Abstract:
STUDY DESIGN:This was a narrative review. OBJECTIVE:This study aimed to review the current literature on surgical simulation in orthopedics and its application to spine surgery. SUMMARY OF BACKGROUND DATA:As orthopedic surgery increases in complexity, training becomes more relevant. There have been mandates in the United States for training orthopedic residents the fundamentals of surgical skills; however, few studies have examined the various training options available. Lack of funding, availability, and time are major constraints to surgical simulation options. METHODS:A PubMed review of the current literature was performed on all relevant articles that examined orthopedic trainees using surgical simulation options. Studies were examined for their thoroughness and application of simulation options to orthopedic surgery. RESULTS:Twenty-three studies have explored orthopedic surgical simulation in a setting that objectively assessed trainee performance, most in the field of trauma and arthroscopy. However, there was a lack of consistency in measurements made and skills tested by these simulators. There has only been one study exploring surgical simulation in spine surgery. CONCLUSIONS:While there has been a growing number of surgical simulators to train orthopedic residents the fundamentals of surgical skills, most of these simulators are not feasible, reproducible, or available to the majority of training centers. Furthermore, the lack of consistency in the objective measurements of these studies makes interpretation of their results difficult. There is a need for more simulation in spine surgery, and future simulators and their respective studies should be reproducible, affordable, applicable to the surgical setting, and easily assembled by various programs across the world.
journal_name
Clin Spine Surgjournal_title
Clinical spine surgeryauthors
Sayari AJ,Chen O,Harada GK,Lopez GDdoi
10.1097/BSD.0000000000001070subject
Has Abstractpub_date
2020-10-09 00:00:00eissn
2380-0186issn
2380-0194pub_type
杂志文章abstract:STUDY DESIGN:A method for measuring occipitocervical angle. OBJECTIVE:To develop a new method of measurement for assessing the occipitocervical angle using intraoperative fluoroscopic imaging, and to examine its reliability. SUMMARY OF BACKGROUND DATA:To avoid postoperative complications following occipitocervical fu...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000478
更新日期:2017-08-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional study. OBJECTIVE:To determine the correlation between SF-36 (a measure for overall health status in patients) and Oswestry-Disability Index (ODI) or Rolland-Morris Disability Questionnaire (RMDQ) confined to spine according to the type of pain from the spine. SUMMARY OF BACKGROUND DATA:Da...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000438
更新日期:2017-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective database review. OBJECTIVE OF THE STUDY:The objective of the study was to assess whether bone morphogenetic protein (BMP) decreases the risk of revision surgery in elderly patients treated with 3-7 level or 8 or greater level fusions. SUMMARY OF BACKGROUND DATA:Revision spine surgery in the...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000489
更新日期:2017-08-01 00:00:00
abstract::The changing landscape from volume to value represents a natural transformation in the health care industry. Increasingly provider groups are finding themselves responding to unfamiliar market forces. Whether explicit or implicit, competition is playing a larger role for the sustainability of providers. For spine care...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000370
更新日期:2016-04-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of patients who underwent surgery for spinal metastasis between 2005 and 2011. OBJECTIVE:To assess the utility of the surgical Apgar score (SAS) in patients who underwent surgery for spinal metastasis. SUMMARY OF BACKGROUND DATA:Surgery for spinal metastasis can be associated with re...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000174
更新日期:2017-10-01 00:00:00
abstract:STUDY DESIGN:In vitro biomechanical study of cervical intervertebral distraction. OBJECTIVE:To investigate the forces required for distraction to different heights in an in vitro C5-C6 anterior cervical distraction model, focusing on the influence of the intervertebral disk, posterior longitudinal ligament (PLL), and ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000160
更新日期:2017-06-01 00:00:00
abstract:STUDY DESIGN:An in vitro biomechanical study. OBJECTIVE:To determine the fracture reduction achieved by a novel inflatable bone tamp under simulated physiological load. SUMMARY OF BACKGROUND DATA:Previous biomechanical studies have showed that kyphoplasty allows near-total restoration of lost vertebral height in unlo...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e31829a37ce
更新日期:2017-02-01 00:00:00
abstract:STUDY DESIGN:Pilot, single-center, single-blinded, parallel-group, randomized clinical study. OBJECTIVE:The aim of this study was to pilot a randomized clinical study to evaluate whether instrumented anterior lumbar interbody fusion (ALIF) with a new nanocrystalline hydroxyapatite embedded in a silica gel matrix (NH-S...
