Percutaneous spinal fixation simulation with virtual reality and haptics Journal Article

Local Library Link: Find It @ Loyola

Authors: Luciano, C. J.; Banerjee, P. P.; Sorenson, J. M.; Foley, K. T.; Ansari, S. A.; Rizzi, S.; Germanwala, A. V.; Kranzler, L.; Chittiboina, P.; Roitberg, B. Z.
Article Title: Percutaneous spinal fixation simulation with virtual reality and haptics
Abstract: BACKGROUND: In this study, we evaluated the use of a part-task simulator with 3-dimensional and haptic feedback as a training tool for percutaneous spinal needle placement. OBJECTIVE: To evaluate the learning effectiveness in terms of entry point/target point accuracy of percutaneous spinal needle placement on a high-performance augmented-reality and haptic technology workstation with the ability to control the duration of computer-simulated fluoroscopic exposure, thereby simulating an actual situation. METHODS: Sixty-three fellows and residents performed needle placement on the simulator. A virtual needle was percutaneously inserted into a virtual patient's thoracic spine derived from an actual patient computed tomography data set. RESULTS: Ten of 126 needle placement attempts by 63 participants ended in failure for a failure rate of 7.93%. From all 126 needle insertions, the average error (15.69 vs 13.91), average fluoroscopy exposure (4.6 vs 3.92), and average individual performance score (32.39 vs 30.71) improved from the first to the second attempt. Performance accuracy yielded P = .04 from a 2-sample t test in which the rejected null hypothesis assumes no improvement in performance accuracy from the first to second attempt in the test session. CONCLUSION: The experiments showed evidence (P = .04) of performance accuracy improvement from the first to the second percutaneous needle placement attempt. This result, combined with previous learning retention and/or face validity results of using the simulator for open thoracic pedicle screw placement and ventriculostomy catheter placement, supports the efficacy of augmented reality and haptics simulation as a learning tool.
Journal Title: Neurosurgery
Volume: 72 Suppl 1
ISSN: 1524-4040; 0148-396X
Publisher: Unknown  
Journal Place: United States
Date Published: 2013
Start Page: 89
End Page: 96
Language: eng
DOI/URL:

10.1227/NEU.0b013e3182750a8d
Notes: LR: 20141120; GR: 1R21EB007650-01A1/EB/NIBIB NIH HHS/United States; JID: 7802914; ppublish