GAiTEWAY vs SpineRef
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
GAiTEWAY
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The GAiTEWAY™ mobile application provides access to the data collected in the GAiTEWAY™ software platform to view imaging and clinical data for spine patients. The platform provides a means to visualize pre-operative images, measurements, surgical plans, and order patient-specific spine rods. The platform also serves to facilitate communication between users and internal Medtronic stakeholders.
SpineRef
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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
Verdict
The clearest difference is device support: SpineRef at 3 against GAiTEWAY's 1. SpineRef also leads on iOS requirement (15.1 vs 18.0). On price, update cadence, ads and in-app purchases 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
Both are free to download. Neither carries in-app purchases, so what you see is what you pay.
GAiTEWAY ships an update fortnightly, SpineRef every 10 days. The most recent releases landed on October 13, 2026 and September 26, 2026 respectively.
| Parameter | GAiTEWAY | SpineRef |
|---|---|---|
| Price | Free | Free |
| Update frequency | Fortnightly | Every 10 days — better |
| Ads | No | No |
| In-app purchases | No | No |
| Devices | iPhone | iPhone, iPad, iPod — better |
| Requires iOS | 18.0 | 15.1 — better |
| Further details — not scored | ||
| Size | 18 MB | 61 MB |
| Age rating | 17+ | 17+ |
| Developer | Medtronic, Inc. | Platform.AI Inc |
In-app purchases
GAiTEWAY
No in-app purchases
SpineRef
No in-app purchases









