Comparison

Nexus Spine vs SpineRef

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

Nexus Spine

This medical application assists surgeons in spinal fixation procedures by providing guidance on screw insertion angles. It offers a tool to help ensure accurate placement during surgery. Further usage instructions are available on the developer's website.

Highlights
  • Screw insertion angle guidance
  • Spinal fixation procedures
  • Surgical assistance tool
  • Accuracy enhancement
Features
Read full description

This app helps surgeons check screw insertion angles for application in spinal fixation procedures. For instructions on how to use the app visit: www.nexusspine.com/presson/support.

About

SpineRef

Features
Read full description

SpineRef helps surgeons and OR teams quickly identify spinal hardware Upload an image, get a ranked list of likely implant systems with confidence scores — all in seconds. FEATURES • AI-powered implant identification • AI-powered Cobb angle • Confidence scoring on every result • Automatic patient data redaction before processing • Full lookup history with search • Toolsets library with component and instrument details • Share lookups with colleagues • Notes and comments on any lookup • Personal lookup stats Designed for spine surgeons, neurosurgeons, residents, and surgical staff. SpineRef is an educational reference tool and is not a medical device. It is not intended to replace clinical judgment or operative documentation.

Screenshots

Nexus Spine3 screens
SpineRef4 screens

Verdict

The call

The clearest difference is update cadence: SpineRef at every 10 days against Nexus Spine's every 2 months. Nexus Spine's advantage is iOS requirement (12.0 vs 15.1). On price, ads, in-app purchases and device support there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

UpkeepUpdate frequency

Nexus Spine ships an update every 2 months, SpineRef every 10 days. The most recent releases landed on October 8, 2026 and October 12, 2026 respectively.

Scorecard2 real differences · 7 level
Nexus Spine versus SpineRef: the parameters behind the verdict, then further details
ParameterNexus SpineSpineRef
PriceFreeFree
Rating5.0 (2 ratings) — better—
Number of ratings2 — better—
Update frequencyEvery 2 monthsEvery 10 days — better
AdsNoNo
In-app purchasesNoNo
MonetizationFree—
DevicesiPhone, iPad, iPodiPhone, iPad, iPod
Requires iOS12.0 — better15.1
Further details — not scored
Size42 MB61 MB
Age rating4+17+
DeveloperNexus Orthopaedics L.L.C.Platform.AI Inc

In-app purchases

None

Nexus Spine

No in-app purchases

None

SpineRef

No in-app purchases

Questions

Is Nexus Spine free?
Nexus Spine is free to download, with no in-app purchases.
Is SpineRef free?
SpineRef is free to download, with no in-app purchases.
Do Nexus Spine or SpineRef have ads?
Neither Nexus Spine nor SpineRef shows ads.
Which is updated more often, Nexus Spine or SpineRef?
Nexus Spine ships an update every 2 months, and SpineRef every 10 days. Most recently, Nexus Spine was updated on October 8, 2026 and SpineRef on October 12, 2026.

Other comparisons