Decision support for endoscopic spine surgery

A proprietary methodology for preoperative assessment and postoperative follow-up, producing clinical recommendations that are traceable, auditable, explainable, reproducible, and versioned.

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What FiveWires is

FiveWires helps neurosurgeons decide whether arthrodesis (fusion) is needed in endoscopic spine surgery. The methodology organizes the assessment across five domains — the five W.I.R.E.S. — and returns a recommendation together with the score that produced it, ready for review and audit.

Who it's for

For neurosurgeons assessing candidates for endoscopic spine surgery who need a structured instrument to decide, record, 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.