Incorporating mixed reality head mounted display technology in biportal endoscopic lumbar surgery: an early feasibility study

This early feasibility study introduced the use of the AVP HMD during biportal endoscopic spine surgeries and showed that the AVP HDM did not increase the operating surgeon's perceived cognitive workload. The intraoperative use of AVP HMD did not worsen early clinical outcomes and did not increase the risk of complications. We describe the feasibility of incorporating MR technology such as the Apple Vision Pro for surgical visualization during endoscopic spine surgery.