journal_title:Clinical spine surgery
pub_type: 杂志文章,随机对照试验
doi:10.1097/BSD.0000000000000802
更新日期:2019-08-01 00:00:00
abstract:STUDY DESIGN:This was a cross-sectional study. OBJECTIVE:The objective of this study is to report the impact of COVID-19 on spine surgery fellow education and readiness for practice. SUMMARY OF BACKGROUND DATA:COVID-19 has emerged as one of the most devastating global health crises of our time. To minimize transmissi...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001073
更新日期:2020-10-02 00:00:00
abstract:STUDY DESIGN:A prospective study and a technique note. OBJECTIVES:To introduce a new entrance technique for C2 pedicle screw placement and to measure the related linear and angular parameters about the entrance point on computed tomography (CT) images. The safety of this technique for patients with atlantoaxial instab...
journal_title:Clinical spine surgery
pub_type: 临床试验,杂志文章
doi:10.1097/BSD.0000000000000164
更新日期:2017-06-01 00:00:00
abstract:STUDY DESIGN:A retrospective cohort study. OBJECTIVE:The objective of this study was to determine if patient satisfaction is predicted by improvement in health-related quality of life (HRQOL) metrics. SUMMARY OF BACKGROUND DATA:Patient satisfaction is becoming an increasingly common proxy for treatment quality; howev...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000887
更新日期:2020-03-01 00:00:00
abstract:STUDY DESIGN:This is a retrospective study. OBJECTIVES:(1) To analyze the incidence of second surgery after initial laminoplasty for ossification of the posterior longitudinal ligament (OPLL) due to disease progression, (2) to examine factors associated with poor surgical outcome. SUMMARY OF BACKGROUND DATA:Neurologi...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000747
更新日期:2019-04-01 00:00:00
abstract::Adjacent segment disease (ASD) is disappointing long-term outcome for both the patient and clinician. In contrast to adjacent segment degeneration, which is a common radiographic finding, ASD is less common. The incidence of ASD in both the cervical and lumbar spine is between 2% and 4% per year, and ASD is a signific...
journal_title:Clinical spine surgery
pub_type: 杂志文章,评审
doi:10.1097/BSD.0000000000000442
更新日期:2017-04-01 00:00:00
abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:To evaluate the results of posterior pedicle-screw fixation with transpedicular decompression in 21 cases of thoracic and thoracolumbar spinal tuberculosis (TB) in terms of functional, neurological, and radiologic outcomes. SUMMARY OF BACKGROUND DATA:Spinal TB is predomin...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000498
更新日期:2017-12-01 00:00:00
abstract::As the cost of health care continues to rise, government and commercial payors are implementing strategies as a means of reducing the overall expenditure of health care dollars. The largest savings will be not just in more cost-effective treatments but in strategies that can avoid the need for treatments in the first ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000541
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:All doctors know that P-value<0.05 is "the Graal," but publications require further parameters [odds ratios, confidence interval (CI), etc.] to better analyze scientific data. AIM:The aim of this study was to present P-values, CI, and common effect-sizes (Cohen d, odds ratio, and various coefficients) in a ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000695
更新日期:2018-11-01 00:00:00
abstract:STUDY DESIGN:Retrospective study using the MarketScan longitudinal database (2006-2010). OBJECTIVE:Compare complication rates between groups of patients undergoing anterior cervical discectomy and fusion (ACDF) procedures performed by surgeons with high versus low mean annual ACDF volume. SUMMARY OF BACKGROUND DATA:O...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000238
更新日期:2017-06-01 00:00:00
abstract:PURPOSE:The aim of this publication is to present a case of idiopathic spinal cord herniation (ISCH) associated with a transdural disk herniation, demonstrate an operative technique used to treat this condition and provide an updated review the literature. BACKGROUND CONTEXT:ISCH is an infrequent condition that can ca...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000896
更新日期:2020-07-01 00:00:00
abstract:STUDY DESIGN:This is a retrospective study. OBJECTIVE:The objective of this study was to investigate the surgical outcomes of postural instability and its predictors in patients with cervical myelopathy (CM). SUMMARY OF BACKGROUND DATA:Although several studies have shown impaired postural stability in CM patients, th...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000972
更新日期:2020-12-01 00:00:00
abstract::The pressures on spine surgery to adopt value-based reimbursement models are being seen in the increased implementation of bundled payment strategies. Given that bundled payment models typically link payments to the initiation of the surgical episode in question, despite their potential cost-saving attributes, financi...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000568
更新日期:2018-07-01 00:00:00
abstract:STUDY DESIGN:This was a meta-analysis study. OBJECTIVE:To compare different posterior spine fixation methods for burst fracture fixation. SUMMARY OF BACKGROUND DATA:This study was performed to elucidate if the current body of literature supports one posterior spinal fusion fixation method for burst fracture to minimi...
