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Updated: Jan 5, 2026

Laminectomy for the Removal of Thoracic Ossification of the Ligamentum Flavum TOLF Using Ultrasonic and Conventional Osteotomes
Published on: April 21, 2023
Compuflo®-Assisted Training vs Conventional Training for the Identification of the Ligamentum Flavum with an Epidural
Emanuele Capogna1, Alessandra Coccoluto1, Giovanni Gibiino2
1European School of Obstetric Anesthesia (EESOA), Maternal Neonatal Simulation Centre, Rome, Italy.
Abstract:
The ability of recognizing the ligamentum flavum is the first, crucial, important skill to teach novices when they are learning the epidural technique. The aim of this preliminary prospective study was to evaluate whether the Compuflo® Epidural instrument may help inexperienced trainees to better identify the ligamentum flavum during an epidural simulator training session. Compuflo® reduced the total number of attempts to identify the ligamentum flavum and increased three fold the chance to identify it at the first attempt during a simulator-assisted training module, making this identification easier for inexperienced trainees. This trial is registered with NCT03812926.

