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Spine & Trauma Navigation

Arrive efficiently
at surgical outcomes

Watch video Contact us

Spine & Trauma Navigation

Arrive efficiently
at surgical outcomes

Watch video Contact us

Navigation Software Spine & Trauma
Streamlines Your Spine Workflow

Now, more than ever, Spine & Trauma navigation software acts as a central data hub as it seamlessly switches between applications, which is particularly important for robotic workflows using Cirq and/or Loop-X.

Navigation support in spine is well-established and is ideal for a broad range of indications, such as cervical fusion, complex deformity correction, tumor removal and trauma.

More Accuracy, Less Radiation

Spine Navigation delivers accurate pedicle screw and interbody placement. This efficiency and precision enables a drastic reduction of X-Ray exposure.

Increased accuracy1,2

Spine Navigation delivers more accurate pedicle screw placement compared to conventional surgical techniques. Navigate implants and instruments on 2D images, 3D scans, MR or CT datasets in all stages of surgery.

Brainlab Spine Navigation:

  • Enables accurate planning of incisions and trajectories with any instrument
  • Supports implant placement, such as cages and pedicle screws, especially in anatomically critical areas
  • Guides posterior incision and facilitates minimally invasive surgeries

Decreased X-Ray Exposure3,4

By requiring fewer verification scans due to precision instrument tracking, Brainlab Spine Navigation leads to reduced X-Ray exposure to the surgical team. Visualize incisions and trajectories in real-time and plan with any instrument at skin level.

  • Reduce X-Ray exposure to surgical team
  • Plan incisions and trajectories at skin level
  • Visualize instruments on 2D images, 3D scans, MR or CT scans in real time

Guiding the Surgeon’s Expertise

Spine navigation amplifies the surgeon’s extensive skill and experience. The software works in tandem with the surgeon to provide additional insights and guidance.

Workflow Spine and Interbody Navigation

Choose your registration method

Spine Navigation software is an essential tool for arriving efficiently at your desired surgical outcomes. Image registration keeps navigation up-to-date as the anatomy changes while minimizing radiation exposure to the surgical team. Choose the registration method that works with your existing intraoperative imaging device or surface match the patient based on their pre-op CT.

Registration suitable for existing intraoperative imaging device

Navigate and arrive at your desired outcome

Brainlab Spine Navigation is designed to provide a streamlined user interface and automatic functionalities. After registration, the software allows you to immediately navigate using the registered data. Navigate using any planning data or CT, XT and MR images and gain additional anatomical context with inline, 3D, DRR, probe’s eye and autopilot views. Intelligent Loop-X integration now includes the possibility to navigate on 2D X-Ray images.

Navigate using any data and images

Plan or update during surgery

Gain maximum flexibility during surgical procedures with our Spine Navigation software. Completed with straightforward, intraoperative planning tools, such as a ruler functionality, Spine Navigation enables you to perform easy and quick on-the-fly screw planning and even update pre-planned screws during surgery.

Fly Screw Planning Tool

Choose your preferred instrument

With the instrument integration app, you have the possibility to use your preferred instrument, even in a navigated workflow. With a very fast and easy calibration method and a universal reference star adapter, you can calibrate most instruments. Brainlab instruments and main partner instruments are even pre-calibrated and can be used within seconds.

Instrument integration app

Navigate cages of your choice

Instrument Setup Software allows for the generic calibration of rectangular and kidney-shaped interbody cages, supporting both posterior and lateral cage approaches.

With a quick and straightforward calibration, the software supports navigated cage placement for desired positioning. The interbody navigation features allow you to control disk space preparation for optimal cage placement.

Software for calibration

How Spine Navigation Amplifies Surgery

Image guided spine surgery software possible with 3D scans, MRI or CT datasets

Navigate on any type of image data such as CT, MR, fluoro 3D and 2D Loop-X images, to incorporate critical information into navigation.

Spine navigation software for spine tumor removal using a navigation system

Import pre-planned objects, like screws with trajectories and contoured tumors, to add context.

Treat a Multitude of Indications

From cervical and high thoracic dorsal instrumentations to routine lower lumbar surgery, complex deformity surgery, tumor treatment and surgery planning, Spinal Navigation is ready to help you maneuver through your case. Both pre- and intraoperative images can be registered for navigation so you can work from the most useful dataset.

