• Giselle Coelho and Defino Helton L A HLA.
• Pediatric Neurosurgery Center/CENEPE - Beneficência Portuguesa Hospital, São Paulo, Brazil.
• Spine. 2018 Nov 15; 43 (22): 1609-1616.

Study DesignThis study shows the first phase of validation of a new model for realistic training on spine surgery, conducted from January 2014 to November 2015.ObjectiveTo propose and validate a new tool for neurosurgical education, associating virtual and realistic simulation (mixed reality), for spine surgery.Summary Of Background DataSurgical simulation is a relatively new filed that has a lot to offer to neurosurgical education. Training a new surgeon may take years of hands-on procedures, increasing the risk to patient's safety. The development of surgical simulation platforms is therefore essential to reducing the risk of potentially serious risks and improving outcome.MethodsSixteen experienced spinal surgeons evaluated these simulators and answered the questionnaire regarding the simulation as a beneficial education tool. They evaluated the simulators in regard to dissection by planes, identification of pathology (lumbar canal stenosis), instrumentation and simulation of cerebrospinal fluid (CSF) leak, and the relevant aspects of the computerized tomography (CT) imaging.ResultsThe virtual and physical simulators for spine surgery were approved by an expert surgery team, and considered adequate for educational purposes. The proportion of the answers was estimated by the confidence intervals.ConclusionThe surgery team considered that this virtual simulation provides a highly effective training environment, and it significantly enhances teaching of surgical anatomy and operative strategies in the neurosurgical field. A mixture of physical and virtual simulation provided the desired results of enhancing the requisite psychomotor and cognitive skills, previously acquired only during a surgical apprenticeship. The combination of these tools may potentially improve and abbreviate the learning curve for trainees, in a safe environment.Level Of Evidence3.

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