Commentary on “The Utility and Feasibility of Smart Glasses in Spine Surgery: Minimizing Radiation Exposure During Percutaneous Pedicle Screw Insertion”

Scientific knowledge used to medicine to aid in diagnosis, prevention, treatment, and innovation is referred to as medical technology.It does this by creating tools, machines, and pharmaceuticals using engineering and biotechnology methods. 1,2The manufacturing of equipment and techniques utilized in the medical field such as augmented reality (AR)-assisted real-time visualization of spine surgery, neuromonitoring systems, robotics-assisted surgery, robotic-assisted pedicle screw placement, and intraoperative navigation systems is specifically referred to when discussing spinal medical technology. 1,3-5 Augmented and mixed-reality technologies are included in smart glasses (SG) for spine surgery, giving surgeons access to real-time imaging, guidance, and patient information. 6,7 With the use of these glasses, the surgeon may plan and navigate surgery more efficiently by the image on the wearable displays are closer than those on a fluoroscopic monitor, allowing for a clearer view and reducing radiation exposure during percutaneous pedicle screw (PPS) insertion. 7,8This study 9 examines the potential and usefulness of SG in spine surgery.Adoption of SG offers a possible way to reduce related health concerns, since radiation exposure to spine surgeons during fluoroscopy-guided treatments increases.The MOVERIO SG manufactured by Epson Co., Ltd.(Tokyo, Japan) are a series of wearable AR devices designed for various applications.The latest MOVERIO smart glass delivers an engaging AR experience through quality QHD (quad high definition) or 3-dimensional (3D) images.Its binocular and lightweight see-through display also keeps you aware of your surroundings while you are viewing your content.The objective of the research, which employed operators with varying degrees of experience, was to assess how much SG reduced radiation exposure and increased procedural accuracy.Operators alternated between SG and traditional approaches to direct the insertion of PPS into lumbar model bones under fluoroscopic supervision, using the MOVERIO SG model BT-30E and the COREVISION 3D fluoroscopy system.The SG and non-SG groups' insertion times did not differ significantly, according to the data.However, especially for less experienced operators, the use of SG considerably decreased the duration and amount of radiation exposure.Additionally, deviation studies showed that SG did not impair the precision of screw insertion.