Virtual reality for surgical training in balloon kyphoplasty procedure.

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  • Additional Information
    • Source:
      Publisher: Springer-Verlag France Country of Publication: France NLM ID: 9518037 Publication Model: Electronic Cited Medium: Internet ISSN: 1432-1068 (Electronic) Linking ISSN: 16338065 NLM ISO Abbreviation: Eur J Orthop Surg Traumatol Subsets: MEDLINE
    • Publication Information:
      Original Publication: Paris : Springer-Verlag France
    • Subject Terms:
      Kyphoplasty*/methods ; Kyphoplasty*/education ; Virtual Reality* ; Internship and Residency*/methods ; Clinical Competence*; Humans ; Prospective Studies ; Male ; Orthopedics/education ; Female
    • Abstract:
      Purpose: The aim of our prospective randomised trial was to demonstrate the efficacy and improvement in surgical skills of inexperienced surgeons in the balloon kyphoplasty procedures trained with virtual reality (VR) compared to untrained inexperienced surgeons.
      Methods: Six orthopaedic residents were randomized to group VR1 (trained) and group VR0 (untrained, control group). At the beginning, all participants, after a theoretical lesson, performed a virtual kyphoplasty. Each resident of the Group VR1 did four training sessions in 1 month (2 h per week) and at the end of training was re-evaluated performing a virtual kyphoplasty. Residents were evaluated with global task completion time and rates subtask ability according to Global Rating Scale of Operative Performance adaptation (both in VR simulation and during the surgery). A percutaneous vertebral augmentation with balloon kyphoplasty was performed by all residents. Intraoperative parameters, complications and cumulative transfer effectiveness ratio (CTER) were analysed.
      Results: Intraoperative scores revealed an improvement in the group VR1 between the first VR trial and the intraoperative phase (2.85 ± 0.65 vs. 4.09 ± 0.62, P < 0.05), which was not seen in the group VR0 (2.71 ± 0.71 vs. 2.85 ± 0.75). Statistical analyses indicated significant differences in intraoperative scores between the two groups. The CTER was 0.85 and suggests that 10 training sessions could reduce the procedure time by approximately 8 min in a 15 min of surgery.
      Conclusion: Our study about the balloon kyphoplasy reaffirms the potential of VR as an effective and cost-efficient training tool, bridging the gap between theoretical knowledge and practical execution.
      Competing Interests: Declarations. Conflict of interest: The authors declare that they have no conflict of interest. Ethical approval: This study was performed according to the standards EN ISO 14155:1, EN ISO 14155:2, Declaration of Helsinki and Good Clinical Practices (GCP). Informed consent: All study participants or their legal guardian provided informed written consent prior to study enrolment.
      (© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)
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    • Contributed Indexing:
      Keywords: Balloon kyphoplasty surgical training; Residents; Spine simulators; Transfer; Virtual reality
    • Publication Date:
      Date Created: 20241120 Date Completed: 20241120 Latest Revision: 20250110
    • Publication Date:
      20250110
    • Accession Number:
      10.1007/s00590-024-04123-1
    • Accession Number:
      39567395