Augmented reality (AR) provides real-time three-dimensional visualization for spinal instrumentation, though its role in spinopelvic stabilization remains limited. While AR-assisted pedicle and S2 alar-iliac screw placement has been reported, AR guidance for a dual-iliac quad-rod construct in spinopelvic dissociation has not. We describe AR-assisted minimally invasive placement of L4-L5 pedicle screws and bilateral iliac screws using intraoperative three-dimensional planning. Fixation was completed without complications and remained stable at last follow-up. This case suggests AR navigation may support accurate and efficient execution of complex minimally invasive spinopelvic fixation.
Kumar et al. (Fri,) studied this question.