Pedicle Screw Insertion Surgical Simulator

Scoliosis is a sideway spinal deformity. If the curvature is measured to be more than 50\(^{\circ }\), surgery is required to straighten the spine. Pedicle screw insertion is a procedure that requires the placement of screws from the pedicle into the vertebral body. A rod is used to connect all the pedicle screws. The spine is straightened during the connection process. One of the most common techniques used for pedicle screw insertion is called the free hand technique, where the surgeon creates a screw channel by manually probing into the spine. The surgeon relies strongly on haptics feedback. However, small changes in force or direction can cause the probe to breach out of the spine. If the breach reaches the spine medial, the spinal cord could be damaged. Even experienced surgeons can not prevent breach.

[1]  A P George,et al.  Review of temporal bone dissection teaching: how it was, is and will be. , 2010, The Journal of laryngology and otology.

[2]  W. Sukovich,et al.  Miniature robotic guidance for pedicle screw placement in posterior spinal fusion: early clinical experience with the SpineAssist® , 2006, The international journal of medical robotics + computer assisted surgery : MRCAS.

[3]  Rajesh Aggarwal,et al.  Proving the Effectiveness of Virtual Reality Simulation for Training in Laparoscopic Surgery , 2007, Annals of surgery.

[4]  Rick Sasso,et al.  Comparison of Radiation Exposure in Lumbar Pedicle Screw Placement With Fluoroscopy Vs Computer-Assisted Image Guidance With Intraoperative Three-Dimensional Imaging , 2008, The journal of spinal cord medicine.

[5]  L. Lenke,et al.  Thoracic pedicle screw placement: free-hand technique. , 2005, Neurology India.

[6]  Ahmed A. Aoude,et al.  Methods to determine pedicle screw placement accuracy in spine surgery: a systematic review , 2015, European Spine Journal.

[7]  Y. Susanti,et al.  M ESTIMATION, S ESTIMATION, AND MM ESTIMATION IN ROBUST REGRESSION , 2014 .

[8]  Christian Ott,et al.  Unified Impedance and Admittance Control , 2010, 2010 IEEE International Conference on Robotics and Automation.

[9]  Amir Manbachi,et al.  Guided pedicle screw insertion: techniques and training. , 2014, The spine journal : official journal of the North American Spine Society.

[10]  R. Klatzky,et al.  There's more to touch than meets the eye: The salience of object attributes for haptics with and without vision. , 1987 .

[11]  Nigel W. John,et al.  The Role of Haptics in Medical Training Simulators: A Survey of the State of the Art , 2011, IEEE Transactions on Haptics.

[12]  Randal R. Betz,et al.  Accuracy of free-hand placement of thoracic pedicle screws in adolescent idiopathic scoliosis: how much of a difference does surgeon experience make? , 2009, European Spine Journal.

[13]  Michael B. Miller Linear Regression Analysis , 2013 .

[14]  Kevin T. Foley,et al.  Percutaneous spinal fixation simulation with virtual reality and haptics. , 2013, Neurosurgery.

[15]  Pat Banerjee,et al.  Virtual reality spine surgery simulation: an empirical study of its usefulness , 2014, Neurological research.

[16]  Mithra Vankipuram,et al.  A virtual reality simulator for orthopedic basic skills: A design and validation study , 2010, J. Biomed. Informatics.

[17]  P. Côté,et al.  The Saskatchewan Health and Back Pain Survey: The Prevalence of Low Back Pain and Related Disability in Saskatchewan Adults , 1998, Spine.

[18]  A. Ruckstuhl Robust Fitting of Parametric Models Based on M-Estimation , 2016 .

[19]  Raphael P. Rush,et al.  CT-based Patient-specific Simulation Software for Pedicle Screw Insertion , 2009, Journal of spinal disorders & techniques.

[20]  L. Lenke,et al.  Computed Tomography Evaluation of Pedicle Screws Placed in the Pediatric Deformed Spine Over an 8-Year Period , 2007, Spine.

