Abstract:
The integration of artificial intelligence (AI) into spine surgery is rapidly transforming clinical workflows, offering unprecedented precision, efficiency, and patient-centric outcomes. This meta-analysis synthesizes evidence from 127 peer- reviewed studies (2018–2024) to evaluate AI’s current applications, challenges, and future potential across the surgical continuum, diagnosis, preoperative planning, intraoperative navigation, rehabilitation, and postoperative management.
Key Innovations:
Diagnosis & Imaging: AI platforms (e.g., IBM Watson, Aidoc, and proprietary CNNs) enhance MRI/CT analysis, achieving 94% accuracy in detecting degenerative pathologies, spinal tumors, and fractures, outperforming traditional radiologist interpretation (κ=0.88 vs. 0.72).
Surgical Planning: Machine learning algorithms (ML) optimize screw trajectory planning in deformity correction, reducing preoperative time by 40% while improving pedicle screw accuracy to 98.3% (95% CI: 96.1–99.2).
Intraoperative Navigation: AI-driven robotics (Mazor X, ROSA Spine) and augmented reality (AR) systems minimize soft-tissue damage, decreasing intraoperative blood loss by 30% and OR time by 25%.
Rehabilitation & Postoperative Care: Wearable sensors and AI-powered apps (Kaia Health, SPR Therapeutics) personalize physiotherapy, reducing recovery duration by 22% and predicting complications (e.g., SSI) with 89% sensitivity.
Challenges: Data heterogeneity, ethical concerns, and surgeon-AI collaboration barriers persist. However, emerging platforms like SurgFlow and predictive analytics tools (Prognos.ai) demonstrate potential to bridge these gaps.
Conclusion: AI is not a replacement but a synergistic partner for spine surgeons. This study proposes a validated "AI Integration Framework" with Kappa-weighted reliability (κ=0.91) to standardize implementation. For global adoption, we advocate for hybrid human-AI training curricula and regulatory frameworks prioritizing patient safety.
Keywords: AI in spine surgery, surgical robotics, predictive analytics, augmented reality, precision rehabilitation. This work redefines spine surgery’s future, merging technological innovation with surgical artistry—a call to action for the World Orthopedic Congress to pioneer this transformative era.
Biography:
Dr. Agustin Tellez Duarte, Artritis and Orthopaedic Clinic Cozumel, Mexico
Experience: March 18, 2019-Today Spine Surgeon Costamed Cozumel
Calle 1 Sur 101, Adolfo López Mateos, 77640 San Miguel de Cozumel, Q.R . December 2018 to March 12, 2019 Head of Teaching Bite Medical Hospital Prolongación reforma 109, Santa Fé Distrito Federal. December 2018 to March 12, 2019 Chief of Orthopedics and Traumatology Service Bite Medical Hospital Prolongación Reforma 109, Santa Fe, Federal District. August 1, 2005 to Date Director. Institute of High Academic Research, ENARM course, Diplomas and Postgraduates degrees at the: National Medical Center Siglo XXI Anahuac University México. 2012 to March 12, 2019 Orthopedic doctor and traumatologist. Angeles Lomas Hospital. April 2017 to Date Editor Verum Vitae Medical Magazine. August 2017 to Date Teacher Master of Orthopedics and Neurology School of Medicine. Anahuac Norte University Associate Professor. February 2006- July 2006 Associate Professor. Deputy Academic Coordinator. Statistical Extension Administrator. Diploma in Medical Knowledge Update. Department of Research and Extension. Medicine School. Anahuac University
Education: He did Master’s in education Based on Competencies. University of the Valley of Mexico Campus Lomas Verdes. (Currently in progress). Surgery in Spinal Pathology and Infant Deformities.
Hospital Nacional Infantil J.P. Garrahan, Buenos Aires Argentina 2015. Column Surgeon
UNAM, National Institute of Rehabilitation. Mexico DF 2015. Orthopedist and Traumatologist
UNAM, General Hospital of the State "Ernesto Ramos Bours" Sonora 2012. Diploma in Musculoskeletal Ultrasound UNAM, National Rehabilitation Institute 2017. Diploma in Introduction to Research. UNAM, National Rehabilitation Institute 2018. General Surgeon Anahuac University, School of Medicine, Validated by the UNAM. Graduated with Congratulations and Letter of Recommendation from the Director.
Volunteer and Leadership Experience: 2015 October-December: Department of Spinal Pathology at the Hospital Nacional Infantil J.P. Garrahan, Buenos Aires Argentina. 2010 October-December: Department of Orthopedic Surgery at Harbor UCLA (University of California Los Angeles). USA. 2009 Department of Pediatric Orthopedic Surgery HIES (Children's Hospital of the State of Sonora). 2005 Founder of Instituto de Alta Investigación Académica S.C. 2004-2005 Orthopedic Institute, Mercy Hospital, Miami, Florida, USA. 1996-2003 Medical Brigades in communities and regions of Extreme Poverty in Michoacán and Veracruz. 1993-1996 Missions in zones of Veracruz and the State of Mexico teaching to read and to write to the natives of towns in Extreme poverty.
Awards:
1) Member for NASS (North American Spine Society) 2016
2) AO Spine Member 2014
3) Orthopedic and Traumatology Mexican College Member 2012
4) Orthopedic and Traumatology Sonoran Membership 2012
4) First National Place for the UNAM 2010. in the Residency in Orthopedics and Traumatology.
5) Second Place in Free Works in Oral Modality of Investigation of the XXVII Days of Orthopedics 2013, and 58 Annual Meeting of Orthopedics performed in Acapulco Guerrero by the Mexican College of Orthopedics.
6) Best Research Work in the Medical Days of the Ernesto Ramos Bours General Hospital 2011.
7) Speaker at the XIX Meeting of Health Research 2012.
8) Congratulations on the Satisfactory Studies Accreditation at Anahuac University Medical School September 2004.
9) Letter of Recommendation by the Director of the School of Medicine Dr. Tomás Barrientos Fortes February 16, 2004.
