Augmented reality in non-instrumentation minimally invasive spine surgery: a narrative review and future perspectives

AR represents a promising adjunct in MISS, particularly for non-instrumentation procedures in which visualization is limited. To define its definitive clinical value, future research must prioritize workflow standardization, validation of performance metrics, and adequately powered multicenter trials that assess clinically meaningful outcomes. Integration with artificial intelligence (AI) and robotic platforms may further enhance surgical precision and efficiency, shaping the next phase of MISS.