Minimally invasive swine spine surgery training: technical aspects, benefits, and anatomical limitations

Gotfryd, Alberto Ofenhejm; Paula, Fábio Chaud de; Sauma, Marcel Lobato; Iutaka, Alexandre Sadao; Rodrigues, Luciano Miller Reis; Meyer, Guilherme Pereira Corrêa; Teivelis, Marcelo Passos; Poetscher, Arthur Werner; Curto, David Del; Kang, Davi Wen Wei; Cintra, Luciana; Gregores, Guilherme Buzon; Lenza, Mário; Ferretti, Mário

doi:10.31744/einstein_journal/2022ao6318

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Gotfryd et al demonstrated that a swine model for MIS decompression and pedicle instrumentation training was similar and translatable to human procedures. Its value in intradiscal procedures was more limited [140]. Synthetic modeling with products, such as Sawbones, is another current practice [138,141].…”

Section: Developments In Surgical Trainingmentioning

confidence: 99%

Emerging Technologies within Spine Surgery

Foley,

Hardacker,

McCarthy

2023

Life

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New innovations within spine surgery continue to propel the field forward. These technologies improve surgeons’ understanding of their patients and allow them to optimize treatment planning both in the operating room and clinic. Additionally, changes in the implants and surgeon practice habits continue to evolve secondary to emerging biomaterials and device design. With ongoing advancements, patients can expect enhanced preoperative decision-making, improved patient outcomes, and better intraoperative execution. Additionally, these changes may decrease many of the most common complications following spine surgery in order to reduce morbidity, mortality, and the need for reoperation. This article reviews some of these technological advancements and how they are projected to impact the field. As the field continues to advance, it is vital that practitioners remain knowledgeable of these changes in order to provide the most effective treatment possible.

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Section: Developments In Surgical Trainingmentioning

confidence: 99%

Emerging Technologies within Spine Surgery

Foley,

Hardacker,

McCarthy

2023

Life

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“…However, for spine surgeries, especially MISS, some challenges exist in simulating intradisc procedures because of the narrow disk spaces in porcine. 8 There is also the issue of cultural and religious acceptability of the use of porcine models, especially in Africa. Although visual reality is a favorably rated simulation model, haptic realism is a notable limitation.…”

mentioning

confidence: 99%

Feasibility of High-Fidelity Simulator Models for Minimally Invasive Spine Surgery in a Resource-Limited Setting: Experience From East Africa

Balogun,

Sommer,

Waterkeyn

et al. 2023

JAAOS Glob Res Rev

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Background: Spine surgery is a rapidly evolving specialty with a continuous need to learn new skills. In resource-limited settings such as Africa, the need for training is greater. The use of simulation-based training is important in different stages of skill acquisition, especially for high-stake procedures such as spine surgery. Among the available methods of simulation, the use of synthetic models has gained popularity among trainers. Method: Twenty participants of a neurosurgery training course, most of whom (65%) were neurosurgery residents and fellows, were recruited. They had hands-on training sessions using a high-fidelity lumbar degenerative spine simulation model and hands-on theater experience. After this, they completed a survey to compare their experience and assess the effectiveness of the lumbar spine model in stimulating real patient and surgery experiences. Results: The participants were from four African countries, and the majority were neurosurgery residents. There were varying levels of experience among the participants in minimally invasive spine surgery, with the majority either having no experience or having only observed the procedure. All the participants said that the high-fidelity lumbar spine model effectively simulated real minimally invasive spine setup and real bone haptics and was effective in learning new techniques. Most of the participants agreed that the model effectively simulated real dura and nerve roots (95%), real muscle (90%), real bleeding from bones and muscles (95%), and real cerbrospinal fluid in the subarachnoid space. Among them, 95% agreed that the model is effective in lumbar minimally invasive spine training in resource-limited settings. Conclusion: With the development of new and better surgical techniques, the use of high-fidelity models provides a good opportunity for learning and training, especially in resource-poor settings where there is a paucity of training facilities and personnel.

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