  In this paper, we propose an innovative Graphical User Interface (GUI) aimed
at improving preoperative planning and intra-operative guidance for precise
spinal screw placement through vertebrae segmentation. The methodology
encompasses both front-end and back-end computations. The front end comprises a
GUI that allows surgeons to precisely adjust the placement of screws on X-Ray
images, thereby improving the simulation of surgical screw insertion in the
patient's spine. On the other hand, the back-end processing involves several
steps, including acquiring spinal X-ray images, performing pre-processing
techniques to reduce noise, and training a neural network model to achieve
real-time segmentation of the vertebrae. The integration of vertebral
segmentation in the GUI ensures precise screw placement, reducing complications
like nerve injury and ultimately improving surgical outcomes. The Spine-Vision
provides a comprehensive solution with innovative features like synchronous
AP-LP planning, accurate screw positioning via vertebrae segmentation,
effective screw visualization, and dynamic position adjustments. This X-ray
image-based GUI workflow emerges as a valuable tool, enhancing precision and
safety in spinal screw placement and planning procedures.
