Comparison

GAiTEWAY vs SpineRef

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

Head to head
About

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.

About

SpineRef

Features
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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

GAiTEWAY4 screens
SpineRef4 screens

Verdict

The call

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

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

GAiTEWAY ships an update fortnightly, SpineRef every 10 days. The most recent releases landed on October 13, 2026 and September 26, 2026 respectively.

Scorecard2 real differences · 4 level
GAiTEWAY versus SpineRef: the parameters behind the verdict, then further details
ParameterGAiTEWAYSpineRef
PriceFreeFree
Update frequencyFortnightlyEvery 10 days — better
AdsNoNo
In-app purchasesNoNo
DevicesiPhoneiPhone, iPad, iPod — better
Requires iOS18.015.1 — better
Further details — not scored
Size18 MB61 MB
Age rating17+17+
DeveloperMedtronic, Inc.Platform.AI Inc

In-app purchases

None

GAiTEWAY

No in-app purchases

None

SpineRef

No in-app purchases

Questions

Is GAiTEWAY free?
GAiTEWAY is free to download, with no in-app purchases.
Is SpineRef free?
SpineRef is free to download, with no in-app purchases.
Do GAiTEWAY or SpineRef have ads?
Neither GAiTEWAY nor SpineRef shows ads.
Which is updated more often, GAiTEWAY or SpineRef?
GAiTEWAY ships an update fortnightly, and SpineRef every 10 days. Most recently, GAiTEWAY was updated on October 13, 2026 and SpineRef on September 26, 2026.

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