The Use of Simulation in the Training for Spinal Cord Stimulation for Treatment of Chronic Pain
Spinal cord stimulation (SCS) requires training to maximize its therapeutic effect and minimize surgical risks to the patients. Learning through the observation and operation in the operating room (OR) has been the majority of surgical training, which has faced many issues, including patient safety, work hour limitations, and cost of OR time. SCS has been developed as an established treatment for chronic neuropathic pain. Proper electrode insertion is one of the most important technical parts of SCS approach, which is related to a good outcome of patients. However, high levels of functioning in these patients with chronic pain have prevented hands-on training for surgeons. Simulation-based surgical training provides an opportunity to teach surgeons and allow them to practice surgical procedures outside the OR in high-quality and time-effective manner. This chapter focuses on the simulation of SCS procedure for treatment of chronic neuropathic pain.
KeywordsSimulation Neurosurgery training Chronic pain Spinal cord stimulation
- 2.Hoy D, Brooks P, Blyth F, Buchbinder R. The epidemiology of low back pain, best practice and research. Clin Rheumatol. 2010;24(6):769–81.Google Scholar
- 7.Slavin K. Epidural spinal cord stimulation: indications and technique. In: Schulder M, editor. Handbook of functional and stereotactic surgery. NewYork: Marcel Dekker; 2002. p. 417–30.Google Scholar
- 8.Burchiel KJ, Slavin KV. Peripheral neuropathic pain syndromes. In: Batjer HH, Loftus CM, editors. Textbook of neurological surgery. Philadelphia: LWW; 2003. p. 3013–22.Google Scholar
- 10.De La Cruz P, Fama C, Roth S, Haller J, Willocj M, Lange S, Pilitsis J. Predictors of spinal cord stimulation success. Neuromodulation. 2015;18(7):599–602.Google Scholar
- 14.Alaraj A, Charbel FT, Birk D, Tobin M, Luciano C, Banerjee PP, Rizzi S, Sorenson J, Foley K, Slavin K, Roitberg B. Role of cranial and spinal virtual and augmented reality simulation using immersive touch modules in neurosurgical training. Neurosurgery. 2013;72(Suppl 1):115–23.CrossRefGoogle Scholar