reality Head-Mounted Device: A Proof-of-Concept Study. JOIO 57, 776–781 (2023). https://doi.org/10.1007/s43465-023-00859-w

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  • DOI: https://doi.org/10.1007/s43465-023-00859-w

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