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Virtual Reality-Enabled Resident Education of Lateral Access Spine Surgery – Lumbar Fusion

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This article discusses the use of virtual reality (VR) simulation in enhancing the training of neurosurgery residents in lateral spine surgery. The study involved neurosurgery residents completing a VR-based lateral spine module, which focused on lateral patient positioning and performing lateral lumbar interbody fusion (LLIF). The residents underwent simulation sessions using the PrecisionOS VR system on the Meta Quest 2 headset. The results showed that the majority of participants demonstrated improvement in performance scores, comfort with anatomic landmarks, confidence in performing lateral surgery without direct supervision, and assessing fluoroscopy in spine surgery for hardware placement and image interpretation. The study concludes that VR-based simulation can enhance neurosurgery residents’ understanding of lateral access surgery and improve their confidence and skills in surgical technique and workflow

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised treatment facility in UK

Published article

: VR-based simulation enhanced neurosurgical residents’ ability to understand lateral access surgery. Immersive surgical simulation resulted in improved resident confidence with surgical technique and workflow, perceived improvement in anatomical knowledge, and simulation performance scores. Trainee perceptions on virtual simulation and training as a curriculum supplement also improved following completion of VR training.

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World Neurosurg. 2023 Dec 22:S1878-8750(23)01841-7. doi: 10.1016/j.wneu.2023.12.108. Online ahead of print.ABSTRACTOBJECTIVE: Lateral access spine surgery has many benefits, but adoption has been limited by a steep learning curve. Virtual reality (VR) is gaining popularity and lends itself as a useful tool in enhancing neurosurgical resident education. We thus sought to assess if VR-based simulation could,

World Neurosurg. 2023 Dec 22:S1878-8750(23)01841-7. doi: 10.1016/j.wneu.2023.12.108. Online ahead of print.

ABSTRACT

OBJECTIVE: Lateral access spine surgery has many benefits, but adoption has been limited by a steep learning curve. Virtual reality (VR) is gaining popularity and lends itself as a useful tool in enhancing neurosurgical resident education. We thus sought to assess if VR-based simulation could enhance the training of neurosurgery residents in lateral spine surgery.

METHODS: Neurosurgery residents completed a VR-based lateral spine module on lateral patient positioning and performing lateral lumbar interbody fusion (LLIF) using the PrecisionOS VR system on the Meta Quest 2 headset. Simulation occurred 1x/week every other week for a total of 3 simulations over 6 weeks. Pre- and post-intervention surveys as well as intra-simulation performance metrics were assessed over time.

RESULTS: The majority of resident participants showed improvement in performance scores, including an automated PrecisionOS precision score, number of X-rays used within the simulation, and time to completion. All participants showed improvement in comfort with anatomic landmarks for lateral access surgery, confidence performing lateral surgery without direct supervision, and assessing fluoroscopy in spine surgery for hardware placement and image interpretation. Participant perception on the utility of VR as an educational tool also improved.

: VR-based simulation enhanced neurosurgical residents’ ability to understand lateral access surgery. Immersive surgical simulation resulted in improved resident confidence with surgical technique and workflow, perceived improvement in anatomical knowledge, and simulation performance scores. Trainee perceptions on virtual simulation and training as a curriculum supplement also improved following completion of VR training.

PMID:38143034 | DOI:10.1016/j.wneu.2023.12.108

The London Spine Unit : best recognised treatment facility in UK

Read the original publication:

Virtual Reality-Enabled Resident Education of Lateral Access Spine Surgery

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World Neurosurg. 2023 Dec 22:S1878-8750(23)01841-7. doi: 10.1016/j.wneu.2023.12.108. Online ahead of print.ABSTRACTOBJECTIVE: Lateral access spine surgery has many benefits, but adoption has been limited by a steep learning curve. Virtual reality (VR) is gaining popularity and lends itself as a useful tool in enhancing neurosurgical resident education. We thus sought to assess if VR-based simulation could

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