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The efficacy of immersive virtual reality surgical simulator training for pedicle screw placement: a randomized double-blind controlled trial

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Abstract

Objective

To verify whether the pedicle screw placement (PSP) skills of young surgeons receiving immersive virtual reality surgical simulator (IVRSS) training could be improved effectively and whether the IVRSS-PSP training mode could produce a real clinical value in clinical surgery.

Methods

Twenty-four young surgeons were equally randomized to a VR group and a NON-VR group. Participants in VR group received IVRSS-PSP training, and those in NON-VR group used the conventional model of observing a spinal model first and then watching a teaching video of spinal surgery for 40 minutes x five. The nailing outcome of the participants before and after training was evaluated by statistical analysis in both groups.

Results

Post-training data analysis showed that the success rate and accuracy rate of screw placement in VR group and NON-VR group were 82.9% and 69.6% vs. 74.2% and 55.4%, respectively, showing statistically significant differences between the two groups by chi-square test (P < 0.05).

Conclusion

The present study demonstrated that IVRSS-PSP was helpful to improve the success rate of PSP for young surgeons, and may provide valuable reference for PSP training of young surgeons. In addition, our study also showed a promising potential of the VR technology in surgical simulation training.

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Abbreviations

IVRSS:

Immersive virtual reality surgical simulator

PSP:

Pedicle screw placement

VR:

Virtual reality

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Author information

Author notes

  1. Baoquan Xin, Xing Huang and Wei Wan contributed equally to this work.

Authors and Affiliations

  1. Shandong First Medical University & Shandong Academy of Medical Sciences, Taian, Shandong province, China

    Baoquan Xin

  2. Orthopaedic Oncology Center, Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai, 200003, China

    Xing Huang, Wei Wan, Yiwei Hu, Jing Wang, Song Li, Jianru Xiao & Tielong Liu

  3. Anhui university of Chinese Medicine, 103 Meishan road, Shushan district, Anhui province, China

    Kai Lv

  4. Medical Imaging Department, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai, 200003, China

    Weiwei Zou

Authors
  1. Baoquan Xin
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  2. Xing Huang
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  3. Wei Wan
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  4. Kai Lv
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  5. Yiwei Hu
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  7. Song Li
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  8. Weiwei Zou
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  9. Jianru Xiao
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  10. Tielong Liu
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Corresponding authors

Correspondence to Weiwei Zou, Jianru Xiao or Tielong Liu.

Ethics declarations

The research plan was approved by the ethics committee of our hospital; this article does not contain any studies with human participants or animals performed by any of the authors. The experiment was conducted with relevant guidelines and regulations, and all the participants singed informed consent. The manuscript submitted does not contain information about medical device(s)/drugs. No funds were received in support of this work. No relevant financial activities outside the submitted work. We declare that we have no conflict of interest.

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Xin, B., Huang, X., Wan, W. et al. The efficacy of immersive virtual reality surgical simulator training for pedicle screw placement: a randomized double-blind controlled trial. International Orthopaedics (SICOT) 44, 927–934 (2020). https://doi.org/10.1007/s00264-020-04488-y

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  • DOI: https://doi.org/10.1007/s00264-020-04488-y

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