The benefits of intraoperative navigation are clear. In a recent clinical study published in The Spine Journal, the Bolt Navigation System demonstrated superior accuracy compared to fluoro-assisted techniques and comparable accuracy to CT-Navigation, but without the cost and complexity. While the cost of traditional image-guided CT-based navigation systems can be significant and typically include an upfront capital investment, annual maintenance fees, and notable single-use disposable costs, the cost of the Bolt Navigation System is significantly less and requires no upfront capital or maintenance fees with projected annual equipment savings well over $100k/yr. Patrick West Rob Brown John Dorman, MD Darren Milling Susan O'Brien Ref: Arts M, Nijeholt G, Van Eeckhoven, Wolfs J. Accurate placement of thoracolumbar pedicle screws using a handheld iOS-based navigation device: a prospective intra-patient agreement study. Spine Journal. 2024;000:1-7. #spinesurgery #spinenavigation #spineenablingtechnology #navigation #introperativenavigation #surgicaloutcomes #accuracy #costsavings #asc #ambulatorysurgerycenters #ASCnavigation #proceduralmigration #Spinerobotics
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Cost comparison of robotic TLIF vs Navigated TLIF versus free hand/fluoro TLIF. The robotic ones cost about 10K extra per case in terms of disposables. It's not just the capital outlay that must be put into the mix but also the cost per case. Robotics will struggle to get into the spine-ASC world if each case costs the ASC another 10k. Navigation on the other hand, did not push the disposables cost up much compared to freehand. (did I say I love NAV?).
