Pathkeeper’s spine surgery solution supports all of the spine surgeon’s needs, i.e.: Fusion, scoliosis, cages, tumors, and more, allowing for unprecedented accuracy, as well as being affordable by all.


Surgery Planning Software:

Surgery planning has been proven to improve clinical outcomes in spine surgeries. However, due to the complexity of surgery planning tools, few surgeons use it. Pathkeeper’s surgery planning platform uses AI to automate and simplify the planning process. The platform naturally uses common resources such as:

  • 2D & 3D Dicom viewer

  • Pre-op and Intraop implant planning 

  • Cloud sharing between staff (including remote specialists)

  • PACS Integration 

Unique Features: 

  • Automatic registration and image fusion to MRI and X-ray

  • Automatic spine detection and measurements

  • Automatic vertebrae analysis

  • Bone density and strength mechanical analysis 

  • Margins analysis

  • Sagittarius balance analysis using combined standing up X-rays and CT scan

  • Screen position recommendation

3D Navigation System:

Pathkeeper’s system brings the following advantages to both surgeons and clinicians:


Pathkeeper’s navigation system concept was developed to be a sophisticated, yet low cost, solution suitable for both high and low-volume facilities. The cost of the resulting system is considerably lower than alternative solutions, allowing for a unique business model which is fully aligned to the revenue structure of our customers and partners - pay per screw. In such a model, the hospital pays very little at the beginning, and pays only when using the system. 


Radiation is a professional hazard to surgeons and is harmful to patients as well. This can be illustrated by pediatric deformity cases of idiopathic adolescent scoliosis, which generally require adolescents to undergo a minimum of 3 CT scans, exposing them to harmful radiation at a vulnerable age, and increasing their risk of getting cancer. Additionally, doctors and technicians are nervous about radiation hazards due to the nature of their job and their constant exposure to it. Pathkeeper’s solution has successfully eliminated radiation concerns by eliminating intraoperative imaging in open surgery, which is a key cause of radiation. Instead, our 3D Camera directly tracks the spine and matches it to the pre-op CT scan used in the planning phase, allowing for a safer surgery for all.


Competitors claim 1.5-2mm accuracy by tracking the spine using pre-op spinal snapshots. Their systems use markers connected to a specific anatomical landmark, and a single C-arm or O-arm scan to register this to the 3D camera. The distance between the markers and the pedicle screw, combined with movements in the spine, cause significant errors despite the navigation system. In contrast, the Pathkeeper system’s accuracy is 0.3mm due to the fact that the device we developed is continuously tracking each vertebra and taking patient movement such as breathing, and surgeon manipulation into account, effectively ensuring precise tracking of the surgeon’s tools with regards to patient anatomy. Therefore, in real-life surgery, Pathkeeper’s solution is even more superior due to its real-time tracking of the spine.


Pathkeeper’s solution is user friendly and does not require a sharp learning curve:

Direct feedback mechanism:

Current systems use either remote screens or various augmented reality methods to give the surgeon feedback. Pathkeeper’s solution uses a simple yet intuitive feedback system, and implemented in its design. LED’s are used on the tracking tool itself to guide the surgeon to the correct clinical position. 

30 seconds calibration process:

Pathkeeper’s user friendly system‘s surgery room preparation process is AI guided and takes only 30 seconds to set up versus the 15-30 minutes of our competitors systems. 

30 seconds calibration process:

Pathkeeper’s user friendly system‘s surgery room preparation process is AI guided and takes only 30 seconds to set up versus the 15-30 minutes of our competitors systems. 


Pathkeeper’s system is seamlessly installed in the OR and apt from a very short initial registration process, does not require the physician to change workflow.


Pathkeeper’s systems is especially beneficial when operating on smaller vertebras, because the smaller size dictates a need for higher precision. As so, Pathkeeper’s solution is particularly suitable for pediatric spine surgeries and on surgeries on the upper parts of the adult spine.



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