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In this organized analysis, 28 researches were included in the last analysis. The main results had been superior workflow and non-inferior reliability when you compare AR to free-hand (FH) or main-stream surgical navigation practices. A small range studies suggested reduced usage of radiation. There have been no scientific studies reporting mortality, morbidity, or cost-benefit connections. AR provides an important inclusion to FH surgery and traditional navigation methods for back surgery. But, the present pro