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The synergy between AI and FEA is reshaping modern spine care by improving biomechanical modeling, enhancing surgical precision, and enabling personalized treatment strategies. In the preoperative phase, AI-augmented FEA supports the design of patient-specific surgical plans, optimizing implant placement and simulating mechanical responses under various loading conditions. Intraoperatively, AI enables real-time image-guided navigation, robotic assistance, and automated anatomical recognition, reducing the risk of surgical error. Postoperatively, predictive models built on FEA simulations and patient data assist in tracking recovery, forecasting complications, and informing rehabilitation protocols. Together, these technologies contribute to a data-driven paradigm shift toward precision spine surgery. 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