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Related Experiment Video

Updated: Jun 24, 2026

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
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Resident Training in Minimally Invasive Spine Surgery: A Scoping Review.

Michael C Oblich1, James G Lyman1, Rishi Jain1

  • 1Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, 676 N. St. Clair Street, Suite 2210, Chicago, IL 60611, USA.

Brain Sciences
|September 27, 2025
PubMed
Summary

Minimally invasive spine surgery (MISS) training modalities improve resident performance and can help overcome steep learning curves. Virtual simulation, physical models, and mentored training enhance skills in various MISS techniques.

Keywords:
minimally invasive spine surgeryneurosurgeryorthopedic surgeryresident educationsimulation training

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Medical Education

Background:

  • Minimally invasive spine surgery (MISS) demands proficiency in advanced technologies.
  • Skill acquisition in MISS presents a significant learning curve for residents.

Purpose of the Study:

  • To assess the current state of MISS training in neurosurgical and orthopedic residency programs.
  • To evaluate the effectiveness of MISS training in reducing learning curves.
  • To identify areas for future development in MISS education.

Main Methods:

  • A scoping review was performed using PubMed, Scopus, and Embase databases.
  • PRISMA extension for scoping reviews guided the study selection process.
  • 16 studies were analyzed from an initial pool of 100.

Main Results:

  • MISS training modalities include virtual simulation (AR/VR), physical models, hybrid didactic/simulation, and mentored training.
  • Training improved resident performance in techniques like pedicle screw fixation, MIS-TLIF, and microscopic discectomy.
  • Observed benefits include reduced errors, shorter operation times, decreased fluoroscopy exposure, and enhanced procedural knowledge and confidence.

Conclusions:

  • Integrating MISS training modalities into residency programs boosts simulated performance.
  • These training methods show potential for overcoming the substantial learning curves associated with MISS.