Evidence map›Paper›PMID 41685401›Full record

ArticleThe international journal of medical robotics + computer assisted surgery : MRCAS2026

A Mixed-Reality Navigation Simulator for Training Infiltration Procedures of the Spine: Evaluation in Kambin Triangle Location.

César F Domínguez-Velasco, Jessica Alatorre-Flores, Jorge A Pérez-Terrazas, Efrain Albor-Ramírez, Felipe Camarillo-Juárez, Marino A Capurso-García, Fabrizio Cutolo, Vincenzo Ferrari, Miguel A Padilla-Castañeda

Abstract read
In one paragraph

Article in The international journal of medical robotics + computer assisted surgery : MRCAS, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. A Mixed-Reality Navigation Simulator for Training Infiltration Procedures of the Spine: Evaluation in Kambin Triangle Location.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

César F Domínguez-VelascoApplied Sciences and Technology Institute ICAT, National Autonomous University of Mexico UNAM, Ciudad Universitaria, Mexico, Mexico.ORCID https://orcid.org/0000-0002-1500-777X
Jessica Alatorre-FloresApplied Sciences and Technology Institute ICAT, National Autonomous University of Mexico UNAM, Ciudad Universitaria, Mexico, Mexico.ORCID https://orcid.org/0009-0007-9509-9646
Jorge A Pérez-TerrazasOrthopedics Service Unit, General Hospital of Mexico 'Dr. Eduardo Liceaga', Mexico, Mexico.ORCID https://orcid.org/0009-0003-7022-5221
Efrain Albor-RamírezApplied Sciences and Technology Institute ICAT, National Autonomous University of Mexico UNAM, Ciudad Universitaria, Mexico, Mexico.ORCID https://orcid.org/0009-0001-8256-4656
Felipe Camarillo-JuárezOrthopedics Service Unit, General Hospital of Mexico 'Dr. Eduardo Liceaga', Mexico, Mexico.
Marino A Capurso-GarcíaDirectorate of Education, General Hospital of Mexico 'Dr. Eduardo Liceaga', Mexico, Mexico.
Fabrizio CutoloEndoCAS Interdipartimental Center, University of Pisa, Pisa, Italy.ORCID https://orcid.org/0000-0001-6773-3741
Vincenzo FerrariEndoCAS Interdipartimental Center, University of Pisa, Pisa, Italy.ORCID https://orcid.org/0000-0001-9294-2828
Miguel A Padilla-CastañedaApplied Sciences and Technology Institute ICAT, National Autonomous University of Mexico UNAM, Ciudad Universitaria, Mexico, Mexico.ORCID https://orcid.org/0000-0002-1389-2074

Funding

DGAPA UNAM, Mexico PAPIIT IN117425Secretaria de Educación, Ciencia, Tecnología e Innovación de la Cd. México SECTEI 087/2023
6 · The paper itself

Abstract

backgroundDuring minimally invasive surgeries, the Kambin Triangle infiltration procedure is primarily used as a safe anatomical access route to critical spine structures. Inadequate location of final infiltrations can be critical for inexperienced residents.

methodsA mixed reality (MR) navigator simulator for spine infiltration was developed. It combines virtual fluoroscopy simulation (FS) and augmented reality views with 3D-printed lumbar spine patient models. Ten residents of orthopaedics tested the system.

resultsResidents showed more infiltration success under MR than FS but with higher risky contacts at the nerve roots. Residents reported an improved understanding of the anatomy and clinical case during MRI guidance and greater ease in locating target points in this condition.

conclusionThe results demonstrate the advantages of combining MR with FS for training minimally invasive spinal procedures to progressively train in a scenario close to reality once the anatomical and safety aspects of the approach have been understood.

Indexed as

Minimally Invasive Surgical ProceduresSpineSurgery, Computer-AssistedAugmented RealityComputer SimulationFluoroscopyHumansImaging, Three-DimensionalInternship and ResidencyLumbar VertebraeMagnetic Resonance ImagingModels, AnatomicOrthopedicsPrinting, Three-DimensionalUser-Computer InterfaceVirtual Realityaugmented realityfluoroscopymixed‐realityneurosurgeryorthopedicsspinesurgery navigationsurgery simulation

Identifiers

PMID41685401
PMCPMC12902903

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.