To Compare Surgical Spine Planning Using Vr Spine System Vs Conventional Technologies.To Develop Vr Spine System To Represent Spine Tissues On Physical 3d Virtual Reality And Augmented Reality Models.To Develop a System For Complex Spinal Surgery Aided By Personalized Vr Spine Biomodeling so As To Improve Surgical Outcome. This Project is In Line With the Mission Of Clínica las Condes Which is To Focus On High Complex Medicine And To Be a Pioneer In the Implementation Of Technologies Therapies And Treatment Models. The Goal Of Clinica las Condes is To Be a Leader In Latin America Through Excellence And Innovation In Human Health Care And Patient Safety. Improving Its Service Continuously And Systematically.To Validate Surgical Results Using Vr Spine System Decreasing Intraoperative And Postoperative Events Decreasing Morbility Improving Rates Of Positive Surgery Outcome. Less Time In Surgery And Decreasing Risks Due To Anesthesia.1. Overview. Back Pain Affects 80% Of the World Population During Their Lifetime. Fortunately In Most Cases the Lumbar Pain Subsides In a Few Days, In Some Cases It is Resolved Over a Longer Period Of Time Or Leads To More Complex Conditions. It is the Most Common Cause Of Job-related Disability. In the United States Alone Over 50 Us$ Billon Are Spent Yearly Due To This Cause. 2. Current Problem. Low Back Pain is Generated By Multiple Causes. The Most Common Being Of Muscular Or Ligamentous Nature Which Does Not Produce Visible Morphological Changes In the Patient. Other Important Causes Of Back Pain Are Degenerative Diseases That Can Cause Mechanical Compression Of the Nerve Roots Due To Morphological Changes Of Various Components Of the Spine. Surgery Of the Lumbar Spine is One Of the Most Complex Orthopedic Surgeries Due To Factors Of the Patient And the Pathology. Approximately 1% Of Patients With Low Back Pain Especially Those Who Do Not Yield To Conventional Treatments End Up In Spine Surgery. We Use Ct And Mri Of Spine For Surgical Planning. the Main Disadvantage Of These Images From a Surgical Point Of View is That They Are Slice-by-slice Or Two Dimensional Without Real 3d Representation. An Added Problem is the Small Surgical Access. Unfortunately Not All Patients Have a Positive Outcome After Surgery. Failed Back Surgery Syndrome (fbss) Refers To a Condition In Which a Patient Has Undergone Back Surgery With a Poor Outcome a Conservative Figure Of Unsuccessful Spinal Surgeries Can Be Estimated At 20%. 3. Objectives. General Objective: To Develop a System For Complex Spinal Surgery Aided By Personalized Vr Spine Biomodeling so As To Improve Surgical Out Come. Specific Objectives: A) To Develop Vr Spine System To Represent Spine Tissues (bone And Soft-tissues) On Physical 3d Virtual Reality And Augmented Reality Models, B) To Compare Surgical Spine Planning Using Vr Spine System Vs Conventional Technologies, C) To Validate Surgical Results Using Vr Spine System Decreasing Intraoperative And Postoperative Events Decreasing Morbility Improving Rates Of Positive Surgery Outcome. Less Time In Surgery And Decreasing Risks Due To Anesthesia. 4. Market. According To the Chilean Ministry Of Health About 16000 Spinal Surgeries Are Carried Out Yearly. This Type Of Surgery Has a High Fail Rate (20%) Compared To Other Orthopedic Surgeries (3%). More Over This Type Of Surgery Has a High Cost (average U$ 4000 In the Public Health System And Of U$ 15000 In the Private System). Chile Spends Close To U$ 34. 73 Million a Year On Spine Surgery. 5. Solution (methodology) Our Solution is Based On:. 1) Improve Spine Imaging 2) Improve Surgery Planning And Patient Information And 3) Improve Surgery Success. We Will Improve Spine Imaging Using a Porcine Model Quantitative Mri To Improve Tissue Differentiation For Segmentation And Create 3d Mesh Objects. To Improve Surgical Planning (an Interactive Process Which Anticipates All Steps Required For the Future Surgery) We Will Generate Personalized 3d Printed Structures And Virtual Reality. For Patient Information An Informed Consent Augmented Reality Will Be Used (for 3d Images Visit Http://vrspine. Com). To Improve Surgery Success We Will Decrease the Extent Of Resection (removal Of Spine Structures) And the Number Of Complications During the Surgery Such As Time Of Surgery Bleeding Dural Tear Anesthetic Complication Unexpected Events Among Others6. Team (researchers U Chile Hospital)- This Project is a Initiative Of An Expert Team Of Researchers Associated To Clinica las Condes And Universidad de Chile. They Are Active Participants Of the International Network For Spine Surgery Aospine. Clinica las Condes is a Clinical Hospital Associated To Universidad de Chile (faculties Of Medicine And Engineering) One Of the Most Prestigious Universities In Latin America. The Project Will Generate An International Network Of High Tech Applications For Spine Pathologies. (fore More Information Visit Http://vrspine. Com)7. Business Model. Clinica las Condes is a General Hospital And Vr Spine System Will Become a Viable Business If the Initiative is Successful And Receives a Grant From Corfo. The Researchers Will Participate In Any Ip Rights Generated Or Spin Off. The Technology Will Be Available For Public And Private Hospitals In Chile, Eventually This Technology Can Be Provided To Other Latin American Countries On a Web Platform. 8. Impact In La. The Amount Of Patients That Could Benefit By the Use This Technology In Latin America Can Be Estimated In More Than 700. 000 Per Year (low Back Pain Plus Neck Pain). On the Other Hand This System Can Be Used In Other Pathologies Such As Knee And Hip Surgeries, That Would Imply Over 1. 3 Million Patients a Year In Latin American Alone.Corporación de Fomento de la Producción