scholarly journals The surgical learning curve and accuracy of minimally invasive lumbar pedicle screw placement using CT based computer-assisted navigation plus continuous electromyography monitoring – a retrospective review of 627 screws in 150 patients

10.14444/1027 ◽  
2014 ◽  
Vol 8 ◽  
pp. 27 ◽  
Author(s):  
Martin James Wood ◽  
Jason McMillen
Keyword(s):  
Minimally Invasive ◽  
Learning Curve ◽  
Pedicle Screw ◽  
Retrospective Review ◽  
Screw Placement ◽  
Computer Assisted ◽  
Pedicle Screw Placement ◽  
Assisted Navigation ◽  
Surgical Learning ◽  
Lumbar Pedicle

The effect of simulation training on resident proficiency in thoracolumbar pedicle screw placement using computer-assisted navigation

2021 ◽  
Vol 34 (1) ◽  
pp. 127-134
Author(s):  
Andrew M. Gardeck ◽  
Xuan Pu ◽  
Qiuyu Yang ◽  
David W. Polly ◽  
Kristen E. Jones
Keyword(s):  
Pedicle Screw ◽  
Orthopedic Surgery ◽  
Simulation Training ◽  
Spinal Instrumentation ◽  
Screw Placement ◽  
Computer Assisted ◽  
Pedicle Screw Placement ◽  
Assisted Navigation ◽  
Significant Difference ◽  
Standardized Curriculum

OBJECTIVEResidency work-hour restrictions necessitate efficient, reproducible training. Simulation training for spinal instrumentation placement shows significant benefit to learners’ subjective and objective proficiency. Cadaveric laboratories are most effective but have high cost and low availability. The authors’ goal was to create a low-cost, efficient, reproducible spinal instrumentation placement simulation curriculum for neurosurgery and orthopedic surgery residents using synthetic models and 3D computer-assisted navigation, assessing subjective and objective proficiency with placement of thoracolumbar pedicle screws.METHODSFifteen neurosurgery and orthopedic surgery residents participated in a standardized curriculum with lecture followed by two separate sessions of thoracolumbar pedicle screw placement in a synthetic spine model utilizing 3D computer-assisted navigation. Data were collected on premodule experience, time and accuracy of screw placement, and both subjective and objective ratings of proficiency.RESULTSFifteen of 15 residents demonstrated improvement in subjective (Physician Performance Diagnostic Inventory Scale [PPDIS]) and 14 in objective (Objective Structured Assessment of Technical Skills [OSATS]) measures of proficiency in navigated screw placement with utilization of this curriculum (p < 0.001 for both), regardless of the number of cases of previous experience using thoracolumbar spinal instrumentation. Fourteen of 15 residents demonstrated decreased time per screw placement from session 1 to session 2 (p = 0.006). There was no significant difference in pedicle screw accuracy between session 1 and session 2.CONCLUSIONSA standardized curriculum using synthetic simulation training for navigated thoracolumbar pedicle screw placement results in significantly improved resident subjective and objective proficiency. Development of a nationwide competency curriculum using simulation training for spinal instrumentation placement should be considered for safe, efficient resident training.

Percutaneous Lumbar Pedicle Screw Placement Aided by Computer-Assisted Fluoroscopy-Based Navigation

Spine ◽  
2012 ◽  
Vol 37 (24) ◽  
pp. 2055-2060 ◽  
Author(s):  
Benson P. Yang ◽  
Melvin M. Wahl ◽  
Cary S. Idler
Keyword(s):  
Pedicle Screw ◽  
Screw Placement ◽  
Computer Assisted ◽  
Pedicle Screw Placement ◽  
Lumbar Pedicle

Single Versus Separate Registration for Computer-Assisted Lumbar Pedicle Screw Placement

Spine ◽  
2004 ◽  
Vol 29 (14) ◽  
pp. 1585-1589 ◽  
Author(s):  
Tao-Chen Lee ◽  
Lin-Cheng Yang ◽  
Po-Chou Liliang ◽  
Thung-Ming Su ◽  
Cheng-Shyuan Rau ◽  
...  
Keyword(s):  
Pedicle Screw ◽  
Screw Placement ◽  
Computer Assisted ◽  
Pedicle Screw Placement ◽  
Single Versus ◽  
Lumbar Pedicle
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