It's time to bring zen back to spine surgery

Surgical Instrument Angle Measurement

Why surgical navigation matters

Surgical navigation is key in ensuring accurate screw placement, which leads to reduced complications and increased surgical efficacy. In a study comparing the difference in accuracy of thoracic pedicle placement when using fluoroscopy vs CT-navigation, 21% of screws placed with fluoroscopy were malpositioned, compared to only 5% with the CT-navigation group.

In a systematic review, image guided navigation demonstrated the most consistently accurate placement rates.2


Image guide navigation accuracy rate2


Freehand technique accuracy rate2


2-D fluoroscopy accuracy rate2

Traditional navigation techniques offer benefits and barriers

While they offer the promise of accurate placement, today's surgical navigation solutions are expensive, laborious, and present a steep learning curve. Spinal surgeons don't need more complications: they need elegant, effective solutions.

Increased Accuracy

Intensive training

Steep investment in upfront capital

Increases OR Time

In ruthless pursuit of a superior solution

At Ruthless Spine, we're pioneering techniques that let your talent shine. Our mission is simple: Bring zen back to spine surgery.

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  1. Waschke A, Walter J, Duenisch P, Reichart R, Kalff R, Ewald C. CT-navigation versus fluoroscopy-guided placement of pedicle screws at the thoracolumbar spine: single center experience of 4,500 screws. Eur Spine J. 2013 Mar;22(3):654-60. doi: 10.1007/s00586-012-2509-3. Epub2012 Sep 23. PMID: 23001415; PMCID: PMC3585623.
  2. Nevzati E, Marbacher S, Soleman J, et al. Accuracy of pedicle screw placement in the thoracic and lumbosacral spine using a conventional intraoperative fluoroscopy-guided technique: a national neurosurgical education and training center analysis of 1236 consecutive screws. World Neurosurg. 2014;82(5):866-71.e712. doi:10.1016/j.wneu.2014.06.023