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Surgical Process Modeling for Open Spinal Surgeries.

Fabio Carrillo1, Hooman Esfandiari1, Sandro Müller1

  • 1Research in Orthopedic Computer Science, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.

Frontiers in Surgery
|February 11, 2022
PubMed
Summary

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This summary is machine-generated.

This study introduces Surgical Process Models (SPMs) for open spinal surgeries, detailing surgical steps and transitions. These models are crucial for developing advanced AI tools and standardizing surgical training in orthopedics.

Area of Science:

  • Orthopedic Surgery
  • Medical Technology
  • Surgical Process Modeling

Background:

  • Modern operating rooms integrate advanced technologies and complex surgical techniques.
  • Understanding surgical processes is vital for developing effective, context-aware medical technologies.
  • Existing Surgical Process Models (SPMs) primarily cover minimally invasive surgeries, with a gap for open spinal procedures.

Purpose of the Study:

  • To develop comprehensive SPMs for common open spinal interventions in orthopedics.
  • To provide a foundational model for advancing AI-driven surgical tools and training.

Main Methods:

  • Direct video observation of open spinal surgeries was conducted.
  • Temporal and transitional data of surgical activities were extracted from observations.
Keywords:
bottom-up modelingopen spinal surgerypedicle screwspinal fusionspinal instrumentationsurgical process modelingtop-down modeling

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  • Detailed SPMs were developed, mapping surgical steps and activity transition frequencies.

    • Main Results:

    • Developed detailed SPMs for common open spinal surgeries.
    • Quantified the sequence and hierarchy of surgical activities within interventions.
    • Highlighted the frequency of transitions between surgical activities.

    Conclusions:

    • The developed SPMs fill a critical gap for open spinal surgery modeling.
    • These models can facilitate the advancement of AI algorithms for intraoperative guidance, navigation, and skill evaluation.
    • The SPMs can contribute to the standardization of surgical procedures and training in open spinal surgery.