Research summary, systematic review or meta-analysis, 2026

The impact of augmented reality on radiation exposure during spine surgery: a systematic review

El Choueiri J, De Rossi L, Pellicanò F, Di Cosmo L, Rota A, Pellegrini L, et al.. Neurosurgical review. 2026

Read the original paper

In plain language

A review of twelve studies found augmented reality navigation in spine surgery was linked to less fluoroscopy use and lower patient dose. Only two studies measured operating room staff dose, and those reductions also involved better shielding.

At a glance

Type of study
Systematic review or meta-analysis, Systematic review
Who was studied
Orthopedic surgeons, Other surgeons, Mixed lab staff, Patients
Size
n = 12 studies
Summary based on
the abstract

What it found

  • Augmented reality was consistently associated with reduced fluoroscopy use, with several studies showing significant reductions in exposure time.

  • Only two clinical studies measured occupational dose; both reported substantially lower staff doses with AR navigation plus optimized shielding.

    Key figures: 2 studies

  • Patient radiation exposure decreased in most studies, especially when AR was combined with low-dose cone-beam computed tomography (CT).

  • Operative time findings were mixed, but accuracy remained high.

  • Evidence is limited by small samples, heterogeneous methods and scarce staff dosimetry data.

Limits to keep in mind

Based on twelve heterogeneous studies, including cadaveric and synthetic-model work, with small samples; only two studies directly measured staff dose, and the staff dose benefit is confounded with shielding changes.

How this summary was made

ORSIF prepared this summary with AI assistance from the abstract of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.

Prepared November 3, 2026.