Facetectomy

OVERVIEW

Prior to performing surgery, you can undertake preoperative educational modules that will reinforce your understanding of key surgical anatomy and provide a basic foundation for essential preoperative and postoperative procedural knowledge.

During the surgical simulation, you will apply your knowledge of spinal anatomy in the identification and marking of the L4/L5 facet joint using a cauterizing pen. You will then proceed to remove the L4/L5 facet joint using a bone nibbler and a Kerrison rongeur. 

The surgical simulation is focused on learning how to identify and mark the facet joint, and the skills associated with the safe removal of the facet joint to gain clear access to the intervertebral disc without damaging the surrounding structures. 

LEARNING OBJECTIVES

You will learn how to:

  • Apply your knowledge of spinal anatomy in the identification and precise marking of the L4/L5 facet joint boundaries
  • Practice a technique for complete removal of the facet joint
  • Rehearse the safe use of the bone nibbler and Kerrison rongeur
  • Recognize and receive feedback on intraoperative complications

ASSESSMENT

You will be assessed on:

  • Knowledge of the spinal anatomy and identification of the facet joint
  • Ability to use a cauterizing pen to precisely mark the facet joint
  • Ability to select the most appropriate tool for completing the surgical task
  • Ability to use a bone nibbler and Kerrison rongeur
  • Accuracy of the bone removal without harming non-target anatomy
SPINE SURGERY Facetectomy Procedure - surgical simulation in VR with haptic touch

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