J Korean Soc Spine Surg.  2019 Mar;26(1):26-32. 10.4184/jkss.2019.26.1.26.

Spine Surgery Using Augmented Reality

Affiliations
  • 1Department of Orthopaedic Surgery, Seoul National University College of Medicine and Seoul National University Hospital, Seongnam, Korea. highcervical@gmail.com
  • 2Computer Graphics & Image Processing Laboratory, Department of Computer Science and Engineering, Seoul National University, Seoul, Korea.

Abstract

STUDY DESIGN: Review article.
OBJECTIVES
To present the latest knowledge on spine surgery using augmented reality (AR). SUMMARY OF LITERATURE REVIEW: AR is a new technology that simulates interactions with real-world surroundings using computer graphics, and it is a field that has recently been highlighted as part of the fourth industrial revolution.
MATERIALS AND METHODS
Review of related literature and introduction of latest research.
RESULTS
Spine surgery using AR is currently in its early stages. If industry, academia, and research institutes cooperate and develop, spine surgery using AR is highly likely to develop to the next level.
CONCLUSIONS
Spine surgeons should strive to develop relevant technology.

Keyword

Augmented reality; Spine surgery; 4th industrial revolution

MeSH Terms

Academies and Institutes
Computer Graphics
Spine*
Surgeons

Figure

  • Fig. 1. Microsoft Hololens (top) and ODG R-7 (bottom).

  • Fig. 2. Three-dimensional reconstructed model of the spine, simulated by pedicle screw simulator software.

  • Fig. 3. Three-dimensional reconstructed model of the spine, which can be seen using a head-mounted device.

  • Fig. 4. (A) Augmented reality marker and marker-attached screwdriver. (B) RGB camera.

  • Fig. 5. Schematic illustration of computed tomography (CT)-fluoroscopy registration. After creating a virtual C-arm image from CT, it is compared with the actual anteroposterior and lateral C-arm images to perform registration.

  • Fig. 6. (A) Schematic illustration of augmented reality (AR)-based spine surgery. After attaching the AR marker (DRB) to the patient's vertebrae, and completing the computed tomography (CT)-fluoroscopy or paired-point matching, the motion of the vertebrae can be tracked by only tracking the position of the DRB with the RGB camera. After the matching process, the 3-dimensional (3D) reconstructed vertebrae from CT images and surgical instruments can be overlaid on the actual patient's vertebrae. (B) Demonstration of the 3D reconstructed model on a notebook display. (C) Example of an augmented spine 3D reconstruction model during spine surgery. (D) The experimental setup consisted of vertebrae, a RGB cam-era, the C-arm, and the AR marker.


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