The VA Southern Nevada Health Care System (VASNHCS) has a requirement for a Spinal Surgery Simulation Training System with associated service and support. The system is intended to provide realistic s... The VA Southern Nevada Health Care System (VASNHCS) has a requirement for a Spinal Surgery Simulation Training System with associated service and support. The system is intended to provide realistic surgical simulation that supports clinical training, skill development, and procedural proficiency for surgeons and other clinical staff.