VR simulator training yields a higher rate of optimal (Grade I) pedicle screw placement than traditional training among residents and early-career surgeons¶

Claim · All claims
Evidence · 1 study · quant-synthesis r2 · q3
Currency · newest study 2026 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q3 i? Pooled RCT analysis shows VR-trained trainees achieved a significantly higher rate of Grade I screw placement than those receiving conventional training (RR 1.36). → Pasqualotto Eric 2026

Evidence¶

Pasqualotto Eric 2026¶

Pasqualotto Eric, Pasqualotto Tales, Lopes Victor Hugo Pinheiro, Lunelli Laura, Santos Lucas Loiola. (2026). Virtual reality surgical simulator training of residents and early-career surgeons for pedicle screw placement: a systematic review and meta-analysis. European Journal of Orthopaedic Surgery & Traumatology. https://doi.org/10.1007/s00590-026-05008-1

q3 · i? · quant-synthesis · r2

Random-effects meta-analysis of six RCTs comparing VR simulator training with traditional training for pedicle screw placement; pooled effect for optimal Grade I placement was "RR 1.36; 95% CI 1.15 to 1.61; p < 0.01; I2 = 76%". GRADE rated this outcome very low-certainty.

"residents and early-career surgeons trained with VR simulation achieved a higher rate of Grade I screw placement compared with traditional approaches (RR 1.36; 95% CI 1.15 to 1.61; p < 0.01; I2 = 76%; Fig. 2A)"

Discussion¶

Related Claims¶

• VR simulator training improves overall pedicle screw placement success relative to traditional training — related
• VR simulator training reduces minor cortical breaches (Grade II placements) in pedicle screw insertion — related
• VR-trained trainees show shorter screw penetration distances and fewer displaced screws per resident — related
• Simulation Based Education Improves Outcomes — a broader claim this one bears on
• High authenticity simulations show higher effects than low authenticity simulations — related
• VR simulation training improves orthopaedic trainees' technical proficiency and shortens operative times — a broader claim this one bears on
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