Multi-angle laser device improves novice learning of C-arm fluoroscopy for lumbar spine surgery

PLoS One. 2024 Mar 7;19(3):e0299273. doi: 10.1371/journal.pone.0299273. eCollection 2024.

Abstract

Purpose: This study aims to evaluate the efficacy and satisfaction of using a multi-angle laser device (MLD) for C-arm fluoroscopy to assist novice learners during lumbar spine surgery.

Methods: Forty novice learners were randomly assigned to Group A using an MLD-equipped C-arm or Group B using a traditional C-arm. Both groups performed X-ray fluoroscopy on a lumbar spine model in supine and rotated positions. Time, number of shots, and deviation from the target were compared. A questionnaire was used to assess the learning experience.

Results: Group A required less time (13.66 vs. 25.63 min), and fewer shots (15.05 vs. 32.50), and had a smaller deviation (22.9% vs. 61.5%) than Group B (all p<0.05). The questionnaire revealed higher scores in Group A for comfort, efficiency, and knowledge mastery (all p<0.05).

Conclusion: The MLD significantly improves novice learning of C-arm fluoroscopy during lumbar spine surgery.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Fluoroscopy
  • Humans
  • Lumbar Vertebrae* / diagnostic imaging
  • Lumbar Vertebrae* / surgery
  • Surgery, Computer-Assisted*
  • Surveys and Questionnaires

Grants and funding

YES. Sponsored by Fujian Provincial Science and Technology Department Social development guidance (key) project(Grant number: 2020Y0034 to ZHUANG Yuan-Dong) - contributed to study design and data collection Fujian Provincial Joint Funds for the Innovation of Science and Technology(Grant number: 2021Y9061 to ZHUANG Yuan-Dong) - contributed to data analysis Ministry of Education Industry-school Cooperative Education Project (Grant number: 220602999165419 to ZHUANG Yuan-Dong) - contributed to decision to publish United Fujian Provincial Health and Education Project for Tackling the Key Research. P.R. China (Grant number: 2019-WJ-08 to CHEN Chun-Mei) - contributed to preparation of the manuscript.