Virtual reality force feedback spine surgery simulator training for pedicle screw placement: assessing the impact of seniority and spinal region

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Udgivet i:BMC Medical Education vol. 25 (2025), p. 1-10
Hovedforfatter: Yuan, Lei
Andre forfattere: Zhang, Zhiqi, Zhou, Feifei, Tian Xia, Xu, Nanfang, Sun, Zhuoran
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Springer Nature B.V.
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022 |a 1472-6920 
024 7 |a 10.1186/s12909-025-07695-6  |2 doi 
035 |a 3236996326 
045 2 |b d20250101  |b d20251231 
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100 1 |a Yuan, Lei 
245 1 |a Virtual reality force feedback spine surgery simulator training for pedicle screw placement: assessing the impact of seniority and spinal region 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a ObjectiveTo evaluate the efficacy of Virtual Reality Force Feedback Spine Surgery Training Simulators (VRFF-SSTS) in enhancing the skills of spinal pedicle screw placement (PSP) among orthopedic fellows in continuing medical education, and whether influenced by seniority and spinal location.MethodsA multi-centered, cross-sectional study enrolled fellows from three tertiary care referral hospitals. Participants were categorized into three groups (A, B, and C) based on their post-graduation year (PGY), reflecting their hierarchical order of spine-surgical training: A (PGY1-5), B (PGY6-10), and C (> 10). Participants performed SPSP in the spinal saw bone model using the free-hand technique first, followed by training on IVRSS. The outcome before and after training was assessed on placement accuracy and overall competency through an objective rating scale.ResultsSixty-four participants were included, with PGY A, B, and C 18 (28.1%),30 (46.9%), and 16 (25.0%) participants, respectively. Pre-training data indicated that screw placement accuracy improved with increasing seniority. The accuracy of lumbar pedicle screw placement surpassed that of atlantoaxial, subaxial cervical, and thoracic vertebrae. Post-training, there was a significant enhancement in screw placement accuracy across all groups compared to pre-training (p < 0.001), with no significant differences observed between seniority levels and spinal regions. Overall competency significantly improved following training, with PGY B and C fellows, who had prior experience with pedicle screw insertion, demonstrating more satisfactory performance.ConclusionVRFF-SSTS proves to be an invaluable tool for training surgical skills, capable of enhancing the accuracy of pedicle screw placement for junior spine surgeons within a constrained training period. However, the overall competency in pedicle screw placement remains superior among experienced surgeons compared to their junior counterparts, underscoring the ongoing importance of clinical practice.Clinical trial numberNot applicable. 
610 4 |a IBM Corp 
653 |a Vertebrae 
653 |a Surgeons 
653 |a Accuracy 
653 |a Medical education 
653 |a Recovery (Medical) 
653 |a Seniority 
653 |a Virtual reality 
653 |a Statistical analysis 
653 |a Simulation 
653 |a Back surgery 
653 |a Computer Simulation 
653 |a Educational Opportunities 
653 |a Physicians 
653 |a Patients 
653 |a Rating Scales 
653 |a Influence of Technology 
653 |a Educational Technology 
653 |a Surgery 
653 |a Quality Assurance 
653 |a Time 
653 |a Nonparametric Statistics 
653 |a Trainees 
700 1 |a Zhang, Zhiqi 
700 1 |a Zhou, Feifei 
700 1 |a Tian Xia 
700 1 |a Xu, Nanfang 
700 1 |a Sun, Zhuoran 
773 0 |t BMC Medical Education  |g vol. 25 (2025), p. 1-10 
786 0 |d ProQuest  |t Healthcare Administration Database 
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856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3236996326/fulltext/embedded/75I98GEZK8WCJMPQ?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3236996326/fulltextPDF/embedded/75I98GEZK8WCJMPQ?source=fedsrch