RealSpine Training Simulators

RealSpine includes multiple simulators, each designed for a specific type of spinal training.

This overview helps you quickly understand what can be trained with each simulator — and what it is designed for.

One hyper-realistic DNA across all simulators: haptics, visualization, and precision

Every RealSpine model delivers precise tactile sensations that mirror real patient conditions.
Variable bone densities, ligament tension, and tissue resistance allow both learners and experts to refine skills, test instruments, and build confidence in challenging scenarios.

The UNIQUE COMPLETE realistic simulator portfolio for spine surgery

Click on each red number to explore our full simulator portfolio / Find the right simulator

1
2
3
4
5
6
7
8
9
10
11
12
13
14

How to navigate the RealSpine simulator portfolio

Each numbered simulator in the table corresponds to the numbered hotspots in the image above.
This overview helps you quickly identify which simulator matches your training needs based on region and surgical approach.

# Simulator Spine Region Main Training Focus Typical Approaches RealImaging Lite App RealSmart Sensors
1 RealSpine Advanced Myelopathy Posterior Cervical / Upper Thoracic Training for the management of cervical myelopathy:
Posterior procedures of the cervical spine, from initial exposure to fixation and closure. Integrates decompression techniques, different fixation systems, and workflows with navigation and bleeding management		 Posterior Optional No
2 RealSpine Advanced Myelopathy Anterior Cervical Training for the management of cervical myelopathy:
Used to train anterior procedures of the cervical spine—including decompression, fusion, corpectomy, and disc replacement—as well as the placement of anterior cervical plates with screws and cages.		 Anterior cervical Yes No
3 RealSpine Advanced Deformity – Lenke 3 Thoracic / Thoracolumbar Training in complex deformity cases:
Designed for advanced training in the correction of complex thoracolumbar deformities. Allows you to practice scoliosis cases (adolescent and adult), rehearse correction maneuvers, optimize implant placement, and plan alignment strategy with high precision in a realistic simulation environment prior to clinical application.		 Posterior Yes No
4 RealSpine Basic MISS Lumbar Training in minimally invasive spine surgery (MISS) techniques:
This is used for introductory training in MISS procedures in the lumbar region, specifically at the L4–L5 level, allowing basic decompression to be practiced using microscopic, exoscopic, and tubular endoscopic approaches. It is aimed at training interlaminar, extraforaminal, and transforaminal approaches, as well as techniques such as discectomy, flavectomy, laminectomy, and bilateral decompression		 Posterior Yes No
5 RealSpine Advanced MISS Lumbar Training in advanced minimally invasive spine techniques (MISS):
Two options:
1. - Option (Lumbar), which integrates microscopic, exoscopic, and tubular endoscopic approaches for the management of herniated discs, stenosis, complex stenosis, and extraforaminal approaches.
2. - Option (Iliac crest [gray]), focused on endoscopy for the treatment of herniated discs and herniated discs with stenosis		 Posterior Optional No
6 RealSpine Basic SI Sacroiliac Training in advanced minimally invasive spine techniques (MISS)—Focus on:
Percutaneous access and fixation of the sacroiliac joint		 Percutaneous / Lateral Yes No
7 RealSpine Advanced Spondy Posterior Lumbar Training in complex cases of degenerative spinal pathology - Specialization in:
Training in complex degenerative lumbar stabilization via posterior approach, segmental stabilization, with posterior instrumentation using screws and rods; with greater biomechanical realism and technical demands than the Basic models (12, 13, and 14)		 Posterior Optional No
8 RealSpine Advanced Spondy Lateral Lumbar Training in complex cases of degenerative spine disease - Specialization in:
Lateral approach (XLIF/LLIF) and lateral placement of interbody cages		 Lateral (XLIF / LLIF) Yes No
9 RealSpine Advanced Anterior Lumbar Lumbar Training in anterior lumbar interbody fusion (ALIF) and disc procedures:
Anterior lumbar access and disc procedures including anatomical exposure, disc preparation, and cage or graft placement from the anterior approach 		Anterior (ALIF) Yes No
10 RealSpine Basic Endo Lumbar Training in lumbar endoscopic procedures in the L2–S1 region:
To practice basic decompression techniques such as discectomy, flavectomy, laminectomy, sequesterectomy, and bilateral decompression, using both single-port and dual-port endoscopic approaches. Compatible with X-rays and navigation 		Interlaminar, transforaminal, extraforaminal Yes Yes
11 RealSpine Basic Thoracolumbar Th1–S1 Thoracolumbar Anatomical and open procedure training on the thoracolumbar spine:
Allows practice of exposure, approaches, and fundamental surgical skills across a wide region of the spine. Facilitates training in open and hybrid approaches at 18 levels (from thoracic to sacral), serving as a foundation for trainees to practice anatomy, spatial orientation, and open techniques throughout the thoracolumbar spine before advancing to more specific or complex procedures. Currently a key platform for training in robot-assisted surgery		 Posterior / Open Optional No
12 RealSpine Basic Spondy X Lumbar Training in complex cases of degenerative spine disease - Specialty in:
Simulation with X-rays, designed for the fixation of lumbar pedicle screws. Guarantees realistic hands-on experience without exposure to radiation		 Posterior Yes No
13 RealSpine Basic Spondy Lumbar Training in complex cases of degenerative spinal pathology - Specialization in:
Training in posterior lumbar degenerative stabilization. Degenerative conditions of the posterior lumbar spine, including structural changes related to spondylosis, such as disc degeneration, osteophyte formation, facet joint osteoarthritis, and segmental instability. Focuses on posterior exposure, placement of pedicle screws, rod fixation, and lumbar stabilization techniques 		Posterior Optional No
14 RealSpine Basic Spondy Trauma Lumbar Training in complex cases of degenerative spinal pathology - Specialization in:
Stabilization techniques related to trauma		 Posterior Optional No

