Alraiyes Thamer M, Alrajhi Abdulrhman, Abou-Al-Shaar Hussam, Zekry Abdulrahman, Alotaibi Naif M, Aleissa Sami, Alzayed Zayed
Department of Orthopaedics, King Faisal Specialist Hospital & Research Centre Riyadh, Saudi Arabia.
Department of Orthopaedics, King Saud University & Hospitals, Riyadh, Saudi Arabia.
Int J Spine Surg. 2020 Dec;14(6):1016-1022. doi: 10.14444/7152. Epub 2020 Dec 29.
We used a cross-sectional study design (questionnaire) to investigate the use of image-guided navigation (IGN) in Saudi Arabia and explore possible differences in implementing IGN for daily practice.
An internet-based survey was sent to all spine surgeons who are practicing in Saudi Arabia (orthopedics or neurosurgery). The survey is composed of 12 items that collected demographic and academic data.
Ninety-nine answered the questionnaire from 197; 80% were from Riyadh, the capital, and 50% were consultants (attending physicians). Orthopedic surgeons were almost 60% of responders compared to 40% neurosurgeons. The use of navigation in Saudi hospitals was high (76.8%). There was a significant difference between specialties in the preference of using navigation (23.2% for orthopedics versus 81.4% for neurosurgery, < .001) and routine use in surgical spine cases (88.4% for neurosurgery versus 50.0% orthopedics, < .001). The majority of responders from neurosurgery learned to use navigation during residency compared to orthopedics responders (51.2% versus 28.6%, = .001). More than 30% of orthopedics responders expressed they never learned navigation compared to only 4% of neurosurgery responders. The comfort level of > 75% with performing surgery using navigation was significantly different between specialties (25% for orthopedics versus 46.5% for neurosurgery, < .001).
Saudi spine surgeons are among the highest users of IGN systems. The strong healthcare infrastructure and the availability of these devices across the country are among the most important factors for its prevalence. Enhancing surgical exposure and education of postgraduate trainees to use these tools, especially within orthopedics, could increase use and comfort level rates.
我们采用横断面研究设计（问卷调查）来调查沙特阿拉伯图像引导导航（IGN）的使用情况，并探讨在日常实践中实施IGN的可能差异。
向所有在沙特阿拉伯执业的脊柱外科医生（骨科或神经外科）发送了一项基于互联网的调查。该调查由12个项目组成，收集了人口统计学和学术数据。
197名脊柱外科医生中有99人回答了问卷；80%来自首都利雅得，50%是顾问（主治医师）。与40%的神经外科医生相比，骨科医生占受访者的近60%。沙特医院中导航的使用率很高（76.8%）。在导航使用偏好方面，不同专业之间存在显著差异（骨科为23.2%，神经外科为81.4%，P<0.001），在脊柱手术病例中的常规使用率也存在显著差异（神经外科为88.4%，骨科为50.0%，P<0.001）。与骨科受访者相比，大多数神经外科受访者在住院医师培训期间学会了使用导航（51.2%对28.6%，P = 0.001）。超过30%的骨科受访者表示他们从未学过导航，而神经外科受访者中这一比例仅为4%。不同专业之间，使用导航进行手术时舒适度>75%的比例存在显著差异（骨科为25%，神经外科为46.5%，P<0.001）。
沙特脊柱外科医生是IGN系统的最高用户之一。强大的医疗基础设施以及这些设备在全国的可用性是其普及的最重要因素之一。加强手术暴露以及对研究生学员使用这些工具的教育，尤其是在骨科领域，可能会提高使用率和舒适度。
