A spine measurement system comprises a spinal instrument, alignment circuitry, insert instrument, and a remote system. The insert instrument comprises a handle, a shaft, and a module. The insert instrument can be used to retain, direct, and place a prosthetic component in a spinal region. The module includes an electronic assembly for receiving, processing, and sending data from the insert instrument. The module includes alignment circuitry for providing trajectory, alignment, and position information on the placement of the prosthetic component. A GUI of remote system can display a workflow and report the trajectory, alignment, and position information of insert instrument during different steps of the workflow. The system allows accurate placement of a prosthetic component in a previously probed region.