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Patient Modelling & Simulation System for planning and prognosis of Adult Spine Surgery

Objective

"SimOSpine addresses the clinical challenge of revision rates in spinal fusion surgery, primarily caused by Proximal Junctional Disease (PJD) and Adjacent-Level Disease (ALD). In long thoracolumbar fusions (LTLF), PJD-related revision rates exceed 20% within 2 years. In short lumbar fusions (SLF), ALD complications peak at 3–5 years, with revision rates reaching 8%, while 14%–18% of procedures are identified as unnecessary. These failures are fundamentally mechanical, driven by altered lever arms adjacent to rigid instrumentation. Clinicians currently lack quantitative ""co-pilots"" to assess these risks pre-operatively.
SimOSpine aims to transition a validated research technology (TRL 4) into a functional beta (TRL 5) Software as a Medical Device (SaMD) for real-time, patient-specific predictive prognosis. Exploiting breakthrough research from the ERC-funded O-Health project, it leverages Physics-Informed AI and Finite Element (FE) metamodeling to quantify failure risks. Unlike competitors, it delivers precision biomechanical descriptors at clinical timescales without high-radiation CT scans.
The project achieves its goals through four pillars:
Real-Time Biomechanical Analysis: AI surrogates trained on extensive FE simulation atlases calculate risk indexes in seconds.
X-ray-to-3D Reconstruction: Advanced transformer architectures generate high-fidelity 3D models from 2D biplanar X-rays, ensuring clinical accessibility and reduced radiation.
Mechanobiological Integration: For SLF, the system integrates Parallel Network biology to predict long-term tissue turnover, acknowledging the mechanobiological nature of ALD.
Clinical Validation & Regulatory Compliance: Expanded validation with leading hospitals and implementation of ISO 13485/14971 frameworks aim for Class IIa MDR certification.
SimOSpine will drive the creation of a university spin-off offering a privacy-compliant SaMD for surgeons to optimize fusion strategies, reducing complications and unnecessary surgeries."

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Programme(s)

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Topic(s)

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Funding Scheme

Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.

HORIZON-ERC-POC - HORIZON ERC Proof of Concept Grants

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Call for proposal

Procedure for inviting applicants to submit project proposals, with the aim of receiving EU funding.

(opens in new window) ERC-2026-POC

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Host institution

UNIVERSIDAD POMPEU FABRA
Net EU contribution

Net EU financial contribution. The sum of money that the participant receives, deducted by the EU contribution to its linked third party. It considers the distribution of the EU financial contribution between direct beneficiaries of the project and other types of participants, like third-party participants.

€ 150 000,00
Address
PLACA DE LA MERCE, 10-12
08002 Barcelona
Spain

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Region
Este Cataluña Barcelona
Activity type
Higher or Secondary Education Establishments
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Total cost

The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.

No data

Beneficiaries (1)