* RealImaging Lite App availability depends on the training scenario and simulator configuration.
** RealSmart Sensors are currently integrated in selected endoscopic training models.

Not sure which simulator fits your training goals?

Talk to our team

True-to-life surgical experience

High-quality spinal simulations with varied bone and tissue densities and textures that mimic real surgical scenarios.

Compatibility with real instruments

Supports the use of actual surgical instruments and equipment for a seamless transition from simulation to the operating room.

Patient-centered pathology

Simulates conditions based on real patient cases, providing an authentic experience for surgeons to prepare for diverse clinical situations.

Customizable training solution

Adaptable to specific procedures, surgeon preferences, or institutional requirements, offering tailored solutions for targeted training.

Portability and flexibility

Compact and easy to set up, allowing surgeons to train anytime, anywhere—perfect for both in-hospital practice and mobile setups.

All skill levels

Our RealSpine training simulators are catered to surgeons across all skill levels and budgets. Whether you're just starting out or are an experienced surgeon looking for advanced training tools, we have the RealSpine Basic and the RealSpine Advanced.

Discover your perfect fit!

RealSpine Basic vs RealSpine Advanced

Features

RealSpine Basic

RealSpine Advanced

Training Focus

Focuses on fundamental training to familiarize surgeons with basic surgical maneuvers and anatomy.

Offers a more realistic and intricate experience, ideal for complex procedures where precision and problem-solving are required.

Haptic Feedback

Provides basic haptic feedback that mimics essential sensations like bone and tissue resistance.

Delivers advanced haptic feedback, simulating a wider range of physical sensations, such as detailed tissue variations.

Complication Management

Provides basic haptic feedback that mimics essential sensations like bone and tissue resistance.

Delivers advanced haptic feedback, simulating a wider range of physical sensations, such as detailed tissue variations.

Dura Suture Procedures

Not included in the basic model.

Supports dura suture procedures for surgeons training on advanced spinal techniques.

Modularity for Cost-Effective Training

Basic models focused on essential procedures with limited modularity.

Offers modularity, enabling different procedure configurations and enhancing cost-effective training through interchangeable components.

Need More:

Complete training with RealImaging

Radiation-free X-Ray simulation for surgical training with RealSpine.

Experience clarity