Table 2 Calculation of overall scoring after round two

Patient positioning, pinning positions and flap design

5.00

4.67

3.77

3.67

17.10

Dural repair / cerebrospinal fluid (CSF) leak repair

4.78

2.37

3.97

2.53

13.65

Intracranial pressure (ICP) probe insertion

4.84

3.93

2.97

4.07

15.81

Intra-axial haematoma evacuation (intraparenchymal haematoma) / supratentorial lobar

4.88

3.13

3.23

2.40

13.64

External ventricular drain (EVD) insertion

4.94

3.97

3.00

3.87

15.77

Infratentorial intracerebral hemorrhage (ICH) evacuation

4.88

2.70

3.67

2.40

13.64

Burr hole evacuation of chronic subdural haematoma

4.97

4.10

2.90

3.73

15.70

Interhemispheric approach—craniotomy

4.03

2.10

4.33

3.13

13.60

Cervical, thoracic and lumbar laminectomy / laminotomy

4.84

3.73

3.33

3.60

15.51

Decompressive bifrontal craniectomy

4.88

2.47

3.43

2.67

13.44

Pterional approach—craniotomy

4.88

3.67

3.53

3.33

15.41

Resection of parasagittal and falcine meningiomas

4.56

2.67

4.13

2.07

13.43

Burr hole brain biopsy including stereotactic

4.91

3.73

3.70

2.87

15.21

Endoscopic biopsy of intra- and paraventricular brain tumours

4.13

2.13

4.13

2.87

13.26

Lumbar puncture, lumbar drain insertion

4.91

3.83

2.73

3.67

15.14

Endoscopic fenestration of cyst / arachnoid cyst

4.16

1.97

4.20

2.93

13.26

Endoscopic third ventriculostomy (ETV)

4.41

2.60

4.23

3.67

14.91

Principles of infected wound washout

4.94

2.77

2.83

2.67

13.20

Trauma flap craniotomy (for subdural, extradural haematoma)

4.88

3.70

3.20

3.07

14.84

Ventriculopleural shunt insertion including pleural dissection

3.75

1.80

4.23

3.40

13.18

Lumbar microdiscectomy

4.94

3.70

3.50

2.67

14.80

Clipping of aneurysm (saccular, complex etc.)

3.09

2.77

4.40

2.80

13.06

Ventriculoperitoneal shunt insertion including abdominal dissection

4.88

3.80

3.27

2.80

14.74

Elevation of compound depressed skull fracture with dural repair

4.91

2.53

3.20

2.20

12.84

Transcortical approach to glioblastoma (GBM) resection / debulking

4.69

3.67

3.77

2.60

14.72

Lobectomy for haemorrhagic contusion

4.69

2.27

3.50

2.33

12.79

Sylvian fissure splitting and exposure of the middle cerebral artery (MCA) bifurcation

4.50

3.10

4.07

2.93

14.60

Middle fossa / extended middle fossa approach—craniotomy

3.31

2.30

4.20

2.87

12.68

Anterior cervical discectomy

4.78

3.53

3.83

2.40

14.55

Resection of midline ventricular lesion (eg colloid cyst)

3.81

2.17

4.37

2.20

12.55

Extra-axial haematoma evacuation (extradural haematoma, subdural haematoma)

4.91

3.37

3.13

2.93

14.34

Orbitozygomatic approach—craniotomy

3.31

2.07

4.20

2.87

12.45

Retrosigmoid approach—craniotomy

4.63

2.73

3.43

3.53

14.33

Resection of sphenoid ridge meningioma

3.78

2.37

4.47

1.73

12.35

Decompressive craniectomy

4.88

3.20

3.30

2.93

14.31

Intra-operative monitoring (IOM) utilization, e.g. Mapping dorsal columns (asleep)

3.72

2.23

4.00

2.33

12.29

Midline suboccipital approach—midline approach to tumour resection

4.72

2.73

4.03

2.80

14.29

Resection of 4th ventricular tumours

3.56

2.17

4.57

1.93

12.23

Midline suboccipital approach—posterior fossa decompression

4.84

2.73

3.93

2.73

14.24

Complex extra-axial lesion resection (intrinsic cerebellar tumour, vestibular schwannoma etc.)

3.16

2.53

4.53

2.00

12.22

Pedicle screw insertion: cervical, thoracic, lumbar

3.66

2.97

4.33

3.13

14.09

Resection of olfactory groove meningioma

3.81

2.40

4.33

1.67

12.21

Transsphenoidal hypophysectomy and biopsy of sellar lesion

3.38

2.97

4.40

3.27

14.01

Ventriculoatrial shunt insertion including neck dissection

3.72

2.00

4.20

2.27

12.19

Midline suboccipital approach—foramen magnum decompression (bone only versus opening dura)

4.84

2.83

3.80

2.47

13.94

Resection of petrous ridge meningioma

3.19

2.27

4.50

2.20

12.15

Excision of convexity meningioma

4.81

3.20

3.63

2.20

13.85

Craniofacial repair of a CSF leak

3.75

2.00

4.27

1.93

11.95

Anterior plate systems (fusion)

4.00

2.83

4.20

2.80

13.83

Craniocervical junction tumour resection

3.16

2.10

4.60

1.67

11.52

Microvascular decompression (facial nerve, trigeminal nerve etc.)

3.5

2.2

4.4

3.73

13.8333333

Syringopleural shunt insertion

3.44

1.83

4.17

2

11.4375

Cranioplasty using autologous, titanium or acrylic implants

4.875

3.27

3.37

2.27

13.775

Myelomeningocele repair

2.97

1.8

4.57

1.93

11.26875