Aguilar-Chávez Felipe, González-González Fernando, Martinez-Tapia Maria E, Arellanes-Chavez Carlos A
CISNE Spine Academy, Star Medica Hospital, Autonomous University of Chihuahua, Chihuahua, MEX.
Department of Epidemiology, Health Services of the State of Chihuahua, Chihuahua, MEX.
Cureus. 2024 Nov 29;16(11):e74723. doi: 10.7759/cureus.74723. eCollection 2024 Nov.
This is a cross-sectional survey.
This study aimed to evaluate the availability and knowledge of navigation technologies for educational purposes and patient management in spine surgeons in Latin America.
A cross-sectional study was conducted among Latin American Spine Association members using a comprehensive 16-question survey to evaluate their knowledge and practices regarding navigation in spinal surgery. The questionnaire was reviewed and authorized by the AO Spine Latin America (LATAM) Degenerative & Deformity study group and distributed starting on January 29 and closed on February 28, 2024.
A total of 123 surveys were recorded; 95% were male gender, and 42% were neurosurgeons/orthopedists with specific training in spine surgery. Mexico led the response rate with 55 (45%) and then Brazil and Argentina with 13% and 9%, respectively; 54% are not involved in a spine surgery training program; 80 surgeons belong to AO Spine membership; and 35 of them have over 20 years of experience, with most respondents performing between 0 and 100 surgeries per year and degenerative pathology being the most common. Almost 90% of the respondents either use or are willing to use navigation technology, 100% express interest in attending a course on the subject, 80% cited improved accuracy in screw placement as a perceived advantage, and the disadvantage of high costs was the most frequently selected (85%).
Despite the benefits demonstrated by navigation technology, many spine surgeons in Latin America still lack access to this valuable resource. Even with their keen interest and clear understanding of its advantages and benefits, it is necessary to develop training programs and affordable navigation systems to improve spine surgery worldwide and ensure accessible care for all.
这是一项横断面调查。
本研究旨在评估拉丁美洲脊柱外科医生在教育目的和患者管理方面使用导航技术的可及性和知识水平。
对拉丁美洲脊柱协会成员进行了一项横断面研究，使用一份包含16个问题的综合调查问卷来评估他们在脊柱手术中使用导航的知识和实践情况。该问卷经AO脊柱拉丁美洲（LATAM）退行性和畸形研究小组审核并批准，于2024年1月29日开始分发，2月28日截止。
共记录了123份调查问卷；95%为男性，42%为接受过脊柱手术专项培训的神经外科医生/骨科医生。墨西哥的回复率最高，为55份（45%），其次是巴西和阿根廷，分别为13%和9%；54%未参与脊柱手术培训项目；80名外科医生是AO脊柱会员；其中35人有超过20年的经验，大多数受访者每年进行0至100例手术，退行性病变是最常见的。近90%的受访者要么使用导航技术，要么愿意使用导航技术，100%表示有兴趣参加该主题的课程，80%认为导航技术的一个优势是提高了螺钉置入的准确性，而成本高是最常被提及的劣势（85%）。
尽管导航技术已显示出诸多益处，但拉丁美洲的许多脊柱外科医生仍无法获得这一宝贵资源。即使他们对此兴趣浓厚且清楚了解其优势和益处，仍有必要制定培训项目并开发价格合理的导航系统，以改善全球脊柱手术水平，并确保所有人都能获得可及的医疗服务。