Trajectory planning for spine surgery

Degenerative cases

For routine degenerative procedures, you can intraoperatively plan pedicle screws with the help of the instrument tip offset tool. Your entry points and trajectories can be planned and stored even before the first incision. Once planned, let autopilot mode guide you to your intended destination.

Spine workflow for navigated spine surgery

Deformity correction

During deformity cases such as scoliosis, you can navigate on more than one dataset simultaneously to bring together all the preoperative information you need. Fusion applications adapt your preoperative plans to the patient’s intraoperative position while saving time and radiation exposure from additional intraoperative scans.

Spine navigation software for spine tumor removal

Tumor resection

3D objects visible below the surface enhance precise approach planning, add context and give a further understanding of the patient’s anatomy, allowing you to make informed decisions with live updates during surgery.

Navigation for Every Surgeon

Spine Navigation is the basis for the digitalization of entire spine surgery workflow

Configure to suit your needs

Spine & Trauma Navigation is the basis for the digitalization of your hospital’s entire spine surgery workflow. Start with this piece of straightforward software and scale up whenever you need.

Integration for every O.R.

Adding Brainlab Spine & Trauma Navigation is possible for every surgeon and every surgery. Brainlab integrates with Cone Beam CTs (C-arms, angio devices), intraoperative CTs and third-party instruments. Regardless of budget, workflow or existing equipment, we can level up your surgeries.

Spine and Trauma Navigation with automatic intraoperative image registration, e.g. with Ziehm Vision RFD 3D scans
Brainlab Spine Navigation integrates instruments for image guided spine surgery

Integrate the instruments you already use

Spine Navigation fits seamlessly into your surgeries. With its open platform approach, you can easily use the instruments you know.

Navigate with your current setup

Spine & Trauma Navigation easily integrates into any existing O.R. and is compatible with any imaging system. There’s no need to purchase proprietary imaging hardware.

Image Registration

Carbon reference clamp for reduced artifacts and use on every level of the spine

Our Vision for Digital Spine Surgery

Spine & Trauma Navigation is the foundation upon which our vision for Digital Spine Surgery is built. The software expands with advanced planning, robotic imaging, robotic surgical assistance and instrument integration.

Closing the Loop

Closing the Loop

Opening New Horizons in Digital Spine Surgery

With our vision for the future of digital spine surgery, Brainlab is closing the loop to enable greater freedom for clinicians and enhanced outcomes for patients.

Discover more

Additional Information

Scientific One-Pager Cirq


Scientific One-Pager Cervical


Scientific One-Pager Accuracy


Scientific One-Pager Augmented Reality Spine Navigation


Are you ready to arrive at your desired spine outcomes more efficiently?


Navarro-Ramirez, Rodrigo; Lang, Gernot; Lian, Xiaofeng; Berlin, Connor; Janssen, Insa; Jada, Ajit et al. (2017): Total Navigation in Spine Surgery; A Concise Guide to Eliminate Fluoroscopy Using a Portable Intraoperative Computed Tomography 3-Dimensional Navigation System. In World neurosurgery 100, pp. 325–335


Matityahu, Amir; Kahler, David; Krettek, Christian; Stöckle, Ulrich; Grutzner, Paul Alfred; Messmer, Peter et al. (2014): Three-dimensional navigation is more accurate than two-dimensional navigation or conventional fluoroscopy for percutaneous sacroiliac screw fixation in the dysmorphic sacrum: a randomized multicenter study. In Journal of orthopaedic trauma 28 (12), pp. 707–710


Schuetze, Konard; Eickhoff, A.; Dehner, C.; Schultheiss, M.; Gebhard, F.; Richter, P. H. (2019): Radiation exposure for the surgical team in a hybrid-operating room. In Journal of robotic surgery 13 (1), pp. 91–98


Konieczny, Markus R.; Krauspe, Rüdiger (2019): Navigation Versus Fluoroscopy in Multilevel MIS Pedicle Screw Insertion: Separate Analysis of Exposure to Radiation of the Surgeon and of the Patients. In Clin Spine Surg 32 (5), E258-E265

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