Experience With a Simulator-Based Angiography Course for Neurosurgical Residents

Fargen, Kyle M; Arthur, Adam S; Bendok, Bernard R.; Levy, Elad I.; Ringer, Andrew J.; Siddiqui, Adnan H.; Veznedaroglu, Erol; Mocco, J

doi:10.1227/neu.0000000000000059

Cited by 33 publications

(28 citation statements)

References 17 publications

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“…3,4,6,12,13 However, strategies used in general surgery may not be as applicable in spine surgery, where laparoscopic procedures are limited and intricate 3D spinal anatomy is difficult to appropriately replicate on computer simulators. Furthermore, virtual screw placement planning on 2D computer screens has been shown to not clearly translate into an improvement in hands-on performance.…”

mentioning

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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mentioning

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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“…Advances in this field have been induced by improving materials science technology, leading to the development of novel devices and delivery tools that are effective and safe [50]. Moreover, as the indications for endovascular therapy rise, a decrease in traditional microsurgery is observed, creating a void in trainee education for aneurysm clipping and bypass techniques.…”

Section: Vascular Neurosurgerymentioning

confidence: 99%

“…Several courses utilizing simulator-based angiography have been held to date and have been seen as benefiting the education of trainees [50]. As a result, endovascular simulation is likely to become fully integrated in both resident and fellowship training [67].…”

Section: Vascular Neurosurgerymentioning

confidence: 99%

The role of simulation in neurosurgery

et al. 2015

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Advances in imaging and computer technology have led to the development of different simulation models to complement traditional surgical training. Sophisticated virtual reality (VR) simulators with haptic feedback and impressive imaging technology have provided novel options for training in neurosurgery. Breakthrough training simulation using 3D printing technology holds promise for future simulation practice, proving high-fidelity patient-specific models to complement residency surgical learning.

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“…These simulators provide an immediate feedback to the trainee, with the ability to debrief his/ her maneuvers. Comprehensive virtual reality simulators, inclusive of diagnostic angiography and treatment scenarios and complications' management have been described (4,24).…”

Section: Improving Vascular Neurosurgical Skills In An Era Of Diminismentioning

confidence: 99%

Improving Vascular Neurosurgical Skills in an Era of Diminished Microsurgical Exposure

Nossek

Ram²

2015

World Neurosurgery

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Experience With a Simulator-Based Angiography Course for Neurosurgical Residents

Cited by 33 publications

References 17 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

The role of simulation in neurosurgery

Improving Vascular Neurosurgical Skills in an Era of Diminished Microsurgical Exposure

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