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MIS ART | The First International Training Course on Minimally Invasive Spinal Techniques Successfully Held
To promote advanced concepts and techniques in minimally invasive spinal surgery and to establish a high-level international platform for academic exchange, the inaugural “MicroSurgery” International Training Course on Minimally Invasive Spinal Techniques was held from July 8 to 12, 2024. More than ten international trainees from countries including Turkey, Brazil, Vietnam, Malaysia, and Mongolia participated under the guidance of an expert team from the Department of Orthopedics at Tongren Hospital, affiliated with Shanghai Jiao Tong University School of Medicine. The program encompassed comprehensive components such as departmental rounds, surgical demonstrations, case discussions, theoretical lectures, and hands-on training, enabling participants to gain an in-depth understanding of cutting-edge knowledge and clinical applications in minimally invasive spinal surgery. In addition, they engaged in thorough exchanges and discussions on advanced techniques, including angled vertebral augmentation/angled kyphoplasty, robot-assisted minimally invasive spinal surgery, and UBE procedures.
In his opening address, Professor Ye Xiaojian, Director of the Department of Orthopedics at Tongren Hospital, Affiliated to Shanghai Jiao Tong University School of Medicine; Vice President of the Hongqiao International Institute of Medical Research; and Director of the Spinal Minimally Invasive Surgery Research Center at Shanghai Jiao Tong University, extended a warm welcome to participants from around the world. He emphasized the positive role and critical importance of international medical exchange in the advancement of modern medicine, and expressed his anticipation that, during this course, he would engage in joint discussions with all attendees on cutting-edge minimally invasive spinal techniques and clinical insights. Subsequently, Professor Ye led the spinal surgery team in providing a detailed presentation and demonstration covering the hospital’s development history, the department’s clinical scale, its academic achievements, and its honors and accolades.
Opening Session
Following the morning handover, international trainees, under the guidance of Professors Yu Jiangming, Xu Wei, Gu Xin, and Jiang Shuai from Tongren Hospital in Shanghai, conducted ward rounds in small groups. The four professors and their teams provided detailed explanations and answered questions for the trainees on patients’ conditions, diagnostic and treatment plans, postoperative status, and specific measures for rehabilitation support.
Group Rounds
Cutting-Edge Surgical Vision
During the surgical observation session on angled vertebral augmentation and angled kyphoplasty techniques, Professor Yi-fan Li from Tongren Hospital in Shanghai provided a comprehensive overview of the relevant procedural steps, covering preoperative image review, surgical planning, use of angled instrumentation, and bone cement injection. He also conducted live demonstrations and detailed explanations on critical aspects of the procedure, including the angle and depth of the puncture needle, the optimal placement of the angled delivery catheter, techniques for positioning the angled balloon, as well as the volume and timing of bone cement injection.
Following the surgery, the expert team engaged in lively discussions and Q&A sessions with international trainees on the technical highlights and challenges encountered during the procedure, leaving the trainees deeply impressed by the technique’s streamlined workflow and outstanding clinical outcomes.
Observation of Angled Vertebroplasty/Angled Kyphoplasty Surgery Mo and Da Doubt
Expert Forum
Professors Xu Wei, Chen Haojie, and Li Yifan from Tongren Hospital in Shanghai delivered outstanding lectures on the current status and future directions of vertebroplasty, the innovative concepts and technical skills of angled vertebroplasty, and representative clinical cases of this technique. They also guided participants through hands-on training on cadaveric spinal models, providing an in-depth experience of several cutting-edge minimally invasive spinal procedures, including angled vertebroplasty/angled kyphoplasty, bone-cement–augmented pedicle screw fixation, and unipedicular biportal endoscopic spine surgery (UBE).
Theoretical Explanation and Artificial Bone Manipulation
Focus on Practice
At the Hands-On Training Base of the Spinal Minimally Invasive Surgery Research Center at Shanghai Jiao Tong University, international trainees underwent a one-day hands-on training session under the guidance of supervising instructors.
Professors Chen Haojie and Li Yifan from Tongren Hospital in Shanghai demonstrated the complete procedural workflow of angled vertebral augmentation/angled kyphoplasty, with a focused explanation of key steps such as the standard fluoroscopic protocol, localization of the target vertebra and pedicle, selection of the needle entry point and puncture angle, orientation of the angled delivery catheter, and targeted therapeutic techniques. They then guided the trainees through hands-on practice of each step.
Hands-on Training: Angled Vertebroplasty/Angled Kyphoplasty
During the operational demonstration of microspinal surgical robot navigation and positioning technology, Professor Zhao Yingchuan from the Tenth People’s Hospital of Shanghai focused on the three key words—“micro,” “precision,” and “efficiency”—and used the Intelligent Woodpecker microspinal surgical robot to perform minimally invasive percutaneous pedicle screw fixation and minimally invasive bone cement–augmented pedicle screw fixation, providing both a live demonstration and detailed explanation of these procedures.
Hands-on Training: Minimally Invasive Spinal Surgery Assisted by a Microsurgical Robot
Professor Gu Xin from Tongren Hospital in Shanghai provided a detailed presentation and hands-on training on the anatomical essentials and technical skills of UBE surgery, thoroughly demonstrating its technical advantages, including convenient puncture and localization, thorough decompression, and broad indications.
Hands-on Training: UBE Lumbar Interbody Fusion
Experience Intelligent Manufacturing
At Ningbo Huake Run Biotechnology Co., Ltd. and Sino-European Zhiwei (Shanghai) Robotics Co., Ltd., Mr. Ma Yan, Chairman of both companies, provided a detailed overview of their corporate scale, industrial-chain integration, and global expansion strategies. Guided by the production and R&D teams, the trainees toured Huake Run’s manufacturing facilities, quality-inspection areas, brand showroom, and the R&D center for the Intelligent Woodpecker miniaturized spinal surgery robot, gaining an in-depth understanding of the advanced manufacturing processes and meticulous quality-control procedures employed in the development of innovative orthopedic products and devices.
Visit by Huake Run and Sino-European Zhiwei
This international training program on “Micro-Technique” minimally invasive spinal surgery is designed to provide a platform for spine surgeons from around the world to learn and exchange cutting-edge minimally invasive techniques, thereby promoting the dissemination and advancement of academic knowledge. It also underscores Huake Run and Sino-European Zhiwei’s unwavering commitment and outstanding capabilities in driving innovation in orthopedic surgical technologies through a forward-looking vision. Moving forward, Huake Run and Sino-European Zhiwei will remain firmly grounded in clinical needs, uphold a customer-centric philosophy, build a national brand according to international standards, showcase their innovative technologies and R&D strengths to the global community, and deliver safer, more effective, and less invasive treatment options for patients.
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