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Desktop-based computer-assisted orthopedic training system for spinal surgery

Rambani, Rohit; Ward, James; Viant, Warren

Authors

Rohit Rambani

James Ward



Abstract

Background
Simulation and surgical training has moved on since its inception during the end of the last century. The trainees are getting more exposed to computers and laboratory training in different subspecialties. More needs to be done in orthopedic simulation in spinal surgery.

Aims
To develop a training system for pedicle screw fixation and validate its effectiveness in a cohort of junior orthopedic trainees.

Training System
Fully simulated computer-navigated training system is used to train junior orthopedic trainees perform pedicle screw insertion in the lumbar spine. Real patient computed tomography scans are used to produce the real-time fluoroscopic images of the lumbar spine.

Material and Methods
The training system was developed to simulate pedicle screw insertion in the lumbar spine. A total of 12 orthopedic senior house officers performed pedicle screw insertion in the lumbar spine before and after the training on training system. The results were assessed based on the scoring system, which included the amount of time taken, accuracy of pedicle screw insertion, and the number of exposures requested to complete the procedure.

Results
The result shows a significant improvement in amount of time taken, accuracy of fixation, and the number of exposures after the training on simulator system. This was statistically significant using paired Student t test (p < 0.05).

Conclusion
Fully simulated computer-navigated training system is an efficient training tool for young orthopedic trainees. This system can be used to augment training in the operating room, and trainees acquire their skills in the comfort of their study room or in the training room in the hospital. The system has the potential to be used in various other orthopedic procedures for learning of technical skills in a manner aimed at ensuring a smooth escalation in task complexity leading to the better performance of procedures in the operating theater.

Journal Article Type Article
Publication Date 2014-11
Journal Journal of Surgical Education
Print ISSN 1931-7204
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 71
Issue 6
Pages 805-809
APA6 Citation Rambani, R., Ward, J., & Viant, W. (2014). Desktop-based computer-assisted orthopedic training system for spinal surgery. Journal of Surgical Education, 71(6), 805-809. doi:10.1016/j.jsurg.2014.04.012
DOI https://doi.org/10.1016/j.jsurg.2014.04.012
Keywords Surgery; Education
Publisher URL https://www.sciencedirect.com/science/article/pii/S1931720414001287

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