# Nexus Spine vs SpineRef

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.

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

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.

## The numbers

| Metric | Nexus Spine | SpineRef |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (2 ratings)](https://appshunter.io/ios/app/nexus-spine/id1465218381/reviews)** | — |
| Number of ratings | **2** | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 2 months | **Every 10 days** |
| Monetization | Free | — |
| Size | 42 MB | 61 MB |
| Requires iOS | **12.0** | 15.1 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 4+ | 17+ |
| Developer | [Nexus Orthopaedics L.L.C.](https://appshunter.io/developer/1236866776) | [Platform.AI Inc](https://appshunter.io/developer/1895482359) |

## What reviewers say

### Nexus Spine

[App page](https://appshunter.io/ios/app/nexus-spine/id1465218381)

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:** macOS Compatibility

**In-app purchases:** none


### SpineRef

[App page](https://appshunter.io/ios/app/spineref/id6777927922)

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked 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.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*