journal_title:Clinical spine surgery
pub_type: 杂志文章,meta分析
doi:10.1097/BSD.0000000000000763
更新日期:2019-03-01 00:00:00
abstract:STUDY DESIGN:Prospective clinical study. SUMMARY OF BACKGROUND DATA:To the authors knowledge, there are no previous prospective studies to test the feasibility of the unilateral biportal endoscopic (UBE) technique in management of lumbar canal stenosis. PURPOSE:The study was conducted to compare clinical results of t...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001122
更新日期:2021-01-15 00:00:00
abstract:STUDY DESIGN:Retrospective review of North American and Japanese adult spinal deformity (ASD) database. OBJECTIVE:To investigate the ethnical differences in radiographic parameters and Scoliosis Research Society (SRS)-22 between North American and Japanese ASD. SUMMARY OF BACKGROUND DATA:Previous comparison study bet...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000610
更新日期:2018-06-01 00:00:00
abstract:STUDY DESIGN:Retrospective analysis of 2 prospectively collected multicenter databases, one for cervical deformity (CD) and the other for general adult spinal deformity. OBJECTIVE:To investigate the relative quality-of-life and disability burden in patients with uncompensated cervical, thoracolumbar, or cervical and t...
journal_title:Clinical spine surgery
pub_type: 杂志文章,多中心研究
doi:10.1097/BSD.0000000000000743
更新日期:2018-12-01 00:00:00
abstract:STUDY DESIGN:Case series. OBJECTIVE:To evaluate radiographic and clinical outcomes of adults with spinal deformity treated with multilevel anterior column releases (ACR). SUMMARY OF BACKGROUND DATA:Pedicle subtraction osteotomy can be used effectively to correct spinal deformity; however, it is not without complicati...
journal_title:Clinical spine surgery
pub_type: 杂志文章,评审
doi:10.1097/BSD.0000000000000377
更新日期:2016-05-01 00:00:00
abstract:STUDY DESIGN:Retrospective case-control study. OBJECTIVE:To compare the incidence, management, and outcome of incidental durotomy in revision microdiscectomy with open and minimal-access surgery. SUMMARY OF BACKGROUND DATA:Incidental durotomy occurs with a variable incidence of 3%-27% in spine surgery. The highest ra...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000279
更新日期:2017-12-01 00:00:00
abstract:INTRODUCTION:Hidden zone foraminal herniations are among the more rare forms of herniations. As exploration is difficult, and there is a close relationship between the nerve root and pedicle, many surgical approaches have been proposed. The aim of this study was to describe downward laminotomy as a new approach to thes...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000562
更新日期:2018-05-01 00:00:00
abstract:STUDY DESIGN:Prospective study. OBJECTIVE:To assess whether rib hump is a prognostic factor of final thoracic Cobb angle. SUMMARY OF BACKGROUND DATA:Correction of thoracolumbar/lumbar curve, preoperative thoracic curves angle, thoracic curves angle on bending, the thoracolumbar-lumbar angle/thoracic curves angle rati...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000590
更新日期:2018-03-01 00:00:00
abstract:STUDY DESIGN:A retrospective study. SUMMARY OF BACKGROUND DATA:Percutaneous vertebroplasty (PV) changes mechanical stress of vertebral column and can cause recurrent pain at the treated level. However, there were a few reports on the therapeutic effects of the repeat PV for patients with recurrent pain at the treated ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e318288a900
更新日期:2016-11-01 00:00:00
abstract::Syrinx can be secondary to many etiologies, including tumor, Chiari malformation, tethered cord, or sequelae of infection or trauma. Posttraumatic syringomyelia, a potential complication of spinal injury, can insidiously present years after the initial event. Expansion of the cerebrospinal fluid-filled cyst can lead t...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000835
更新日期:2020-06-01 00:00:00