Artificial intelligence (AI) is reshaping healthcare, particularly within the realm of spinal surgery, enhancing diagnostics, treatment, and patient management. AI is not only enhancing the technical aspects of spinal surgery but also revolutionizing patient care through personalized management, setting a new standard within the field. This computational renaissance has received increasing attention from providers and regulatory bodies to ensure novel technologies are being safely and effectively used. This review explores contemporary uses of AI in adult spinal deformity (ASD) surgery and the extent of their validation. Given the increasing complexity of ASD surgery and the expanding capabilities of AI, this review is essential to synthesize current applications, evaluate methodological strengths and limitations, and highlight future research opportunities in this evolving field.
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