Virtual reality spine surgery simulation: an empirical study of its usefulness

Gasco, Jaime; Patel, Achal; Ortega-Barnett, Juan; Branch, Daniel W.; Desai, Sohum; Kuo, Yong Fang; Luciano, Cristián; Rizzi, Silvio; Kania, Patrick; Matuyauskas, Martin; Banerjee, Prashant; Roitberg, Ben

doi:10.1179/1743132814y.0000000388

Cited by 100 publications

(67 citation statements)

References 26 publications

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“…Although computer-based simulators have been developed to facilitate the acquisition of screw placement skills, it remains unclear whether this on-screen practice can translate into increased accuracy and comfort in the operating room. 5,7,13 The challenges that trainees face are, in part, related to limited clinical hands-on exposure and the need to acquire an understanding of complex 3D spinal anatomy. For non-video-assisted procedures such as spinal surgery, the incorporation of cadaveric training into the resident educational process is likely to remain a critical component.…”

Section: Discussionmentioning

confidence: 99%

A pilot study of the utility of a laboratory-based spinal fixation training program for neurosurgical residents

Sundar

Healy²,

Kshettry³

et al. 2016

SPI

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OBJECTIVE Pedicle and lateral mass screw placement is technically demanding due to complex 3D spinal anatomy that is not easily visualized. Neurosurgical and orthopedic surgery residents must be properly trained in such procedures, which can be associated with significant complications and associated morbidity. Current training in pedicle and lateral mass screw placement involves didactic teaching and supervised placement in the operating room. The objective of this study was to assess whether teaching residents to place pedicle and lateral mass screws using navigation software, combined with practice using cadaveric specimens and Sawbones models, would improve screw placement accuracy. METHODS This was a single-blinded, prospective, randomized pilot study with 8 junior neurosurgical residents and 2 senior medical students with prior neurosurgery exposure. Both the study group and the level of training-matched control group (each group with 4 level of training-matched residents and 1 senior medical student) were exposed to a standardized didactic education regarding spinal anatomy and screw placement techniques. The study group was exposed to an additional pilot program that included a training session using navigation software combined with cadaveric specimens and accessibility to Sawbones models. RESULTS A statistically significant reduction in overall surgical error was observed in the study group compared with the control group (p = 0.04). Analysis by spinal region demonstrated a significant reduction in surgical error in the thoracic and lumbar regions in the study group compared with controls (p = 0.02 and p = 0.04, respectively). The study group also was observed to place screws more optimally in the cervical, thoracic, and lumbar regions (p = 0.02, p = 0.04, and p = 0.04, respectively). CONCLUSIONS Surgical resident education in pedicle and lateral mass screw placement is a priority for training programs. This study demonstrated that compared with a didactic-only training model, using navigation simulation with cadavers and Sawbones models significantly reduced the number of screw placement errors in a laboratory setting.

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Section: Discussionmentioning

confidence: 99%

A pilot study of the utility of a laboratory-based spinal fixation training program for neurosurgical residents

Sundar

Healy²,

Kshettry³

et al. 2016

SPI

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“…They do not suffer from the issue of repetition since they are digital programs. Their cost can be substantially less as a result 28,54,87,90,91. Due to programming and a lack of graphical limitations, VR models can mimic a wide range of anatomic and physical variance.…”

Section: Simulation In Neurosurgerymentioning

confidence: 99%

Simulation training in neurosurgery: advances in education and practice

Konakondla

Fong

Schirmer

2017

AMEP

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The current simulation technology used for neurosurgical training leaves much to be desired. Significant efforts are thoroughly exhausted in hopes of developing simulations that translate to give learners the “real-life” feel. Though a respectable goal, this may not be necessary as the application for simulation in neurosurgical training may be most useful in early learners. The ultimate uniformly agreeable endpoint of improved outcome and patient safety drives these investments. We explore the development, availability, educational taskforces, cost burdens and the simulation advancements in neurosurgical training. The technologies can be directed at achieving early resident milestones placed by the Accreditation Council for Graduate Medical Education. We discuss various aspects of neurosurgery disciplines with specific technologic advances of simulation software. An overview of the scholarly landscape of the recent publications in the realm of medical simulation and virtual reality pertaining to neurologic surgery is provided. We analyze concurrent concept overlap between PubMed headings and provide a graphical overview of the associations between these terms.

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“…The simulator with perhaps the most research validation in the literature is known as ImmersiveTouch® (Immersive Touch, Inc., Chicago, Illinois). [1224748] At present, the following spinal procedures can be simulated by this simulator: Percutaneous lumbar puncture, Jamshidi needle biopsy, thoracic and lumbar pedicle screw placement, percutaneous spinal fixation, and vertebroplasty. According to the company website, several other procedures are under development, including anterior cervical discectomy, lateral mass fixation, lumbar laminectomy, lumbar microdiscectomy, C1-2 transarticular screw fixation, pelvic fixation, and minimally invasive direct lateral interbody fusion (DLIF).…”

Section: Methodsmentioning

confidence: 99%

Simulation and resident education in spinal neurosurgery

Bohm

Arnold

2015

Surg Neurol Int

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Background:A host of factors have contributed to the increasing use of simulation in neurosurgical resident education. Although the number of simulation-related publications has increased exponentially over the past two decades, no studies have specifically examined the role of simulation in resident education in spinal neurosurgery.Methods:We performed a structured search of several databases to identify articles detailing the use of simulation in spinal neurosurgery education in an attempt to catalogue potential applications for its use.Results:A brief history of simulation in medicine is given, followed by current trends of spinal simulation utilization in residency programs. General themes from the literature are identified that are integral for implementing simulation into neurosurgical residency curriculum. Finally, various applications are reported.Conclusion:The use of simulation in spinal neurosurgery education is not as ubiquitous in comparison to other neurosurgical subspecialties, but many promising methods of simulation are available for augmenting resident education.

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Virtual reality spine surgery simulation: an empirical study of its usefulness

Abstract: Computer-based simulation appears to be a valuable teaching tool for non-experts in a highly technical procedural task such as pedicle screw placement that involves sequential learning, depth perception, and understanding triplanar anatomy.

Cited by 100 publications

References 26 publications

A pilot study of the utility of a laboratory-based spinal fixation training program for neurosurgical residents

A pilot study of the utility of a laboratory-based spinal fixation training program for neurosurgical residents

Simulation training in neurosurgery: advances in education and practice

Simulation and resident education in spinal neurosurgery

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