Access to Technology and Education for the Development of Minimally Invasive Spine Surgery Techniques in Latin America

Guiroy, Alfredo; Gagliardi, Martín; Cabrera, Juan P.; Coombes, Nicolás; Arruda, André; Taboada, Néstor; Falavigna, Asdrúbal

doi:10.1016/j.wneu.2020.06.174

Cited by 9 publications

(6 citation statements)

References 14 publications

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“…20 The authors further determined that the predominant constraints for learning MISS were related to implementation costs and lack of face-to-face educational activities. 20 Access to MISS educational resources is essential for acquiring proficiency. As such, based on the findings presented from this survey, we propose potential solutions for increasing the neurosurgical or orthopedic spine surgeon's access to education: investment from governments, academic institutions, or surgical societies in fellowship programs; creation of organized leadership in the subject; standardization of virtual didactics; simulations including augmented reality or 3D printed models; and restoration of on-site cadaver laboratories.…”

Section: Discussionmentioning

confidence: 99%

“…20 The authors further determined that the predominant constraints for learning MISS were related to implementation costs and lack of face-to-face educational activities. 20…”

Section: Discussionmentioning

confidence: 99%

“…Guiroy et al previously found that this group of spine surgeons is significantly limited from accessing the necessary resources, as only 43% had access to microscopy; 34% had access to cages such as those for ALIF, LLIF, or TLIF; only 26% had access to percutaneous screws; and an additional 71% reported never having access to navigation. 20 The authors further determined that the predominant constraints for learning MISS were related to implementation costs and lack of face-to-face educational activities. 20 Access to MISS educational resources is essential for acquiring proficiency.…”

Section: Discussionmentioning

confidence: 99%

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Educational Status of Minimally Invasive Spine Surgery

Pereira,

Garg,

Mamaril-Davis

et al. 2023

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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Background The objective of this study was to understand how spine surgeons learn minimally invasive spine surgery (MISS) and how the COVID-19 pandemic impacted the educational experience of MISS. Potential solutions for increasing the spine surgeon's access to MISS educational resources were also discussed. Methods An internet survey was distributed to neurosurgical and orthopedic spine surgeons across multiple online platforms from April to June 2021, asking specific questions about education and training for MISS. Online survey tools were used to contact spine surgeons in the five geographical continents. Results A total of 303 spine surgeons responded to the survey: 272 (89.7%) neurosurgeons and 31 (10.3%) orthopedic surgeons. The six countries with the greatest number of participants were: Argentina (n = 70; 23.1%), India (n = 47; 15.5%), Brazil (n = 34; 11.2%), Pakistan (n = 10; 3.3%), Mexico (n = 9; 3.0%), and Chile (n = 8; 2.6%). Conclusion Most spine surgeons were able to attend virtual learning events during the pandemic, but cadaveric study was still considered the gold standard for learning MISS. Multidisciplinary effort is needed to develop structured curriculums for teaching MISS that include a variety of educational tools such as cadaver laboratory, guidance from experienced surgeons, and virtual demonstrations.

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Section: Discussionmentioning

confidence: 99%

“…20 The authors further determined that the predominant constraints for learning MISS were related to implementation costs and lack of face-to-face educational activities. 20…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Educational Status of Minimally Invasive Spine Surgery

Pereira,

Garg,

Mamaril-Davis

et al. 2023

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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“…The volume of fusion procedures in Latin America was ascertained based on a report by Guiron et al. ( Guiroy et al., 2020 ) in 2020. The volume of fusion procedures in the European countries of Norway, Finland, and Italy were ascertained from several published reports ( Grotle et al., 2019 ; Ponkilainen et al., 2021 ; Cortesi et al., 2017 ).…”

Section: Methodsmentioning

confidence: 99%

Evaluating the potential impact of spinal anesthesia use in lumbar surgery on global healthcare cost and climate change

et al. 2023

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“…Access to MISS in Latin America is difficult due to the implants costs, accessibility to surgical microscopes, and, more importantly, face-to-face educational opportunities in formal surgical teaching programs with a specialized «orthopedic and neurosurgical» approach are scarce. 3,4…”

Section: Miss Surgery Educationmentioning

confidence: 99%

Cirugía de mínima invasión. Fusión intersomática lumbar transforaminal. Argumento de posición grupo de estudio cirugía vertebral Latinoamérica

Marroquín-Herrera¹,

Name-Guerra²,

Taboada³

2022

Ortho-Tips

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Introduction: minimally invasive spine surgery (MISS) has had an exponential development in the last two decades, offering wide intrasurgical and post-surgical benefits compared to open techniques; The MIS-TLIF technique is a recent alternative that involves a paramedian approach, tubular retractor and microscope or endoscope, which gives us the possibility of performing a transforaminal interbody fusion with adequate release of the neural and foraminal canals, all through a single approach «Over-the-top». Objective: to discuss and generate recommendations on the MIS-TLIF, focusing on technical and news to unify criteria and establish a current panorama of competence for spine physicians in training. Material and methods: through a consensus and the criteria of 3 spine surgeons who are experts in minimally invasive surgery using relevant search criteria with MIS-TLIF, which stood out: definition, techniques, benefits, complications, material resources and training for surgeons in training, in the Google scholar, PubMed search engines in English and Spanish from 2000 to 2021. Results: 16 steps could be identified and created sequentially as a support for surgeons in minimally invasive training, demonstrating the versatility and easy diffusion of MIS-TLIF always with the training of an experienced spine surgeon. Conclusion: the MIS-TLIF technique is a versatile surgery that should be diffused in all training centers for spine surgery since it allows us to perform interbody fusions and decompressions from T12 to S1 with positive impact recovery in the short and medium postoperative period term compared to open techniques.

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Access to Technology and Education for the Development of Minimally Invasive Spine Surgery Techniques in Latin America

Cited by 9 publications

References 14 publications

Educational Status of Minimally Invasive Spine Surgery

Educational Status of Minimally Invasive Spine Surgery

Evaluating the potential impact of spinal anesthesia use in lumbar surgery on global healthcare cost and climate change

Cirugía de mínima invasión. Fusión intersomática lumbar transforaminal. Argumento de posición grupo de estudio cirugía vertebral Latinoamérica

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