RT Journal Article SR Electronic T1 Visible Light Navigation in Spine Surgery: My Experience With My First 150 Cases JF International Journal of Spine Surgery JO Int J Spine Surg FD International Society for the Advancement of Spine Surgery SP S28 OP S36 DO 10.14444/8274 VO 16 IS S2 A1 Geoffrey Stewart YR 2022 UL http://ijssurgery.com//content/16/S2/S28.abstract AB Technological innovations have revolutionized spine surgery. There are a variety of image-guidance systems and navigation options including robotics and augmented reality. These devices provide the opportunity for increased safety and efficiency in surgery. There are advantages and disadvantages to each approach to spinal instrumentation. In this article, the author reviews his experience with visible light navigation using a 7-dimensional (7D) machine vision system and reviews the use, strengths, and weaknesses of this method of spinal navigation.This study is a retrospective cohort investigation of 150 consecutive patients who underwent spinal instrumentation placement utilizing visible light navigation. The objective was to determine the utility of the navigation system and its strengths and weaknesses as well as to assess patient safety when screw placement is performed with visible light navigation in place of C-arm localization. Visible light navigation was found to be effective and efficient, enhancing screw placement and decreasing surgical time. There were no complications in this series of patients and no instances of symptomatic screw malposition.