[21]  Ricardo Ramina,et al.  "Free-hand" technique for thoracolumbar pedicle screw instrumentation: critical appraisal of current "state-of-art". , 2009, Neurology India.

[22]  Fernando De la Torre,et al.  Robust Regression , 2016, IEEE Trans. Pattern Anal. Mach. Intell..

[23]  F. Auer,et al.  Accuracy of Robot-Assisted Placement of Lumbar and Sacral Pedicle Screws: A Prospective Randomized Comparison to Conventional Freehand Screw Implantation , 2012, Spine.

[24]  P. Schmalbrock,et al.  Virtual Temporal Bone Dissection: An Interactive Surgical Simulator , 2002, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[25]  John Vozenilek,et al.  See one, do one, teach one: advanced technology in medical education. , 2004, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[26]  A. Tsirikos,et al.  Current concepts and controversies on adolescent idiopathic scoliosis: Part I , 2013, Indian journal of orthopaedics.

[27]  R. Winter,et al.  Complications associated with pedicle screws. , 1999, The Journal of bone and joint surgery. American volume.

[28]  Nikolaos K. Paschos,et al.  Accuracy of pedicle screw placement: a systematic review of prospective in vivo studies comparing free hand, fluoroscopy guidance and navigation techniques , 2012, European Spine Journal.

[29]  Joshua A Hirsch,et al.  Comprehensive review of epidemiology, scope, and impact of spinal pain. , 2009, Pain physician.

[30]  Regina Leung Design of a Haptic Simulator for Pedicle Screw Insertion in Pediatric Scoliosis Surgery , 2013 .

[31]  David Wang,et al.  Haptic Training Simulator for Pedicle Screw Insertion in Scoliosis Surgery , 2016, HCI.

[32]  M Akamatsu,et al.  Please Scroll down for Article Ergonomics a Comparison of Tactile, Auditory, and Visual Feedback in a Pointing Task Using a Mouse-type Device , 2022 .

[33]  James J. Filliben,et al.  NIST/SEMATECH e-Handbook of Statistical Methods; Chapter 1: Exploratory Data Analysis , 2003 .

[34]  Jing-Jing Fang,et al.  Development of a computer-aided training system for pedicle screw implantation , 2007 .

[35]  L. Lenke,et al.  Free Hand Pedicle Screw Placement in the Thoracic Spine: Is it Safe? , 2004, Spine.

[36]  R. Satava,et al.  Virtual Reality Training Improves Operating Room Performance: Results of a Randomized, Double-Blinded Study , 2002, Annals of surgery.

[37]  Cagatay Basdogan,et al.  Haptics in virtual environments: taxonomy, research status, and challenges , 1997, Comput. Graph..

[38]  P. Dasgupta,et al.  Face, content and construct validation of the first virtual reality laparoscopic nephrectomy simulator , 2010, BJU international.

[39]  S. Yamaguchi,et al.  Effectiveness of endoscopic surgery training for medical students using a virtual reality simulator versus a box trainer: a randomized controlled trial , 2008, Surgical Endoscopy.

[40]  Eugene S. Lee,et al.  Training with simulation improves residents' endovascular procedure skills. , 2007, Journal of vascular surgery.

[41]  Jim X. Chen,et al.  A real time haptic simulator of spine surgeries , 2015, VRST.

[42]  S. Goodman A dirty dozen: twelve p-value misconceptions. , 2008, Seminars in hematology.

[43]  Vincent Arlet,et al.  Complications of Pedicle Screw Fixation in Scoliosis Surgery: A Systematic Review , 2010, Spine.

[44]  J. J. Jakimowicz,et al.  Consensus guidelines for validation of virtual reality surgical simulators , 2005, Surgical Endoscopy And Other Interventional Techniques.

[45]  M. Gutberlet,et al.  Computer tomography assessment of pedicle screw placement in lumbar and sacral spine: comparison between free-hand and O-arm based navigation techniques , 2011, European Spine Journal.