Clinical decision support

Decide on arthrodesis with a method, not an impression.

FiveWires structures preoperative assessment and postoperative follow-up in endoscopic spine surgery — and returns a recommendation together with the score that produced it.

For physician use only · versioned criteria · auditable history

Assessment · illustrative case v2.4.1
W1W2W3W4W5

Illustrative example of the interface. Does not represent a real case or patient data.

Methodology

Five questions. One traceable recommendation.

FiveWires helps neurosurgeons decide whether arthrodesis is needed in endoscopic spine surgery. The methodology organizes the assessment across five key questions — the five W's, from W1 to W5, that give the product its name — and keeps every recommendation ready for review and audit.

W1

Why endoscopy?

W2

Where is the pain generator?

W3

What exams?

W4

Which approach?

W5

When fusion?

What the recommendation guarantees

No recommendation leaves without the path that led to it.

Traceable

Every recommendation keeps the clinical data that generated it.

Auditable

The complete assessment history stays available for review.

Explainable

The recommendation always comes with the score that produced it.

Reproducible

The same data always produces the same result.

Versioned

Every criteria change generates a new, recorded version.

Who it's for

Neurosurgeons who need to record the decision, not just make it.

For those assessing candidates for endoscopic spine surgery who need a structured instrument to decide, document, and follow up on that decision throughout treatment.

FiveWires does not replace medical judgment

Every recommendation is presented as support for clinical judgment, never as a substitute for it. The final decision always rests with the physician responsible for the patient.

Assess the next case with the complete method.

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