Use of 3-Dimensional Printing Technology in Complex Spine Surgeries.
Adolescent
Adult
Bone Transplantation
Carcinoma, Ductal, Breast
/ diagnostic imaging
Carcinoma, Renal Cell
/ diagnostic imaging
Chondrosarcoma
/ diagnostic imaging
Equipment Design
Female
Giant Cell Tumors
/ diagnostic imaging
Hemangioma
/ diagnostic imaging
Humans
Lumbar Vertebrae
/ diagnostic imaging
Magnetic Resonance Imaging
Male
Middle Aged
Models, Anatomic
Osteoma, Osteoid
/ diagnostic imaging
Printing, Three-Dimensional
Prostheses and Implants
Plastic Surgery Procedures
/ instrumentation
Sarcoma, Ewing
/ diagnostic imaging
Spinal Neoplasms
/ diagnostic imaging
Surgery, Computer-Assisted
/ instrumentation
Surgical Instruments
Thoracic Vertebrae
/ diagnostic imaging
Tomography, X-Ray Computed
Young Adult
3D printing
Custom-made implants
Custom-made tools
En bloc resection
Medical simulation
Preoperative models
Spine tumor
Journal
World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
16
08
2019
accepted:
03
09
2019
pubmed:
15
9
2019
medline:
6
2
2020
entrez:
15
9
2019
Statut:
ppublish
Résumé
Medical implications of 3-dimensional (3D) printing technology have evolved and are increasingly used. Surgical spine oncology involves at times complex resection using various surgical approaches and unique spinal reconstruction. As high general complication rates, including hardware failure, are reported, careful preoperative planning and optimized fixation techniques should be performed. 3D printing technology allows the improvement of preoperative planning, practice and exploration of various surgical approaches, and designing customized surgical tools and patient specific implants. To investigate the use of 3D printing technology in complex spine surgeries. Between 2015 and 2018, all complex spine oncological cases were evaluated and assessed for the possible benefit of use of 3D printing technology. Following high-quality imaging, a computerized integrated 3D model was created. Based on the planned procedure considering the various surgical steps, a customized 3D model was planned and printed, and in select cases a 3D custom-made implant was designed and printed in various sizes with matching trials. A total of 7 cases were selected for the use of a 3D printing technology. For all, a custom-made model was created. In 3 of these cases, a customized 3D-printed implant was used. Special customized intraoperative instruments were made for 2 cases, and a simulated surgical approach was performed in 5 cases. In 2 cases, pre-bent rods were made based on the model created and were used in surgery later on. For complex spine oncology cases, the use of 3D printing allowed better preoperative planning, simplified the operative procedure, and enabled improved reconstruction.
Sections du résumé
BACKGROUND
BACKGROUND
Medical implications of 3-dimensional (3D) printing technology have evolved and are increasingly used. Surgical spine oncology involves at times complex resection using various surgical approaches and unique spinal reconstruction. As high general complication rates, including hardware failure, are reported, careful preoperative planning and optimized fixation techniques should be performed. 3D printing technology allows the improvement of preoperative planning, practice and exploration of various surgical approaches, and designing customized surgical tools and patient specific implants.
OBJECTIVE
OBJECTIVE
To investigate the use of 3D printing technology in complex spine surgeries.
METHODS
METHODS
Between 2015 and 2018, all complex spine oncological cases were evaluated and assessed for the possible benefit of use of 3D printing technology. Following high-quality imaging, a computerized integrated 3D model was created. Based on the planned procedure considering the various surgical steps, a customized 3D model was planned and printed, and in select cases a 3D custom-made implant was designed and printed in various sizes with matching trials.
RESULTS
RESULTS
A total of 7 cases were selected for the use of a 3D printing technology. For all, a custom-made model was created. In 3 of these cases, a customized 3D-printed implant was used. Special customized intraoperative instruments were made for 2 cases, and a simulated surgical approach was performed in 5 cases. In 2 cases, pre-bent rods were made based on the model created and were used in surgery later on.
CONCLUSIONS
CONCLUSIONS
For complex spine oncology cases, the use of 3D printing allowed better preoperative planning, simplified the operative procedure, and enabled improved reconstruction.
Identifiants
pubmed: 31520760
pii: S1878-8750(19)32431-3
doi: 10.1016/j.wneu.2019.09.002
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e327-e341Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.