Navigation Experience in Latin-American Spine Surgeons: A Survey.

Study Design: This is a cross-sectional survey.

Objectives:  This study aimed to evaluate the availability and knowledge of navigation technologies for educational purposes and patient management in spine surgeons in Latin America.

Methods: A cross-sectional study was conducted among Latin American Spine Association members using a comprehensive 16-question survey to evaluate their knowledge and practices regarding navigation in spinal surgery. The questionnaire was reviewed and authorized by the AO Spine Latin America (LATAM) Degenerative & Deformity study group and distributed starting on January 29 and closed on February 28, 2024.

Results: A total of 123 surveys were recorded; 95% were male gender, and 42% were neurosurgeons/orthopedists with specific training in spine surgery. Mexico led the response rate with 55 (45%) and then Brazil and Argentina with 13% and 9%, respectively; 54% are not involved in a spine surgery training program; 80 surgeons belong to AO Spine membership; and 35 of them have over 20 years of experience, with most respondents performing between 0 and 100 surgeries per year and degenerative pathology being the most common. Almost 90% of the respondents either use or are willing to use navigation technology, 100% express interest in attending a course on the subject, 80% cited improved accuracy in screw placement as a perceived advantage, and the disadvantage of high costs was the most frequently selected (85%).

Conclusions: Despite the benefits demonstrated by navigation technology, many spine surgeons in Latin America still lack access to this valuable resource. Even with their keen interest and clear understanding of its advantages and benefits, it is necessary to develop training programs and affordable navigation systems to improve spine surgery worldwide and ensure accessible care for all.